2 Payer Requirements Jobs

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5.0 - 8.0 years

0 Lacs

hyderabad, telangana, india

On-site

Key Responsibilities: Communicate with clients to address day-to-day information requests and resolve lower-level billing-related issues promptly. Handle escalated billing responsibilities, including co-insurance, Medicare Part B, therapy filings, and claims for multiple facilities. Ensure claims compliance with Medicare, Medicaid, and private insurance guidelines while maintaining high accuracy in coding and submissions. Provide detailed and reliable reports on billing activity. Act as a Team lead for certain operational tasks, such as monitoring billing performance metrics and assisting with budget management for assigned facilities. Mentor and support less experienced team members, provid...

Posted 1 month ago

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1.0 - 5.0 years

0 - 0 Lacs

chennai

On-site

Job Description: We are looking for skilled Home Health Coders to join our healthcare RCM team. The role involves reviewing patient documentation for home health services and assigning accurate ICD-10-CM codes to ensure compliance with payer and regulatory requirements. Key Responsibilities: Assign appropriate ICD-10-CM diagnosis codes for home health episodes of care . Review OASIS and physician documentation to ensure accurate coding. Ensure compliance with CMS guidelines and payer-specific requirements. Collaborate with clinicians and billing teams to resolve documentation gaps. Support denial management teams by correcting coding-related rejections. Maintain productivity and quality benc...

Posted 2 months ago

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