Intelligent Medical Billing Solution

Sanand, Ahmedabad

Process associate Job description ;Require ; Experience or FresherWork Mode: On-siteShift Timing: 3:00 PM to 1:00 AM (India Time)Working Days: Monday to FridayHolidays: Indian + US HolidaysLocation: AhmedabadJoining: Immediate OnlyWhat Were Looking ForExcellent English communication skills (spoken + written)Strong grasping ability and willingness to learn fastProfessional attitude and disciplineBasic computer proficiencyAbility to work in a fast-paced environmentKey Responsibilities(Training will be provided based on department allocation)Learn and support end-to-end Revenue Cycle Management processesMaintain accuracy in data handling, documentation, and follow-upsEnsure timely task completion and meet process quality benchmarksCoordinate with internal teams to resolve issuesCommunicate clearly and professionally with stakeholdersAdhere to company guidelines, confidentiality, and compliance standardsWhat We OfferWeekend offs ( Sat & Sun)Growth-focused environment with structured trainingPF & other statutory benefitsCab facility for female staffOpportunity to build a long-term career in the healthcare RCM domain

Serve Tea and Coffee to Staff and office VisitorClean office kitchen on daily basisResponsible for disposal of trash, waste, and other disposable materialMonitoring the use of equipment and supplies within the office.Coordinating the maintenance and repair of office equipment.Damp dust furniture, light fixtures, window Wash windows as scheduledUse safety precautions in all housekeeping servicesThe person must have a neat and clean personalityAlso be able to move outside office for any kind of task directed to him.Job requires activeness, attentiveness and a responsible attitude.Handling electronic files and papersAssists in menial office tasks required by the office staffMaintains the cleanliness of the office premises and kitchen.

WE ARE HIRING!!!We have urgent openings in RCM (Revenue Cycle Management) Dept.Immediate joiners are most welcome and with at least 1 to 3 years of relevant experience.Candidates with good interpersonal skills are the most desirable.Objective: To obtain prior authorizations for all procedural orders by completing the authorization process with all commercial payers.Position: Pre-Authorization Coordinator Location: Ahmedabad, India (Office based)Type of Work: Full time, permanent Work Hours: Monday to Friday, Night ShiftThe role and responsibilities: The Pre-Authorization Coordinator is responsible for obtaining and coordinating all pre-authorization or pre certification per payer requirements requested by the medical providers. The Information obtained by insurance companies and/or third-party representatives for services requested are documented in appropriate systems or software to ensure proper communication and coordination. Determine patient's eligibility for insurance benefits prior to medical treatments and tests. Secure necessary pre-authorizations. Confirm accuracy of CPT and ICD-10 diagnoses 4 Review chart documentation to ensure patient meets medical policy guidelines Verify coverage and communicate with medical facilities to resolve any discrepancies. Maintain logs of denied claims and problem-solving cases as needed. Follow-up on missing or inaccurate information and coordination with clinical staff and physicians. Prioritize incoming authorization requests according to the urgency Maintain individual payer files to include up to date requirements needed to successfully obtain authorizationsRequirements: Must have sound knowledge of claims, and ICD-10 and CPT codes Knowledge of procedure authorization and its impact on the revenue cycle Good understanding of payer medical policy guidelines Conflict resolution Strong written and verbal communication skills.