Process Associate (EVBV) Job Description: In the role of an intake process executive, you will greet patients and collect personal information, medical histories, and insurance details relevant to admission for services. You will address patient inquiries and concerns. Success in this role will be demonstrated by your attention to detail and organizational abilities. You should also possess strong interpersonal skills and exemplify excellence in patient service. Process Associate Job Responsibilities and Duties: Responsible for answering incoming calls from patients and providers while ensuring a high level of customer service and maximizing productivity. Should have good knowledge of insurance verification & prior authorization process for the US healthcare industry. Fax management. Track new patient referrals and update corresponding referral logs. Act as a liaison between patients, physicians, providers, and other healthcare professionals to assist and provide necessary information to each party. Verify patient insurance and benefits accurately on various relevant insurance portals or by calling insurance companies & complete further documentation. Maintain an up-to-date and accurate database on all current and potential referring physicians. Maintain an up-to-date and accurate pending-scheduling list and log of all patients for pre-certification with the patient providers. Perform other clerical duties such as faxing patient paperwork or reports as requested. Experience in an office setting environment using the softphones and computer as the primary instruments to perform job duties. Ability to prioritize and handle multiple tasks and projects concurrently. Academic Qualifications & Skill Requirements: Bachelor's Degree or equivalent. Exceptional customer service and phone etiquette. A well-rounded individual who has experience working with people with diverse backgrounds. Relevant experience would be a plus. Knowledge of HIPAA policies and procedures. Excellent written and verbal communication skills. Excellent attention to detail. Willingness to work in rotating shifts. Job Type: Full-time Job Location: Ahmedabad, Gujarat(WFO) Salary: As per industry standards Experience: 6 months - 2 years Shift: 3 PM - 12 AM (Noon) 6:30 PM to 3:30 AM (Evening) Send your resume to hr@zystamatic.com and let's embark on this journey together. Feel free to share this post with your network.
Job description A Medical Biller’s responsibilities include tasks that require Medical data analysis and hence should have sound judgment to be able to help our patients & providers throughout the billing process. In addition, the best candidate for this position will be experienced with billing software and medical insurance policies. Medical billers will demonstrate excellent written and verbal communication skills, which are necessary when working with clients or agents who regularly deal in these matters. The Medical Biller will be responsible for ensuring the accurate and timely submission of medical claims to insurance companies and other payers. Key Responsibilities Area of Medical biller:- Preparing and submitting billing data and medical claims to insurance companies. Verify patient insurance coverage and patient demography to avoid claim rejections. Accurate and timely submission of medical claims to insurance companies and other payers. Review and analyze medical records to ensure appropriate coding of diagnoses and procedures. Resolve billing issues with insurance companies and other payers. Stay up-to-date for changes in medical billing regulations and guidelines also ensure compliance with these changes. Maintain accurate and up-to-date patient and billing records in accordance with regulatory requirements. Reconciliation of monthly reports for billing to maintain the account health of the project. Reconcile all the queries of billing and timely resolution from practice to avoid the timely filing limits. Requirements and skills:- Proven work experience as a Medical Biller or similar role. Demonstrated knowledge and understanding of HIPAA regulations and their practical application in healthcare organizations. Should have knowledge of medical terminology CPC certification would be a plus Solid understanding of billing software and electronic medical records. Excellent written and verbal communication skills. Must have the ability to multitask and manage time effectively. Excellent analytical and problem-solving skills. Strong attention to detail and ability to work accurately in a fast-paced environment. High school diploma or equivalent; associate's degree in medical billing or a related field is preferred. Job Type: Full-time Job Location: Ahmedabad, Gujarat(WFO). Salary: As per industry standards. Experience: 6 months - 12 months. Shift: 2 PM - 11 PM (Noon). Send your resume to hr@zystamatic.com and let's embark on this journey together. Feel free to share this post with your network.