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2 Job openings at CGM eMDs
About CGM eMDs

CGM-EMDS provides comprehensive IT solutions and electronic data management services for businesses in the healthcare industry.

Senior Associate - Claims Management

Not specified

2 - 3 years

INR 4.25 - 6.5 Lacs P.A.

Work from Office

Full Time

Become ALL IN! as an (Claims Management Associate/Senior Associate)As a pioneer in digital health our heart beats for the development and implementation of new technologies. For the next level of e-health evolution we are looking for creative minds who enjoy working with a variety of technologies, their own design freedom and professional development.What you can expect from us:• A safe digital application and a structured and streamlined onboarding process• An extensive group health and accidental insurance program• Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office• Subsidized meal facility• Term insurance in plan for 2023• Fun at Work: tons of engagement activities and entertaining games for everyone to participate• Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion• Best HR practices along with an open-door policy to ensure a very employee friendly environment• A recession proof and secured workplace for our entire workforce• Ample scope of reward and recognitions along with perks like marriage gift hampers and gifts for birth of a childWhat you can do for us:• Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.• To prioritize the pending claims for calling from the aging basket.• Should be able to convince the claims company (payers) for payment of their outstanding claims.• To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.• To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.• Escalate difficult collection situations to management in a timely manner.• Review provider claims that have not been paid by insurance companies.• Handling patients billing queries and updating their account information.• Post cash and write off the contractual adjustments accordingly while working on the accounts.• Meeting daily/weekly and monthly targets set for an individual.Your Qualifications:• Should be willing to work in US Shift. (Night Shift)• Graduation is Mandatory.• Experience in US Healthcare Revenue Cycle Management process.• Strong written and verbal communication skills.• Good computer skills including Microsoft Office suite.• Ability to prioritize and manage work queue.• Ability to work independently as well as in a team environment.• Strong analytical and problem-solving skills.• Good typing skills with a speed of min 25-30 words /min.Convinced? Submit your persuasive application now online (including desired salary and earliest possible starting date).Synchronizing HealthcareBecome ALL IN! with head, heart, and hand

Manager- Credentialing | US Healthcare

Not specified

3 - 8 years

INR 4.0 - 9.0 Lacs P.A.

Work from Office

Full Time

Create the future of e-health together with us by becoming a Manager Credentialing.As one of the Best in KLAS RCM organization in the industry we offer a full scope of RCM services as well as BPO services, our organization gives our team members the training and solutions to learn and grow across variety of technologies and processes. As an innovator and leader in the e-health services we offer unparalleled growth opportunities in the industry.What you can expect from us: A safe digital application and a structured and streamlined onboarding process. An extensive group health and accidental insurance program. Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office. Subsidized meal facility. Fun at Work. Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion. Best HR practices along with an open-door policy to ensure a very employee friendly environment. A recession proof and secured workplace for our entire workforce. Ample scope of reward and recognitions along with perks.What you can do for us: Compiles and maintains current and accurate data for all providers. Completes provider enrollment credentialing and re-credentialing applications; monitors applications and follows-up as needed. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. Build knowledge base for payer requirements and forms for multiple states Track license and certification expirations for all providers to ensure timely renewals. Prepare meeting agendas and minutes for client calls. Train credentialing specialist (if applicable). Audit work completed by other departments (delegation/CAQH/Data Entry/Group & provider set up). Provide monthly invoicing data. Generate and send sign pages/application to client. Report to management any detected problems, errors, and/or changes in provider enrollment requirements upon discovery.Your Qualifications: Education: Bachelor's degree preferred. Minimum 5 years of relevant experience in Credentialing in US Healthcare (RCM. Understanding and knowledge of the credentialing and provider enrollment process. Must be able to organize and prioritize work and manage multiple priorities. Excellent verbal and written communication skills including, letters, memos and emails. Excellent attention to detail. Ability for research and analyze data. Ability to work independently with minimal supervision. Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.Convinced? Submit your persuasive application now (including desired salary and earliest possible starting date).

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