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1.0 - 6.0 years
2 - 4 Lacs
Chennai
Work from Office
Dear Candidates, We are hiring medical billing executive for Chennai location Domain: Medical Billing Process: AR Analyst, Payment Posting, Charge & Demo Designation: Executive, Senior Executive Experience: 1 Yrs to 6 Yrs Salary: As per norms Location: Chennai (Guindy) Work Mode: Work From Office Required Skills: Demo and Charge Entry: Access and download super bills and face sheets from client file server Track and maintain the status log Pull the patient in Client software using the name or DOB If patient not found, Demo has to be created using the face sheet Need to check the eligibility status for the patient insurance Charges have to be keyed according to the client protocol All the queries should be maintained in the log and client has to be updated by EOD. Payment Posting: Should be experience of below 4 year. Should have good typing skill. Should be Strong in reviewing EOB'S. Should be trained in working both Manual Posting and Auto Posting (835 Remits) Should have the knowledge to identify denial codes (RARC & CARC) with denial reason & Correspondence. Should have analytical skill to post the checks to the correct patients. Should have knowledge in Patients payments. Should have knowledge Offset and Refund. Should have knowledge in Recoupment and Over Payment/Under Payments. Should have knowledge in Sequestration and Interest payment/Penalty payments. Should have knowledge in Cross Over (Piggy Bag). Should have known about Capitation Agreement Payments. Should have known about Patients Responsibility (Copay, Coinsurance & Deductible) Should have known about PAYMENT FORMULAS Should have know about the Participating and Non-Participating Provider. Have to know about HSA and HRA payments Have to know about the different between Paid to Patient and Paid to Provider Should have known about Small Balance Write Off Should have known about the Adjustment/Write Off scenario, if patient is having Medicaid as secondary. Should have known about Workers Comp” and “No Fault” Ar Analyst : Clear the rejections Check whether the response is received in a timely manner Check process dashboard on time; if any rejection found Resolve the global issues working with the process and inform the client Generate Insurance Collection summary report grouping by Insurance and sub-grouping. Work on the denial bucket claims Review EOB, post the denials and take appropriate action on the denials. Resolve the denied claims Update the practice specific denial count & dollar in the spreadsheet Interested candidates can directly reach out to us via Whatsapp or through direct call Contact Person: Rishi Mobile Number: 8610529763 Regards Rishi HR Team Qway Technologies
Posted 6 days ago
5.0 - 8.0 years
6 - 7 Lacs
Navi Mumbai
Work from Office
We have an opportunity for the role of Team Manager in RCM, the details of which are mentioned below: Designation: Team Manager (Billing) No. of Openings: 4 Experience: 5+ years Location: Navi Mumbai (Airoli) Skills Required: Work experience of 5+ years in RCM, especially in Billing function of a US Healthcare Setup. Experience in managing teams of 20+ executives. Experienced in setting & measuring team targets, basic people management & leadership skills. Graduate in any stream. Responsibilities: Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates. Help manage team work life balance through efforts on leave planning and rostering. Communicate effectively within & with team members & escalate issues to the management for timely resolution Continuously manage performance through timely and effective feedback and coaching. Partner with Recruiting and Training functions to help improve the quality of incoming talent. If interested, please share your updated CV on shivani.tripathi@ikshealth.com
Posted 1 week ago
1 - 6 years
1 - 6 Lacs
Pune
Work from Office
Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Parineeta Dutta /7020794886/ parineeta.dutta@in.credencerm.com Diya Dhanani/ 7758938726/diya.dhanani@in.credencerm.com
Posted 2 months ago
1 - 5 years
2 - 5 Lacs
Pune
Work from Office
Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Nandani Rohra /7709176585/ nandani.rohra@in.credencerm.com Kalim Khan/ 9881208270 /kalim.khan@in.credencerm.com
Posted 2 months ago
1 - 6 years
4 - 7 Lacs
Pune
Work from Office
Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Shweta Thombare/7031257111/ shweta.thombare@in.credencerm.com Diya Dhanani/ 7758938726/ diya.dhanani@in.credencerm.com
Posted 2 months ago
1 - 2 years
0 - 2 Lacs
Chennai
Work from Office
Greetings From Prochant India Pvt Ltd Hiring for FRONT END BILLING - REJECTIONS (NON - VOICE)(NIGHT SHIFT) Immediate Joining !!! Notice Period (15 Days) Maximum Mode of Interview: In person/ Virtual Availability: Work from office Eligibility: Candidates holding 1 to 2 Years of Experience into Medical Billing Domain as Front End Billing, Rejection can only apply for this position. Job Description: Non calling Insurance Company on behalf of Doctors / Physician for claim status. Follow-up with Insurance Company to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverable adhere to quality standards. Industry - Medical Billing Domain - US healthcare Shift Timing - 6:30PM - 3.30AM Working Days - 5 days (Fixed weekend Off) Process - Front End Billing, Rejections Benefits: Salary & Appraisal - Best in Industry Monthly Performance Incentives up to Rs. 9000/- Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Medical Insurance Coverage Referral Bonus Upfront Leave Credit Only 5 days working (Monday - Friday) Two way cab facility for female employees Contact Details: Harini P Email id: harinip@prochant.com Contact No : 8870459635
Posted 3 months ago
1 - 3 years
0 - 3 Lacs
Chennai
Work from Office
Greetings from E-care India Pvt Ltd!!! We are looking for Experienced AR Callers!! Designation: Executive AR Caller / Senior AR Caller. Job Responsibilities: - Min of 1 Year to 4 years into AR calling experience is required. - Knowledge into Healthcare concept is mandatory. - Knowledge on Denial management. - Good communication skills. - Understand the client requirements and specifications of the project. Job Benefits: - Joining Bonus - Attractive Attendance and performance incentives. - Free one-way cab drop facility for all employee and home drop for women employees - Fixed Week off. - Medical Insurance will be covered. - Free refreshments will be provided. - Reward & Recognition practice. Interested and Suitable candidates can send your resume through WhatsApp along with the below mentioned information @ 9344624861 Name: Position applying for: AR Calling Current company: Current Salary: Expected Salary: Notice period: Current Location: **Note: Mention you're looking for AR calling position in the WhatsApp message along with the updated resume while sending. Interviews will be happening through G-meet only
Posted 3 months ago
1 - 3 years
2 - 5 Lacs
Navi Mumbai, Mumbai (All Areas)
Work from Office
Job description: Good communication skills with RCM knowledge Knowledge of Insurance AR follow up, Denial management, Appeal creation. Minimum 1 year of experience in AR follow up & denials is a must Ok with Night shift Ok with Work from office - Location: Navi Mumbai
Posted 3 months ago
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