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94 Denials Jobs in Pudukkottai

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posted 2 months ago

Accounts Receivable Executive

Source To Win Consultancy
experience1 to 4 Yrs
Salary2.5 - 6 LPA
location
Chennai
skills
  • revenue cycle management
  • denial management
  • medicare
  • rcm
Job Description
Skills and Qualities1. Strong communication and negotiation skills.2. Ability to handle customer queries and disputes professionally.3. Basic accounting knowledge and understanding of accounts receivable processes.4. Analytical and problem-solving skills.5. Familiarity with accounting software and systems.6. Strong attention to detail and organizational skills.  Contact person : A.Nandhini contact number: 9384242445  
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posted 2 months ago

Hiring for AR Caller

AATRAL HR CONSULTING LLP
experience1 to 3 Yrs
Salary< 50,000 - 3.0 LPA
location
Chennai, Coimbatore+2

Coimbatore, Bangalore, Kochi

skills
  • us healthcare
  • denial management
  • voice process
  • ar calling
  • rcms
Job Description
Hiring !! Hiring !! Hiring !! Happie Hiring !! Location: Chennai / Bangalore/ Coimbatore / Kochi Job role: AR Caller / Senior AR Caller Experience: 1 yrs to 4 yrsSalary Max 40k ( based on experience) Walk-In / Virtual interview available Note: immediate joiner or 10 days Notice period contact number: 8660805889WhatsApp number: 6360364989 RegardingStella Abraham HR
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posted 1 month ago

Account receivable specialist

Source To Win Consultancy Hiring For Omega , Sutherland , Arizon
experience1 to 3 Yrs
location
Chennai
skills
  • physician billing
  • ar calling
  • denial management
  • ar caller
  • rcm
Job Description
Job description Roles and Responsibilities : Manage AR calls to resolve outstanding accounts receivable issues, negotiate payments, and obtain payment plans from patients or insurance companies. Authorize and post payments received, ensuring accurate account balances and timely updates in the system. Verify patient eligibility for services rendered by checking with insurance providers and resolving any discrepancies. Identify denial reasons for claims rejections and work towards resolving them to minimize write-offs. Collaborate with internal teams (e.g., billing, customer service) to resolve complex issues related to medical billing. Job Requirements : Strong knowledge of medical billing processes, including authorization, eligibility verification, payment posting, and denial management. Excellent communication skills for effective phone conversations with patients/insurance companies; ability to negotiate payment plans when necessary.
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posted 3 weeks ago
experience2 to 7 Yrs
Salary6 - 14 LPA
location
Chennai, Coimbatore+3

Coimbatore, Bangalore, Hyderabad, Mumbai City

skills
  • cpc
  • anesthesia
  • denials
  • surgery
  • radiology
  • cic
  • hcc
  • ed
  • ipdrg
Job Description
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  
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posted 2 months ago
experience1 to 6 Yrs
Salary2.5 - 6 LPA
location
Chennai, Coimbatore+1

Coimbatore, Bangalore

skills
  • denial management
  • us healthcare
  • medical billing
  • ar calling
  • ar calling medical billing
Job Description
Job description     EXPERIENCE: 1Yr to 5Yrs LOCATION: Chennai, Bangalore and Coimbatore Minimum 1+ Years of experience in AR Caller (Voice) Knowledge of Physician Billing / Hospital Billing and Denial Management Responsible for calling Insurance companies (in the US) on behalf of Physicians/Clinics/Hospitals and follow up on outstanding Accounts Receivables. Should be able to convince the insurance company (payers) for payment of their outstanding claims. Sound knowledge in U. S. Healthcare Domain (provider side) and methods for improvement on the same. Should have basic knowledge of the entire Revenue Cycle Management (RCM) Follow up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims have been processed. Good knowledge in appeals and letters documentation Analyze claims in-case of rejections Ensure deliverables adhere to quality standards Adherence to HIPAA guidelinesContact: Vimala HR - 9629126908 Call / WhatsApp    
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posted 2 months ago

Hiring AR Caller Immediate Joiner

AATRAL HR CONSULTING LLP
experience1 to 4 Yrs
Salary50,000 - 3.5 LPA
location
Chennai, Bangalore+1

Bangalore, Mumbai City

skills
  • denial management
  • voice process
  • us healthcare
  • ar calling
  • physician billing
  • revenue cycle management
  • hospital billing
  • ubo4
  • cms1500
  • senior ar caller
Job Description
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
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posted 2 weeks ago

Medical Coder and QA

Source To Win Consultancy
experience1 to 6 Yrs
location
Chennai, Salem+4

Salem, Tiruchirappalli, Bangalore, Hyderabad, Pune

skills
  • e/m coding
  • cpt
  • coding
  • surgery
  • ivr
  • hcpcs
  • radiology
  • denial
  • ipdrg
  • medical
Job Description
Job Title: Medical Coder/ Sr Medical Coder/ QA Job Description:We are looking for experienced and certified Medical Coders across multiple specialties to join our growing healthcare teams. The ideal candidate should have a strong understanding of medical terminology, anatomy, and coding guidelines, along with hands-on experience in assigning accurate ICD, CPT, and HCPCS codes. Locations: Chennai, Hyderabad, Bangalore, Pune, Salem, TrichyExperience: 1 to 7 yearsCertification: Mandatory (CPC / CCS / CCA / or equivalent) Specialties Required: IP DRG E/M Surgery IVR Denial Management  Roles and Responsibilities: Review and analyze patient medical records to assign accurate diagnosis and procedure codes. Ensure compliance with ICD-10-CM, CPT, and HCPCS coding guidelines. Maintain accuracy and productivity standards as per company policies. Collaborate with quality and audit teams to resolve coding-related queries. Keep updated with the latest coding guidelines and payer requirements. Ensure data confidentiality and compliance with HIPAA regulations. Preferred Candidate Profile: Certified medical coder with minimum 1 year of relevant experience. Excellent knowledge of medical terminology, anatomy, and physiology. Strong analytical and problem-solving skills. Good communication and documentation abilities. Salary: Best in industry Interested candidates can share their updated resume to 9345281515/steffis.stw@gmail.com Regards, Steffi HR Executive 9345281515 steffis.stw@gmail.com
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posted 2 months ago

Accounts Receivable Executive

Das Manpower Consultancy Services
experience2 to 4 Yrs
Salary50,000 - 3.5 LPA
location
Chennai
skills
  • denial management
  • ar calling
  • revenue cycle management
Job Description
Greetings, From DCS Jobs!! Hiring for International voice process in top US MNC Designation: AR Caller Any graduate US Shift : 6.30PM -3.30AM Location - Chennai Salary: As per market Two Way Cab Facility THREE ROUNDS OF INTERVIEW. SPOT OFFER. EASY SELECTION. LOOKING FOR IMMEDIATE JOINER'S AND EXCELLENT COMMUNICATION IN ENGLISH IS MANDATORY. WALK-IN AND GRAB YOUR SPOT BEFORE IT'S TOO LATE !!!!!!!!!!!!!!! HR Aparna Keerthi 9884040178 Email: hraparnakeerthi.dcsjobs@gmail.com
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posted 2 months ago

Medical coding Senior Analyst

AATRAL HR CONSULTING LLP
experience3 to 8 Yrs
Salary3.5 - 9 LPA
location
Chennai, Bangalore
skills
  • cpc
  • medical coding
  • multispeciality denials
  • ed profee facility
Job Description
Hirings for ED facility&profee,Em op Multispeciality Denials Position: Sr Analyst Min 3+ experience is Mandatory Certified coders only(A should be removed) Location: Chennai and bangalore Notice :0-30 days Interested candidates can forward their resumes chandrika@happiehire.com 9010560949(via whatsapp) References are Highly Appreciable
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posted 1 week ago

Medical Coder

Source To Win Consultancy
experience2 to 4 Yrs
Salary2.5 - 6 LPA
location
Chennai, Hyderabad
skills
  • pathology
  • blender
  • sds
  • radiology
  • denial
  • ed
  • multispeciality
  • e/m
  • facility
Job Description
  Code Same Day Surgery, ED facility & ED blender levels, Radiology, Pathology, and E/M OP/IP encounters with a high level of accuracy Review provider documentation and ensure compliance with coding and billing regulations Analyze and resolve multispecialty denials; prepare appeals with appropriate clinical and coding justification Work collaboratively with providers to clarify documentation Monitor coding trends, payer updates, and regulatory changes Maintain productivity and accuracy standards per department guidelines Urgent Requirement Sutherland company proper relieving letter mandatory with any certificate must active ED Blender (cer) (hyd) SDS ( Cert ) (Hyd)Em ip op (cert) ( Chennai)Pathology Coder (Cert) (Hyd & Chennai)Radiology (Cert) ( Chennai)Ed Facility (Cert) ( Chennai)Denial multispeciality ( Chennai)(Cert) Immediate Joiner Contact here Padmavathi 8220246289Mail: padmavathik.stw@gmail.com  
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posted 2 weeks ago

Medical Coder

Source To Win Consultancy
experience1 to 6 Yrs
Salary1.0 - 4.0 LPA
location
Chennai, Salem+4

Salem, Tiruchirappalli, Bangalore, Hyderabad, Pune

skills
  • denials
  • coding
  • ed coder
  • ivr coder
  • drg coder
  • ipdrg coder
  • e/m coder
  • facility coder
  • medical coder
  • ip coding
Job Description
Position- Medical Coder Location- Bangalore, Hyderabad, Chennai, Salem, Trichy, Pune Exp- 1 to 7 Years CTC- Upto Rs. 4.8 LPA Contact person- Padmavathi- Mail- padmavathik.stw@gmail.com or can call on 82202 46289  About the Role: We are looking for detail-oriented and knowledgeable Medical Coders to review clinical documentation and assign accurate medical codes for diagnoses, procedures, and services. Key Responsibilities Review medical records, physician documentation, operative reports, and diagnostic reports. Assign accurate ICD-10-CM, CPT, and HCPCS codes based on documentation. Ensure compliance with coding policies, payer guidelines, NCCI edits, and CMS regulations. Maintain productivity and quality benchmarks as per organizational standards. Abstract relevant clinical information to support coding accuracy. Collaborate with physicians and internal teams for clarification of documentation when needed. Conduct quality checks and correct coding errors to minimize claim denials. Stay updated with changes in coding guidelines, rules, and regulatory updates. Ensure coding is in alignment with HIPAA and audit requirements.
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posted 6 days ago
experience1 to 4 Yrs
location
Coimbatore
skills
  • hospital billing
  • us healthcare
  • ub04
  • denial management
  • ar calling
Job Description
Job description Preferred candidate profile Exp : 1-4 Years in AR Calling Must have Good Communication Skills Strong Knowledge in US Healthcare Hospital Billing experience is preferred  Roles and Responsibilities Manage A/R, Denials and Rejections accounts by ensuring effective and timely follow-up. Understand the client SOP/requirements and specifications of the project. Perform pre-call analysis and check status of the insurance claim by calling the payer or utilizing insurance web portal services for the outstanding balances on patient accounts and take appropriate actions towards claim resolution. Post adequate documentation on the client software. Assess and resolve enquiries, requests, and complaints through calling to ensure that customer enquiries are resolved at first point of contact. Ensure to meet the productivity goals along with the quality standards.   Thanks & Regards, Nithin R HR Trainee Talent Acquisition Email: nithin.r@equalizercm.com     Company Address    EqualizeRCM, India Land Ground Floor KGISL Tech Park, CHIL SEZ IT Park, Saravanampatti, Coimbatore, Tamil Nadu 641035  
posted 2 days ago

Intern RCO Associate AR Analyst

Wonderworth Solutions
experience0 to 3 Yrs
location
Vellore, Tamil Nadu
skills
  • Time Management
  • Denial Management Expertise
  • Leadership Team Development
  • Adaptability
  • Process Improvement
  • ProblemSolving
  • Critical Thinking
  • Identify
  • Analyze
  • Resolve Denials
  • Ensure Accurate Submissions
  • Track
  • Categorize Denials
  • Investigate Denial Causes
  • Appeals
  • Negotiations
  • Monitor Denial Trends
  • Strong analytical
  • problemsolving
  • Excellent communication
  • interpersonal skills
  • Leadership experience
  • the ability to delegate tasks
  • High attention to detail
  • Ability to manage time effectively
  • Prioritize tasks in a fastpaced
Job Description
Job Description: As an AR/Denial Management Intern, you will support the team in tracking, analyzing, and documenting claim denials. You will gain hands-on exposure to healthcare revenue cycle processes, insurance guidelines, and reimbursement workflows. Your key competencies will include denial management expertise, leadership & team development, adaptability, process improvement, problem-solving, critical thinking, and time management. Your responsibilities will involve identifying, analyzing, and resolving denials, ensuring accurate submissions, tracking and categorizing denials, investigating denial causes, handling appeals and negotiations, as well as monitoring denial trends. Qualifications: - Education: Bachelors degree in healthcare administration, business, or related field - Experience: 6 months to 1 year of experience in denial management, accounts receivable, or revenue cycle management in a healthcare setting Skills: - Strong analytical and problem-solving skills - Excellent communication and interpersonal skills for effective interactions with insurance companies, healthcare providers, and team members - Leadership experience and the ability to delegate tasks - High attention to detail with the capability to identify trends in denial data - Ability to manage time effectively and prioritize tasks in a fast-paced environment In addition to the above, you will be offered a competitive salary and benefits package, the opportunity to lead a team, and a chance to make a real impact in the healthcare industry.,
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posted 2 months ago

AR Caller

Medryte Healthcare Solutions
experience1 to 5 Yrs
location
Tamil Nadu
skills
  • calling
  • US health insurance companies
  • medical claims denial management
  • English verbal communication
Job Description
As a candidate for this role, you should have a minimum of 1-4 years of working experience in calling the US health insurance companies. You are expected to possess in-depth knowledge in medical claims denial management and be open to working in night shifts (US shift timings). Additionally, excellent English verbal communication skills are essential for this position. Key Responsibilities: - Calling US health insurance companies for various purposes - Managing medical claims denials effectively - Working night shifts based on US timings - Communicating in English effectively and professionally Qualifications Required: - Minimum 1-4 years of experience in calling US health insurance companies - In-depth knowledge of medical claims denial management - Willingness to work in night shifts - Excellent English verbal communication skills,
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posted 3 weeks ago

RCM

SARA INFOTECH
experience5 to 9 Yrs
location
Coimbatore, Tamil Nadu
skills
  • Revenue Cycle Management
  • Medical Billing
  • BPO
  • Compliance
  • Quality Control
  • Team Management
  • Client Coordination
  • Denial Management
  • Technology
  • Reporting
  • Billing Manager
Job Description
As a Billing Manager at our company, you will be responsible for leading the U.S. healthcare billing and revenue cycle operations. Your role will involve the following key responsibilities: - Monitor and improve key RCM metrics such as AR days, collection efficiency, clean claim rate, and denial percentage. - Develop, document, and implement SOPs and quality assurance procedures across the billing function. Compliance & Quality Control: - Perform periodic audits to ensure claims accuracy and regulatory compliance. Team Management: - Lead and mentor a team of medical billers, A/R specialists, and coders. - Conduct regular performance evaluations, coaching sessions, and training programs. - Drive engagement and retention through career development initiatives and knowledge-sharing forums. Client Coordination: - Serve as the primary contact for U.S. clients regarding billing performance, escalations, and reporting. - Lead monthly/quarterly review meetings and provide insights on aging reports, denial trends, and process improvements. - Customize workflows based on client-specific protocols and compliance requirements. Denial Management: - Oversee root cause analysis and resolution of denials. - Guide the team on effective appeals, re-submissions, and workflow automation strategies to minimize denials. Technology & Reporting: - Leverage billing platforms (e.g., Kareo, Athena, eCW, AdvancedMD), clearinghouses, and analytics tools (Excel, Power BI, Tableau). - Implement automation and RPA for key processes like remittance posting and eligibility checks. - Monitor performance via dashboards and drive data-backed decision-making. In addition, the company offers benefits including health insurance, life insurance, and Provident Fund. This is a full-time, permanent position. Work location is in person.,
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posted 1 week ago
experience3 to 7 Yrs
location
Chennai, Tamil Nadu
skills
  • US healthcare
  • Amisys
  • Medicaid
  • Medicare
  • Exchange
  • Provider Data Validation
  • Provider Data management
  • Cenprov
  • EDI rejection claims
  • Provider billing process
  • Claims Rejections handling
  • Claims denial management
Job Description
As a HC & INSURANCE OPERATIONS SENIOR ASSOCIATE at NTT DATA, your primary responsibility will be to process and update Provider Data Management and Provider Data Enrollment Resources in the Clients main application following defined policies and procedures. Your role will involve ensuring day-to-day transactions are processed as per standard operating procedures, completing pends, and maintaining quality and timeliness standards. Additionally, you will need to have in-depth knowledge and experience in US healthcare Provider Data Validation and Management, specifically in provider enrollment and credentialing. Key Responsibilities: - Possessing 5 years or more experience in US healthcare, with a focus on Provider Data Enrollment and Management - Demonstrating knowledge in Amisys and Cenprov applications - Conducting product checks for affiliation with Medicaid, Medicare, and Exchange - Reading and understanding provider contracts - Handling Paid claims, recouped claims, claims rejections, and claims denial management - Understanding the End-to-End provider billing process - Working with EDI rejection claims and managing patient and provider demographic changes Qualifications Required: - 3 to 5 years of experience in US healthcare related to Provider Data Enrollment and Management - Ability to work in a 24/5 environment with rotational shifts - University degree or equivalent with 3+ years of formal studies - Strong teamwork, logical thinking, and English comprehension/written skills - Proficiency in MS Office applications - Effective communication skills both verbally and in writing - Capability to interact with clients is preferred Please note that the required schedule availability for this position is 24/5, and shift timings may be adjusted based on client requirements. Overtime work and weekend shifts may be necessary as per business needs.,
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posted 2 months ago

Senior Healthcare Business Analyst RCM

Citius Healthcare Consulting
experience7 to 11 Yrs
location
Chennai, Tamil Nadu
skills
  • data collection
  • validation
  • discrepancy management
  • ML
  • Analytics
  • Automation
  • communication
  • interpersonal skills
  • scrubbing
  • regulatory requirements
  • analytical skills
  • EHR product
  • Electronic Data Interchange EDI data sets
  • AI
  • Gen AI
  • denials data
  • Edits
  • data collection methodologies
  • Business Analyst
Job Description
Role Overview: As a Senior Healthcare Business Analyst RCM at CitiusTech, you will be part of an Agile team responsible for designing and building healthcare applications, implementing new features, and adhering to the best coding development standards. Your role will involve assisting clients in innovating and growing by identifying potential opportunity savings, assessing the impact of regulatory changes on revenue cycle management (RCM) processes, and driving process optimization and efficiency improvements within systems. You will also be required to demonstrate problem-solving abilities, strategic thinking, and stay updated on the latest developments in the healthcare domain and technology landscape. Additionally, you will lead consulting teams to ensure customer success and establish strong relationships with client business sponsors. Key Responsibilities: - Help clients innovate and grow by identifying potential opportunity savings - Assess the impact of regulatory changes on RCM processes - Identify opportunities for process optimization and efficiency improvements - Demonstrate problem-solving abilities and strategic thinking - Track latest developments in the healthcare domain and technology landscape - Lead consulting teams to ensure customer success and develop relationships with customer business sponsors Qualification Required: - 7-8 years of experience in a similar role - Educational qualification: Engineering Degree (BE/ME/BTech/MTech/BSc/MSc) - Technical certification in multiple technologies is desirable Skills: Mandatory Technical Skills: - Deep understanding of relevant processes such as data collection, validation, and discrepancy management - Experience with at least one Electronic Health Record (EHR) product and Electronic Data Interchange (EDI) data sets - Ability to derive high-impact use cases with knowledge of digital technologies such as AI, ML, Analytics, Gen AI, Automation, etc. - Excellent communication and interpersonal skills for effective client collaboration - Innovative skills to adapt and create solutions based on customer requirements Good to Have Skills: - Knowledge of denials data, Edits, and scrubbing - Strong understanding of data collection methodologies and regulatory requirements - Analytical skills for identifying potential solutions - Proven experience as a Business Analyst in revenue cycle management - Proactive and adaptable with the ability to envision the final work product Additional Details: CitiusTech is a global IT services, consulting, and business solutions enterprise dedicated to the healthcare and life sciences industry. The company's purpose is to shape healthcare possibilities and make a positive impact on human lives by driving innovation, business transformation, and industry-wide convergence through next-generation technologies. With a strong focus on healthcare, CitiusTech is trusted by 140+ enterprises and aims to make healthcare more efficient, effective, and equitable. Note: The job description does not provide any additional details about the company.,
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posted 3 weeks ago

Medical Billing Specialist - Cardiology

Falconre Technohealth Business Solutions Pvt.Ltd
experience5 to 9 Yrs
location
Coimbatore, All India
skills
  • Medical Billing
  • Coding
  • Insurance Claims
  • Revenue Cycle Management
  • CPT
  • HCPCS
  • Denial Management
  • Communication Skills
  • Cardiology Billing
  • ICD10
  • HIPAA Compliance
  • Medicare Regulations
  • Medicaid Regulations
  • EHREMR Systems
  • Accounts Receivable Management
  • Claim Resolutions
Job Description
Role Overview: As a Billing Specialist (Cardiology) at our company, you will be responsible for accurately processing cardiology-related claims, verifying insurance eligibility, maintaining compliance with billing regulations, collaborating with stakeholders, utilizing EHR/EMR systems, and monitoring accounts receivable reports in a fast-paced cardiology practice setting. Key Responsibilities: - Accurately process cardiology-related claims (CPT, ICD-10, HCPCS codes) and ensure timely submission to insurance providers. - Verify insurance eligibility, authorizations, and pre-certifications for cardiology procedures. - Maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations. - Collaborate with physicians, administrative staff, and insurance providers to resolve billing discrepancies. - Utilize EHR/EMR systems (e.g., Epic, Athenahealth, NextGen, or similar) for billing and claims processing. - Monitor accounts receivable (A/R) reports and ensure timely collections and follow-ups. Qualifications & Requirements: - Minimum of 5 years of medical billing experience in cardiology (Required). - Strong knowledge of cardiology procedures, diagnostic tests, and insurance guidelines. - Proficiency in CPT, ICD-10, and HCPCS coding specific to cardiology. - Experience with EHR/EMR and medical billing software. - Strong analytical and problem-solving skills for claim resolutions and denial management. - Excellent communication skills for patient and insurance coordination. - Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) is a plus. If you meet the above qualifications and are passionate about cardiology billing and revenue cycle management, we encourage you to apply! (Note: No additional details about the company were included in the provided job description.) Role Overview: As a Billing Specialist (Cardiology) at our company, you will be responsible for accurately processing cardiology-related claims, verifying insurance eligibility, maintaining compliance with billing regulations, collaborating with stakeholders, utilizing EHR/EMR systems, and monitoring accounts receivable reports in a fast-paced cardiology practice setting. Key Responsibilities: - Accurately process cardiology-related claims (CPT, ICD-10, HCPCS codes) and ensure timely submission to insurance providers. - Verify insurance eligibility, authorizations, and pre-certifications for cardiology procedures. - Maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations. - Collaborate with physicians, administrative staff, and insurance providers to resolve billing discrepancies. - Utilize EHR/EMR systems (e.g., Epic, Athenahealth, NextGen, or similar) for billing and claims processing. - Monitor accounts receivable (A/R) reports and ensure timely collections and follow-ups. Qualifications & Requirements: - Minimum of 5 years of medical billing experience in cardiology (Required). - Strong knowledge of cardiology procedures, diagnostic tests, and insurance guidelines. - Proficiency in CPT, ICD-10, and HCPCS coding specific to cardiology. - Experience with EHR/EMR and medical billing software. - Strong analytical and problem-solving skills for claim resolutions and denial management. - Excellent communication skills for patient and insurance coordination. - Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) is a plus. If you meet the above qualifications and are passionate about cardiology billing and revenue cycle management, we encourage you to apply! (Note: No additional details about the company were included in the provided job description.)
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posted 2 weeks ago
experience5 to 9 Yrs
location
Coimbatore, All India
skills
  • Leadership
  • Medical Billing
  • BPO
  • Compliance
  • Quality Control
  • Team Management
  • Client Coordination
  • Denial Management
  • Technology
  • Reporting
  • Automation
  • Billing Manager
  • RCM
  • RPA
Job Description
As a Billing Manager at our company, you will be responsible for leading the U.S. healthcare billing and revenue cycle operations. Your role will involve: - Monitoring and improving key RCM metrics such as AR days, collection efficiency, clean claim rate, and denial percentage. - Developing, documenting, and implementing SOPs and quality assurance procedures across the billing function. You will also be required to: - Perform periodic audits to ensure claims accuracy and regulatory compliance. - Lead and mentor a team of medical billers, A/R specialists, and coders. - Conduct regular performance evaluations, coaching sessions, and training programs. - Serve as the primary contact for U.S. clients regarding billing performance, escalations, and reporting. - Oversee root cause analysis and resolution of denials. - Leverage billing platforms, clearinghouses, and analytics tools to monitor performance and drive data-backed decision-making. Qualifications required for this role include: - Deep domain knowledge in medical billing. - Leadership experience managing end-to-end billing functions. - Track record of success in a BPO or third-party RCM setup. This is a full-time, permanent position with benefits including health insurance, life insurance, and Provident Fund. The work location is in person. As a Billing Manager at our company, you will be responsible for leading the U.S. healthcare billing and revenue cycle operations. Your role will involve: - Monitoring and improving key RCM metrics such as AR days, collection efficiency, clean claim rate, and denial percentage. - Developing, documenting, and implementing SOPs and quality assurance procedures across the billing function. You will also be required to: - Perform periodic audits to ensure claims accuracy and regulatory compliance. - Lead and mentor a team of medical billers, A/R specialists, and coders. - Conduct regular performance evaluations, coaching sessions, and training programs. - Serve as the primary contact for U.S. clients regarding billing performance, escalations, and reporting. - Oversee root cause analysis and resolution of denials. - Leverage billing platforms, clearinghouses, and analytics tools to monitor performance and drive data-backed decision-making. Qualifications required for this role include: - Deep domain knowledge in medical billing. - Leadership experience managing end-to-end billing functions. - Track record of success in a BPO or third-party RCM setup. This is a full-time, permanent position with benefits including health insurance, life insurance, and Provident Fund. The work location is in person.
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posted 3 weeks ago

Dental Hygienist

HORIBA PVT ENTERPRISES
experience21 to 24 Yrs
Salary46 - 48 LPA
location
Chennai, Bangalore+8

Bangalore, Noida, Hyderabad, Gurugram, Kolkata, Pune, Mumbai City, Delhi, Anantpur

skills
  • hygienist activities
  • hyperion financial reporting
  • exit interviews
  • hyperion essbase
  • performance appraisal
  • denial management
  • hyperion planning
  • performance management
  • employee grievance
  • dental assisting
Job Description
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
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