13 Denials Jobs in Mumbai

Title: AR Caller Fresher (US Healthcare Process) Location: MumbaiShift: Night Shift (US Process)Experience: Fresher to 1+yrQualification: Any Graduate (Non-technical or Technical)Employment Type: Full-time Job Summary: We are looking for enthusiastic and dedicated AR Callers to join our US Healthcare team. The AR Caller will be responsible for contacting insurance companies to follow up on pending or denied medical claims, ensuring timely payment and resolution. Key Responsibilities: Make outbound calls to insurance companies (US) to follow up on outstanding medical claims. Understand and analyze insurance denials and resolve issues for claims reimbursement. Review claim status and update the system with accurate notes. Communicate effectively with insurance representatives to gather required information. Meet daily/weekly productivity and quality targets. Work collaboratively with the team to achieve process goals. Maintain confidentiality and adhere to HIPAA regulations at all times. Required Skills: Excellent communication skills (verbal and written) in English. Strong analytical and problem-solving abilities. Good understanding of basic medical billing terms (added advantage, but not mandatory). Willingness to work in night shift (US time zone). Basic computer knowledge (MS Office, typing skills). Quick learner and a team player. Eligibility: Education: Any Graduate (B.Com, BBA, B.Sc, BA, B.Tech, etc.) Experience: Freshers are welcome. (Training will be provided.) and 1+yrs experience Shift: Night shift (US Process) Perks and Benefits: Attractive salary package with performance-based incentives. Medical insurance and cab facility (if applicable). Excellent career growth opportunities in the US healthcare domain. Comprehensive training and supportive work environment.  Interested candidates can send their updated resume to 93452 81515 / steffis.stw@gmail.com  Regards, Steffi HR Executive  9345281515

ob description Responsibility Areas: Should handle US Healthcare Physicians/ Hospital's Accounts Receivable.To work closely with the team leader.Ensure that the deliverables to the client adhere to the quality standards.Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.Calling the insurance carrier & Document the actions taken in claims billing summary notes.To review emails for any updatesIdentify issues and escalate the same to the immediate supervisorUpdate Production logsStrict adherence to the company policies and procedures. Requirements: Sound knowledge in Healthcare concept.Should have 12 months to 48 months of AR calling Experience.Excellent Knowledge on Denial management.Should be proficient in calling the insurance companies.Ensure targeted collections are met on a daily / monthly basisMeet the productivity targets of clients within the stipulated time.Ensure accurate and timely follow up on pending claims wherein required.Prepare and Maintain status reportsLong career Gap candidates will not consider We have openings for Hospital Billing _AR & Physician AR Skills & Education: Any degree mandate/10+2Excellent Communication Skills, Analytical & Good Listening SkillsBasic Computer Skills Employee Benefits: Cab Facility / Travel AllowancePerformance IncentivesRelocation AllowanceFamily InsuranceFood Facility CONTACT: ahmed@talentqs.com or Whatup cv to   6304388213 / 9652673062

AR Caller / Accounts Receivable Caller   Job Summary Responsible for contacting insurance companies to follow up on outstanding medical claims, resolve payment issues, and ensure timely reimbursement. This role is critical to managing accounts receivable and maintaining the financial health of a healthcare organization.    Key Responsibilities Claim Follow-up: Proactively call insurance companies to check the status of pending claims. Eligibility and Authorization: Verify patient insurance coverage and ensure necessary authorizations are in place. Denial Management: Identify, research, and appeal denied claims to resolve payment issues. Payment Resolution: Work with payers to secure timely payments for services rendered. Record Keeping: Accurately document all call details, claim statuses, and follow-up actions in the system. Collaboration: Coordinate with internal billing and collections teams to resolve complex issues. 

Job description Responsibility Areas:   Leading US Healthcare MNC hiring for below Medical Coding Requirements for Below Positions: Work Locations :Hyderabad /Chennai / Bangalore/Mumbai   Medical Coders :   Openings for Medical Coder & QA - HYD /Chennai /Bangalore Specilaities : HCC ED Facility coder & QA -  Radiology /Ancilary Coder /QA -  ED profee with E&M OP - SME -  E&M OP IP With Denails -  SDS coder /QA /SME -  IPDRG coder /QA/Process Coach /Trainer  E&M IP - Process coach  E&M IP - Process Trainer - Lead -  Surgery with IVR - Process Coach  Surgery - Process coach - chennia ED with E&M IP-  Denails coder -  Home Health coder & QA E&M with Surgery  Surgery Coder - chennia  Surgery Coder /QA / TL -    Min 2 Years working in medical coding with any of above specialty exposure can Apply Certification is Mandate   For More Details Pls share cv to ahmed@talentqs.com OR Whats up to Whatsapp CV - 9246192522/ 8297774733     Thanks & Regards, Mohammed Rafeeq Ahmed TalentQ Solutions ahmed@talentqs.com  

Job Title: Content and Medical Analyst, Healthcare   Summary This role requires a detail-oriented professional to analyze medical data, evaluate healthcare content, and support content creation efforts to improve healthcare outcomes and operations. The analyst will work with clinical, operational, and marketing teams to translate complex medical information into accurate and understandable content for various audiences.    Responsibilities Content Analysis and Development: Analyze and evaluate medical content for accuracy, clarity, and compliance with regulations. Create, edit, and manage a variety of medical content, such as patient education materials, clinical summaries, and marketing copy. Collaborate with medical writers, designers, and subject matter experts to produce high-quality content. Medical Data Analysis: Collect and analyze medical data from various sources, including electronic health records (EHRs). Identify trends, discrepancies, and patterns in data to provide insights for improving quality of care and operational efficiency. Develop reports and visualizations to present findings to management and other stakeholders.  An AR Caller job description for a healthcare company includes making outbound calls to insurance companies to follow up on unpaid claims, verifying patient and insurance details, resolving billing discrepancies, and documenting interactions. Key responsibilities are managing accounts receivable, meeting call targets, and working with billing teams to streamline the reimbursement process. Essential qualifications are experience in AR calling, strong communication and analytical skills, and knowledge of medical billing and denial management.    Responsibilities Initiate outbound calls to insurance companies to follow up on unpaid and denied claims. Resolve billing issues, discrepancies, and denials by liaising with insurance providers. Verify insurance details and patient information for accuracy. Analyze outstanding accounts receivable reports and track claim status. Document all calls, resolutions, and actions in the patient management system. Meet or exceed daily and monthly call and resolution targets. Collaborate with the billing and coding teams to improve processes. Prepare and submit correction requests for claims.     

  Great Opportunity for Medical Coders Mumbai Location Open Positions: EM with Denials EM IP/OP Coder ED Facility/Pro Coder EM OP Coder Surgery with Denials Surgery with IVR Surgery with OBGYN Eligibility: Minimum Experience: 1.5 years Certification: Mandatory (e.g., CPC, CCS, etc.) Notice Period: Immediate to 30 days (Proper relieving documents from all companies required) Salary: Decent hike from current package Mode of Interview: Virtual How to Apply: Send your updated resume via WhatsApp only to: +91 63699 14859

Happie Hiring !! Hiring !! Hiring !! Hiring !! Location: Mumbai / Chennai / Bangalore/ Coimbatore / Kochi Job role: AR Caller / Senior AR Caller /Prior Authorization Worked with end-to-end denialsvoice process mandatory Worked in Hospital Billing /Physician Billing Experience: 1 yrs to 4 yrsSalary Max 42k ( based on experience) Walk-In / Virtual interview available Note: immediate joiner or 15 days Notice period contact number: 8660805889WhatsApp number: 6360364989 RegardingStella Abraham HR

Job Overview:We are looking for enthusiastic and motivated individuals with 6 months to 1 year of experience in the US Healthcare domain. This is a budget-conscious project, ideal for candidates who are early in their careers and eager to grow. Key Responsibilities:Handle Accounts Receivable (AR) follow-ups effectively. Work on RCM (Revenue Cycle Management) processes. Analyze and resolve denials from insurance companies. Ensure timely and accurate updates in the system. Communicate clearly and professionally with insurance representatives. Requirements:Experience: 6 months 1 year in US Healthcare/RCM process. Knowledge of: AR Follow-Up, Denials Management, RCM process. Good communication skills (verbal and written). Gender: Open to both Male & Female candidates. Willing to work in night shifts.HR KAIF 84228 12947

We are looking for a Dental Hygienist to help treat patients and promote good oral health practices. What do Dental Hygienists do Dental Hygienist duties revolve around conducting initial patient screenings, cleaning teeth (e.g. removing plaque) and advising patients on oral health and preventative care. Youll also help dentists decide treatments for teeth or gum diseases and handle dental emergencies. As a Dental Hygienist, you should be reliable and able to build trust with patients of all ages. You should have deep knowledge of relevant health and safety rules and a good eye for oral diseases and anomalies. If you also have a steady hand and great bedside manner, wed like to meet you. Responsibilities Ensure patients feel as comfortable as possible before their examination Sterilize dental instruments properly Conduct initial mouth screenings and check oral health history Identify conditions like gingivitis, caries or periodontitis Clean and help protect patients teeth (e.g. remove plaque or apply fluoride) Educate patients of all ages on proper teeth care (by demonstrating, for example, good brushing techniques) Give instructions to patients after operations or other dental procedures Take X-rays or dental impressions Assist dentists with selecting appropriate treatments for various diseases (including oral cancer) Maintain documentation and charts on each patient Monitor supplies

  Review patient medical records, physician notes, and diagnostic reports for completeness and accuracy. Assign appropriate ICD-10, CPT, and HCPCS codes based on medical documentation. Ensure coding accuracy to optimize reimbursement and reduce claim denials. Maintain compliance with HIPAA and other healthcare privacy regulations. Collaborate with physicians, nurses, and billing teams to clarify diagnoses or procedures. Verify that coded data supports the medical necessity for insurance purposes. Keep updated with changes in coding guidelines and payer requirements. Participate in audits and implement corrective actions for coding errors. Prepare and submit coding reports and documentation as required.  

Outbound calls to insurances for claim status and eligibility verification.Denial documentation and further action.Calling the insurance carriers based on the appointment received by the clients.Calling insurance companies to get the status of the unpaid claims. Willing to work in any process pertaining to voice based on the requirement (Insurance Follow UP, Patient calling, Provider outreach program etc. Key skills: Good at communication skillGood at computer skill.Ready to work in night shiftReady to work in voice process. Benefits:Saturday & Sunday off.Drop facilitates No sales processOn roll jobExcellent working culture kindly share your cv on 9819466094 

Role Overview: As an RCM Specialist / Medical Biller with ModMed experience, your role will involve managing the complete Revenue Cycle Management (RCM) process using ModMed software. You will be responsible for ensuring accurate charge entry, claim creation, submission, and follow-up on unpaid or denied claims. Daily tasks will include denial analysis, AR follow-ups, and maintaining compliance with HIPAA and company data privacy standards. Collaboration with providers, coders, and front-office teams to resolve billing discrepancies will be crucial. Additionally, you will generate and analyze RCM reports directly from ModMed dashboards and provide feedback to enhance RCM efficiency. Key Responsibilities: - Manage the complete Revenue Cycle Management (RCM) process using ModMed software. - Perform charge entry, claim creation, submission, and follow-up on unpaid or denied claims. - Conduct daily denial analysis and AR follow-ups to minimize outstanding claims and enhance collection rates. - Review and validate patient demographics, CPT, ICD-10, and modifier accuracy within the ModMed system. - Collaborate with providers, coders, and front-office teams to resolve billing discrepancies. - Generate and analyze RCM reports (aging, productivity, collection ratio) directly from ModMed dashboards. - Participate in system updates, troubleshooting, and workflow enhancements within ModMed. - Provide feedback and recommendations to improve RCM efficiency and performance. Qualification Required: - Minimum 2 years of experience working with Modernizing Medicine (ModMed) software (EHR and/or Practice Management). - Proven experience in medical billing, AR follow-up, or RCM operations for US healthcare providers. - Strong understanding of CPT, ICD-10, and HCPCS codes. - Proficiency in using ModMed reports, claims modules, and clearinghouse integration. - Excellent communication and analytical skills. - Ability to work independently with attention to detail and accuracy.,

Role Overview: You will be responsible for analyzing receivables due from healthcare insurance companies and taking necessary actions to ensure reimbursement. This role will involve a combination of voice and non-voice follow-up, as well as managing denial and appeal processes. Key Responsibilities: - Analyze outstanding claims and initiate collection efforts based on aging reports to facilitate reimbursement. - Follow up on denials and handle appeals when necessary. - Document and take appropriate action on all analyzed and followed-up claims in the client's software. - Establish a good rapport with insurance carrier representatives. - Focus on enhancing the collection percentage. Qualifications Required: - Minimum HSC Passed - Good verbal and written communication skills - Ability to build rapport over the phone - Strong analytical and problem-solving skills - Team player with a positive approach - Proficient in MS-Office with good keyboard skills - Ability to work under pressure and meet daily productivity targets - Skilled in working with speed and accuracy - Experience in medical billing AR or claims adjudication is an added advantage (Note: No additional details of the company were provided in the job description.),