Description

Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab only. Preferred Experience: 1-6 years (Junior/Fresher candidates with great academics and exceptional English communication skills will also be considered) Desired Notice Period: Max 30 days (Sooner preferred) Shift Timings: 5:30 PM - 3 AM IST (Overlap with USA EST Morning Time), ~45 hours, 5 days work week. Currently WFH/Hybrid role, but presence in Chandigarh Tricity area is required since it requires in person staff collaboration from time to time. Will be required to work from office tentatively from Q3/Q4'23. Interview Mode: Initial telephonic/Teams round, then in person F2F interview at our office based in Sector 82, Mohali. Ideal candidate must have following: Responsible for Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties. Must have insurance verification experience including HMOs, PPOs, and POS. Maximize insurance reimbursement for healthcare practice owners. Must have work experience of Physician Billing. Interact with the US-based insurance carriers to follow-up on submitted claims, monitors unpaid claims, delayed processing, and underpayment plan, and execute medical insurance claim denial appeal process. Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim. Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions. Identify claims that need balance transfer to patient and secondary balances or appropriate financial class for further resolution. Answering patient calls as required and providing faster resolutions. Should be comfortable with voice process. Required Candidate profile Relevant experience in a USA health care medical billing or RCM office capacity with related job duties and responsibilities. Experience of QA/Audits and Team management, client interaction/client account management will be big plus. Experience in physician billing; specifically, chiropractic, mental health, behavioral health, nephrology etc. preferred. Understand CMS-1500 and UB-04 claim formats. Typing speed, at least 45 WPM. Third party payer requirements. Account management experience will be a big plus. Must have knowledge of medical billing software, preferably Kareo, Therapy Notes, Simple Practice, YouthCare, Theranest or any other similar. Experience reading and interpreting and entering insurance EOBs. Good knowledge of Microsoft 365 office applications like Teams, Outlook, CRM Dynamics, OneDrive etc. Experience of other areas of RCM like credentialing, medical coding will be given preference. Competencies: Excellent verbal and written English communication skills for interacting with USA based team members/ physicians/vendors/patients. Excellent business communication skills and phone/email etiquettes. Must have long term association with Chandigarh Tricity area. Positive attitude and able to follow directions. Ability to work well with others and facilitate teamwork and cooperation. Willing to cross train and cross learn other areas of RCM. Tact, diplomacy, and the ability to maintain confidentiality of company, client and patient information. Must have very strong work ethic and an excellent attention to detail. Able to manage data in spreadsheets and CRM. Prepare and analyze regular MIS reports for management review. If this profile is relevant and of your interest, please email your updated CV with following details to [email protected] Current CTC: Expected CTC: Notice Period: Willing to work in evening/night shift IST:

Role and Responsibilities

• Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab only. Preferred Experience: 1-6 years (Junior/Fresher candidates with great academics and exceptional English communication skills will also be considered) Desired Notice Period: Max 30 days (Sooner preferred) Shift Timings: 5:30 PM - 3 AM IST (Overlap with USA EST Morning Time), ~45 hours, 5 days work week. Currently WFH/Hybrid role, but presence in Chandigarh Tricity area is required since it requires in person staff collaboration from time to time. Will be required to work from office tentatively from Q3/Q4'23. Interview Mode: Initial telephonic/Teams round, then in person F2F interview at our office based in Sector 82, Mohali. Ideal candidate must have following: Responsible for Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties. Must have insurance verification experience including HMOs, PPOs, and POS. Maximize insurance reimbursement for healthcare practice owners. Must have work experience of Physician Billing. Interact with the US-based insurance carriers to follow-up on submitted claims, monitors unpaid claims, delayed processing, and underpayment plan, and execute medical insurance claim denial appeal process. Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim. Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions. Identify claims that need balance transfer to patient and secondary balances or appropriate financial class for further resolution. Answering patient calls as required and providing faster resolutions. Should be comfortable with voice process. Required Candidate profile Relevant experience in a USA health care medical billing or RCM office capacity with related job duties and responsibilities. Experience of QA/Audits and Team management, client interaction/client account management will be big plus. Experience in physician billing; specifically, chiropractic, mental health, behavioral health, nephrology etc. preferred. Understand CMS-1500 and UB-04 claim formats. Typing speed, at least 45 WPM. Third party payer requirements. Account management experience will be a big plus. Must have knowledge of medical billing software, preferably Kareo, Therapy Notes, Simple Practice, YouthCare, Theranest or any other similar. Experience reading and interpreting and entering insurance EOBs. Good knowledge of Microsoft 365 office applications like Teams, Outlook, CRM Dynamics, OneDrive etc. Experience of other areas of RCM like credentialing, medical coding will be given preference. Competencies: Excellent verbal and written English communication skills for interacting with USA based team members/ physicians/vendors/patients. Excellent business communication skills and phone/email etiquettes. Must have long term association with Chandigarh Tricity area. Positive attitude and able to follow directions. Ability to work well with others and facilitate teamwork and cooperation. Willing to cross train and cross learn other areas of RCM. Tact, diplomacy, and the ability to maintain confidentiality of company, client and patient information. Must have very strong work ethic and an excellent attention to detail. Able to manage data in spreadsheets and CRM. Prepare and analyze regular MIS reports for management review. If this profile is relevant and of your interest, please email your updated CV with following details to [email protected] Current CTC: Expected CTC: Notice Period: Willing to work in evening/night shift IST: