6 Rejections Jobs

As an EBO Accounts Receivable professional at Guidehouse in India, you will be responsible for initiating calls to request the status of claims in the queue. It will be your duty to take appropriate actions on claims to ensure resolution, along with ensuring accurate and timely follow-up when necessary. Documenting the actions taken in the claims billing summary notes is also a crucial part of this role. Your tasks will include prioritizing pending claims for calling from the aging basket and making physical calls in accordance with international norms and applicable rules for confidentiality and HIPAA compliance. You will be accountable for working on Denials, Rejections, and LOA's to accounts, and making the required corrections to claims. To qualify for this position, you should hold a Graduate Degree. Guidehouse offers a comprehensive total rewards package, including competitive compensation and a flexible benefits package that underscores our dedication to fostering a diverse and supportive workplace. If you are looking to join a dynamic team at Guidehouse and require accommodation while accessing our website for job-related information or applying for a position, please reach out to Guidehouse Recruiting at RecruitingAccommodation@guidehouse.com. Rest assured, all information you provide will be treated confidentially and used only as needed to facilitate the necessary reasonable accommodation.,

Summary : A leading company is hiring experienced Medical Billers (US healthcare) for Noida location. Local candidates from Delhi-NCR only need to apply. Job Description : Good knowledge & experience in US healthcare Revenue Cycle Management end to end processes. Ability to analyse and organize work for maximum efficiency. Excellent hands-on experience on all the items below: Demographic entry, Eligibility verification, Charge entry for Medicare, Medicaid, Commercial & W/C insurances, Co-pay, Co-insurance handling. Working knowledge of CPT, ICD codes, Modifiers etc. Rejection & denials management. Checking status of claims on payer portals. Payments posting: Manual & electronic (EOB/ERA). Preparing and sending Patient Statements. Excellent communication skills in English (written as well as Verbal) Ability to analyse and organize work for maximum efficiency and meet Daily targets. Ability to work in a team and communicate effectively. Candidate should be a local of Delhi-NCR. Qualification : Undergraduate or Post Graduate in any discipline Minimum 3 Years of experience as Medical biller

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

WE ARE HIRING FOR "AR - CALLER -PRIOR AUTHORISATION" Requirement:- Minimum 1 year experience as AR caller// Prior Authorization- US Healthcare (RCM). If interested share your CV on 6383196883 HR- DEEPIKA C

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

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