
Medical Denial Quality Review Professional
3 days ago
We are seeking a meticulous Medical Denial Quality Assurance (QA) / Quality Control (QC) professional to play a critical role in reviewing and improving the accuracy of denial appeals and resolutions. This position is vital for optimizing revenue cycles and ensuring high-quality claim submissions.
Key Responsibilities:- Perform rigorous QA/QC reviews of denied medical claims to identify root causes and coding/billing errors.
- Analyze denial trends and patterns to provide actionable insights for process improvements.
- Verify the accuracy of information used in appealing denied claims, including coding, documentation, and payer-specific guidelines.
- Collaborate with AR teams and coders to implement corrective actions and prevent future denials.
- Develop and deliver training sessions to enhance team knowledge on denial prevention and effective appeal strategies.
- Maintain comprehensive records of audit findings, corrective actions, and their impact on denial rates.
- Ensure adherence to industry regulations and compliance standards related to medical billing and denials.
- Certification: Relevant coding or billing certification is preferred.
- Experience: Demonstrated experience in medical billing, AR follow-up, and denial management.
- Strong analytical and problem-solving skills for complex denial scenarios.
- In-depth knowledge of medical billing cycles, claim submission processes, and payer guidelines.
- Excellent communication skills, both written and verbal, for reporting and collaboration.
- Proficiency in medical billing software and relevant office applications.
- Ability to work meticulously and identify subtle discrepancies in documentation.
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Medical Denial QA
4 weeks ago
Chennai, Tamil Nadu, India Access Healthcare Full timeJob DescriptionWe are seeking a meticulous Medical Denial Quality Assurance (QA) / Quality Control (QC) specialist. The ideal candidate will possess strong expertise in denial management and medical billing processes, playing a critical role in reviewing and improving the accuracy of denial appeals and resolutions. This position is vital for optimizing...
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Chennai, Tamil Nadu, India beBeeDenialManagement Full time ₹ 9,00,000 - ₹ 12,00,000Job Summary:We are seeking a highly skilled Denial Management Specialist to join our team. In this role, you will be responsible for handling accounts receivable and denial management in the voice process.Key Responsibilities:Minimum of 6 months of experience in handling accounts receivable, with a focus on denial management in the voice process.Experience...
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Medical Coding Specialist
11 hours ago
Chennai, Tamil Nadu, India beBeeCoding Full time ₹ 5,00,000 - ₹ 10,00,000Job Overview:Medical Coding SpecialistWe are seeking a skilled Medical Coding Specialist to join our team. In this role, you will be responsible for reviewing medical records and assigning codes for diagnoses, procedures, and treatments.Key Responsibilities:Review and analyze patient charts and medical documents to accurately assign codes in compliance with...
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Quality Control Analyst
20 hours ago
Chennai, Tamil Nadu, India Omega Healthcare Full timeJob DescriptionRoles and Responsibilities:- Should have experience in handling US Healthcare Medical Billing.- To work closely with the team leader.- Ensure that the deliverables to the client adhere to the quality standards.- Responsible for working on denials, prior authorization, eligibility verification, rejections, making required corrections to...
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Medical Coding Specialist
1 day ago
Chennai, Tamil Nadu, India beBeeCoding Full time ₹ 9,00,000 - ₹ 12,00,000Medical Coding ExpertWe are seeking a Medical Coding Expert with expertise in Interventional Radiology (IVR) coding. The ideal candidate will be responsible for reviewing medical reports, accurately identifying procedures and diagnoses, and applying the correct codes and modifiers. This role is crucial for resolving coding-related denials and ensuring claims...
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Medical Coding Leadership Position
3 days ago
Chennai, Tamil Nadu, India beBeeManagement Full time ₹ 9,00,000 - ₹ 12,00,000We are looking for a Medical Coding leader to fill the role of Assistant Director of Operations. This position requires overseeing multi-specialty coding operations, managing a dynamic team, and ensuring high-quality service delivery. The ideal candidate will have strong leadership skills, extensive knowledge in Denials, Emergency Medicine (EM), and...
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Senior Quality Assurance Specialist
11 hours ago
Chennai, Tamil Nadu, India beBeeQuality Full time ₹ 5,00,000 - ₹ 10,00,000Job Overview:The Quality Assurance Specialist will play a pivotal role in ensuring the delivery of exceptional quality services to clients. This entails collaborating closely with team leaders, scrutinizing email updates, identifying areas of concern and escalating them to supervisors, all while adhering to established company policies and procedures.Key...
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Medical Content Reviewer
1 day ago
Chennai, Tamil Nadu, India beBeeReviewer Full time ₹ 90,00,000 - ₹ 1,21,00,000Job Title: Medical Content ReviewerA medical content reviewer is required to assess and review various types of medical content for accuracy, quality, and compliance with regulatory requirements.Key Responsibilities:Conduct thorough reviews of ICSRs (spontaneous, literature, clinical studies) and ensure that they are accurate, complete, and compliant with...
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Quality Analyst AR Caller \-Medical Billing
2 days ago
Chennai, Tamil Nadu, India green success infotech Full timeQuality Analyst /(AR Caller /-Medical Billing/) JD/: Greetings// We are looking to hire a Quality Analyst with experience in Medical Billing/- Accounts Receivable. We are open to candidates with experience in Physician Billing or Hospital Billing. The ideal candidate should have experience in handling Denials. QA experience and QA Paperwork are mandatory for...
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Medical Coding Director
23 hours ago
Chennai, Tamil Nadu, India beBeeDirector Full time ₹ 75,00,000 - ₹ 1,15,00,000Job Description:Medical Coding Directors oversee medical coding operations to ensure compliance with industry regulations, maintaining high accuracy and productivity standards.Key Responsibilities:Team Leadership & ManagementDirect and manage the medical coding team, ensuring high performance, engagement, and professional growth through regular training...