Urwah Admin

Prima Systems

Medical Records ExecutivePosition: Medical Records Executive Department: Medical RecordsJob Summary: My role is in the medical records department, where I handle and process patient records received from doctors&rsquo; offices. We use the Net Health EHR system to review, organize, and update records according to the required workflow. The main responsibility is to ensure that all incoming medical documents are processed accurately and in a timely manner.Key Responsibilities:<ul><li>Review medical records received from doctors&rsquo; offices and healthcare providers.</li><li>Process and update patient information in the Net Health EHR system.</li><li>Follow the defined workflow and instructions for handling each type of medical document.</li><li>Verify records for completeness and proper documentation before processing.</li><li>Maintain accuracy and confidentiality of patient information.</li><li>Handle email communication related to medical records and respond to record-related queries.</li><li>Coordinate with team members when records need clarification or further action.</li><li>Ensure all assigned tasks are completed within the required turnaround time.</li></ul>Requirements:<ul><li>Graduation is mandatory</li><li>1-2 years' experience of Medical Billing (Medical Records)</li><li>Excellent communication skills</li></ul>Job Type: Full-timePay: Rs60,000.00 - Rs80,000.00 per monthEducation:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>AR in Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

Medical Record Executive

We are seeking a detail-oriented and experienced Credentialing and Enrollment Associate to join our medical billing team. The ideal candidate will have a strong background in healthcare credentialing and enrollment processes, particularly within the US healthcare system. This role will involve ensuring that healthcare providers are properly credentialed with insurance networks and government programs, facilitating enrollment, and maintaining accurate records.Responsibilities:<ul><li>Manage the credentialing and enrollment process for healthcare providers with insurance networks, Medicare, Medicaid, and other relevant programs.</li><li>Prepare and submit credentialing applications, re-credentialing, and revalidation documents accurately and timely.</li><li>Ensure compliance with all credentialing requirements, regulations, and standards set by accrediting bodies and government agencies.</li><li>Communicate with insurance companies, providers, and internal stakeholders to resolve credentialing issues and inquiries.</li><li>Maintain up-to-date knowledge of current healthcare regulations, policies, and procedures related to credentialing and enrollment.</li><li>Coordinate with internal departments to gather necessary documents and information for credentialing applications.</li><li>Monitor the status of applications, track expirations, and follow up on pending items to ensure timely completion.</li><li>Maintain accurate and organized credentialing and enrollment records, both electronic and paper-based.</li><li>Assist in audits and reviews related to credentialing and enrollment processes.</li></ul>Requirements:<ul><li>Minimum of 2-3 years of experience in healthcare credentialing and enrollment, preferably in a medical billing setting.</li><li>In-depth knowledge of credentialing processes for insurance networks, Medicare, Medicaid, and other payers.</li><li>Familiarity with CAQH, NPI, UPIN, and other relevant healthcare databases and identifiers.</li><li>Strong understanding of healthcare regulations, compliance standards, and HIPAA guidelines.</li><li>Excellent English communication skills, both verbal and written, with the ability to interact professionally with providers and insurance representatives.</li><li>Exceptional attention to detail, accuracy, and organizational skills.</li><li>Proficiency in using MS Office applications and credentialing software.</li><li>Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.</li></ul>Job Type: Full-timePay: Rs100,000.00 - Rs130,000.00 per monthApplication Question(s):<ul><li>Are you available for night shift</li></ul>Experience:<ul><li>Credentialing in Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

Credentialing Specialist

Join Prima Systems and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Prima Systems

About Company

Medical Record Executive

Credentialing Specialist

Credentialing Specialist