14/06 Ranjan Baraiya
HR Executive at OmniMD

Views:213 Applications:3 Rec. Actions:Recruiter Actions:2

OmniMD - Medical Billing Executive - Claims & Insurance (1-8 yrs)

Ahmedabad Job Code: 22084

We are US based Healthcare Product & IT Services company to work, has a Job Opening as a Medical Billing Executive at the location of Ahmedabad, Gujarat. Please go through the Job description and company profile below :

Company Name : OmniMD

About OmniMD :

OmniMD is a reputed healthcare IT vendor and has embarked on a journey into the Clinical Decision Support System (CDSS) space through its OmniScient suite of applications that are grounded in a workflow-integrated, user-friendly, standardized, interoperable and micro-services- based technology and knowledge-management ecosystem. OmniScient has been as a qualified Clinical Decision Support Mechanism (qCDSM) for appropriate use criteria (AUC) under The Protecting Access to Medicare Act (PAMA) of 2014, contained within the Medicare Payment program of the Centers for Medicare & Medicaid Services (CMS), and enforced under 42 CFR - 414.94, to increase the rate of appropriate advanced diagnostic imaging services provided to Medicare beneficiaries. OmniMD is expanding its framework to include Prior Authorization for commercial plans that require documentation of medical necessity and also the supporting electronic administrative workflow.

The Prior Authorization Consultant is responsible for providing expert inputs and strategic counsel on all aspects of the planned Omniscient - Prior Authorization (PA) Medical Necessity CDSS & Workflow application.

Job Description : 

1) Preparing and submitting billing data and medical claims to insurance companies

2) Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts

3) Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur

4) Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifies in court cases, when necessary

5) Ensuring each patient's medical information is accurate and up to date

6) Preparing bills and invoices and document amounts due to medical procedures and services

7) Good expertise in AR Aging

8) Doing charge and Payment Posting

9) All the End to End process of Medical Billing

Benefits :

- Friendly Environment

- Excellent Salary

- 5 Days Working

- Medical Insurance

- On-site Yoga, Gym, Sports, and Bhagwat Geeta Session

- Excellent Work life balance

This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.

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