22 Reimbursement Processes Jobs

As a Medical Billing Specialist at our company in Noida, India, your role will involve: - Investigating and addressing denied or rejected claims by identifying reasons for denial, rectifying errors, and resubmitting claims when necessary. - Collaborating closely with the billing and coding teams to ensure accurate claim adjudication. - Identifying discrepancies and escalating issues to the relevant personnel for timely resolution. - Providing regular updates to the management team to support financial analysis and decision-making. - Upholding patient confidentiality and safeguarding sensitive financial information. To excel in this position, you need to possess the following qualifications: ...

As a Claims Specialist at Quantanite, you will play a crucial role in managing the end-to-end claims process to ensure timely and accurate reimbursement. Your responsibilities will include: - Reviewing claims for assigned offices and ensuring timely submission. - Performing quality control checks on patient accounts for accurate billing. - Reviewing and analyzing denial queues to identify outstanding claims and unpaid balances. - Following up on denied, underpaid, or rejected claims with insurance companies to resolve billing discrepancies. - Investigating and resolving claim rejections or denials, including appealing or demanding denied claims when necessary. - Collaborating with the Insura...

As an AR Executive at Probe Practice Solutions in Mysore, your primary role will involve managing the Revenue Cycle process. This includes tasks such as claims submission, denial management, and AR follow-up. Your responsibilities will require regular interaction with insurance companies and internal stakeholders to ensure timely and accurate revenue collection. Key Responsibilities: - Manage the Revenue Cycle process for the organization - Submit claims, handle denial management, and follow up on accounts receivable - Interact with insurance companies and internal stakeholders to facilitate revenue collection Qualifications Required: - Experience in Revenue Cycle Management, Claims Processi...

As a Finance Manager at Soundlines Group, your role will involve overseeing the financial operations within the hospital setting to ensure fiscal health and support strategic goals through sound financial management. Here is a breakdown of what will be expected from you in this position: **Role Overview:** You will be responsible for accurate budgeting, forecasting, and financial reporting to maintain the hospital's fiscal health. Your role will require utilizing financial skills and knowledge of healthcare regulations for robust financial analysis and optimal resource allocation. **Key Responsibilities:** - Oversee the implementation of fiscal operations, including budgeting, forecasting, a...

AR Follow Up, Claim submission, payment posting, EDI & ERA enrolment & Auth executives for Heathcare domain end to end RCM domain. Core responsibilities Call insurance companies: Make outbound calls to insurance to follow up on outstanding claims. Resolve claim issues: Investigate and resolve denied or underpaid claims, including reviewing Explanation of Benefits (EOBs). Ensure timely payment: Work to ensure claims are paid on time, which includes correcting errors and appealing denials. Maintain records: Keep accurate and detailed records of all communication and claim statuses in the billing system. Collaborate internally: Work with internal teams (like medical billing and coding) to resol...

As a Patient Relationship and Treatment Coordinator at Chandan Dental Pvt Ltd in Vadodara, Gujarat, you will play a crucial role in coordinating patient treatment plans and ensuring excellent customer service. Your responsibilities will include: - Coordinating patient treatment plans and procedures effectively - Assisting in insurance and reimbursement documentation - Handling patient inquiries and addressing concerns with exceptional customer service skills - Ensuring seamless communication between patients and dental care providers - Educating patients about dental care procedures and preventive measures - Maintaining a positive relationship with patients - Ethical case conversions for inc...

Job Description: As a member of our team, you will be responsible for efficiently managing denial processes, maintaining accurate documentation, and collaborating with billing and coding teams. You will work towards meeting daily and monthly targets while ensuring compliance with HIPAA and data security policies. Additionally, you will play a crucial role in identifying denial trends and providing valuable suggestions to improve billing and coding practices. Key Responsibilities: - Handle denial management by understanding reasons for denials, initiating corrective actions, and coordinating re-submissions. - Maintain detailed documentation of all communication and actions taken on accounts. ...

Core responsibilities Call insurance companies: Make outbound calls to insurance to follow up on outstanding claims. Resolve claim issues: Investigate and resolve denied or underpaid claims, including reviewing Explanation of Benefits (EOBs). Ensure timely payment: Work to ensure claims are paid on time, which includes correcting errors and appealing denials. Maintain records: Keep accurate and detailed records of all communication and claim statuses in the billing system. Collaborate internally: Work with internal teams (like medical billing and coding) to resolve discrepancies and improve processes. Stay updated: Maintain up-to-date knowledge of insurance policies, procedures, and regulati...

As a Healthcare AR Follow-up Specialist, your role involves handling denial management by understanding reasons for denials, initiating corrective actions, and coordinating re-submissions. You will be responsible for maintaining detailed documentation of all communication and actions taken on accounts, working closely with billing and coding teams to resolve claim issues, and prevent recurring errors. Meeting daily and monthly targets for productivity, collections, and quality is crucial. It is essential to ensure compliance with HIPAA and company data security policies and communicate effectively regarding denial trends and suggestions to billing/coding teams. Key Responsibilities: - Handle...

As an EM Coder at CorroHealth, your primary responsibility will be to review and accurately code medical records for outpatients, ensuring proper reimbursement during the billing process. Your tasks will include analyzing healthcare documentation, coding diagnoses and procedures, maintaining compliance with regulatory requirements, and collaborating with healthcare providers to clarify information. Staying updated with coding guidelines and industry changes will also be a part of your role. Key Responsibilities: - Reviewing and coding medical records for outpatients - Ensuring accurate application of codes during billing for proper reimbursement - Analyzing healthcare documentation and codin...

As a Manager in the PIP Billing Department, your role will involve leading a team of billers and collection specialists to ensure best-in-class collections, improve performance, automate processes, and meet the revenue cycle management (RCM) needs of a rapidly growing client base. Key Responsibilities: - Supervise, train, and mentor a team of PIP billers and collection specialists to ensure timely and accurate billing and follow-up on all PIP claims. - Assign and monitor daily workloads, conduct performance evaluations, provide coaching, and implement process improvements to enhance team productivity. - Oversee the preparation and submission of all PIP claims, ensuring accuracy and complianc...

As a Medical Billing Specialist, you will play a crucial role in ensuring the prompt and accurate processing of claims. Your responsibilities will include: - Investigating and resolving denied or rejected claims by identifying reasons for denial, rectifying errors, and resubmitting claims when necessary. - Collaborating closely with the billing and coding teams to guarantee the correct adjudication of claims. - Identifying discrepancies and promptly escalating issues to the relevant personnel for resolution. - Keeping the management team informed with regular updates to facilitate financial analysis and decision-making. - Upholding patient confidentiality and safeguarding sensitive financial...

Role Overview: As a Medical Billing Specialist, your primary responsibility will be to identify and address denied or rejected claims by investigating the reason for denial, correcting errors, and resubmitting claims as necessary. You will work closely with the billing and coding teams to ensure proper claim adjudication. Additionally, you will be responsible for identifying any discrepancies, escalating issues to the appropriate personnel for resolution, providing regular updates to the management team for financial analysis, and maintaining patient confidentiality. Key Responsibilities: - Investigate denied or rejected claims, correct errors, and resubmit claims as necessary - Collaborate ...

As a Finance Manager at Soundlines Group in the hospital setting, your role will involve overseeing the financial operations to ensure the hospital's fiscal health and support strategic goals through sound financial management. **Key Responsibilities:** - Oversee the implementation of fiscal operations, including budgeting, forecasting, and financial reporting. - Support the hospital's strategic goals through efficient financial management. - Perform financial analysis using financial software and data management tools to generate insights and support decision-making processes. - Keep abreast of healthcare financial regulations and reimbursement processes to ensure compliance. - Utilize effe...

As a Claims Specialist at Quantanite, you will play a crucial role in managing the end-to-end claims process to ensure timely and accurate reimbursement. Your responsibilities will include reviewing, submitting, and following up on insurance claims, collaborating with internal teams, insurance companies, healthcare providers, and patients to resolve billing discrepancies, and maintaining compliance with regulations. Key Responsibilities: - Review claims for assigned offices and ensure timely submission. - Perform quality control checks on patient accounts to guarantee accurate billing. - Analyze denial queues to identify outstanding claims and unpaid balances. - Follow up with insurance comp...

About RISA Labs Cancer patients face not just a disease, but a broken system where delays in treatment are common due to outdated, error-prone workflows. RISA Labs is changing that with our Business Operating System as a Service (BOSS) - a powerful platform built for the vertical complexity of healthcare, that transforms healthcare operations. Unlike simple automation tools, BOSS breaks down complex workflows into small tasks, managed by smart AI agents like LLMs, digital twins, and reinforcement learners. This creates a digital workforce that doubles the efficiency of healthcare teams, letting a 1,000-person institution operate like it has 2,000 staff overnight. Founders RISA was founded by...

You will be working as an EM Coder at Noida location for CorroHealth, a prominent provider of healthcare analytics and technology solutions across various healthcare entities. Your primary responsibility will be to meticulously review and accurately code medical records for outpatient services to facilitate the billing process and ensure proper reimbursement. Daily tasks will involve analyzing healthcare documentation, assigning appropriate codes for diagnoses and procedures, ensuring adherence to regulatory requirements, and collaborating with healthcare providers to clarify any information discrepancies. Keeping abreast of coding guidelines and industry updates will be crucial for this rol...

As a Claims Specialist at Quantanite, you will play a crucial role in reviewing, processing, and following up on insurance claims to ensure timely and accurate reimbursement. Your attention to detail and proactive approach will be essential in collaborating with internal teams, insurance companies, healthcare providers, and patients to resolve billing discrepancies and maintain compliance with all relevant regulations. Your key responsibilities will include reviewing claims for assigned offices, performing quality control checks on patient accounts, and analysing denial queues to identify outstanding claims. You will be responsible for following up on denied, underpaid, or rejected claims wi...

Job Title: Claims Specialist Location: Mumbai About Us Quantanite is a global outsourcing partner delivering exceptional customer experience and back-office solutions to some of the worlds leading brands. We take pride in our fast-paced, inclusive work culture that empowers individuals to perform at their bestwherever they are in the world. Position Overview We are seeking a detail-oriented and proactive Claims Specialist to join our team. This role is responsible for reviewing, processing, and following up on insurance claims to ensure timely and accurate reimbursement. You will collaborate closely with internal teams, insurance companies, healthcare providers, and patients to resolve billi...

As an AR Caller with over 3 years of experience, you will be responsible for contacting insurance companies, patients, and healthcare providers to follow up on outstanding medical claims. Your main tasks will include identifying and resolving issues with unpaid or denied claims, reviewing and analyzing insurance remittance advice for accurate reimbursement, and maintaining up-to-date records of all communications and actions taken. Additionally, you will collaborate with internal departments to resolve billing discrepancies and coding issues, providing excellent customer service by effectively addressing inquiries and concerns. It will be essential for you to stay updated on industry trends ...

The position of RCM Quality Analyst in our Revenue Cycle Management (RCM) department in Visakhapatnam, India, is currently open for a detail-oriented and analytical individual. As an RCM Quality Analyst, you will play a crucial role in evaluating and enhancing the quality of revenue cycle processes to ensure accuracy, compliance, and efficiency in all operations. Your responsibilities will revolve around quality and process auditing, data analysis, reporting, feedback and training, continuous improvement, and documentation. Your main tasks will include conducting regular audits to identify discrepancies and areas for improvement, analyzing data to optimize processes, preparing detailed repor...

You will be joining Sinex Management Pvt Ltd, a company specializing in providing comprehensive medical billing and revenue cycle management services to healthcare providers. Your primary goal will be to optimize revenue, minimize claim denials, and streamline billing processes to allow medical professionals to focus on patient care. By leveraging the expertise of our billing specialists, you will ensure accurate claim submissions, timely reimbursements, and adherence to industry standards. Our tailored solutions cater to various healthcare settings, such as small clinics, group practices, and independent physicians, to enhance cash flow and reduce administrative burdens. Your role will be a...