US Healthcare Operations

1 day ago


Noida, Uttar Pradesh, India beBeeSpecialist Full time
Healthcare Operations Specialist

The primary role of this position is to manage and process healthcare-related tasks, ensuring compliance with regulatory requirements and delivering excellent client outcomes.

Key Responsibilities:
  • Claims Management: Manage medical billing, coding, and claims for US-based clients.
  • Healthcare Data Review: Examine and process insurance claims, patient records, and medical documentation.
  • Compliance: Ensure adherence to HIPAA regulations and industry standards.
  • Coding and Classification: Perform medical diagnosis, procedure, and treatment coding as per client needs.
  • Collaboration: Work with healthcare professionals, insurance providers, and clients to resolve billing discrepancies and claims issues.
  • Analysis: Identify trends, opportunities for improvement, and potential risks within healthcare data.
  • Record Maintenance: Maintain accurate and detailed patient information, billing activities, and claim resolutions records.
  • Reporting: Provide timely reports and updates to clients, ensuring transparency and issue resolution.
Requirements:
  • Strong knowledge of healthcare regulations, including HIPAA.
  • Excellent analytical and problem-solving skills.
  • Ability to work accurately under pressure.
  • Effective communication and collaboration skills.
  • Proficiency in medical coding systems (ICD-10, CPT, HCPCS).
Benefits:
  • Opportunity to work in a dynamic healthcare environment.
  • Challenging role with opportunities for growth and development.
  • Competitive compensation package.


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