Reimbursement Jobs in Chennai

About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. We specialize in helping clients stay ahead through transformative solutions that optimize business processes, driving increased efficiency, deeper insights, and superior outcomes. As trusted brand custodians and long-term partners to over 100 leading global brands, we have a presence in the US, UK, Philippines, and India. Our rightshore delivery model offers end-to-end solutions across industries including Healthcare, Telecommunications & Media, and Banking, Financial Services & Insurance. We proudly serve Fortune 500 and FTSE 100 companies. Job Title: Senior Customer Service Associate (Senior CSA) Grade: H1 Job Category: Associate Function/Department: Operations Essential Duties and Responsibilities Claims Filing: File claims using appropriate forms and attachments. Denial Research and Appeals: Investigate account denials and file written appeals when necessary. Insurance Billing: Evaluate information from clients to determine the correct insurance to bill, ensuring necessary attachments or supporting documentation are included with each claim. Account Research: Research account details to gather necessary attachments and documentation for each claim. Claim Integrity: Ensure the accuracy and integrity of each claim filed. Documentation: Record all efforts and actions in the CUBS system and any other required systems. Patient Information Verification: Verify patient details and benefits before submitting claims. Account Appeals: Write appeals for accounts when required. Client Correspondence: Draft clear and professional letters to clients. Additional Duties and Responsibilities Goal Achievement: Meet regular goals and objectives as set by management. Confidentiality: Maintain confidentiality of account and patient information at all times. Compliance: Actively participate in the Corporate Compliance Program and ensure adherence to company policies. Project Assistance: Assist with other ad hoc projects assigned by management. Relationship Management: Maintain effective working relationships with state and federal agencies. Account Resolution: Resolve accounts in a timely manner. Workspace Organization: Maintain a neat, orderly, and efficient work station. Educational and Experience Requirements Minimum Education: High school diploma or equivalent. Experience: 1-3 years of experience in insurance billing is preferred. Insurance Knowledge: Familiarity with various insurance payers is preferred. Technical Skills: Proficiency in PC-based applications with the ability to type 30-40 words per minute. Communication Skills: Strong written and verbal communication skills. Organization and Time Management: Ability to prioritize tasks effectively in a busy environment. Professionalism: Capable of presenting oneself in a courteous and professional manner at all times. Self-Motivation: Ability to stay focused and productive with little or no supervision. Working Conditions Environment: Call center setting. Physical Requirements: Must be able to sit for extended periods of time.

About ICON ICON plc is a global leader in healthcare intelligence and clinical research. We are dedicated to fostering an inclusive environment that encourages innovation and excellence. Our mission is to shape the future of clinical development, and we are looking for talented individuals to help us achieve this goal. Join us in advancing and improving patient outcomes worldwide. The Role As an Investigator Payment Associate (Data Entry & Excel), you will play a vital role in supporting the operational aspects of investigator payments. You will be responsible for ensuring timely and accurate data entry, maintaining high-quality budget records, and tracking key deliverables to meet operational metrics. What You Will Be Doing Budget Data Entry: Provide high-quality, timely data entry support for investigator payment-related activities. Operational Support: Track the completion of tasks and deliverables, ensuring that all required metrics and operational deadlines are met. Collaboration with Departments: Work closely with both intra- and inter-departmental teams to gather information and documents necessary for completing tasks. Self-Training and Development: Demonstrate a proactive approach to learning and development, enhancing your skills to stay aligned with best practices. Liaison and Communication: Support the team by liaising with the Line Manager and/or Lead to assist with department activities and initiatives. What You Will Need Strong experience in data entry and proficiency in Excel for data tracking, reporting, and analysis. Ability to work efficiently in a fast-paced environment while maintaining attention to detail. Strong organizational skills to ensure deadlines are met and tasks are tracked effectively. Good communication and interpersonal skills to collaborate with internal teams and external stakeholders. What ICON Can Offer You ICON offers a competitive salary and benefits package. Beyond this, we provide an environment that rewards high performance and nurtures talent. Some of the benefits include: Annual Leave: Generous annual leave entitlements to promote work-life balance. Health Insurance: Comprehensive health insurance offerings to meet the needs of you and your family. Retirement Planning: Competitive retirement planning options to help you save for the future with confidence. Global Employee Assistance Programme: 24/7 support through LifeWorks, offering access to a global network of professionals to assist with personal and family well-being. Life Assurance: Coverage for peace of mind. Flexible Benefits: Country-specific optional benefits such as childcare vouchers, subsidized gym memberships, and health assessments. Why Join ICON? Be a part of an industry leader in clinical research. Collaborate with professionals who are committed to improving patient lives. Enjoy an inclusive and dynamic work environment that encourages career development.

Billing Specialist Payment Posting Location: Chennai Department: Billing Operations Career Band: Professional II Role Overview: Financial Reconciliation & Accuracy We are seeking a meticulous Billing Specialist to join our Payment Posting team. You will be responsible for the final stage of the billing cycle: ensuring that payments from insurance providers and patients are accurately reconciled. Your expertise in EOB review, Adjustment handling, and Denial Identification will be critical in maintaining a healthy accounts receivable. Technical Skills & Core Competencies Payment Processing: Manual & Auto Posting: Proficiency in managing high-volume payment entries, including electronic remittance and paper checks. Financial Formulas: Strong understanding of Co-pays, Co-insurance, and Deductibles. HSA/HRA Payments: Specific experience processing payments for Health Savings Accounts and Health Reimbursement Accounts. EOB & Denial Analysis: Explanation of Benefits (EOB): Ability to interpret complex EOBs to ensure payments are posted to the correct patient accounts. Coding Identification: Expert knowledge of CARC (Claim Adjustment Reason Codes) and RARC (Remittance Advice Remark Codes). Write-offs & Adjustments: Handling complex adjustment scenarios, including secondary insurance offsets like Medicaid. Key Responsibilities Account Reconciliation: Ensure all checks and electronic funds are posted to the correct patient accounts with 100% accuracy. Denial Documentation: Identify and document denial reasons and maintain clear records of insurance correspondence. Secondary Insurance Management: Process adjustments and write-offs specifically when a patient s secondary insurance is involved. Operational Quality: Maintain high standards of data entry speed and accuracy to meet daily financial closing targets. Minimum Requirements Experience: Minimum 1 year of professional experience specifically in Healthcare Payment Posting. Education: Graduate in any stream. Technical Skills: Excellent typing speed and attention to detail. Reporting: Position reports to the Team Leader Billing Operations. Qualification : Graduate in any stream

Medical Coder Multispecialty Denials (E/M) Location: Chennai Experience: Minimum 1 Year Department: Revenue Cycle Management (RCM) Employment Type: Full-time Job Summary We are seeking a detail-oriented and experienced Medical Coder specializing in Evaluation and Management (E/M) services to support our multispecialty denial management operations. The ideal candidate will be responsible for analyzing denied claims, identifying coding or documentation issues, and executing effective appeal strategies to maximize reimbursement in line with payer-specific guidelines and compliance standards. Key Responsibilities Review and resolve denied claims related to E/M services across multiple specialties. Analyze clinical documentation and assign accurate CPT, ICD-10, and HCPCS codes. Investigate reasons for denials such as incorrect levels of service, insufficient documentation, or bundling edits. Prepare and submit well-documented appeals based on payer-specific rules and coding guidelines. Collaborate with Accounts Receivable (AR) and billing teams to ensure timely resolution of denials. Ensure adherence to CMS, Medicare, commercial payer, and internal compliance policies. Consistently meet or exceed quality and productivity benchmarks set by the organization. Required Skills & Qualifications Minimum 1 year of experience in E/M coding and denial management. In-depth knowledge of 2021+ E/M coding guidelines and documentation requirements. Experience handling denials in multispecialty environments (e.g., Internal Medicine, Pediatrics, Cardiology, etc.). Familiarity with coding tools (e.g., EncoderPro, 3M, Optum360) and EMR/EHR systems. Strong understanding of payer-specific rules, including Medicare and commercial insurers. Excellent attention to detail, communication, and analytical thinking. Ability to work independently as well as in a team-oriented environment. Preferred Qualifications Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification (preferred). Previous experience in a US Healthcare RCM setting, especially with denials and appeals workflows. Competitive compensation and incentive structure Career growth opportunities in a high-impact RCM environment Ongoing training and support for certifications and coding updates Collaborative and inclusive work culture