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Charge Entry

Verifying that the correct medical codes, such as Current Procedural Terminology (CPT) codes and International Classification of Diseases (ICD) codes, are assigned to each service or procedure.
Generating and submitting insurance claims to third-party payers, such as insurance companies or government programs, for reimbursement.
Contributing to the overall revenue cycle management by

AR Caller / Front Desk (USA Healthcare)

Job Description:

Coordinate with the doctor’s office via mail/call.
Coordinate with Patient via mail/call.
Follow the Patient Care Plan
Training will be provided
Microsoft Office and Excel knowledge

Requirement / Qualification:

Excellent Spoken and written English skills is must
Education – Graduate & Under Graduate
Preferred – Experienced (International/Domestic Call Center)
Fresher can also apply
Candidate should be able to join Immediately/Post Notice Period
US Voice Process – Healthcare
Salary: Attractive as per company norms
Saturday And Sunday Weekly Off
Location: Ahmedabad

Shift Timings:

Day Shift: 8:00 AM to 5:30 PM IST
Day-Noon: 12:00 PM to 09:30 PM IST
Night Shift: 5:30 PM to 3:00 AM IST
Night Shift: 6:30 PM to 4:00 Am IST (Day Light Savings)

Revenue Cycle Management / Medical Billing

RCM is the process of managing claims, payment and revenue generation. RCM encompasses everything from determining patient insurance eligibility and collecting co-pays to properly coding claims.

Job Description:

Use data to produce and submit claims to insurance companies
Check authorization for procedures to be performed.
Verify patients’ insurance coverage
Submit medical claims to insurance companies on a timely basis.
Follow up on unpaid claims within standard billing cycle time frame.
Review patient bills for accuracy and completeness and obtain missing information
Analyze reports and update daily status reports
Communicate with clients over phone and email.
Training will be provided.

Requirement / Qualification:

Under Graduate / Graduate (any)
Good English communication skills
Microsoft Office and Excel.

Shift Timings:

Day Shift: 8:00 AM to 5:30 PM IST
Day-Noon: 12:00 PM to 09:30 PM IST
Night Shift: 5:30 PM to 3:00 AM IST
Night Shift: 6:30 PM to 4:00 Am IST (Day Light Savings)

Sr. Team Lead / Team Lead

Job Description:

Experience in handling and Monitoring Multiple Teams, Team Leads and Team Members
Lead the team, allocate the work and at the same time work as Team player for assigned tasks
Responsible to get work done for assigned Clients/Accounts and report to Manager
Responsible to Supervise multiple Teams and Team Leads
Regularly communicate with Client contacts to ensure healthy business Relations
Periodically review the team member’s performance and provide feedback to Manager
Conduct care team meetings
Work on Analysis, Data Entry, Tracking Reports and other necessary tasks to successfully achieve the Project Milestones and timely Data Submission
Ensure the execution of plan of care defined by Patient Care Coordinator
Follow-up with Clients/Patients to meet the objectives of assigned Projects

Requirement / Qualification:

Education requirement- Graduation from any science field
Minimum 2-6 years of experience in leading a team of at least 3 members
Proficient in using Computer and Software Tools
Good verbal and written communication skills
Quick learner
Experience in leading the Customer support team in US healthcare IT is preferable but not mandatory

Shift Timings:

Day Shift: 8:00 AM to 5:30 PM IST
Day-Noon: 12:00 PM to 09:30 PM IST
Night Shift: 5:30 PM to 3:00 AM IST
Night Shift: 6:30 PM to 4:00 Am IST (Day Light Savings)

Payment posting

Receive and review payments, including checks, electronic transfers, and credit card payments.
Accurately post payments to the appropriate accounts or invoices in the accounting system.
Verify payment details such as amount, date, and payer information.
Reconcile payments against invoices or billing statements to ensure accuracy.
Prepare and submit regular reports on payment postin