Responsible for leading the Hospital Billing teams, ensuring timely and accurate claim submissions, resolving complex billing issues, and consistently meeting performance targets. This role supports process improvement initiatives, regulatory compliance, and team development. Key Responsibilities: Supervise Hospital Billing (UB 04)…
Job Summary: The candidate will be responsible for diagnosing eye conditions, performing surgical procedures, and providing comprehensive pre and post operative care to patients.Key Responsibilities:Perform ophthalmic surgical procedures such as cataract surgery, glaucoma surgery, retinal procedures, and other eye surgeries…
A Charge Entry QA job involves auditing medical billing data for accuracy, ensuring compliance, identifying errors in patient charges, implementing quality controls, and training staff to improve efficiency in the revenue cycle, focusing on preventing claim denials by guaranteeing correct…
Job Summary The QA – Physician Billing is responsible for ensuring accuracy, compliance, and quality of AR processes related to physician billing. The role focuses on auditing AR work, identifying trends in denials and underpayments, ensuring adherence to payer guidelines,…
Key ResponsibilitiesPosting Payments: Electronically or manually posting payments from insurance companies (EOBs) and patients to the correct accounts and line items. Reconciliation: Balancing payment batches against bank deposits and ensuring all received funds are accounted for. Denial & Adjustment Handling:…
We are looking for Assistant Manager / Manager – RCM (Business Analytics) for Hyd location Experience Minimum 10+ years of hands on experience across all RCM KPIs and analytics scopes. Key Responsibilities & Skills Strong expertise in Business Excellence and…
Job Summary The QA – Physician Billing is responsible for ensuring accuracy, compliance, and quality of AR processes related to physician billing. The role focuses on auditing AR work, identifying trends in denials and underpayments, ensuring adherence to payer guidelines,…
Job Description: Job Role: Credentialing Team lead Location: Hyderabad Key responsibilitiesApplication and verification: Complete and submit credentialing applications, verify provider credentials (licenses, board certifications, etc.) through primary source verification, and ensure all required information is accurate and complete. Payer and…
We are looking for an AR Team Lead for our Karimnagar branch. Job Summary: Responsible for leading the Physician and Hospital Billing teams, ensuring timely and accurate claim submissions, resolving complex billing issues, and consistently meeting performance targets. This role…
Job Summary: The Hospital Billing Associate is responsible for preparing, reviewing, and submitting accurate hospital claims using the UB 04 form. This role ensures timely reimbursement from government and commercial payers while maintaining compliance with healthcare regulations.# Key Responsibilities: Review…
Job Summary: We are looking for experienced Physician Billing Associates to join our growing team in Hyderabad. The ideal candidate will be responsible for preparing, reviewing, and submitting accurate medical claims (CMS 1500) to insurance payers, ensuring timely reimbursements, and…
The Single Path ED Coder is responsible for accurate and compliant coding of both facility and professional (profee) services for Emergency Department encounters under the single path coding methodology. This role ensures that all ED visits are coded comprehensively in…
Job Description. Looking for candidates with 10 +years of work experience in Medical Coding Training, preferably experienced Auditors /QA’s with training capabilities. Basic Requirements:Must be certified (CPC/CCS/COC/CIC, etc.) from AAPC or AHIMA Effective Presentation Skills Strong knowledge on Human Anatomy,…
Hello, Greetings from Eclat Health !!! We are hiring for SDS Coders Open Positions :Coders Eligibility for Coder Min 2 year's Work Location : Hyderabad Interested Contact : Viraja HR (8121012268) Mail : viraja.gurrala@eclathealth.com Regards Talent Acquisition TeamEclat Health Solutions…
Hello, Greetings from Eclat Health !!! We are hiring for Profee Surgery QA's Open Positions :QA's Eligibility for QA Min 5 year's Work Location : Hyderabad Interested Contact : Viraja HR (8121012268) Mail : viraja.gurrala@eclathealth.com RegardsViraja HREclat Health Solutions India…
Key Responsibilities:Review operative reports and clinical documentation to assign accurate CPT, ICD 10 CM, and HCPCS codes for ambulatory surgical procedures. Ensure coding accuracy and completeness in compliance with AAPC, AHIMA, CMS, and payer specific guidelines. Validate medical necessity and…
HR Executive Operations (Night Shift)Location: Lucknow, UP Experience: 2 3 Years Shift: Night Shift (US Healthcare Process) Employment Type: Full Time About the Role: We are looking for a proactive HR Executive Operations to handle end to end HR processes…
Job Description: We are looking for Hospital Outpatient (OP) Coders with strong experience in Surgical Coding and Denials Management. The ideal candidates should have solid knowledge of ICD 10 CM, CPT, and HCPCS coding systems, and a proven ability to…
Job Description : AR Callers (1 8 Yrs) Min 1Yr into AR QA's/SME on Papers Experience is mandatory End to End Process knowledge on Denial Management Complete and send appropriate claim forms according to CMS and third party Payer Guidelines.…
Job Description – Associate, Inpatient Prior AuthorizationAssociate – Inpatient Prior Authorization Department: Revenue Cycle Management / Utilization Management Reports To: Team Lead – Prior Authorization / Prior Authorization Supervisor Job Level: Associate / Entry to Mid Level Work Location: RMZ,…
Hello, Greetings from Eclat Health !!! We are hiring for IVR QA's Open Positions : QA's Eligibility for QA Min 5 years Work Location : Hyderabad Work Mode: WFH after 6 MonthsInterested Contact : Viraja HR (8121012268) Mail : viraja.gurrala@eclathealth.com…
Hello, Greetings from Eclat Health !!! We are hiring for Profee Surgery Coder's Open Positions : Coder's Eligibility for Coder Min 2 year Work Location : Hyderabad Interested Contact : Viraja HR (8121012268) Mail : viraja.gurrala@eclathealth.com RegardsViraja HREclat Health Solutions…
Job Title: Team Lead – Payor (Risk Adjustment coding/HCC) Department: Production Location: Vijayawada Reports To: Manager – Payor Employment Type: Full time, Mon through Fri, with occasional evening or weekend availability as required for project deadlines. Eligibility: Minimum of 6…
Job Title: Team Lead – Hospital Billing (RCM) Department: Revenue Cycle Management Location: Hitech City, Hyderabad Shifts : Night Shifts Job Summary: Responsible for leading the hospital billing team (20 Agents), ensuring timely and accurate claim submissions, resolving billing issues,…
Job description Perform pre call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail…
SME – Outpatient & Inpatient E/M Coding (Multispecialty) Job Summary: We are seeking an experienced E/M Coding Subject Matter Expert (SME) with strong expertise in outpatient and inpatient E/M coding across multiple specialties, including podiatry, pediatrics, psychiatry, orthopedics, and surgery.…
Multispecialty Surgery Coding – SME (Professional & Facility) Job Summary: We are seeking an experienced Multispecialty Surgery Coding Expert to serve as a Subject Matter Expert (SME) for both professional and facility surgery coding. The SME will provide in depth…
Job description We have openings for EM Multisepcialty coders (Any Certification is Mandatory) Location: Hyderabad Interview mode: Virtual Looking for immediate joiners!!! EM Coder Skillset Requirement: 2 years and above experience in EM Coding Holding a Coding certification (CPC is…
Job Description Review and interpret clinical documentation from orthopedic surgery encounters (inpatient, outpatient, or ASC). Assign appropriate CPT, ICD 10 CM, and HCPCS Level II codes for orthopedic surgeries including: Joint replacements (hip, knee, shoulder),Fracture repairs,Arthroscopies, Ligament/tendon repairs Spinal surgeries…
Pathology Medical Coder// QA Key Responsibilities: Review and interpret pathology reports and clinical documentation Assign accurate ICD 10 CM, CPT, and HCPCS codes for pathology services Ensure compliance with AAPC/AHIMA coding guidelines Stay updated with coding changes and payer policies…
Job Responsibilities: Accurately code SDS and Special Procedures through review of medical record documentation and encounter forms for Outpatient facility Assign accurate surgical codes using ICD 10 CM, CPT, and HCPCS coding guidelines Ensure all codes are compliant with applicable…