969 Cpt Jobs

Job Title: Senior Associate - Account Receivables Years of Experience: 3 - 4 years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location: Hyderabad, Telangana Education Qualification: Any graduate Skill Set Requirements: Communication Skills - Grade A Analytical Skills - Grade A Experience and Domain Requirements: AR callers with good experience of 3+ Years RCM Experience (Physician Billing). Have PMS (Software) - AMD Understanding of Provider Information & Patient Information as it impacts claim resolution. Knowledge of Clearing House Rejections/Denials and its resolution Knowledge of Payor Denials and Resolution Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing

Job description Job Title: OPT Recruiter / Talent Acquisition Specialist/Bench Resource Specialist Experience: 2 5 Years (US Staffing Industry) Location: 4th Floor, Niktor IT Inc, DGS Prime, Ayyappa Society, Madhapur, Hyderabad Contact: https://www.linkedin.com/in/saivardhanbolla/ Job Description: Niktor IT Inc is actively hiring an experienced OPT Recruiter / Talent Acquisition Specialist with 25 years of experience in the US staffing industry . The ideal candidate should be capable of sourcing and onboarding candidates for our bench sales team , specifically focusing on H1B, H1B Transfers, GC, EAD, and US Citizen profiles . Key Responsibilities: Source, screen, and qualify OPT, CPT, H1B, H1 Transfers, GC, EAD, and US Citizen candidates for bench marketing Build and maintain strong relationships with candidates and consultants Coordinate with bench sales team for timely submission and placement Proactively identify and engage candidates through job boards, social media, and internal databases Manage the end-to-end recruitment process right from sourcing to onboarding Maintain accurate records of submissions, interviews, and feedback Keep track of visa expirations and ensure timely renewals or transfers Provide daily and weekly updates to management regarding sourcing efforts and pipeline status Required Skills: Prior experience working as an OPT Recruiter or in talent acquisition within US staffing Strong sourcing skills using portals like Dice, Monster, CareerBuilder, LinkedIn, etc. Solid understanding of US work authorizations and tax terms Excellent communication and interpersonal skills Goal-oriented with the ability to handle high-volume requirements Qualifications: Bachelor's degree in any field 2 5 years of experience in US staffing , specifically sourcing bench-ready candidates Must be available to work from our Hyderabad office (onsite) Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹49,599.49 per month Benefits: Health insurance Paid sick time Paid time off Schedule: Fixed shift Monday to Friday Night shift Supplemental Pay: Performance bonus Yearly bonus Application Question(s): How many years of experience do you have specifically in bench resourcing or OPT/H1/GC talent sourcing? When are you available for an onsite interview at our Madhapur office, Hyderabad? We only schedule Onsite interviews Work Location: In person

Job Summary: We are seeking a detail-oriented and proactive Authorization Specialist to join our medical billing team. This position is responsible for initiating and following up on prior authorizations for medical procedures, services, or medications by calling insurance companies and verifying patient coverage. The role plays a crucial part in ensuring timely approvals to support patient care and clean claims submission. Key Responsibilities: 1. Call insurance companies to initiate and obtain prior authorizations for medical procedures, diagnostic tests, surgeries, and other healthcare services. 2. Verify patient eligibility and benefits related to specific procedures or services. 3. Accurately document all calls, outcomes, and authorizations received in the billing or EMR system. 4. Follow up on pending authorizations to ensure timely approvals and minimize delays in patient care. 5. Work closely with providers, scheduling staff, and billing teams to coordinate patient services. 6. Identify and escalate issues with denials, coverage discrepancies, or authorization delays. 7. Stay up to date on payer-specific guidelines and policy changes. 8. Ensure compliance with HIPAA and patient confidentiality requirements. Qualifications: -High school diploma or equivalent; associate degree or certification in medical billing/coding is a plus. -Minimum 1–2 years of experience in medical billing, insurance verification, or prior authorization. -Strong understanding of medical terminology, CPT/ICD codes, and insurance guidelines. -Excellent verbal communication skills—must be comfortable speaking with insurance reps over the phone. -Ability to work in a fast-paced, deadline-driven environment. -Experience with EMR systems and billing software preferred. -Strong attention to detail and organizational skills. Preferred Skills: -Experience with payers like Medicare, Medicaid, Blue Cross, Aetna, Cigna, etc. -Familiarity with outpatient, inpatient, or specialty-specific authorization workflows. -Bilingual skills are a plus (especially Spanish, depending on the patient population). Job Types: Full-time, Permanent Pay: ₹32,000.00 - ₹35,000.00 per month Benefits: Flexible schedule Health insurance Leave encashment Life insurance Paid sick time Paid time off Schedule: Evening shift Monday to Friday Night shift Supplemental Pay: Overtime pay Work Location: In person

Job Title: Bench Sales Recruiter Location: Onsite (India-based, working US hours) Employment Type: Full-Time Company: CENTSTONE SERVICES Job Summary: We are seeking an experienced Bench Sales Recruiter to market our in-house consultants across various IT technologies. The ideal candidate will have a strong network, excellent communication skills, and the ability to place candidates with implementation partners, system integrators, and end clients. Key Responsibilities: Proactively market bench candidates (H1B, GC, USC, OPT, CPT) to existing clients, implementation partners, and direct vendors Generate new business opportunities through outbound calls, emails, and networking Maintain regular follow-ups with bench consultants and keep them informed on market trends Negotiate rates and close contracts with vendors and clients Update and manage candidate information in the ATS (CEIPAL) and track submission activity Coordinate interviews and follow-ups with both candidates and clients Build long-term relationships with vendors and consultants for recurring business Requirements: 1 4 years of experience as a Bench Sales Recruiter in the US staffing industry Proven track record in placing bench consultants across multiple IT domains Strong knowledge of US tax terms (W2, C2C, 1099) and visa classifications Excellent written and verbal communication skills Ability to work independently and handle multiple requirements simultaneously Familiarity with CEIPAL or similar ATS platforms preferred Thanks & Regards, Adarsh Mallik | IT Recruiter LinkedIn | 3322307193 adarsh.mallik@centstone.com CENTSTONE SERVICES Address: 3400 State Route 35, Suite 9B, Hazlet, New Jersey, 07730 USA.

Job Title: Healthcare AR Specialist. Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team! We’re hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. Key Responsibilities: Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. Analyze AR aging to prioritize collections and reduce outstanding receivables. Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules. Collaborate across coding, billing, and revenue cycle teams to streamline workflows. Generate reports and KPIs to monitor performance and identify denial trends. Required Qualifications: 5+ years of experience in US medical AR, denial resolution, or insurance follow-up. Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Strong knowledge of CPT, ICD-10, HCPCS codes, and AR workflows. Hospital medical billing experience with UB04 claims. Excellent communication, analytical, and time management skills. Preferred: Bachelor’s degree in life sciences, healthcare, finance, or a related field. Certifications: CMRS, CRCR, or equivalent. Experience handling Medicare, Medicaid, and commercial payers. Why Join Us? Be a part of a high-performance team transforming healthcare revenue cycles! Work with industry-leading tools and processes. Gain exposure to advanced US RCM operations. Access ongoing training and career progression opportunities. Show more Show less

About the company: Performship.com is fastest growing ad-agency. We believe in deliver high quality business services from Tech solutions to Digital Marketing. Performship has been associated with over 100 companies worldwide and is joined by more than 200 active and result oriented publishers. To deliver the best results, we attract and develop the best talent on board by creating opportunities that empower and motivate our clients. We deliver profitable growth for online businesses. Responsibility: Onboard new affiliate partners and manage existing vendors. Forming/negotiating strategic alliances with new and existing online partners. Acquiring publishers for Performance Activities and Branding. Handling Publisher Engagement and Retention. Identifying ways through comprehensive market research to improve the performance delivery Improving client expectations and experiences Desired Skills: • The ideal candidate should have a minimum of 1-5 years of prior experience working with ad networks and mobile ad networks. • Should have managed sales for large-scale campaigns, such as CPI, CPR, CPL, CPS, CPT, CPA • Sound knowledge of tracking tools. • Should know the integration process. • Knowledge of attribution platforms, Offer 18, Appsflyer, Branch, Singular, Adjust, etc. • Excellent verbal & written communication skills. Remuneration: • Best in Industry. Location: Noida (In-Office) Show more Show less

Roles and Responsibilities: Coding and abstracting information from provider patient medical records and hospital ancillary records per facility and/or state requirements. Eligibility: Candidate should be a Life science/BPT/Pharm/Nursing. Candidate should have knowledge in Anatomy/Physiology. Medical Transcription background preferred. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-10 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Addressing billing/coding related inquires for providers as needed, U.S. only. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Requirements of the role include: 1 plus years of experience working with CPT and ICD-10 coding principles, governmental regulations, protocols and third party requirements regarding medical billing. 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work regularly scheduled shifts from Monday-Friday 7:30 am to 5:30p.m IST. Should be specialized in E/M or Surgery coding. Permanent work from Office for Chennai location Show more Show less

Location: Gulbarga, KA, IN Areas of Work: Sales & Marketing Job Id: 13136 External Job Description Profiles Summary: The position is that of commercial personnel who would primarily be responsible for extending backend support to sales function by ensuring timely service of material to customers, effective warehouse operations and implementation of all laid down systems and procedures, thereby achieving overall business objectives. Primary Responsibilities:- Customer Service Review of Order Cycle Time (OCT) for delivery of material to Customers (Dealers, Project Sites etc.) based on orders received at Warehouse and as per defined benchmark Review with customers and sales team on regular basis for identification and resolution on material service related issues Support to other businesses like Home Improvement in terms of material storage and delivery Warehouse Management Monitor and improve the productivity of CFA Manpower deployed at Warehouse Conduct stock verification as per defined frequency and take measures to control stock variances Maintain documents and legal agreements related to Warehouse operations Implement and ensure usage of Transport Management System to improve customer service parameters, timely Review and rationalization of route plans Warehouse and Office Infrastructure Assess infrastructure requirements at the warehouse and sales offices and accordingly propose the capex projects Execution of Capex Projects as per project implementation schedule Overheads Assist and provide inputs to Regional Commercial team on the proposals for annual overheads budget Monitor and ensure freight cost per ton (CPT) and other overheads are within the budgeted limits Vendor Payments Process the vendor payments as per the defined payment terms Monitor and ensure no pending payments, open goods receipts and open advances at each vendor level Coordinate with Vendors for outstanding closure and quarterly balance confirmation within the defined timelines Statutory Compliances and Audits Track and ensure timely renewal of statutory licenses applicable for warehouse and office operations Updation of compliances in statutory portal (GRC) as per the due dates Initiate corrective and preventive actions for identified statutory non-compliances Participate and support with relevant documents during audits like ISO, 5S, Internal Audit Safety Monitor safety parameters and conduct safety audits as per schedule to provide safe working environment at warehouses and office premises Reports Prepare and circulate monthly reports on various parameters in a timely manner. Essential Graduate Degree in any stream (BA/B.Sc./B.Com/BBA/BBM/BMS) Minimum 50% marks throughout education without any backlogs Graduation must be through a full time course Show more Show less

Job Title: HR Executive – US Process (Night Shift) Location: Madhapur, Hyderabad (On-site only) Shift: Night Shift (US Hours) Work Mode: On-Site (No Work From Home) Experience Required: 3–6 years Industry: US Staffing / Recruitment Job Summary: We are seeking a proactive and experienced HR Executive with a strong background in the US Staffing industry to join our team at our Madhapur office. The ideal candidate will be well-versed in US HR norms, including immigration, onboarding, compliance, and documentation processes, and capable of handling the dynamic nature of night shift operations. Key Responsibilities: Handle end-to-end HR operations for US employees and consultants. Manage onboarding, offboarding, and documentation processes as per US compliance and legal norms. Oversee and maintain employee records including I-9, W-4, E-Verify, and other immigration-related documentation. Coordinate with recruiters and account managers on employee status and client-specific HR requirements. Ensure compliance with US labor laws, company policies, and client-specific terms. Handle employee queries, background checks, verifications, and HR communications in a timely manner. Maintain HRMS/ATS records and ensure accuracy of employee data. Collaborate with the legal and immigration teams for H1B, OPT, CPT, and GC processing support. Assist in performance tracking, employee engagement, and night shift grievance handling. Stay updated with changes in US immigration and compliance regulations. Qualifications: Bachelor’s degree or higher in Human Resources, Business Administration, or a related field. 2–5 years of HR experience, specifically in US Staffing/Recruitment firms. Strong understanding of US HR policies, employment norms, and immigration documentation. Hands-on experience with HRIS systems and ATS tools. Excellent communication and interpersonal skills. Ability to work independently in a fast-paced, night shift environment. Preferred Skills: Experience working with US-based clients or consultants . Familiarity with H1B, OPT, GC, EAD documentation and related immigration processes. Exposure to HR audits , MSP/VMS documentation , and compliance management . Salary: Competitive, based on experience Joining: Immediate or Short Notice Preferred Show more Show less

Skills Skill Medical Coding Healthcare CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 HIPAA Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Training Performance Management Employee Engagement Human Resources Talent Management Talent Acquisition Vendor Management Team Building Employee Relations Employee Training Business Development Education Qualification No data available CERTIFICATION No data available Job Summary The Senior Manager – Training (Medical Coding) is responsible for strategizing, designing, and delivering training programs that enhance the technical competency of coders in alignment with industry standards and client requirements. This role focuses on developing high-performing medical coding teams through robust onboarding, upskilling, and quality enhancement initiatives. The role also includes mentoring a team of trainers and collaborating with operations, quality, and HR teams. Key Responsibilities Training Strategy & Planning Design and implement the overall technical training strategy for medical coding teams (IPDRG). Conduct training needs assessments in collaboration with business stakeholders. Create annual and quarterly training roadmaps for new hires and existing employees. Program Development & Delivery Develop and update training content, manuals, and e-learning modules in line with current CPT, ICD-10, and HCPCS coding guidelines. Oversee delivery of new hire training (NHT), refresher training, cross-training, and certification prep (e.g., CPC, CCS). Ensure effective use of training tools, simulations, and assessments to evaluate knowledge retention. Team Leadership & Development Manage a team of technical trainers and senior trainers; provide coaching, support, and performance feedback. Build internal capabilities through Train-the-Trainer (TTT) programs and leadership development of trainers. Align training KPIs with business goals and continuously track trainer effectiveness. Quality & Compliance Collaborate with the Quality and Compliance teams to address audit findings, quality trends, and RCA-driven training. Ensure all training programs meet HIPAA regulations, payer guidelines, and client-specific standards. Support coders in achieving and maintaining relevant certifications and CEUs. Stakeholder Collaboration Partner with operations, client services, quality assurance, and HR to drive productivity and accuracy improvements through training. Present regular reports on training metrics, effectiveness, and ROI to senior leadership. Support transitions and ramp-ups with customized training plans for new projects or client accounts. - Education Any graduate; Certification in CPC, CCS, or equivalent is mandatory. Experience 13+ years in medical coding, with 5+ years in training leadership roles. Exposure to IPDRG coding is essential. Skills : Expertise in CPT, ICD-10, and HCPCS coding guidelines. Strong instructional design and facilitation skills. Experience with LMS and e-learning tools. Ability to analyse training impact using quality and productivity metrics. Key Competencies People management and leadership Technical acumen in coding standards and compliance Strategic planning and execution Communication and stakeholder management Analytical thinking and continuous improvement mindset

Skills Skill Vendor Management Service Delivery CRM Project Management Business Development MIS Operations Management BPO Process Improvement Telecommunications Education Qualification No data available CERTIFICATION No data available : Understand the quality requirements both from process perspective and for targets. To Train effectively the new joiners on Medical Coding concept with the guidelines. TomonitorTrainees productivity and quality output per OJT glide path/ramp up targets. Providing continuous feedback in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Job Specification Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty Surgery. Extensive Coaching & Trainingas per process defined. Must have Variant Training & Coaching Strategy. Must have Coding Certification like CPC, CCS, COC, AHIMA. Any graduate will do. Shift Details:General Shift / Day Shift Work Mode:WFO

Skills Skill Education Qualification No data available CERTIFICATION No data available Job TitleProcess Coach Service LineCoding : Understand the quality requirements both from process perspective and fortargets. To Train effectively the new joiners on Medical Coding concept with the guidelines. TomonitorTrainees productivityand quality outputper OJT glide path/ramp up targets. Providing continuousfeeadbackin a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Job Specification: Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty Edits & Denials. Extensive Coaching & Trainingas per process defined. Must have Variant Training & Coaching Strategy. Must have CodingCertificationlike CPC, CCS, COC, AHIMA. Any graduate will do. ShiftDetailsGeneral Shift / Day Shift WorkModeWFO LocationHyderabad

Direct end-to-end billing operations including charge entry, claims submission, ERA posting, denial management, and accounts receivable follow-up Compliance Enforcement: Ensure adherence to HIPAA, CMS guidelines, and payer-specific requirements for coding (CPT, ICD-10) and billing practices Revenue Optimization: Analyze payer contracts and service line performance to maximize reimbursement rates and minimize denials Team Leadership: Manage billing/coding teams, conduct performance reviews, and provide training on healthcare-specific software Hospital-Specific Requirements Regulatory Expertise: In-depth knowledge of Medicare/Medicaid billing, forms, and hospital fee schedules. Software Proficiency: Experience with hospital information systems (HIS) and clearinghouses (e.g., Change Healthcare). Clinical Coordination: Collaborate with clinical departments to resolve documentation discrepancies affecting coding accuracy. Job Identification 28845 Posting Date 06/16/2025, 07:40 AM Apply Before 06/23/2025, 07:40 AM Degree Level Master's Degree Job Schedule Full time Locations 127, Shankarsheth Rd, , Pune, Maharashtra, 411042, IN Show more Show less

Job Title: Senior Associate - Account Receivables Years of Experience: 3 - 4 years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location: Hyderabad, Telangana Education Qualification: Any graduate Skill Set Requirements: Communication Skills - Grade A Analytical Skills - Grade A Experience and Domain Requirements: AR callers with good experience of 3+ Years RCM Experience (Physician Billing). Have PMS (Software) - AMD Understanding of Provider Information & Patient Information as it impacts claim resolution. Knowledge of Clearing House Rejections/Denials and its resolution Knowledge of Payor Denials and Resolution Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing

Should be responsible for curriculum development. Responsible for mentoring the training resource across Kerala. Should be capable of taking Complete syllabus of RedTeam courses such as ADCD, CPT, CICSA, CSA, CCSA, CRTA, CEH, P+,S+,CYSA+,CHFI etc. Batches should be completed within the course duration, without affecting the quality of trainings. Your key performance indicators will be student placement, Student pass rate, projects, feedbacks, quality of trainings, interview preparation of students, maintaining course diary, attendance, proper evaluation etc. Should deliver sessions and workshops on innovative technology and topics in various colleges and events such as RedTeam Security Summit as instructed by the senior in charge Should be an active member of RedTeam research and development wing. Should take up request from RedTeam cyber security labs LLP as part of their corporate training requirements of clients or any requirement of your subject expertise as and when needed by the senior in charge. Should have the skill to learn and adapt new things and deliver Job Types: Full-time, Fresher Pay: ₹12,000.00 - ₹18,000.00 per month Benefits: Cell phone reimbursement Schedule: Day shift Morning shift Supplemental Pay: Performance bonus Ability to commute/relocate: Kottakkal, Kerala: Reliably commute or planning to relocate before starting work (Preferred) Education: Diploma (Required) Experience: total work: 1 year (Preferred) Trainer: 1 year (Required) Language: English (Required) Malayalam (Required) License/Certification: Cyber Security (Required) Shift availability: Day Shift (Required) Night Shift (Required) Work Location: In person

Job highlights 2 to 3 years of experience in E&M and Surgery coding; Certification (CPC, CCS, or equivalent) preferred; Strong knowledge of coding guidelines Assign CPT, ICD-10, and HCPCS codes; Review medical records for coding compliance; Liaise with billing and audit teams Required Candidate Profile 2 to 3 years of hands-on experience in E&M and Surgery coding Certification (CPC, CCS, or equivalent) preferred Strong knowledge of coding guidelines and modifiers Willing to work night shift Role: Medical Biller / Coder Industry Type: Medical Services / Hospital Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Regards, HR Team 8012137777 Job Type: Full-time Pay: ₹20,000.00 - ₹27,000.00 per month Benefits: Paid sick time Schedule: Day shift Supplemental Pay: Yearly bonus Work Location: In person

Roles and Responsibilities: Coding and abstracting information from provider patient medical records and hospital ancillary records per facility and/or state requirements. Eligibility: Candidate should be a Life science/BPT/Pharm/Nursing. Candidate should have knowledge in Anatomy/Physiology. Medical Transcription background preferred. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-10 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Addressing billing/coding related inquires for providers as needed, U.S. only. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Requirements of the role include: 1 plus years of experience working with CPT and ICD-10 coding principles, governmental regulations, protocols and third party requirements regarding medical billing. 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work regularly scheduled shifts from Monday-Friday 7:30 am to 5:30p.m IST. Should be specialized in E/M or Surgery coding. Permanent work from Office for Chennai location Show more Show less

Company : ProBill RCM Location: Chandigarh, India Shift Timings : 09:00 A.M to 06:00 P.M IST and 06:30 P.M. to 03:30 A.M. IST Working Days: Monday to Friday (Weekends Off) About ProBill RCM : ProBill RCM is a trusted and rapidly growing Revenue Cycle Management (RCM) company dedicated to optimizing financial outcomes for healthcare providers in the US. We leverage advanced tools, industry best practices, and a client-first philosophy to streamline billing operations, minimize errors, and maximize efficiency. At ProBill RCM, we are committed to bridging the gap between healthcare services and financial clarity, ensuring our clients can focus on patient care while we manage their revenue cycle complexities. Job Summary: The Payment Posting Analyst plays a critical role in the healthcare revenue cycle,ensuring the accurate and efficient posting of all payment activities. This position involves meticulously reviewing and applying payments from various sources, reconciling accounts, and-identifying discrepancies to maintain a healthy revenue flow for our clients. The Payment Posting Analyst will work closely with billing, collections, and finance teams to ensure seamless operations and compliance with industry regulations. Key Responsibilities:  Payment Application: o Review and accurately post electronic and manual payments from insurance carriers, patients, and third-party payers to patient accounts. o Apply contractual adjustments, write-offs, and denials in compliance with payer contracts and organizational policies. o Accurately interpret Explanation of Benefits (EOBs) and Electronic Remittance Advises (ERAs), identifying variances and escalating underpayments or rejections. o Post patient payments and balance daily deposits. o Reconcile checks and lost payments.  Reconciliation & Reporting: o Review daily posting reports to identify discrepancies or errors and correct them promptly. o Assist in updating direct deposits daily and performing comparisons of downloaded files to direct deposits, correcting any discrepancies. o Generate reports on payment posting activities, including payment trends, outstanding balances, and accounts receivable.  Denial Management & Research: o Capture and address denials effectively, adding appropriate ANSI denial codes and comments to ensure necessary appeals and post-payment follow-up. o Investigate the source of unidentified payments to ensure proper application. o Conduct research through payer portals to identify missing remittances. o Identify trends in payment posting issues and suggest corrective actions or process improvements.  Compliance & Communication: o Ensure strict compliance with HIPAA and other federal, state, and payer regulations. o Maintain up-to-date knowledge of payer policies, medical billing terminology, and payment posting best practices. o Communicate effectively with internal billing and collections teams regarding payment trends, anomalies, and payer behavior. o Address client queries promptly and professionally as they relate to payment posting.  Efficiency & Quality: o Maintain zero backlogs and consistently meet daily/weekly productivity targets. o Prioritize and manage workload effectively to meet multiple deadlines. o Participate in reviews as required by company policy. Required Qualifications:  Experience: 1-3 years of experience in payment posting within a medical billing or RCM environment, preferably with US healthcare providers.  Knowledge: o Strong understanding of US healthcare processes, insurance claims, and denials. o In-depth knowledge of EOBs, ERAs, CPT/ICD codes, and payer-specific rules. o Solid understanding of the full revenue cycle process.  Technical Skills: o Proficiency in practice management systems. o Strong PC skills, including familiarity with Windows Operating Systems and Microsoft Office Products (especially Excel). o Experience with electronic payment posting (EPP) systems is a plus.  Soft Skills: o Exceptional numerical accuracy and high attention to detail. o Excellent written and verbal communication skills. o Strong analytical and problem-solving abilities. o Ability to work independently with minimal supervision and as part of a team. o Must be spontaneous and enthusiastic with a positive mindset. o Ability to learn new tasks, remember processes, maintain focus, and make timely decisions. Preferred Qualifications:  Experience with multiple medical specialties (e.g., behavioral health, internal medicine, surgical practices).  Familiarity with reconciliation tools.  Previous experience working in a RCM team. What ProBill RCM Offers:  Competitive salary.  Fixed 5-day work week with weekends off.  A supportive and collaborative work environment encouraging growth and continuous learning.  Opportunity to be part of a rapidly growing organization in the healthcare RCM industry. How to Apply: Interested candidates are invited to send their updated resume to hr@probillrcm.com with the subject line Payment Posting Analyst Application. Job Type: Full-time Pay: ₹30.00 - ₹70,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Paid time off Schedule: Day shift Monday to Friday Rotational shift Supplemental Pay: Performance bonus Work Location: In person

This role is for one of the Weekday's clients Min Experience: 1 years Location: Hyderabad, Chennai, Bengaluru JobType: full-time We are seeking a dedicated and experienced Senior Accounts Receivable (AR) Caller to join our growing healthcare revenue cycle team. The ideal candidate will be responsible for managing the accounts receivable process, with a strong focus on denial management and revenue cycle management (RCM). As a Senior AR Caller, you will play a critical role in improving cash flow, reducing aging AR, and ensuring prompt resolution of claims. This is an excellent opportunity for professionals with a strong understanding of the US healthcare billing process, EOBs, and insurance follow-up protocols. Requirements Key Responsibilities: Conduct outbound calls to insurance companies (payers) to follow up on pending or denied claims. Perform comprehensive analysis of denied or underpaid claims and identify appropriate actions for resolution. Review Explanation of Benefits (EOB), Remittance Advice (RA), and take necessary actions based on denial reason codes. Work on claims in accordance with standard operating procedures, client-specific guidelines, and payer rules. Collaborate with internal teams and clients to escalate unresolved claims and facilitate quicker collections. Maintain up-to-date documentation of account activity in the system and ensure accuracy of follow-up records. Achieve daily/weekly/monthly productivity and quality targets set by the management. Utilize knowledge of HIPAA compliance, CPT/ICD-10 codes, and payer-specific guidelines to ensure best practices are followed. Proactively identify trends in denials and underpayments to support process improvements and reduce future occurrences. Train and mentor junior AR callers when required, providing them with guidance on complex scenarios and payer-specific nuances. Required Skills and Qualifications: Minimum 1 year and up to 8 years of experience in AR calling within the US healthcare RCM industry. Strong understanding of Revenue Cycle Management (RCM) processes, including insurance follow-up, denial management, and payment posting. Hands-on experience working with healthcare billing systems and claims management platforms. In-depth knowledge of insurance payers (Medicare, Medicaid, Commercial Insurers), claim lifecycle, and denial codes. Excellent communication skills (verbal and written) and ability to interact with insurance representatives professionally. Strong analytical and problem-solving abilities to assess complex claim issues and recommend effective solutions. Proficient in Microsoft Office tools and medical billing software (e.g., EPIC, Athena, eClinicalWorks, Kareo, or similar). Ability to work independently and as part of a team in a fast-paced environment. Preferred Qualifications: Prior experience working in night shifts or US time zones. Certification in Medical Billing or RCM is a plus. Experience with end-to-end RCM process will be an added advantage Show more Show less

This role is for one of the Weekday's clients Min Experience: 1 years Location: Hyderabad, Chennai, Bengaluru JobType: full-time We are seeking a dedicated and experienced Senior Accounts Receivable (AR) Caller to join our growing healthcare revenue cycle team. The ideal candidate will be responsible for managing the accounts receivable process, with a strong focus on denial management and revenue cycle management (RCM). As a Senior AR Caller, you will play a critical role in improving cash flow, reducing aging AR, and ensuring prompt resolution of claims. This is an excellent opportunity for professionals with a strong understanding of the US healthcare billing process, EOBs, and insurance follow-up protocols. Requirements Key Responsibilities: Conduct outbound calls to insurance companies (payers) to follow up on pending or denied claims. Perform comprehensive analysis of denied or underpaid claims and identify appropriate actions for resolution. Review Explanation of Benefits (EOB), Remittance Advice (RA), and take necessary actions based on denial reason codes. Work on claims in accordance with standard operating procedures, client-specific guidelines, and payer rules. Collaborate with internal teams and clients to escalate unresolved claims and facilitate quicker collections. Maintain up-to-date documentation of account activity in the system and ensure accuracy of follow-up records. Achieve daily/weekly/monthly productivity and quality targets set by the management. Utilize knowledge of HIPAA compliance, CPT/ICD-10 codes, and payer-specific guidelines to ensure best practices are followed. Proactively identify trends in denials and underpayments to support process improvements and reduce future occurrences. Train and mentor junior AR callers when required, providing them with guidance on complex scenarios and payer-specific nuances. Required Skills and Qualifications: Minimum 1 year and up to 8 years of experience in AR calling within the US healthcare RCM industry. Strong understanding of Revenue Cycle Management (RCM) processes, including insurance follow-up, denial management, and payment posting. Hands-on experience working with healthcare billing systems and claims management platforms. In-depth knowledge of insurance payers (Medicare, Medicaid, Commercial Insurers), claim lifecycle, and denial codes. Excellent communication skills (verbal and written) and ability to interact with insurance representatives professionally. Strong analytical and problem-solving abilities to assess complex claim issues and recommend effective solutions. Proficient in Microsoft Office tools and medical billing software (e.g., EPIC, Athena, eClinicalWorks, Kareo, or similar). Ability to work independently and as part of a team in a fast-paced environment. Preferred Qualifications: Prior experience working in night shifts or US time zones. Certification in Medical Billing or RCM is a plus. Experience with end-to-end RCM process will be an added advantage Show more Show less

This role is for one of the Weekday's clients Min Experience: 1 years Location: Hyderabad, Chennai, Bengaluru JobType: full-time We are seeking a dedicated and experienced Senior Accounts Receivable (AR) Caller to join our growing healthcare revenue cycle team. The ideal candidate will be responsible for managing the accounts receivable process, with a strong focus on denial management and revenue cycle management (RCM). As a Senior AR Caller, you will play a critical role in improving cash flow, reducing aging AR, and ensuring prompt resolution of claims. This is an excellent opportunity for professionals with a strong understanding of the US healthcare billing process, EOBs, and insurance follow-up protocols. Requirements Key Responsibilities: Conduct outbound calls to insurance companies (payers) to follow up on pending or denied claims. Perform comprehensive analysis of denied or underpaid claims and identify appropriate actions for resolution. Review Explanation of Benefits (EOB), Remittance Advice (RA), and take necessary actions based on denial reason codes. Work on claims in accordance with standard operating procedures, client-specific guidelines, and payer rules. Collaborate with internal teams and clients to escalate unresolved claims and facilitate quicker collections. Maintain up-to-date documentation of account activity in the system and ensure accuracy of follow-up records. Achieve daily/weekly/monthly productivity and quality targets set by the management. Utilize knowledge of HIPAA compliance, CPT/ICD-10 codes, and payer-specific guidelines to ensure best practices are followed. Proactively identify trends in denials and underpayments to support process improvements and reduce future occurrences. Train and mentor junior AR callers when required, providing them with guidance on complex scenarios and payer-specific nuances. Required Skills and Qualifications: Minimum 1 year and up to 8 years of experience in AR calling within the US healthcare RCM industry. Strong understanding of Revenue Cycle Management (RCM) processes, including insurance follow-up, denial management, and payment posting. Hands-on experience working with healthcare billing systems and claims management platforms. In-depth knowledge of insurance payers (Medicare, Medicaid, Commercial Insurers), claim lifecycle, and denial codes. Excellent communication skills (verbal and written) and ability to interact with insurance representatives professionally. Strong analytical and problem-solving abilities to assess complex claim issues and recommend effective solutions. Proficient in Microsoft Office tools and medical billing software (e.g., EPIC, Athena, eClinicalWorks, Kareo, or similar). Ability to work independently and as part of a team in a fast-paced environment. Preferred Qualifications: Prior experience working in night shifts or US time zones. Certification in Medical Billing or RCM is a plus. Experience with end-to-end RCM process will be an added advantage Show more Show less

We are seeking an experienced Data Modeler/Lead with deep expertise in health plan data models and enterprise data warehousing to drive our healthcare analytics and reporting initiatives. The candidate should have hands-on experience with modern data platforms and a strong understanding of healthcare industry data standards. About the Role The candidate will be responsible for leading data modeling initiatives and ensuring compliance with healthcare regulations while collaborating with various stakeholders to translate business requirements into technical solutions. Responsibilities: Data Architecture & Modeling Design and implement comprehensive data models for health plan operations, including member enrollment, claims processing, provider networks, and medical management. Develop logical and physical data models that support analytical and regulatory reporting requirements (HEDIS, Stars, MLR, risk adjustment). Create and maintain data lineage documentation and data dictionaries for healthcare datasets. Establish data modeling standards and best practices across the organization. Technical Leadership Lead data warehousing initiatives using modern platforms like Databricks or traditional ETL tools like Informatica. Architect scalable data solutions that handle large volumes of healthcare transactional data. Collaborate with data engineers to optimize data pipelines and ensure data quality. Healthcare Domain Expertise Apply deep knowledge of health plan operations, medical coding (ICD-10, CPT, HCPCS), and healthcare data standards (HL7, FHIR, X12 EDI). Design data models that support analytical, reporting and AI/ML needs. Ensure compliance with healthcare regulations including HIPAA/PHI, and state insurance regulations. Partner with business stakeholders to translate healthcare business requirements into technical data solutions. Data Governance & Quality Implement data governance frameworks specific to healthcare data privacy and security requirements. Establish data quality monitoring and validation processes for critical health plan metrics. Lead efforts to standardize healthcare data definitions across multiple systems and data sources. Required Qualifications: Technical Skills 10+ years of experience in data modeling with at least 4 years focused on healthcare/health plan data. Expert-level proficiency in dimensional modeling, data vault methodology, or other enterprise data modeling approaches. Hands-on experience with Informatica PowerCenter/IICS or Databricks platform for large-scale data processing. Strong SQL skills and experience with Oracle Exadata and cloud data warehouses (Databricks). Proficiency with data modeling tools (Hackolade, ERwin, or similar). Healthcare Industry Knowledge Deep understanding of health plan data structures including claims, eligibility, provider data, and pharmacy data. Experience with healthcare data standards and medical coding systems. Knowledge of regulatory reporting requirements (HEDIS, Medicare Stars, MLR reporting, risk adjustment). Familiarity with healthcare interoperability standards (HL7 FHIR, X12 EDI). Leadership & Communication Proven track record of leading data modeling projects in complex healthcare environments. Strong analytical and problem-solving skills with ability to work with ambiguous requirements. Excellent communication skills with ability to explain technical concepts to business stakeholders. Experience mentoring team members and establishing technical standards. Preferred Qualifications Experience with Medicare Advantage, Medicaid, or Commercial health plan operations. Cloud platform certifications (AWS, Azure, or GCP). Experience with real-time data streaming and modern data lake architectures. Knowledge of machine learning applications in healthcare analytics. Previous experience in a lead or architect role within healthcare organizations. Show more Show less