Job Description

• Review and analyze denied claims, identifying root causes and trends in denials
• Research payer-specific denial reasons and ensure accurate coding and documentation practices
• Work with internal teams (e.g., billing, coding, and clinical staff) to correct errors and resolve denials
• Collaborate with insurance payers to resolve issues and appeal denials when appropriate
• Maintain accurate records of denied claims, appeals, and outcomes for tracking purposes
• Maintaining a TAT of 48hrs to address the denials that are captured in the denial log
• Keep track of the denials that are assigned to the various departments and ensure timely competition
• Escalate the denials that are pending (exceeding TAT) with other departments to the GC/TL
• Working on Global denials towards resolution and notifying the Lead, Managers on the same via email or other channels for effective tracking and implementing preventive measures
• Minimizing Denial Aging by prioritizing older claims and working them towards resolutions with minimum actions / steps
• Reaching out to insurance via call if required to find a solution or update
• Participate in team meetings and voice out the issues / updates in their respective projects for quicker resolution and disseminating the ideas with the team
• Collaborating with team members to share the recent trends, ideas, work flow update, practice updates, thereby fostering a healthy work environment
• Maintain 100 % quality on a daily basis
• Collaborate with the QCA and complete the reworks, if any, in a timely fashion
• Incorporate feedback from the Quality team into your daily practice to ensure you do not repeat previously identified mistakes
• Adhere to company policies, insurance payer guidelines, and industry regulations when resolving denials and handling sensitive information
• Maintain confidentiality of all patient and claim data in compliance with HIPAA and other regulatory standards

Job Description

• Learn and apply ICD-10-CM, CPT, and HCPCS coding principles under supervision.
• Understand and follow official guidelines, NCCI edits, and payer-specific rules.
• Interpret clinical documentation to support accurate coding.
• Attend all training sessions, workshops, and assessments.
• Practice coding on sample or live charts to build accuracy and productivity.
• Review QA feedback regularly and implement corrective actions.
• Understand workflow processes, task allocation, and TAT expectations.
• Raise queries appropriately using approved formats and maintain professional communication.
• Adhere to coding quality standards, compliance rules, and HIPAA guidelines.
• Maintain daily learning logs, documentation, progress tracking, and use internal SOPs/references.

Key Responsibilities:

• Create engaging content for websites, blogs, brochures, newsletters, social media, and marketing materials.
• Write creative copy for digital advertisements, email campaigns, and promotional content.
• Develop captions and posts for social media to increase brand awareness.
• Write scripts for promotional videos, explainer videos, and brand storytelling.
• Conduct audience and industry research to ensure content relevance.
• Maintain a content calendar and ensure timely delivery for all campaigns.
• Optimize website and social media content using SEO best practices.
• Edit and proofread content for quality, accuracy, and brand consistency.
• Collaborate with design and marketing teams to align visuals with content.
• Draft press releases, company updates, and media communication materials.
• Ensure content practices align with ISO 27001 guidelines where applicable.

Qualifications & Skills:

• Bachelor’s degree in English, Journalism, Communications, Marketing, or a related field.
• 5–7 years of experience in content writing or digital marketing content.
• Strong writing, editing, storytelling, and research skills.
• Solid understanding of SEO and digital content strategies.
• Ability to adapt content for multiple platforms and audiences.

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

• 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

• 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

• 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

• 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

• Manage end-to-end recruitment and onboarding for RCM roles.
• Manage payroll coordination, salary processing support, and statutory compliance.
• Plan workforce requirements and support talent development and performance management.
• Drive employee engagement, retention initiatives, and recognition programs.
• Handle employee relations and grievance management to maintain a positive work environment.
• Ensure compliance with healthcare regulations, labor laws, and company policies.
• Maintain HR documentation, reports, and employee lifecycle processes.
• Collaborate with operations, training, and quality teams to support business objectives.
• Organize internal events and initiatives to strengthen workplace culture.