10 Availity Jobs

Role Overview: As a US Operations Coordinator in the Intake Team at Proelio Technologies, you will be the first point of contact for patients, playing a crucial role in ensuring smooth and accurate intake processes. Your responsibilities will include verifying insurance, checking eligibility, and obtaining authorizations for medical services. Key Responsibilities: - Collect and record patient information accurately - Process incoming referrals and inquiries for medical services - Verify patient insurance coverage and benefits - Confirm insurance eligibility and accuracy of information - Determine patient eligibility for medical services based on insurance coverage - Identify any coverage lim...

Location: Dattagalli, 3rd Stage Mysore Shift: Night (U.S. Time Zone) Experience: 13 years in U.S. healthcare credentialing Role Description Looking for a detail-oriented Credentialing Specialist to handle provider enrollment and re-credentialing with Medicare, Medicaid, and commercial payers. Responsibilities include managing CAQH, NPPES, and payer portal updates, tracking application status, maintaining records, and coordinating with providers and payers for timely approvals. Requirements: 13 years of experience in provider credentialing. Knowledge of CAQH, PECOS, Availity, and payer portals. Strong communication and follow-up skills. Proficient in MS Office. Must be willing to work night s...

Dear Candidate Greetings from R1RCM! We are reaching out to explore your interest in an exciting opportunity with us. If you are currently looking for a Job change or open to new opportunities, we would be glad to consider your profile.Kindly share the following details with your updated CV (in PDF Format) for further processing. Total Experience as AR Caller Current Company/Last Company Notice Period Current Package/Last Package Expected Package Current Location Okay for Chennai Location (Yes/NO) Current Designation/Last Designation Source (LinkedIn/Naukri.com/Emp Referral) Also, please register yourself in R1 web portal with the link below. https://r1rcm.wd1.myworkdayjobs.com/R1RCM/job/Che...

Medical Provider Enrollment Specialist (Permanent Work-From-Home) About the Role: We are seeking experienced Medical Provider Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position. Key Responsibilities: Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and co...

XO Health believes healthcare is fixable. Become part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone from those who receive care, to those who deliver it, to those who pay for it. We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation. Provider Support Representative - India (Remote) Position Overview As a Provider Support Representative at XO Health, you will be the first line of support for our provider network. You will manage inboun...

We are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. About the Role Specialists applying for this role must be extremely comfortable working remotely and be willing to make extra efforts to communicate/engage with our credentialing team and clients as well as be able to ensure client work packages are completed flawlessly. This position requires complex levels of organizational skills and the ability to complete assigned tasks within the allotted time to do so. Responsibilities Minimum of 2 years experience in provider credentialing and ...

We are seeking an organized and detail-oriented individual to join our team as a US Operations Coordinator in the Intake Team. As the initial point of contact for patients, you will play a vital role in ensuring smooth and accurate intake processes. Your primary duties will include verifying insurance, checking eligibility, and obtaining authorizations for medical services. Your responsibilities will involve collecting and accurately recording patient information, processing incoming referrals and inquiries for medical services, verifying patient insurance coverage and benefits, determining patient eligibility for medical services based on insurance coverage, and providing clear information ...

AR Caller (Accounts Receivable Caller) Responsibilities: Contact insurance companies to follow up on unpaid/underpaid medical claims . Identify the reason for denials and initiate appropriate steps for resolution. Document call outcomes and maintain accurate records in the billing system. Work on reprocessing or appealing claims as needed. Achieve daily call targets and maintain call quality standards. Requirements: Good spoken English and communication skills. Familiarity with US insurance terminology (Medicare, Medicaid, Commercial, etc.) Prior experience in AR Calling or denial management preferred but not mandatory. Prior Authorization Executive Responsibilities: Initiate and follow up o...

Neolytix provides management solutions aimed at igniting long-term success for healthcare providers nationwide. We provide a platform to incubate a conducive collaboration based on creating revenue and cost transformation within healthcare organizations. Work with a company where your work can make a real impact! As a Training process trainer specializing in US Healthcare processes, you will be responsible for creating engaging and comprehensive training materials, SOPs, and conducting On Job Training for the ramp-up period of training graduates. And a key resource for the SOP management. Leveraging your expertise in instructional design principles and your ability to conduct insightful inte...

You are invited to apply for the position of Patient Caller! We are looking for individuals who possess 2-4 years of experience along with exceptional communication skills. As a Patient Caller, your responsibilities will include making calls to gather patient demographics and insurance details. You will be required to confirm eligibility and benefits to ascertain insurance coverage before patient appointments. Furthermore, identifying and securing essential authorizations, handling email intake to ensure completion and upload of patient consent forms to the EHR, and requesting referrals or authorizations from PCPs or insurance companies via phone, website, or fax will be part of your daily t...