Tamil Nadu Claims specialist Jobs – 67 Open Jobs Today

Coding Denials Specialist
Ventra Health, Inc. —Coimbatore, Tamil Nadu
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
SPE-Claims HC
Cognizant —Coimbatore, Tamil Nadu
- Full-time
- Hybrid work
- HIPAA
- Analysis skills
13d
Physician Billing AR Callers & Denial Management Specialists
Meddata RCM Pvt Ltd —Chennai, Tamil Nadu
- ₹15,000 - ₹60,000 a month
- Full-time
- Microsoft Word
- English
- Microsoft Office
Quick apply
Project Planning and Controls Specialist - HVDC
Hitachi —Chennai, Tamil Nadu
- Full-time
- Remote
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Specialist - Customer Care - Collections 4A
Genpact India Pvt. Ltd. —Chennai, Tamil Nadu
- Full-time
- Customer service
- English
- Bachelor's degree
Quick apply
Food & Nutrition Specialist
workfreaks.in —Chennai, Tamil Nadu
- ₹5,00,000 - ₹6,00,000 a year
- Full-time
- Microsoft Office
- Master's degree
- Analysis skills
- Paid time off
- Paid sick time
Quick apply
9d
Authorization Specialist / Head – U.S. Medical Billing
All Care Therapies —Chennai, Tamil Nadu
- Full-time
- Customer service
- Master's degree
- Bachelor's degree
Quick apply
DME Medical Billing Specialist
ACIDUS MANAGEMENT SOLUTIONS Pvt ltd —Coimbatore, Tamil Nadu
- ₹20,000 - ₹30,000 a month
- Full-time
- In-person
- Medical terminology
- Communication skills
Quick apply
8d
Associate Purchasing Specialist
KBR —Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
RA Specialist
Kemin —Chennai, Tamil Nadu
- Full-time
- Master's degree
- Bachelor's degree
Purchasing Specialist
KBR —Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Lead Project Management Specialist
GE Vernova —Pallavaram, Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
9d
SPE-Configuration HC
Cognizant —Chennai, Tamil Nadu
- Full-time
- Hybrid work
- Microsoft Excel
- SharePoint
1d
Adult Vaccine Specialist - Chennai
GlaxoSmithKline —Chennai, Tamil Nadu
- Full-time
- CRM software
- Sales
- Business development
Health Operations Specialist
Accenture —Chennai, Tamil Nadu
- Full-time
- Management
- Master's degree
- Analysis skills
Specialist- Procurement
Flex LTD —Coimbatore, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- English
- Data entry
- Paid time off
8d
Specialist - Logistics Quality Backoffice
Nordex SE —Chennai, Tamil Nadu
- ERP systems
- English
- Microsoft Office
17h
Coding Denials Specialist (Anesthesia)
Ventra Health, Inc. —Perungudi, Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Sr Contract Specialist
Babcock Power APAC Pvt. Ltd. —Chennai, Tamil Nadu
- Full-time
- Bachelor's degree
- Manufacturing
- Negotiation
Cloud Specialist
Cognizant —Chennai, Tamil Nadu
- Full-time
- Hybrid work
- AWS
- Travel
- No travel

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Coding Denials Specialist

Ventra Health, Inc. -
Coimbatore, Tamil Nadu

Apply Now

Job details

Full-time

Qualifications

Microsoft Excel
Microsoft Outlook
Computer literacy
Basic math
12th Pass
Analysis skills
Medical billing
CPT coding
Organisational skills
Computer skills
Pivot tables
Billing
Communication skills
Time management

Full job description

About Us:

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

Come Join Our Team!
- As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards.
Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!

Job Summary:

The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution.

Essential Functions and Tasks:

Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques.
Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides.
Validate denial reasons and ensures coding is accurate.
Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations.
Follow specific payer guidelines for appeals submission.
Escalate exhausted appeal efforts for resolution.
Adhere to departmental production and quality standards.
Complete special projects as assigned by management.
Maintain working knowledge of workflow, systems, and tools used in the department.

Education and Experience Requirements:

High school diploma or equivalent.
One to three years’ experience in physician medical billing with emphasis on research and claim denials.
Current AAPC or AHIMA certification required.

Knowledge, Skills, and Abilities:

Knowledge of health insurance, including coding.
Thorough knowledge of physician billing policies and procedures.
Thorough knowledge of healthcare reimbursement guidelines.
Knowledge of AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding.
Computer literate, working knowledge of Excel helpful.
Able to work in a fast-paced environment.
Good organizational and analytical skills.
Ability to work independently.
Ability to communicate effectively and efficiently.
Proficient computer skills, with the ability to learn applicable internal systems.
Ability to work collaboratively with others toward the accomplishment of shared goals.
Basic use of computer, telephone, internet, copier, fax, and scanner.
Basic touch 10 key skills.
Basic Math skills.
Understand and comply with company policies and procedures.
Strong oral, written, and interpersonal communication skills.
Strong time management and organizational skills.
Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.

Compensation:

Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
This position is also eligible for a discretionary incentive bonus in accordance with company policies.

Ventra Health:

Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.

Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.

Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.

Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at [email protected] to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.

Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Apply Now

Refine Your Search

claims specialist jobs in tamil nadu

Coding Denials Specialist

SPE-Claims HC

Physician Billing AR Callers & Denial Management Specialists

Project Planning and Controls Specialist - HVDC

Specialist - Customer Care - Collections 4A

Food & Nutrition Specialist

Authorization Specialist / Head – U.S. Medical Billing

DME Medical Billing Specialist

Associate Purchasing Specialist

RA Specialist

Purchasing Specialist

Lead Project Management Specialist

SPE-Configuration HC

Adult Vaccine Specialist - Chennai

Health Operations Specialist

Specialist- Procurement

Specialist - Logistics Quality Backoffice

Coding Denials Specialist (Anesthesia)

Sr Contract Specialist

Cloud Specialist

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