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4.0 - 8.0 years
4 - 9 Lacs
Gurugram
Work from Office
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Location: Sec-21 GGN Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 3 weeks ago
4.0 - 8.0 years
4 - 9 Lacs
Hyderabad
Work from Office
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Location: Hyderabad Reports to (level of category) Senior Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Day-to-day operations People Management (Work Allocation, On job support, Feedback & Team building) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) Reports (Internal and Client performance reports) Work allocation strategy CMS 1500 & UB04 AR experience is mandatory. Span of control - 80 to 100 Thorough knowledge of all AR scenarios and Denials Expertise in both Federal and Commercial payor mix Excellent interpersonal skills Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 3 weeks ago
10.0 - 12.0 years
0 - 0 Lacs
Coimbatore
Work from Office
Mandatory leadership experience is required & responsible for managing a team of 50+ associates under at least 2-3 team leads. Responsible for timely and accurate posting of all payments. Experience in Payment posting, Denials Postings and Insurance rejections & Claims. Responsible to handle team and maintain teams production & quality, client coordination Should Possess extensive knowledge in Reviewing Explanation of Benefits (EOB) and Electronic remittance advice (ERA) documents, matches with electronic funds transfers (EFTs) and post payment to appropriate accounts. This Role involves extensive knowledge in Payment and Denial Posting, ERA posting, Correspondence posting, Insurance Portals, Bank Reconciliations, Marchant portals, Refund process, Statement and Collection process, EOM Reporting. Excellent skill sets required in Microsoft products, especially excel spreadsheet for reports and analyze data using tools like VLOOKUP. Pivot table etc. The right candidate should be able to handle the work pressure during End of Month and will take the challenge to meet the day-to-day deliverables. Ensuring the Daily/Weekly and Monthly reports are to be shared with the stakeholders in a timely manner and within the given time. Good communication and interpersonal skills especially with the team members and clients. Preferred Only Immediate Joiner Salary will not be a constraint to a right candidate & at par with the Industry standard.
Posted 3 weeks ago
5.0 - 9.0 years
2 - 7 Lacs
Hyderabad
Work from Office
SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions. ** Hand on experience in ECW software preferrable**
Posted 3 weeks ago
0.0 years
2 - 2 Lacs
Gurugram
Work from Office
Hiring for US Healthcare - Blended Process Graduate Freshers can apply. NO BE/B.Tech Good Comms Skills Required Salary 16k inhand Fixed Night Shifts Sat/Sun Fixed Off Meals Medical Allowance Both side cabs Gurgaon Call/WhatsApp Muskaan 9218076434 Required Candidate profile Candidate must have good communication skills. Must be comfortable with complete night shifts. Should have all the documents of education Must be and immediate joiner Walk-in Interviews only Perks and benefits Incentive Cabs Meals Medical Allowance Sat/Sun off
Posted 3 weeks ago
2.0 - 6.0 years
1 - 6 Lacs
Vadodara
Remote
U.S Health Insurance for Medical Billing, Demo & Charge Entry Process. Review and audit claims, Rebilling. The candidate will be responsible for reviewing and auditing medical claims, handling charge entries. Required Candidate profile Seeking experts in U.S. medical billing, charge entry with ECW software experience. Knowledge of ICD-10, CPT, claims processing a must. Immediate joiners preferred.
Posted 3 weeks ago
18.0 - 28.0 years
45 - 80 Lacs
Pune
Work from Office
Job Roles & Responsibilities : Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective clients. Develop the Operations strategy for the organisation, keeping in mind the business requirements. Manage onshore centers for Patient collections and Insurance billing Coordinate with the other department for smooth functioning of the process Should have experience in project transition. Should have handle entire functions of Healthcare RCM Process, AR & Denial Management (voice & Non voice) Exposure on Client Relationship Management. Should have experience in expanding operations and work on prospect clients, RFPs, SOPs and DOU’s etc. Analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing team. Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external) Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees. Staff development including training, coaching and competence assessment Motivate and lead high performance management team.
Posted 3 weeks ago
15.0 - 24.0 years
30 - 40 Lacs
Pune
Work from Office
Job Roles & Responsibilities: Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective clients Develop the Operations strategy for the organisation, keeping in mind the business requirements. Manage onshore centers for Patient collections and Insurance billing. Coordinate with the other department for smooth functioning of the process. Should have experience in project transition. Should have handle entire functions of Healthcare RCM Process, AR & Denial Management (voice & Non voice) Exposure on Client Relationship Management. Should have experience in expanding operations and work on prospect clients, RFPs, SOPs and DOUs etc. Analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing team. Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external) Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees. Staff development including training, coaching and competence assessment. Motivate and lead high performance management team.
Posted 3 weeks ago
2.0 - 4.0 years
2 - 3 Lacs
Chennai
Work from Office
Greetings from Synthesis Healthcare!!! We are hiring Hospital Billing (Charge Entry) Executive at Chennai location. Required Skills: Extensive hands-on experience in claims editing and billing within a hospital setting. Comprehensive knowledge of UB-04 (CMS-1450) billing practices and requirements. Thorough understanding of Medicare billing guidelines , with particular emphasis on the 72-hour rule and its impact on billing accuracy. Ability to review and interpret medical records and support documentation for billing purposes. Familiarity with accurate assignment and billing of occurrence codes and value codes. Good communication skills, both written and verbal Preferred Skills: Experience with Medicare DDE (Direct Data Entry). At least 2-4 Years of experience in medical billing, specializing in Medicare billing (Charge Entry). Immediate Joiners Preferred. Perks & Benefits 5 Days of working Saturday & Sunday fixed off Double Wages ( If working on Saturday) Interested candidates can send their updated resumes to: hr@shai.health (Mail subject line: " Applying for Experienced Hospital Billing Executive for any queries call to this number 78457 77499).
Posted 3 weeks ago
4.0 - 6.0 years
2 - 4 Lacs
Chennai
Work from Office
Job Title: Senior Executive Experience: 4 to 6 years Shift Timings: 4:30 PM to 1:30 AM IST (US Shift) Mode of Work: Work From Office Work Location: Chennai - Valasaravakkam Transportation: Cab Provided (Only for Female Employees) Interested candidates contact Magendran @ 9940644714 (if Call went unanswered kindly whats app) Preferred Skills: Ensure the patient demographic details are updated appropriately. Verification of the patient data mentioned in the medical claims. Enter charges in the software. Minimum 2-3 years of experience in Patient Demographics Entry and Charge Entry. Strong knowledge of medical billing concepts. Role & responsibilities: Perform posting charges Perform completion of claims to payers Submit billing data to the appropriate insurance providers Process claims Perks and Benefits Salary & Appraisal - Best in Industry Complementary Meal Pass Travel Allowance Health insurance Paid time off Quarterly Rewards & Recognition Program
Posted 3 weeks ago
2.0 - 6.0 years
2 - 6 Lacs
Ahmedabad
Work from Office
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 testifying in court cases, when necessary 5) Ensuring each patients 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 Please share your updated CV with the Acknowledgement Role & responsibilities Benefits 5 Days Working Medical + Accident Insurance On-site Yoga, Gym, Sports, and Bhagwat Geeta Session Excellent Work-life balance Annual one-day Trip All festival Celebration US Shift (Timings is 5:30 PM to 3:00 AM)
Posted 3 weeks ago
0.0 - 1.0 years
2 - 4 Lacs
Hyderabad
Work from Office
Freshers with good communication skills
Posted 3 weeks ago
3.0 - 8.0 years
4 - 9 Lacs
Pune
Work from Office
Role & responsibilities Accurately post all payments (electronic, checks, credit cards, etc.) to patient accounts in the billing system. Ensure all payments are applied to the correct accounts and invoices. Identify and resolve discrepancies between posted payments and actual deposits. Post adjustments, write-offs, and denials as per payer contracts and company policies. Identify trends in denials and underpayments and communicate findings to management. Identify billing errors and make necessary corrections to avoid claim denials. Ensure timely and accurate submission of claims to payers. Manage the resolution of denied claims by identifying root causes and correcting errors. Resubmit corrected claims to payers for reimbursement. Track and report on claim correction activities and outcomes. Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies. Stay updated on changes in billing regulations and payer requirements. Preferred candidate profile Bachelors degree in business or accounting major is preferred. 1 to 6 years experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.
Posted 3 weeks ago
8.0 - 13.0 years
5 - 15 Lacs
Pune
Work from Office
Responsibilities may include the following and other duties may be assigned: As a Team Lead Billing for Patient Financial Services, the role involves the specialist to work closely with various departments to ensure accurate coding, compliance with payer requirements, and maximization of reimbursement on Patient Financial Service accounts receivable metrics. Review and analyze charge capture data for accuracy and completeness. Identify and correct charge errors and discrepancies. Collaborate with clinical and coding staff to resolve charge-related issues. Monitor and review billing processes to ensure compliance with payer guidelines. Identify billing errors and make necessary corrections to avoid claim denials. Ensure timely and accurate submission of claims to payers. Manage the resolution of denied claims by identifying root causes and correcting errors. Resubmit corrected claims to payers for reimbursement. Track and report on claim correction activities and outcomes. Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies. Stay updated on changes in billing regulations and payer requirements. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Required Knowledge and Experience: Bachelors degree in business or accounting major is preferred. 8+ years experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.
Posted 3 weeks ago
10.0 - 15.0 years
10 - 18 Lacs
Pune
Work from Office
Responsibilities may include the following and other duties may be assigned: As the Delivery Lead of Insurance Collections for Patient Financial Services, the role involves working in conjunction with Senior Leadership to identify unit, department, and business priorities to successfully deliver on Patient Financial Service accounts receivable metrics. Responsibilities include accounts receivable management, including recovery and reconciliation of denial, and no activity insurance claims. The individual will interact and collaborate with various departments, lead payer issue denial trending, research and recovery of payer issues, system updates, data analytics, strategic work plans, and execution of plans and directives. Required Knowledge and Experience: Bachelors degree in business or accounting major is preferred. 10+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology – CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.
Posted 3 weeks ago
2.0 - 5.0 years
3 - 6 Lacs
Chennai
Work from Office
We are hiring MEDICAL BILLING (CHARGE / PAYMENT POSTING) for one of the MNC for Chennai location. Salary : 25k to 50k Working Days : 5 Days Shift : Any One side Cab & Meals WFO Only Must have Minimum 2 Yrs of exp. in the same domain CP/PP Required Candidate profile •Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. •Review and verify the accuracy of charge data. Call : 9643-58-3769
Posted 3 weeks ago
0.0 - 2.0 years
1 - 3 Lacs
Hyderabad
Work from Office
Job Responsibilities: Claim Verification: Verify and review healthcare claims to ensure accuracy and completeness. Learn to identify common billing errors and discrepancies in claim submissions. Initiate Follow-up Calls: Make outbound calls to insurance companies to inquire about the status of claims. Gain exposure to professional communication and develop rapport with insurance representatives. Research Denials and Underpayments: Investigate reasons for claim denials and underpayments. Work closely with senior AR Callers to understand denial codes and resolution strategies. Assist in Appeal Preparation: Support in the preparation of appeal packets for denied or underpaid claims. Learn the documentation and submission process for appeals. Claim Corrections: Understand the basics of correcting errors on claims and resubmitting them. Collaborate with team members to rectify common billing mistakes. Documentation and Reporting: Maintain accurate records of communication and actions taken in the claims billing system. Assist in generating basic reports related to claim status and follow-up activities. Training and Skill Development: Actively participate in training programs provided by the company. Continuously enhance knowledge of medical billing and coding practices.
Posted 3 weeks ago
1.0 - 4.0 years
1 - 4 Lacs
Bengaluru
Work from Office
Looking for a skilled AR Associate to join our team at Omega Healthcare Management Services Pvt. Ltd., with 1-4 years of experience in the field. Roles and Responsibility Manage accounts receivable, including processing invoices, payments, and reconciliations. Analyze financial data to identify trends and areas for improvement in accounts receivable management. Develop and implement process improvements to increase efficiency and reduce errors in accounts receivable. Collaborate with cross-functional teams to resolve billing and payment issues. Maintain accurate and up-to-date records of accounts receivable transactions. Identify and mitigate risks associated with accounts receivable, such as bad debt or denials. Job Strong knowledge of accounting principles and practices related to accounts receivable. Experience with CRM software and IT-enabled services is desirable. Excellent analytical and problem-solving skills are required. Ability to work effectively in a fast-paced environment and meet deadlines. Strong communication and interpersonal skills are essential. Familiarity with BPO industry standards and regulations is an asset.
Posted 3 weeks ago
1.0 - 5.0 years
0 - 3 Lacs
Chennai
Work from Office
Dear Candidate, Greetings from Global Healthcare Billing Partners Pvt Ltd! We are pleased to inform you about Opening with the Global Healthcare for the profile of CHARGE ENTRY &PAYMENT POSTING Experience : 0.6Year - 4 Years Qualification : Any Graduate Essential Requirement :- Associate should have worked Experience in Charge Entry & Payment Posting with good knowledge of medical billing process. Location: Velachery Shift: Day Contact Name : MALINI HR Contact Details - 9003239650 / 8925808598 NOTE : (only Medical billing experience are eligible) Regards GLOBAL MALINI HR 90032 39650
Posted 3 weeks ago
2.0 - 6.0 years
2 - 4 Lacs
Chennai
Work from Office
Roles and Responsibilities Conduct charge entry, verification, and posting for patient accounts. Ensure accurate and timely submission of claims to insurance companies. Collaborate with healthcare providers to resolve billing discrepancies. Perform audits on charges to identify areas for improvement. Maintain confidentiality and adhere to HIPAA guidelines. Desired Candidate Profile 2-6 years of experience in medical billing or related field (charge entry, demo experts). Strong knowledge of ICD-10 coding system. Proficiency in CPT, HCPCS codes. Ability to work independently with minimal supervision.
Posted 4 weeks ago
5.0 - 10.0 years
5 - 9 Lacs
Navi Mumbai, Mumbai (All Areas)
Hybrid
Role & responsibilities : Assistant Manager in Payment Posting: Posting Payments: Manually or electronically applying payments to the correct customer accounts and invoices. Data Entry: Accurately entering payment information into the accounting system. Reconciliation: Comparing payments to the company's records to ensure accuracy and identify any discrepancies. Discrepancy Resolution: Investigating and resolving any issues or discrepancies related to payments. Record Keeping: Maintaining accurate records of payments, adjustments, and other relevant information. Support to the Manager: Assisting the Manager in managing the payment posting process, including training, workflow, and project management. Compliance: Ensuring that all payment posting activities adhere to company policies and procedures, and any relevant regulations. Communication: Communicating with internal and external parties (e.g., customers, insurance companies) regarding payments and any related issues. Preferred candidate profile -From healthcare & RCM industry. I nterested candidate can share CV on pojha@harriscomputer.com
Posted 4 weeks ago
1.0 - 4.0 years
2 - 3 Lacs
Coimbatore
Work from Office
We are currently seeking talented individuals for multiple openings in Payment Posting, Denial Specialist, and Demo & Charge Entry roles. Payment Posting Specialist (End-to-End Process) - 10 positions available Denial Specialist (End-to-End Process) - 10 positions available Demo & Charge Entry Specialist - 10 positions available We are looking for candidates who can join immediately.
Posted 4 weeks ago
1.0 - 6.0 years
2 - 7 Lacs
Pune
Work from Office
Job Description- Dear Candidate At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You will lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. Role: Medical Billing / Cash posting Ex / Sr Ex / SME Location: Pune, Viman Nagar (Night Shifts) WFO Experience: 1 to 7 Yrs. (No Opening for Freshers) CTC: 3 to 8 LPA Key Skills US Healthcare - Mandatory Charge Posting - Mandatory Payment Posting - Mandatory Provider Side - Mandatory Excellent Comm Skill - Mandatory Blended Process - Both Voice and Non voice Process Preferred About Profile Review and analyze charge capture data for accuracy and completeness. Identify and correct charge errors and discrepancies. Collaborate with clinical and coding staff to resolve charge-related issues. Monitor and review billing processes to ensure compliance with payer guidelines. Identify billing errors and make necessary corrections to avoid claim denials. Ensure timely and accurate submission of claims to payers. Manage the resolution of denied claims by identifying root causes and correcting errors. Resubmit corrected claims to payers for reimbursement. Track and report on claim correction activities and outcomes. Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies. Stay updated on changes in billing regulations and payer requirements. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Nice to Have Bachelors degree in business or accounting major is preferred. 1-7 years experience in U.S Healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance. U.S Healthcare Experience is must. *Imp Note -Very Good to Excellent communication skill is Mandatory. - Payer experience, Please don't apply - Working in Backend or Claim Adjudication process please don't apply, - Working in Voice Process or outbound calls are Preferred - Good to Excellent Comm Skill Required Recruitment Drive Details Date: 21st June 2025 (Saturday) Reporting Time: 1:00 PM Important Notes: Carry 1 hard copies of your resume and a government ID proof. Write "Iqra" at the top of your resume. Application Process to get the Gate Pass Kindly fill the Drive form: https://forms.cloud.microsoft/r/Ea6pMmzs3f Please refrain from coming to the office for your interview until you have gained experience in the Voice Process. This experience is essential for the role and will help ensure a smoother interview process. Please note, this is part of a mass email. If you have already applied, kindly do not apply again. Share your Resume Regards, Iqra Ahmed TA Specialist iqra.ahmed@medtronic.com +917669001886 (WhatsApp Only)
Posted 1 month ago
1.0 - 3.0 years
2 - 3 Lacs
Thane
Work from Office
HEALTHCARE AR PROCESS Thane Location Blended process DOJ - 3rd week of May 24*7 rotational shifts 2 rotational week offs Hsc/Graduate with minimum 6 months experience as AR - Medical billing (mandatory) Required Candidate profile Salary - 25k in hand (based on qualification and/or experience) HR-amcat-ops Follow updated Thane IBU transport boundaries
Posted 1 month ago
1.0 - 6.0 years
1 - 4 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & QC - Payment Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 10 am to 6 Pm ) Everyday Contact person Vibha HR ( 9043585877 ) Interview time (10 Am to 6 Pm) Bring 2 updated resumes Refer( HR Name Vibha ) Mail Id : vibha@novigoservices.com Call / Whatsapp ( 9043585877 ) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vibha Vibha @novigoservices.com Call / Whatsapp ( 9043585877 )
Posted 1 month ago
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