Job Description

Primary Role: Follow up on AR claims with insurance for timely reimbursement.

Responsibilities:

• Review denied and pending claims in the AR inventory.
• Contact insurance companies via phone or portal to resolve claim status.
• Follow up on unpaid claims, denials, and underpayments.
• Escalate unresolved issues to senior team members or the client.
• Document all actions taken in the billing system/tracker.
• Adhere to Turnaround Time (TAT) and productivity targets.
• Coordinate with internal teams (billing, coding, payment posting, denials) to resolve claim issues.
• Provide status updates to team leads and managers.

Job Description

Follow-Up on Claims : Responsible for following up on accounts receivable claims with insurance companies to ensure timely and accurate reimbursement.

Denial Management : Analyze and resolve claim denials and rejections by working with payers to ensure maximum reimbursement.

Documentation & Reporting : Maintain detailed notes of calls and update systems with accurate claim statuses. Generate daily/weekly reports as required.

Insurance Verification : Confirm patient eligibility and insurance coverage details when needed.

Team Coordination : Collaborate with billing teams, supervisors, and clients to resolve complex cases and improve collection processes.

Compliance : Adhere to HIPAA regulations and internal company policies regarding patient information and data security.

Job Description

• Gaining knowledge of credentialing standards, regulations, and procedures under the guidance of experienced professionals
• Supporting the team in verifying licenses, certifications, and other credentials of healthcare providers
• Performing data entry, organizing files, and supporting the team with day-to-day tasks
• Filling Medicare Application, ERA/EFT Enrolment & Portal creations
• Insurance follow-up through calling
• Assisting in maintaining accurate records of credentialing activities and ensuring all documentation is up-to-date

Job Description

Quality Review of Medical Codes: Review medical codes for accuracy and completeness based on medical records, physician documentation, and coding guidelines. Ensure that codes are assigned in compliance with ICD-10, CPT, HCPCS, and other relevant coding systems.

Compliance Monitoring: Ensure all medical coding practices adhere to regulatory standards, such as HIPAA (Health Insurance Portability and Accountability Act), payer requirements, and coding conventions. Monitor adherence to coding best practices and guidelines set by industry standards, including ICD, CPT, and HCPCS.

Error Detection and Correction: Identify errors or discrepancies in coding submissions and provide corrective feedback to coders. Verify the accuracy of codes assigned to diagnoses, treatments, and procedures. Review denials and determine the root cause of issues, ensuring correct coding practices are followed.

Training and Development: Provide continuous training to coding staff on updates in coding standards, guidelines, and payer policies. Conduct training sessions to keep the coding team informed about new medical terminology, coding changes, and regulatory requirements.

Audit and Documentation: Conduct internal audits on coding accuracy and consistency, often to prepare for external audits or payer reviews. Document audit findings and provide detailed reports for management to address any recurring issues. Ensure that coding errors are properly documented and analyzed for future prevention.

Collaboration with Medical Coders: Work closely with medical coders to clarify documentation and improve the coding process. Collaborate with clinical teams to understand and interpret physician documentation to ensure accurate coding. Address any coding concerns raised by the billing department or external auditors.

Monitoring Performance Metrics: Track coding accuracy rates and other performance metrics to ensure departmental goals are met. Prepare and analyze reports related to coding accuracy, productivity, and the effectiveness of training programs.

Feedback and Continuous Improvement: Provide regular feedback to the coding team on their performance and areas for improvement. Implement quality improvement strategies, such as refining coding procedures, tools, or training programs, to boost accuracy and efficiency.

Stay Updated on Industry Changes: Keep up-to-date with any changes to coding systems (e.g., updates to ICD-10, CPT, HCPCS), regulatory changes, and payer requirements. Review updates from coding associations (e.g., AAPC, AHIMA) and communicate relevant changes to the team.

Job Description

• Check the patient’s insurance eligibility and benefits for medical services.
• Contact payers to determine network status of practice and provider.
• Prepare and submit prior authorization (PA) requests to insurance companies.
• Communicate with practice to obtain supporting reports or clinical notes.
• Convey prior authorization status updates to the practice.
• Ensure that all required documentation and clinical information is included.
• Follow up with the payer on the status of the pending authorization requests.
• Obtain the authorization determination information from the payer.
• Resolve denials or incomplete submissions by gathering additional documentation or initiating authorization appeals.
• Accurately log all submitted and received authorizations in the electronic health record (EHR) or in the client tracking system.
• Follow up and maintain update of payer-specific policies / guidelines and prior authorization requirements.
• Help monitor prior authorization request turnaround times to ensure deadlines are met.
• Adhere to HIPAA regulations and internal policies to ensure patient’s privacy.
• Ensure all authorization requests are compliant with payer guidelines and healthcare regulations.
• Participate in staff training in prior authorization related tasks.
• Contribute to process improvement efforts through feedback and suggestions.

Job Description

• Basic knowledge in using core design tools such as Adobe Illustrator, Photoshop, Premiere, and After Effects.
• Stay updated on design trends, colour palettes, fonts, and new creative techniques.
• Shadow senior designers during meetings or project discussions to understand workflow.
• Participate in brainstorming sessions and contribute fresh, creative visual ideas.
• Support the senior designers in executing creative ideas for ongoing digital marketing campaigns.
• Assist in designing basic promotional materials such as flyers, social media posts, and banners.
• Help in preparing storyboards and visual concepts based on given briefs and references.
• Assist in editing images, removing backgrounds, and applying basic photo enhancements.
• Adhere to brand guidelines to ensure consistency and on-time delivery of all design outputs.
• Perform basic revisions and updates to existing design files when required.
• Work on resizing and reformatting existing creatives for different platforms and ad sizes.
• Ensure that final output files meet required specifications for print or digital use.
• Help manage assets like logos, icons, and brand elements across various projects.
• Collaborate with content and marketing teams to align visuals with campaign messaging.
• Organize and maintain design files, assets, and resources in shared folders.
• Support in creating internal communications visuals like signboards and notices.
• Help with event-related designs including invites, stage backdrops, and display materials.

Job Description

• Calendar Management: Schedule and manage meetings, appointments, and events.
• Communication Handling: Screen calls, emails, and correspondence; respond or redirect as appropriate.
• Meeting Coordination: Prepare agendas, take minutes of meetings, and follow up on action items to ensure timely completion.
• Document Preparation: Draft, proofread, and organize reports, presentations, and other documents.
• Task Prioritization: Manage multiple tasks and deadlines efficiently.
• Confidentiality: Handle sensitive information with discretion and maintain confidentiality.

Job Description

• Maintain accurate and up-to-date documentation for all payer EDI/ERA/EFT enrollments.
• Communicate promptly with payers, clearinghouses, and internal teams regarding enrollment statuses.
• Identify and resolve any discrepancies or rejections related to submitted applications.
• Provide regular status updates and reports to management or the enrollment lead.
• Stay informed of payer-specific enrollment policy changes and update procedures accordingly.

Job Description

• Maintain accurate and up-to-date documentation for all payer EDI/ERA/EFT enrollments.
• Supervise and guide a team of medical coders to ensure accurate and timely completion of coding assignments.
• Review and validate coded records for accuracy, completeness, and compliance with CPT, ICD-10, and HCPCS guidelines.
• Provide training and mentorship to coders to enhance their performance and technical skills.
• Coordinate with the Quality, Operations, and Audit teams to ensure consistent delivery standards and process adherence.
• Monitor project performance metrics, including productivity, quality, and turnaround time (TAT).
• Identify process gaps and recommend improvements to optimize efficiency and quality.
• Conduct internal audits and feedback sessions to maintain high-quality output and compliance standards.
• Stay updated with the latest changes in CMS, payer-specific guidelines, and specialty-based coding protocols.
• Prepare daily/weekly/monthly performance reports and communicate key updates to management.
• Foster a collaborative work environment that encourages team engagement, accountability, and excellence.
• In-depth knowledge of E/M, Wound Care, Podiatry, DME, Anesthesia, and other specialties.
• Strong analytical and leadership skills with a focus on quality and compliance.

Job Description

Key Responsibilities :

Job Description

• Handle patient demographic entry, charge entry, and payment posting.
• Verify insurance details and update records accurately.
• Follow up with insurance companies and patients on pending claims.
• Review and resolve claim rejections or denials.
• Maintain confidentiality and comply with HIPAA regulations.
• Coordinate with team leads and adhere to process timelines.
• Make outbound calls to insurance companies to follow up on pending medical claims.
• Review and analyze outstanding claims and take appropriate actions for resolution.
• Record accurate notes and update claim status in the system.
• Understand denials and escalate unresolved issues to the team lead.
• Ensure adherence to process timelines and quality standards.
• Work in rotational shifts (Day/Night) as per business requirements.

Job Description

• Conduct verbal and non-verbal communication training sessions for learners of various levels.
• Design and deliver customized voice and accent training programs in a blended learning environment.
• Continuously update training content to align with new trends and industry best practices.
• Initiate and manage new training programs and modules simultaneously.
• Mentor and guide learners to improve pronunciation, articulation, and overall communication effectiveness.
• Collaborate with team members to enhance training quality and learner engagement.

Job Description

Recruitment & Onboarding: Sourcing, screening, and hiring suitable candidates, followed by seamless onboarding to integrate new employees into the company culture.

Employee Engagement: Driving initiatives to enhance employee satisfaction, motivation, and retention through feedback, recognition programs, and regular communication.

Grievance Handling: Addressing employee concerns and conflicts professionally to ensure a healthy and productive work environment.

HR Documentation & Reporting: Maintaining accurate employee records, preparing HR reports, and ensuring compliance with labor laws and company policies.

Team Collaboration & Support: Working closely with cross-functional teams to support HR initiatives and contribute to overall business goals.

Job Description

• Supervise and coordinate housekeeping, security, and maintenance staff to ensure cleanliness and safety.
• Monitor office infrastructure such as electrical, plumbing, and HVAC systems; raise service requests as needed.
• Manage vendor relationships and ensure timely supply of facility-related materials and services.
• Ensure compliance with health, safety, and environmental standards.
• Coordinate repairs, maintenance, and preventive maintenance schedules.
• Oversee pantry operations, office supplies, and facility-related inventory.
• Support event setup, seating arrangements, and facility logistics.
• Address employee facility concerns promptly and efficiently.
• Liaise with building management and contractors for facility-related matters.