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Your Recruitment Specialist
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Job Description:
Medical Billing Representative will work with the RCM team to ensure the charges are
submitted within 48 hours turnaround time from the scan or import date, and that rejections
are worked and addressed in 24 hours’ time.
• Charge entry via superbill or clinical interphase or auto-import to be done within 48 hours
• Attention to detail on clinical documentation
• Tracking the claim submissions on Clearinghouse, including fixing any rejections
• Bringing any payer behavior related to claims rejections to senior staff’s attention
• Maintaining first pass clean claim rate of 90% or above
• Perform other duties as assigned
Job Requirements
• Strong knowledge of the US healthcare medical billing terminology
• Familiar with guidelines of US government, commercial and private payers
• Ability to plan, prioritize, and complete work to meet established objectives
• Skilled in understanding superbills
• Highly proficient with computers, especially Word and Excel
• Excellent written and oral English communication skills
• Positive attitude and an outgoing personality
• Ability to work in night shifts
#JobOpening #Hiring #JobSearch #NowHiring #CareerOpportunity #Employment #JobOpportunity #JobListing #JobPosting #JobAlert #recruitment
Interested candidates kindly forward your updated CV on hr5@tasolutions.in given mail ID or call on 9779649490. If not interested we will really appreciate it if you forward this position.
Job Description
Credentialing Specialist will work with the credentialing team in the US to help physicians,
medical practices, and healthcare organizations with credentialing and enrollment. The roles
and responsibilities include:
• Track and follow up with providers for timely return of all required credentialing documents
and applications
• Assist in synchronization of data among multiple systems
• Maintain credentialing database and ensure up-to-date tracking of application process
• Document progress in project management software, and provide regular updates to
management
• Work with commercial and governmental payers for credentialing and enrollment of
multiple provider specialties and facility types
• Stay up to date on licensing, verification, and state specific rules and bylaws to maintain
compliance
• Display in depth knowledge of and execution of all standard operating procedures (SOP’s)
as well as communicating issues, trends, concerns, and suggestions to management
• Perform other duties as assigned
Job Requirements
• Strong knowledge of the US healthcare medical billing terminology and landscape
• Basic medical billing and payer network skillset required
• Knowledge of CAQH
• Ability to document and prepare credentialing applications for healthcare providers
• Familiarity with provider hospital credentialing and admitting privileges
• Ability to plan, prioritize, and complete work to meet established objectives
• Skilled in understanding superbills
• Highly proficient with computers, especially Word and Excel
• Excellent written and oral English communication skills
• Positive attitude and an outgoing personality
• Ability to work in night shifts
#JobOpening #Hiring #JobSearch #NowHiring #CareerOpportunity #Employment #JobOpportunity #JobListing #JobPosting #JobAlert #recruitment
If Interested, kindly forward your updated CV on hr5@tasolutions.in or can call on 9023404909. We will really appreciate it if you forward this position to your colleagues or Friends.
