Job Description: Job Description Key Responsibilities: 1. Accurate Payment Posting: Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Meeting Payment Posting Deadlines: Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 3. Interpretation of Explanation of Benefits (EOBs): Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting. 4. Attendance at Staff Meetings and Educational Sessions: Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices. 5. Additional Duties as Requested: Perform additional duties as requested by the supervisory or management team to support departmental objectives. 6.Training and solving queries: To help the team with their queries and concern, help the team to reach their goals and required accuracy while posting. 7. HIPAA Compliance: Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes. 8. Data Security and Integrity: Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements. 9. Revenue Cycle Performance Analysis: Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis. 10. Policies and Procedures Development: Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions. Qualifications: High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, Commerce/Arts or related field preferred. Minimum of 1 to 2 years of experience in medical billing or revenue cycle management, with a focus on payment posting. Strong attention to detail and accuracy in data entry and payment reconciliation. Knowledge of medical billing software and electronic health record (EHR) systems. Familiarity with insurance EOBs and payment reconciliation processes. Understanding of HIPAA regulations and patient privacy requirements. Excellent communication and interpersonal skills. Ability to work independently and collaboratively in a fast-paced environment. Commitment to meeting deadlines and achieving departmental goals Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Role & responsibilities Prospect, educate, qualify, and generate interest for sales opportunities, follow up with prospective clients within Technology stack. Alliancing with various counterparts and strive to become a trusted partner. Lead customers through an end-to-end sales and post sales cycle by working with Sales leadership in bringing in Enterprise and mid-market logos & generating a stable revenue stream. Selling Software Development Solutions in distributed domains. Ability to identify buyer personas by crafting a robust sales approach for Enterprise Customers larger SI and IT partner for both B2B and B2CS prospects to build a solid sales pipeline and converting deals. Lead team and manage sales efforts with outbound campaign planning for the targeted territory. Develop a strategic plan to source and develop business opportunities. Own end to end sales funnel. Be able to map to execute the panned Sales approach to generate Enterprise level Businesses from India through dedicated outbound Sales efforts. Planning and execution for acquisition of clients, based on targets set to meet organizational requirements. Build and manage a strong sales funnel to meet the set goals. Creating presentations and case studies. Qualifications Bachelor's/Masters degree 7+ years of experience in Solution Sales and Business Development preferably Tech space with a minimum of 3+ years in Enterprise Sales in Indian market. Experience in full sales cycle including deal closing. Strong Analytical & Negotiation skills & ability to execute sales by mapping different stake holders. Must have great communication skills (oral and writing ) and a great winning attitude. CRM experience and outbound sales tool experience to map a strategic approach. Preferred experience and attributes Experience selling software solutions for the following industries ...(1) AdTech (2) Digital Manufacturing (3) Healthcare (4) Logistics and SCM (5) Retail Technology savvy, having sold Web & Mobile solutions to customers in Pan India. Good understanding and experience of last technology trends and additional services such as QA Testing/ Automation. In-depth knowledge of the industry and its current events and the ability to handle pressure and meet deadlines. Compensation is designed to attract and retain the best talent and will not be a limiting factor for the right candidate.

We are seeking a highly skilled and knowledgeable Healthcare Domain Expert to join our team. This role requires a deep understanding of the healthcare ecosystem, including clinical practices, Key Responsibilities: Consulting: Provide expert advice to healthcare organizations on operational strategies, process optimization, and technology implementation. Project Management: Lead and oversee healthcare projects such as EHR implementations, hospital workflow optimizations, or infrastructure upgrades. Business Analysis: Analyze healthcare operations and systems, identifying gaps and recommending practical, data-driven solutions. Research: Conduct research on healthcare policies, treatments, and technology trends to inform business decisions. Education & Training: Deliver training sessions for healthcare professionals on new tools, systems, procedures, or best practices. Areas of Expertise: Clinical Knowledge: In-depth understanding of medical terminology, patient care, diagnoses, and treatments. Healthcare Operations: Knowledge of workflows in hospitals, medical billing systems, and insurance claim processes. Regulatory Compliance: Familiarity with healthcare regulations including HIPAA, ICD-10, and CPT coding standards. Health IT: Experience with EHRs, telemedicine platforms, and healthcare technology systems. Data Analysis: Ability to gather, analyze, and interpret healthcare data for strategic insights. Skills and Qualifications 1. Clinical Background: A degree in medicine, nursing, or a related field. 2. Healthcare Experience: Several years of experience working in healthcare, either in a clinical or administrative role. 3. Analytical Skills: Ability to collect, analyze, and interpret complex data. 4. Communication Skills: Strong verbal and written communication skills, with the ability to work with diverse stakeholders. 5. Certifications: Relevant certifications, such as CPHIMS (Certified Professional in Healthcare Information and Management Systems) or CPHQ (Certified Professional in Healthcare Quality). Job Type: Full-time Pay: ₹25,000.00 - ₹50,000.00 per month Schedule: Day shift Ability to commute/relocate: Dharwad, Dharwad, Karnataka: Reliably commute or willing to relocate with an employer-provided relocation package (Required) Application Question(s): Do you have experience working in the healthcare domain, including areas such as clinical operations, healthcare IT, or regulatory compliance?" Experience: Domain expert: 2 years (Required) Work Location: In person

Job Description: Manipal Hospitals is seeking a detail-oriented and customer-focused Admission & Billing Specialist to join our dynamic team. In this role, you will be responsible for managing the admissions process for patients, ensuring a smooth and efficient experience from entry to billing. Your primary functions will include collecting and verifying patient information, processing insurance claims, and handling billing inquiries and billing process. Roles and Responsibilities Key Responsibilities: - Facilitate the patient admission process by accurately gathering and entering patient information into the system. - Verify patients' insurance coverage and determine eligibility for services provided. - Prepare and process billing statements, ensuring accuracy and timeliness. - Assist patients with billing-related inquiries and resolve issues in a professional manner. - Collaborate with healthcare providers and administrative staff to streamline the admission and billing processes. - Maintain patient confidentiality and adhere to HIPAA regulations at all times. - Generate and review reports related to admissions and billing as required. - Continuously seek ways to improve efficiency in the admissions Location: Manipal Hospital, 98, HAL Old Airport Rd, Kodihalli, Bengaluru, Karnataka 560017 Walk Ins - Monday To Friday Morning - 9 - 12 am

Job Title: Mentor – Authorization / Accounts Receivable (AR) Location: Ahmedabad (On-site) Shift: US Night Shift (Monday to Friday) Role Overview: We’re seeking a highly skilled and motivated Mentor to lead by example within our Authorization and AR team. This role is ideal for someone with strong technical grounding in US medical billing, excellent communication skills, and a passion for coaching and performance improvement. Key Responsibilities: Mentor, train, and support team members across Authorization and AR functions Monitor real-time productivity and address process gaps promptly Assist in resolving complex claims, prior authorizations, or denial cases Conduct audits, provide feedback, and drive performance improvements Collaborate with team leads and management on quality and turnaround metrics Ensure adherence to client SOPs and US healthcare regulations Be the first point of escalation for process-related challenges Eligibility : 2–4 years of hands-on experience in US Medical Billing (Authorizations and/or AR) Prior experience in a senior, SME, or mentoring role preferred Strong knowledge of insurance verification, claims workflow, and denial handling Proficient in at least one major EHR/EMR system (e.g., AdvancedMD, Athena, Kareo) Excellent written and verbal communication skills Proven leadership and conflict resolution abilities Comfortable working night shifts aligned to US timings Vanshika Desai HR Manager 9316427870 Job Types: Full-time, Permanent Pay: ₹400,000.00 - ₹500,000.00 per year Benefits: Leave encashment Paid sick time Paid time off Provident Fund Schedule: Evening shift Fixed shift Monday to Friday UK shift US shift Work Location: In person

We are seeking a skilled and compassionate Gynecologist with 1-2 years of experience to join our healthcare team in Eluru, Andhra Pradesh. The ideal candidate will be responsible for providing high-quality gynecological care to our patients, performing necessary examinations and procedures, and promoting women's health. Both full-time and part-time opportunities are available. Responsibilities: Conducting routine gynecological examinations and diagnostic tests. Providing prenatal and postnatal care to patients. Diagnosing and treating various women's health issues and reproductive disorders. Performing surgical procedures as required, including minimally invasive surgeries. Educating patients on health and wellness, reproductive health, and disease prevention. Collaborating with other healthcare professionals to ensure comprehensive patient care. Maintaining accurate patient records and documentation. Skills and Qualifications: MBBS degree from a recognized medical institution. Postgraduate degree in Obstetrics and Gynecology (MD/MS/DNB). 1-2 years of clinical experience in gynecology. Familiarity with gynecological procedures and surgical techniques. Strong communication and interpersonal skills. Ability to work independently and make sound medical decisions. Knowledge of medical software and electronic health records (EHR). Akash HR Manager akash@medicohire.com || +91 90637 63734 Medico Hire || www.medicohire.com Job Type: Full-time Pay: ₹120,000.00 - ₹200,000.00 per month Benefits: Cell phone reimbursement Flexible schedule Leave encashment Provident Fund Schedule: Day shift Morning shift Work Location: In person

Title: Patient Caller – Collections/Resolution About the Role: We are seeking a highly motivated and experienced Patient Calling Specialist to join our US Healthcare Revenue Cycle Management team. In this role, the agent will be responsible for post-billing communication with patients to collect outstanding balances and resolve aged accounts receivable (AR) issues related to insurance coverage concerns . Key Responsibilities: Make outbound calls to patients to discuss outstanding invoices and secure timely payments. Educate patients on their billing statements, insurance coverage, and payment options. Investigate and resolve accounts that are delayed due to coverage issues (e.g., coordination of benefits, eligibility denials). Collaborate with internal teams (billing, coding, AR follow-up) to ensure accurate resolution of patient accounts. Document all interactions and follow-up actions in the patient management system. Maintain HIPAA compliance and handle all patient data with strict confidentiality. Required Skills & Qualifications: 2 to 5 years of experience in US Healthcare RCM , specifically in patient collections and AR follow-up . Strong understanding of insurance terminology and common coverage-related denials. Excellent communication and negotiation skills with a patient-centric approach. Experience with EMR/EHR and billing systems (e.g., Epic, Athena, NextGen, etc.) is a plus. Ability to multitask and prioritize in a fast-paced environment. Strong attention to detail and problem-solving skills. Job Type: Full-time Pay: ₹30,000.00 - ₹50,000.00 per month Benefits: Food provided Schedule: Night shift US shift Experience: Patient service: 1 year (Preferred) Location: Chandigarh, Chandigarh (Preferred) Work Location: In person

Job Title: Clinic Manager Company: Derma Magnetica (Kishangarh) Skin, Laser, and Hair Transplant Clinic Location: Kishangarh, Rajasthan, India About Derma Magnetica: Derma Magnetica is a leading and reputable clinic in Kishangarh specializing in advanced dermatological treatments, laser procedures, and hair transplantation. We are committed to providing exceptional patient care, utilizing cutting-edge technology, and maintaining a comfortable and professional environment. Job Summary: We are seeking a highly organized, motivated, and patient-focused Clinic Manager to oversee the daily operations of our Derma Magnetica clinic in Kishangarh. The Clinic Manager will be responsible for ensuring the smooth and efficient functioning of all aspects of the clinic, including patient scheduling, staff management, financial administration, inventory control, and maintaining a high standard of patient satisfaction. The ideal candidate will possess strong leadership, communication, and problem-solving skills, along with a passion for delivering excellent healthcare services. Responsibilities: Operational Management: Oversee and manage the day-to-day operations of the clinic, ensuring efficient workflow and adherence to established policies and procedures. Develop and implement clinic schedules, ensuring adequate staffing levels to meet patient needs. Maintain a clean, organized, and welcoming clinic environment, ensuring compliance with hygiene and safety standards. Manage and maintain medical supplies and equipment inventory, ensuring timely ordering and cost-effectiveness. Coordinate with external vendors for maintenance, repairs, and other necessary services. Staff Management: Supervise, train, and evaluate clinic staff, including front desk personnel, nurses, and other support staff. Foster a positive and collaborative work environment, promoting teamwork and professional development. Conduct regular staff meetings and provide constructive feedback to enhance performance. Manage staff schedules, time-off requests, and ensure adequate coverage. Assist in the recruitment and onboarding of new staff members. Patient Management: Ensure exceptional patient experience by maintaining a patient-centric approach. Oversee patient scheduling, appointments, and follow-ups, ensuring accuracy and efficiency. Handle patient inquiries, concerns, and complaints in a professional and timely manner, striving for resolution. Maintain patient records with confidentiality and accuracy, adhering to relevant regulations. Implement strategies to improve patient satisfaction and retention. Financial Administration: Manage billing and payment processes, ensuring accuracy and timely collection. Monitor and control clinic expenses, adhering to the budget. Prepare and submit regular financial reports to the management. Work with accounting personnel to ensure accurate financial record-keeping. Compliance and Quality Assurance: Ensure the clinic operates in compliance with all relevant healthcare regulations, laws, and ethical standards. Implement and monitor quality assurance programs to maintain high standards of service delivery. Participate in audits and inspections as required. Stay updated on the latest industry best practices and implement relevant changes. Marketing and Business Development: Assist in the implementation of marketing strategies to attract and retain patients. Maintain a positive image of the clinic within the community. Identify opportunities for clinic growth and development. Qualifications and Experience: Proven experience (minimum of 3-5 years) in a clinic management role, preferably in a dermatology, cosmetology, or similar healthcare setting. Strong understanding of clinic operations, patient management, and financial administration. Excellent leadership, communication (both written and verbal), and interpersonal skills. Proficiency in using clinic management software and electronic health records (EHR) systems. Strong organizational, problem-solving, and decision-making abilities. Ability to work independently and as part of a team. Knowledge of local healthcare regulations and compliance requirements. Fluency in Hindi and English is essential. Knowledge of local Rajasthani dialects would be an advantage. A positive attitude and a genuine commitment to providing excellent patient care. Job Type: Full-time Pay: ₹35,000.00 - ₹50,000.00 per month Benefits: Cell phone reimbursement Paid time off Schedule: Day shift Supplemental Pay: Performance bonus Work Location: In person

Job description We are currently seeking a detail-oriented and proactive Accounts Receivable (AR) Expert with 1-3 years of experience in US Medical Billing to join our team. The AR Expert will play a critical role in optimizing revenue collection processes, reducing outstanding balances, and maximizing cash flow for our clients. Key Responsibilities: Review and analyze accounts receivable aging reports to identify and prioritize delinquent accounts for follow-up. Initiate and maintain regular communication with insurance companies, patients, and other stakeholders to resolve outstanding claims and billing issues. Research and respond to insurance denials, rejections, and appeals in a timely manner to facilitate reimbursement. Utilize billing software and electronic health records (EHR) systems to update patient accounts, post payments, and generate reports. Identify trends and patterns in payment denials or delays and recommend process improvements to minimize future revenue disruptions. Collaborate with internal billing and coding teams to ensure accurate claim submission and adherence to payer guidelines. Provide excellent customer service to patients and insurance representatives, addressing inquiries and concerns professionally and empathetically. Maintain compliance with HIPAA regulations and other privacy laws in all aspects of AR operations. Requirements: Graduate/Undergraduate. Minimum of 1-3 years of experience in accounts receivable or medical billing, preferably in a US healthcare setting. Knowledge of medical terminology, CPT/HCPCS codes, ICD-10 coding, and insurance billing procedures. Familiarity with commercial and government payers, including Medicare, Medicaid, and commercial insurance carriers. Proficiency in using billing software, electronic health records (EHR), and Microsoft Office applications. Strong analytical skills and attention to detail, with the ability to reconcile accounts and identify discrepancies. Excellent communication and interpersonal skills, with a customer service-oriented mindset. Ability to multitask, prioritize workload, and meet deadlines in a fast-paced environment. Night Shift (US Shift). Work from Office Job Types: Full-time, Permanent Pay: ₹240,000.00 - ₹360,000.00 per year Schedule: Monday to Friday Night shift US shift Supplemental Pay: Overtime pay Performance bonus Ability to commute/relocate: Dehra Dun, Dehra Dun - 248001, Uttarakhand: Reliably commute or planning to relocate before starting work (Required) Experience: Work: 1 year (Required) Language: English (Required) Shift availability: Night Shift (Required)

Job description We are seeking a motivated and detail-oriented Process Associate with 1-3 years of experience in US Medical Billing to join our team. The Process Associate will be responsible for supporting various aspects of the medical billing process, including data entry, claims processing, and administrative tasks, to ensure timely and accurate reimbursement for our clients. Responsibilities: Perform data entry tasks to input patient demographic information, insurance details, and medical codes into billing software or electronic health records (EHR) systems. Verify insurance eligibility and benefits for patients, ensuring accurate billing and reimbursement. Review medical claims for completeness, accuracy, and compliance with payer requirements before submission. Generate and submit electronic and paper claims to insurance companies, government payers, and other third-party payers. Monitor claim status and follow up on outstanding or denied claims to facilitate prompt resolution and payment. Assist with insurance denials and appeals by researching issues, gathering supporting documentation, and resubmitting claims as necessary. Maintain organized and up-to-date documentation of billing activities, including claim logs, correspondence, and payment records. Collaborate with billing managers and other team members to identify opportunities for process improvement and efficiency gains. Adhere to HIPAA regulations and other privacy laws to ensure the confidentiality and security of patient information. Requirements: Graduate/Undergraduate. Minimum of 1-3 years of experience in medical billing, revenue cycle management. Knowledge of medical terminology, CPT/HCPCS codes, ICD-10 coding, and insurance billing procedures. Familiarity with commercial and government payers, including Medicare, Medicaid, and commercial insurance carriers. Proficiency in using billing software, electronic health records (EHR), and Microsoft Office applications. Strong attention to detail and accuracy in data entry and documentation. Excellent communication and interpersonal skills, with the ability to work effectively in a team environment. Ability to prioritize tasks, manage workload efficiently, and meet deadlines in a fast-paced environment. Night Shift (US Shift). Work from Office. Job Types: Full-time, Permanent Pay: ₹360,000.00 - ₹480,000.00 per year Schedule: Monday to Friday Night shift US shift Supplemental Pay: Overtime pay Performance bonus Ability to commute/relocate: Dehra Dun, Dehra Dun - 248001, Uttarakhand: Reliably commute or planning to relocate before starting work (Required) Experience: Work: 1 year (Required) Shift availability: Night Shift (Required)

We're looking for an organized and detail-oriented individual to join us as an Intake or Authorization Specialist under our Medical Billing and RCM (Revenue Cycle Management) team. As the first point of contact for patients, you'll play a crucial role in ensuring a smooth and accurate intake or authorization process. Your main responsibilities will include verifying insurance, checking eligibility & obtaining authorizations for medical services, leading to acceptance of patient or resumption of care for medical services. Responsibilities: Insurance Verification & Prior Authorization: Verify patient eligibility, coverage, and benefits for requested medical services. Obtain prior authorization for procedures, diagnostic tests, medications, and treatments from insurance providers. Communicate authorization status and requirements to physicians, patients, and medical staff. Claims & Denial Management: Track and follow up on pending authorizations to prevent delays in patient care. ✅ Technology & Systems: Utilize EMR/EHR systems (e.g., Epic, Cerner, Athenahealth) and payer portals for authorization submissions. Maintain detailed records of authorization requests, approvals, and denials. Handle authorization denials, appeals, and reconsiderations efficiently. Coordinate with billing and coding teams to resolve claim-related issues. Qualifications: Bachelor's degree in any field is required. Previous experience in medical billing process preferred. Prior experience in US/UK/AUS voice or blended process preferred. Familiarity with medical terminology, billing and coding procedures, insurance guidelines, and reimbursement practices is preferred Understanding of healthcare insurance processes. Strong communication and interpersonal skills, with an acumen to understand and learn a product and business. Commitment to maintaining confidentiality and handling sensitive information with discretion. Ability to multitask and prioritize workload effectively. Job type: Work from Office Job Location: IT Park, Chandigarh Shift Timing: This position will require working in a fixed night shift (US PST/ EST shift). Why Join Us: We offer ample opportunities for professional growth and development along with a competitive salary package. About Company : Proelio Technologies is offering comprehensive support functions to PathWell Health in the United States (www.pathwellhealth.com). Our dedicated teams, including HR, Intake, QA, RCM, IT Support, and FP&A, are actively working to assist PathWell Health in their operations across Connecticut, Virginia, West Virginia, and California. Job Type: Full-time Pay: ₹300,000.00 - ₹650,000.00 per year Ability to commute/relocate: Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor in any field Experience: total work: Minimum 2 -3year (Preferred) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person Job Type: Full-time Pay: ₹30,000.00 - ₹50,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Experience: total work: 2 years (Required) Work Location: In person