114 Cpt Codes Jobs

Role & Responsibilities We're hiring a Benefits Verification Specialist with 58 years of experience in US health insurance eligibility and benefits verification. You'll be part of our operations team, helping verify insurance benefits for patients receiving speciality care in the U.S. This is a full-time, in-office role based in Bangalore, with partial overlap with US hours. Key Responsibilities Perform insurance verification and eligibility checks for commercial and government payers (e.g., Medicare, Medicare Advantage, Medicaid, Managed Medicaid, VA, DoD). Validate coverage details including deductibles, co-pay/coinsurance, network status, referrals, prior authorization requirements, and J...

Role & Responsibilities We're hiring a Benefits Verification Specialist with 14 years of experience in US health insurance eligibility and benefits verification. You'll be part of our operations team, helping verify insurance benefits for patients receiving speciality care in the U.S. This is a full-time, in-office role based in Bangalore, with partial overlap with US hours. Key Responsibilities Perform insurance verification and eligibility checks for commercial and government payers (e.g., Medicare, Medicare Advantage, Medicaid, Managed Medicaid, VA, DoD). Validate coverage details including deductibles, co-pay/coinsurance, network status, referrals, prior authorization requirements, and J...

As a Manager / Senior Manager in Revenue Cycle Management (RCM) with over 10 years of experience, your primary role will be to oversee a team of 20-25 full-time employees (FTEs). Your responsibilities will include resolving queries, conducting account reviews, and providing necessary training to the team members. FTEs will report directly to the Assistant Manager/Deputy Manager, and you will be accountable for driving production and maintaining quality standards within the team. Your role will involve identifying production and quality issues, devising improvement plans, and fostering team engagement while managing retention and absenteeism. Your key responsibilities will include: - Leading ...

Job Description We are hiring AR Callers and AR Quality Analysts (QA) for a US Healthcare Revenue Cycle Management (RCM) process. Openings are available for Physician Billing (PB) and Hospital Billing (HB) across multiple locations. Immediate joiners are preferred. Open Positions Position 1: AR Caller Physician Billing (Night Shift) Experience: Minimum 1+ Year in AR Calling Physician Billing Salary: Up to 40,000 Take Home + Allowances + Incentives Locations: Hyderabad Chennai Bangalore Mumbai Coimbatore Qualification: Intermediate & Above Shift: Night Shift Work Mode: Work From Office Notice Period: Immediate Joiners Preferred Position 2: AR Caller Hospital Billing (Night Shift) Experience: ...

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices 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. Role Objective The accounts receivable follow-up t...

Role & Responsibilities We're hiring a Benefits Verification Specialist with 14 years of experience in US health insurance eligibility and benefits verification. You'll be part of our operations team, helping verify insurance benefits for patients receiving speciality care in the U.S. This is a full-time, in-office role based in Bangalore, with partial overlap with US hours. Key Responsibilities Perform insurance verification and eligibility checks for commercial and government payers (e.g., Medicare, Medicare Advantage, Medicaid, Managed Medicaid, VA, DoD). Validate coverage details including deductibles, co-pay/coinsurance, network status, referrals, prior authorization requirements, and J...

You will be responsible for identifying denial reasons and working on resolutions to save claims from getting written off by timely follow-ups. Additionally, you should possess sound knowledge of working on Billing scrubbers and making edits, as well as working on Contractual adjustments & write-off projects. It is essential to maintain a good Cash collected/Resolution Rate and have calling skills, probing skills, and denials understanding. You will be required to work in all shifts on a rotational basis with no planned leaves for the next 6 months. Qualifications required for this role include being a graduate in any discipline from a recognized educational institute, having good analytical...

Summary The Medical Billing Trainee is responsible for daily data entry of patient demographics and patient insurance information into the Billing systems. Research and correct any missing or invalid data entry information, as well as perform eligibility verification What you'll do Accurately enter patient demographics Perform eligibility checks for insurance to ensure the proper plan is being billed. Accurately enter Charge details like CPT, Diagnosis... etc. Must be able to meet daily productivity goals on a consistent basis. Must meet or exceed quality scores set for the department. Maintain compliance with federal and state regulations(HIPPA) Adhere to customer provided Client specific i...

Role Overview: As a Team Leader at our company in Pune, you will be responsible for overseeing a team and ensuring the smooth functioning of operations related to Adjudication, Adjustments, and Provider Maintenance in the US Healthcare domain. Your role will involve managing team members, assisting with queries, and ensuring adherence to company norms. You must have a strong understanding of CPT Codes, Diagnosis Codes, and the Authorization Process. Key Responsibilities: - Assist team members with queries and take ownership of their targets & goals - Manage a team of 10-15 associates - Ensure adherence to attendance, punctuality, reporting, and completion of work Qualifications Required: - M...

As a Medical Billing Specialist, you will be responsible for various tasks related to accurate and timely submission of insurance claims and maintaining patient billing records. Your key responsibilities include: - Claim Submission: Prepare and submit accurate insurance claims to various insurers. Ensure all medical billing codes and documentation are correct. - Eligibility Verification: Review patient information to confirm insurance coverage and eligibility before services are rendered or claims are submitted. - Denial Resolution: Investigate and resolve claim denials, discrepancies, and billing issues by communicating with insurance providers and healthcare staff. - Record Maintenance: Ma...

Urgent Hiring AR Caller (Immediate Joiners Only)Upto 45K TH Job Role: AR Caller US Healthcare Industry: Healthcare / (RCM) Job Location: Hyderabad Employment Type: Full Time | Work From Office Shift: Night Shift Interview Mode: Virtual Key Responsibilities: Follow up with US insurance companies on unpaid & denied claims Analyze claim status, EOBs, and denials Resolve AR issues to ensure timely payments Ensure HIPAA compliance and quality standards Requirements: Experience: Minimum 1+ Year in AR Calling (Mandatory) Process: Physician / Hospital Billing Qualification: Intermediate / Graduation Good communication skills Notice Period: Immediate joiners Salary & Benefits: Hospital Billing Salary...

As an AR Follow-Up Specialist, you should have a minimum of 1 year of experience in AR follow-up team, denial management, or AR calling. You are expected to have knowledge of denial action, including familiarity with at least 5 denial codes along with their respective actions. If you have prior experience in denial management, you may be considered for assignment to the AR follow-up team. Additionally, a good understanding of claim forms (HCFA), general medical billing, modifier usage, and CPT codes is required for this role. It is important to note that this role is not suitable for candidates who only have knowledge in one of the following processes: Medical record upload, Eligibility chec...

Immediate Hiring: AR Callers (PB & HB)| Upto 45K | 2 way cab Eligibility :- Min 1+ years of experience into AR Calling Location :- Navi Mumbai, Hyderabad , Bangalore, Chennai Packages: Physician Billing - 40k TH Hospital Billing - 45k TH Immediate Joiners Preferred, Relieving letter is not Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to HR.Mounika-9100970544 mounika.kanneboina@axisservice.co.in References are Welcome

The role requires: . Retrieval and review of documentation in medical records from various client EMR systems. . Documentation analysis for completeness and should be coded following the coding compliance guidelines . Assignment of relevant diagnoses, procedural codes, modifiers and HCPCS codes as needed adhering to the general, payer and client specifications. Key Responsibilities Process: .Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, pay...

Hiring AR Callers Healthcare RCM (Denial Management) | Up to 40,000 TH Job Locations: Hyderabad Chennai Mumbai Experience Required: Minimum 1+ Year in AR Calling (Denials) Job Role: AR Caller Denial Management Follow-up with insurance providers Resolve claim denials & discrepancies Ensure timely reimbursement Strong communication skills required Eligibility: Qualification: Intermediate & Above Relieving Letter: Not Mandatory Shifts: Night shifts Immediate Joiners Preferred Salary & Benefits: Up to 40,000 Take-Home + Incentives 2-Way Cab Facility Provided Excellent career growth in US Healthcare RCM Supportive work culture & quick hiring process Apply Now HR Saharika 9951772874 Navvula.sahari...

Immediate Hiring AR Caller | US Healthcare | 5lpa || AR Calling is a US Healthcare RCM role focused on insurance follow-ups, denial management, aging analysis, and payment posting support. Professionals interact with US payers to resolve billing discrepancies, reduce AR days, and improve cash flow. Locations: Hyderabad Chennai Mumbai Bangalore Mode: Work From Office | Night Shift Interview: Virtual What Were Looking For 1+ year experience in AR Calling (US Healthcare) Strong insurance follow-up & denial handling skills Ready to join immediately (Relieving not mandatory) What You Get Up to 40,000 Take-Home Two-Way Cab Facility Fixed Night Shift Stable US Healthcare Process Eligibility Qualifi...

As a Quality Assurance Specialist in the healthcare industry, your role will involve the following responsibilities: - Good knowledge and experience in E/M OP - Handling different specialties such as orthopaedics, dermatology, etc - Strong knowledge in 1 to 6 & 9 series - Proficiency in ICD and CPT codes, along with strong knowledge in medical terminology, human Anatomy, and physiology - Providing feedback and identifying error patterns - Proficiency in modifiers - Maintaining daily production and quality as per client requirements - Minimum of two years of experience in Quality - Good communication and teamwork skills Qualifications required for this role include: - Minimum of 2 years of ex...

Are you a seasoned Business Analyst with 4+ years of experience in Life & Health Insurance-especially in claims processing We're looking for someone with deep knowledge of insurance product config, fraud analytics, and an understanding of ICD, PCS, CPT codes. Qualifications and Skills: Bachelors degree in business, Insurance, Computer Science, or a related field. 5-10 years of proven experience as a Business Analyst in the Life and Health insurance industry, with a strong focus on claims processing and product underestanding. Proficiency in claims rules, fraud analytics, and data analysis techniques. Strong communication and interpersonal skills to effectively collaborate with stakeholders a...

Business Unit Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we remain dedicated to partnering with RCM companies that offer diverse solutions and address today's most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we improve financial performance and patient experience, helping to build sustainable healthcare businesses. Job Summary Denial Management Associate re...

Key Responsibilities Make outbound calls to insurance companies to follow up on outstanding medical claims. Review and analyze claim denials (technical & clinical). Identify root causes of denials and take corrective actions. Resubmit, appeal, or escalate claims based on payer requirements. Document all call details, actions taken, and updates in the billing system. Enter patient demographics, charges, CPT, ICD-10, and modifiers into the billing system accurately. Ensure data accuracy and completeness before claims are filed. Verify coding details provided by coders and providers. Job Description: AR Caller, Medical Billing, & Charge Entry 1. AR Caller (HB / PB) PB - 40k Take-home & HB - 45K...

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Job Title: Healthcare Consultant Domain: Global Healthcare - Experience Required: 3-5 Experience 3-5 years of experience in healthcare consulting, business strategy, or healthcare transformation roles. Working knowledge and certified on payer and provider applications including EPIC, Cerner, e Clinical Works, FACETS, QNXT, Health Edge, Health Rules and All Scripts. Experience in atleast 2 or more areas of HS&W, that includes Health Insurance, Pharma, PBM, Hospital...

You will be working as an Assistant Operations Manager at R1, a leading provider of technology-driven solutions for hospitals and health systems. R1 combines the expertise of a global workforce with advanced technology to deliver innovative revenue cycle management services in the healthcare industry. With a focus on employee wellbeing and diversity, R1 India has been recognized amongst the Top 25 Best Companies to Work For in 2024. **Role Overview:** As an Assistant Operations Manager, your role involves establishing and ensuring compliance with departmental policies, managing people, analyzing data for process improvement, and working in shifts on a rotational basis. You will be required t...

Role Overview: You will be responsible for initiating and following up on prior authorization requests with insurance companies for various healthcare services. You will coordinate with providers and clinical staff to gather necessary clinical documentation for authorization requests. It will be your duty to track the status of pending authorizations, ensure timely follow-up, and document all activities accurately in the client's system. Key Responsibilities: - Initiate and follow up on prior authorization requests with insurance companies. - Coordinate with providers and clinical staff to obtain necessary clinical documentation. - Track the status of pending authorizations and ensure timely...

Role Overview: You will be part of a team focused on designing and implementing Generative AI and Agentic AI solutions tailored for the healthcare domain. Your role will involve working on intelligent automation and advanced decision-support systems to transform clinical operations, utilization management, and care management workflows. Key Responsibilities: - Design, develop, and deploy Generative AI solutions for use cases in clinical, utilization management, and care management. - Build Agentic AI systems capable of executing multi-step autonomous workflows across healthcare operations (e.g., Prior Authorization, Eligibility Checks, etc.). - Collaborate with cross-functional teams to inte...

Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatom...