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.

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

• 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

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.

Event Management : Planning and organizing internal events such as team-building activities, celebrations, and awareness programs to foster workplace camaraderie.

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.