Company profile: Vee Technologies is a leading consulting and professional services organization with headquarters in New York, USA and Bangalore, India. We are the trusted partner to enterprises and organizations worldwide, delivering technology-enabled solutions for extraordinary outcomes in quality and cost. Client satisfaction achievements have consistently qualified Vee Technologies for the IAOP Global Outsourcing 100 list of the world's top outsourcing service providers and powered the company's growth onto the Inc. 5000 list as one of the fastest-growing American companies. We are also listed in Best Places to Work in Healthcare industries by Modern Healthcare. Services: As a global leader offering solutions to businesses across various industry sectors, we help achieve extraordinary business outcomes with our process-driven solutions encompassing healthcare, engineering, information technology (IT), logistics, media, finance & accounting, legal process outsourcing, and e-governance. Designation: AR Caller / Sr. AR Caller/AR Specialist Preferred Skills, Education and Experience: Any graduate Good communication skills and fair command over English language Experienced in AR Follow-up and Denials Management Good understanding of the US Healthcare revenue cycle and its intricacies Excellent analytical and comprehension skills Roles and Responsibilities: Review providers claims that have not been paid by the insurance companies Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and under payments and where needed, prepare appeal packets for submission to payers Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be Document actions taken into claims billing system Meet the established performance standards daily Improve skills on CPT codes and DX Codes. Make collections with convincing approach. Employment Mode: Full time Shift Timing: Night shift (US Shift) (5.30PM 2.30AM IST)
Roles and Responsibilities: Review and analyze denied claims to identify reasons for denial and assign appropriate ICD-10, CPT, and HCPCS codes. Resolve coding-related denials by making necessary corrections and ensuring compliance with payer-specific guidelines. Work closely with billing and accounts receivable teams to resubmit corrected claims promptly. Investigate trends in claim rejections and implement strategies to minimize denial rates. Liaise with healthcare providers and teams to clarify documentation discrepancies affecting claim approvals. Ensure claims meet industry standards and payer-specific policies for successful reimbursement. Maintain accurate records of denial cases and resolutions for reporting purposes. Stay up to date on coding guidelines, healthcare regulations, and payer policy updates. Meet productivity and quality benchmarks established by the organization. Maintain confidentiality and adhere to HIPAA regulations in handling patient information.
Roles and Responsibilities: Initiate calls to insurance companies to obtain information on outstanding claims. Follow up on pending claims and ensure timely resolution of denials or rejections. Understand the medical billing process, insurance guidelines, and AR management principles. Verify claim status, handle escalations, and document outcomes accurately. Resolve billing discrepancies and identify reasons for delayed or denied payments. Collaborate with team members to prioritize and process accounts efficiently. Adhere to HIPAA and company compliance guidelines while handling patient information. Maintain productivity standards, quality metrics, and turnaround time. Provide clear and concise updates on accounts and escalate unresolved issues to supervisors. Stay updated with insurance policies and changes in medical billing regulations. Skills and Qualifications: 1-5 years of experience in AR calling/medical billing. Strong communication and negotiation skills. Knowledge of insurance policies (Medicare, Medicaid, and Commercial). Proficiency in MS Office and billing software tools. Ability to handle pressure and meet deadlines. Attention to detail with strong analytical and problem-solving skills.
Key Details: Experience: 1+ Years of experience in EM, ED, Radiology, Anesthesia, IVR, Denials, IP DRG & Surgery Medical Coding. Specialties: EM, ED, Radiology, Anesthesia, IVR, Denials, IP DRG & Surgery. Total Experience Required: 1-5 Years. Designation: Medical Coder / Senior Coder. Certification: Open to both Certified and Non-Certified candidates. Joining Requirement: Immediate joiners only. Location: Chennai, Trichy, Salem, Bangalore, Hyderabad (Work From Office) Responsibilities: Accurately code medical procedures and diagnoses in accordance with ICD, CPT, and HCPCS guidelines. Specialize in coding for EM, ED, Radiology, Anesthesia, IVR, Denials, IP DRG, and Surgery cases. Ensure compliance with company policies and healthcare regulations. Review and resolve coding errors or denials to ensure prompt reimbursements. Collaborate with healthcare providers to clarify coding queries.
Roles and Responsibilities: Perform accurate coding for surgical procedures using ICD-10, CPT, and HCPCS guidelines. Review and analyze medical records to ensure proper coding of diagnoses and procedures. Ensure compliance with applicable regulations and standards in medical coding. Resolve coding-related queries and collaborate with healthcare providers for clarifications. Assist in reducing claim denials by identifying and correcting coding errors. Stay updated on changes in coding guidelines and industry standards. Meet productivity and quality standards set by the organization. Maintain patient confidentiality and adhere to HIPAA regulations. Skills and Qualifications: In-depth knowledge of surgical coding and US healthcare guidelines. Proficiency in ICD-10, CPT, and HCPCS coding systems. Strong attention to detail and analytical skills. Ability to work under pressure and meet deadlines. Certification in medical coding (CPC, CCS, or equivalent) is a plus but not mandatory.
Roles and Responsibilities: Accurately code radiology procedures and diagnoses using ICD-10, CPT, and HCPCS guidelines. Analyze and review radiology reports to ensure proper documentation and coding compliance. Identify and resolve coding errors to minimize denials and improve claim acceptance rates. Collaborate with radiologists and healthcare providers to clarify any discrepancies in documentation. Ensure adherence to payer-specific policies and guidelines for radiology coding. Stay updated on changes in coding standards, regulations, and industry practices. Maintain confidentiality of patient information and comply with HIPAA regulations. Meet productivity and quality benchmarks set by the organization. Skills and Qualifications: Strong knowledge of radiology coding and US healthcare guidelines. Proficiency in ICD-10, CPT, and HCPCS coding systems. Attention to detail with excellent analytical skills. Ability to handle high volumes of work efficiently and accurately. Certification in medical coding (CPC, RCC, CCS-P, or equivalent) is a plus but not mandatory.
Roles and Responsibilities: Accurately code interventional radiology procedures and diagnoses using ICD-10, CPT, and HCPCS guidelines. Review and interpret radiology reports to ensure precise and compliant coding. Analyze medical documentation to identify relevant information for coding interventional procedures. Address coding-related denials and provide timely resolutions to minimize revenue loss. Stay updated on coding guidelines specific to interventional radiology and payer-specific policies. Collaborate with physicians and healthcare providers to clarify documentation discrepancies. Ensure compliance with all regulations, including HIPAA, and maintain patient confidentiality. Achieve and maintain productivity and accuracy benchmarks set by the organization. Skills and Qualifications: Strong knowledge of interventional radiology coding and US healthcare billing guidelines. Proficiency in ICD-10, CPT, and HCPCS coding systems with a focus on IVR procedures. Analytical skills to interpret and code complex medical reports. Detail-oriented with the ability to meet deadlines in a fast-paced environment. Certification in medical coding (e.g., CPC, CIRCC, CCS) is an advantage but not mandatory.
Roles and Responsibilities: Lead and manage a team of AR Callers to achieve performance targets and operational efficiency. Handle escalations, resolve complex account issues, and ensure timely follow-up on outstanding claims. Monitor team performance, provide constructive feedback, and drive continuous improvement. Ensure adherence to client-specific guidelines, policies, and compliance standards. Conduct regular training sessions to enhance team knowledge on denial management and AR processes. Analyze trends in claim rejections, denials, and delays to implement effective corrective actions. Collaborate with internal teams to ensure smooth workflows and optimize results. Prepare and present reports on team performance, productivity, and outcomes to senior management. Stay updated with the latest developments in US healthcare and medical billing processes. Foster a positive work environment to maintain high team morale and employee retention.