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1 - 3 years
3 - 4 Lacs
Gurugram
Work from Office
Role & responsibilities Review rejected claims in billing systems to identify root causes and patterns. Correct and resubmit rejected claims within specified timelines to ensure prompt reimbursement. Communicate effectively with insurance carriers to resolve claim discrepancies and denials. Collaborate with billing, coding, and accounts receivable teams to prevent recurring rejections. Ensure compliance with payer guidelines, medical billing regulations, and company policies. Document resolution processes and maintain accurate records of claim rejections and follow-ups. Provide insights and recommendations to enhance rejection management workflows. Preferred candidate profile Proficiency in RCM software and tools (e.g., Kareo, Athena, or similar platforms). Strong knowledge of CPT, ICD-10, and HCPCS coding standards. Excellent analytical and problem-solving skills with attention to detail. Effective communication skills to liaise with internal teams and external stakeholders. Familiarity with HIPAA regulations and data privacy compliance.
Posted 2 months ago
10 - 20 years
12 - 14 Lacs
Oragadam, Sriperumbudur, Chennai
Work from Office
Lead INPROCESS QA / IPQC handling QA PROCESSES, REJECTION ANALYSIS, QUALITY COSTING, CALIBRATIONS, PROCESS AUDIT, PRODUCT AUDIT, LAYOUT INSPECTION, FINAL INSPECTION, QUALITY COMPLIANCES, CQA, IPQC, FINAL QUALITY CHECKS, CUSTOMER COMPLAINTS HANDLING.. Required Candidate profile DME/BE/CIPET 10-20yrs exp with any AUTOMOTIVE PLASTIC / IM Unit into QA having 5+yrs of strong exposure in INPROCESS QUALITY / IPQC must Apply only if u hv exp in AUTOMOTIVE INJECTION MOLDING unit Perks and benefits Excellent Perks. Send CV cv.ch2@adonisstaff.in
Posted 2 months ago
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