E&M / Surgery / Neurology /Paediatrics @ Primera Medical

Job Description

Roles and Responsibilities

• Research payer denials related to pre-authorization and referrals and billing resulting in denials and delays in payment. Initiate appeals with insurers appropriately.
• Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines as well as Federal/State Insurance Policies and Procedures.
• Identify denial patterns and escalate to management as appropriate with sufficient information for additional follow-up, and/or root cause resolution.
• Make recommendations for additions/revisions/deletions to work queues and claim edits to improve efficiency and reduce denials.

Desired Candidate Profile

Min 1 year experience required in ED / Surgery / E&M / Oncology / Neurology / Neurosurgery /Paediatrics/ OBGYN experienced coders.

Certified and non certified experienced candidates only can apply. Freshers pls ignore this post.

Pls send your resume to rg********i@pr************e.com or whatsapp your cv's to 7987580***

Job Classification

Industry: Medical Services / Hospital
Functional Area: Healthcare & Life Sciences,
Role Category: Health Informatics
Role: Health Informatics
Employement Type: Freshers

Education

Under Graduation: B.Pharma in Any Specialization, B.Sc in Any Specialization
Post Graduation: MBA/PGDM in Any Specialization, Any Postgraduate
Doctorate: Any Doctorate, Doctorate Not Required

Contact Details:

Company: PrimEra Medical
Address: 1-98/9/6/MT/9-A,B and C,9TH FLOOR,MELANGE TOWER,NO, . 23/37,MADHAPUR, Hyderabad, Telangana, India
Location(s): Hyderabad

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   CCS CPC US Healthcare Denial Management Medical Coding Revenue Cycle Management