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Mumbai
Venue: 204, Building No. 5, Mindspace, Airoli, Navi Mumbai
Hyderabad
Venue: NSL Arena Tower 2, 4th Floor Uppal Hyderabad
Coimbatore
Venue: CHIL SEZ Area, 2nd Floor, Tower 1A, Keeranatham Village, Sarvanampatti. Coimbatore
Explore Open Positions
Revenue Cycle Specialist: Accounts Receivable Caller (AR)
- Location: Mumbai
Role Prerequisites:
- Graduate in any stream
- Minimum 1 year of experience in Denial Management (Provider Side)
- Should have experience working on CMS 1500 form (Physician Billing form)
Job Description:
- Follows up with payers on open claims to ensure timely processing analyzes insurance denials/rejections to verify their validity, identifies causes, and takes steps to resolve issues
- Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score
Eligibility & Benefits Verification (EVBV) Specialist
- Location: Mumbai
Role Prerequisites:
- Graduate in any stream
- Minimum 1 year of experience in billing form RCM Side (Provider Side)
Job Description:
- Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient
- Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified
- Ensure precise billing for specific claims and resolve edits and rejections within a 24-hour turnaround time
Prior Authorization Specialist
- Location: Mumbai
Role Prerequisites:
- Graduate in any stream
- Minimum 1 year of experience Prior Authorization (Provider Side)
Job Description:
- Obtains prior-authorizations and referrals from insurance companies prior to procedures or surgeries utilizing online websites or via telephone
- Reviews patient’s medical records, insurance information, and eligibility to obtain prior-authorizations for injections, DME, procedures, and/or surgeries
- Accurately document authorization details in the system, ensuring compliance with insurance guidelines
- Identify and resolve discrepancies in authorization information, escalating complex cases as needed
Medical Billing Executive
- Location: Mumbai
Role Prerequisites:
- Graduate in any stream
- Minimum 1year of experience Eligibility verification (Provider Side)
- Strong knowledge of Scrubber edits, CMS 1500, and UB billing.
- Basic understanding of the Revenue Cycle Management (RCM) process.
- Familiarity with secondary claim processing.
- Experience with various clearinghouses.
Job Description:
- Contacts payors to verify patient insurance eligibility and benefits, and addresses claims to insurance or self-pay patients based on the determined eligibility.
Medical Coding Specialist
- Location: Coimbatore/Hyderabad/Mumbai
Specialty:
- E&M OP Multispecialty/ Gastro Surgery / Multispecialty Surgery/ E&M IP/OP Multispecialty
Role Prerequisites:
- Certification mandatory in CPC/CCS/COC/CRC
- Any Life Science Graduate (BPT/MPT, B. Pharm / M. Pharm, B.Sc./M.Sc./ Nursing / Nutrition / Zoology / Biology / Biochemistry / Microbiology / Genetics)
- Minimum 1 year of experience in the mentioned specialty