209 Eligibility Verification Jobs

You will be working in Ahmedabad in the AR Calling Process. Your shift timings will be from 8pm to 5am or 5:30pm to 2:30am. This role is open to Freshers and individuals with 1+ year of experience in voice processes. The required educational qualifications are Any Under Graduate or Graduate. Your responsibilities will include making outbound calls to insurances for claim status and eligibility verification, documenting denials and taking necessary actions, contacting insurance carriers based on client appointments, working on outstanding claims reports, and calling insurance companies to follow up on unpaid claims. You should be willing to work in different voice process areas such as Insurance Follow Up, Patient calling, and Provider outreach program. As part of your daily tasks, you will need to maintain individual logs, complete assigned tasks and targets accurately and within the client's SLAs, and collaborate with team members to achieve common goals. This is a full-time and permanent position with benefits such as health insurance, paid sick time, and Provident Fund. The work schedule includes evening and night shifts. You will be required to work in person at the designated work location.,

HUGE OPENINGS FOR AR CALLER/CALLING WORK FROM OFFICE MODE OF INTERVIEW - VIRTUAL JOB LOCATION - CHENNAI & BENGALURU EXPERIENCE - 1 TO 7 YRS. SALARY - MAX.42K TAKE HOME (EASY SELECTION, RELIEVING LETTER NOT MANDATORY) (NEED IMMEDIATE JOINERS) Interested Candidates, Please call/watsapp me @ 9962492242 or send your Updated resume to info@mmcsjobs.com Please share this information, also with your friends. Thank you very much for the support

Key Responsibilities Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be upto date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor) Should be able to identify upskilling requirement and initiate content creation either for ILT (Instructor Led Training) or E Learning Being the custodian of all knowledge requirements, will be actively participating in all transition activities Will be the client interface for all knowledge related discussions and should be able to gain a consultant position Should be well versed in SOP creation, documentation, preparing process flows Desired Candidate Profile Required Qualifications Graduate/Post-Graduation in any discipline Should have minimum 5 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills TTT ( Train The Trainer ) certification is preferred Understand the concepts for creating E Leaning modules Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com

We're Hiring ! Looking to grow your career in healthcare operations? Eligibility Verification Benefits Verification Prior Authorization Eligibility Criteria : Minimum 1+ year of RCM experience Immediate joiners preferred What We Offer: Attractive Incentives 5-Day Work A dynamic, growth-focused work environment Walk-In Drive | Mohali | DM to apply or walk in directly! Hemalatha HR -7200053787 hemalatha.bjobixoindia.com

We Are Hiring AR Caller / Prior Authorization / EVBV / Medical Billing Professionals Locations : Hyderabad | Mumbai | Chennai Work Mode : Work From Office Open Positions : AR Caller Prior Authorization (Prior Auth) EVBV Medical Billing Eligibility Criteria : Minimum Experience : 1+ Year (Mandatory) Education : Graduation (Mandatory) Relieving Letter : Mandatory Salary Package (Based on Current CTC) : AR Calling : Up to 4.2 LPA Prior Authorization : Up to 4.6 LPA EVBV : Up to 4.6 LPA Medical Billing : Up to 4.3 LPA Perks & Benefits : Cab Facility Provided Notice Period up to 60 Days Accepted ( Only for Mumbai Location) Fixed night shift{6:30pm-3:30am} Note : Immediate joiners will be preferred INTRESTED CANDIDATES CAN SHARE YOUR RESUMES Contact HR Aasritha:-91541 77391 Mail:- aasrithahr.axis@gmail.com REFERENCES ARE HIGHLY PREFFERED

As a Credentialing Specialist, you will play a crucial role in our healthcare operations team by managing end-to-end credentialing and re-credentialing processes. Your primary responsibility will be ensuring the efficiency of the revenue cycle by handling tasks such as maintaining accurate provider data, tracking expirables, and collaborating with billing teams. You will be responsible for interacting with insurance companies and regulatory bodies to follow up on application statuses and resolve any issues that may arise. Additionally, you will work closely with the RCM team to support eligibility, pre-authorization, and claim submission tasks. Your attention to detail and organizational skills will be essential in maintaining timely renewals and accurate credentialing status. To succeed in this role, you should have a minimum of 2 years of experience in provider credentialing and RCM processes. Familiarity with the U.S. healthcare system, medical billing cycles, and denial management is also required. Excellent communication skills, both verbal and written, are essential, along with the ability to multitask, prioritize, and manage time effectively. Proficiency in MS Office and credentialing software/tools is a must. This is a full-time position with night shift hours (06:30 PM - 03:30 AM) from Monday to Friday. The work location is in person. In addition to competitive compensation, benefits such as leave encashment, paid time off, and Provident Fund are also provided. If you are a highly organized and detail-oriented individual with a passion for healthcare operations, we would love to have you join our team as a Credentialing Specialist.,

Should be from US Healthcare background (Physician Billing) Should have 1+years' experience in Eligibility Verification, Demo & Charge Entry Good communication skills salary: based on exp its negotiable Exp: 1-2 yr Qualification: Any basic graduation Location: Chennai. Interested candidates Call me 8248361225 Muthuvel Hr

A patient calling role in medical billing primarily involves handling communication with patients regarding their medical bills and payments. This includes tasks like making outbound calls to patients to discuss outstanding balances, setting up payment plans, and addressing billing inquiries. They also may need to verify insurance coverage, update patient information, and collaborate with healthcare providers on billing discrepancies. Here's a more detailed breakdown of the responsibilities: Core Responsibilities: Outbound Calling: Making calls to patients to follow up on unpaid bills or to discuss billing issues. Payment Processing: Accepting payments, setting up payment plans, and handling financial transactions. Insurance Verification: Confirming patient insurance coverage and eligibility. Billing Inquiries: Addressing patient questions and concerns regarding their bills. Data Management: Updating patient information and billing records in the system. Collaboration: Working with other departments, like medical coding and insurance claims processing, to resolve billing issues. Documentation: Maintaining accurate records of all patient interactions and transactions. Key Skills: Communication: Excellent verbal and written communication skills are essential for explaining complex billing information to patients. Customer Service: The ability to handle patient inquiries with empathy and professionalism. Problem-Solving: Identifying and resolving billing discrepancies and payment issues. Organization: Managing multiple patient accounts and tasks effectively. Computer Literacy: Proficiency in using medical billing software and navigating online portals. Medical Terminology: Basic understanding of medical terms and procedures to understand billing details.

we are hiring for Team Lead for EVBV/PA Company - Ascent business solution Designation - SME or Team lead Company - Ascent business solution experience - 4+ years salary - as per company norm location - Nagpur contact number - 8956069774

Greetings From Prochant !!! Openings For for Team Leader-EVPA Key Responsibilities and Duties: As a Assistant Team Leader you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to manage the team and ensure production and quality targets are met as per company requirement. You are responsible for identifying issues and alerting the appropriate parties before these issues are identified by the client. Your job is to enhance and expand the capacity of your team members, allowing Prochant to expand the scope of its teams to include a much larger client base. Knowledge Skills and Abilities: Exceptional verbal, interpersonal, and written communication skills. Organized, detail-oriented and self-motivated. Ability to juggle multiple responsibilities. Professional presentation skills and confidence when speaking. Exceptional problem-solving skills to analyse issues and identify potential liabilities. Strong leadership skills to promote personal and professional development and teamwork. Ability to maintain strong professional relationships with internal teams and management. Consistent demonstration of a professional, positive attitude. A strong, working understanding of computers and an ability to self-troubleshoot simple issues. Essential Functions: Designated on paper as Acting Team Leader/Group Leader/Group Coordinator must be at least 1-years Production Monitoring overall responsibility for monitoring daily production for assigned clients and updating the Connect Portal with this information. Production Continuity ensure that key processes are completed daily. Tracking Daily production ensure the allocation goes smooth . Review Reports review key reports for accuracy and quality. These reports include: Production log (Target Vs. Achieved), Your analysis should be well documented for reference. Daily Standing Meeting Prepare respective report for daily meeting, reporting results and associated red flags. Always bring proposed solutions when reporting these issues. Allocation of work Prepare downloads of respective process and allocate the work to the subordinates and ensure a smooth flow of production. Quality Assurance Overall responsible for the quality of the team for all Day process. Month End overall responsibility for ensuring that month end procedures like Client invoicing reports and month end closing reports are maintained in timely manner. Benefits Salary & Appraisal - Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Upfront Leave Credit Only 5 days working (Monday to Friday) Experience : 7+ years Location: Chennai Shift timing : Night Shift Mode Of Interview : Zoom / Teams Contact Person : Harini (HR) Interested candidates call / whats app to 8870459635 or share your updated cv to harinip@prochant.com

AR Calling Active Openings - Cab Facility + Incentives Hyderabad , Mumbai Experience - Min 1 year into ar calling Package - Max Upto 40k Take Home Qualification - Inter & above Virtual and Walk-in Interviews Chennai Experience - Min 1.6 years into ar calling Package - Max Upto 5.5 Lpa Qualification - graduation Walk-in Interviews ( Reliving mandatory ) AR QA - Hyderabad (WFO) Experience - 5+ yrs AR + 1.5 yrs QA (on paper) or 2 yrs QA (off paper) Strong AR & QA knowledge Package - Max Upto 6 LPA | 42K TH + 2200 Allowances + Incentives Qualification - graduation Relieving letter Mandate ( 0 -10 days of notice period ) Interview - HR Virtual | Manager Face to Face Prior Authorization Openings Hyderabad Experience - Min 2 year into Prior Authorization Package - Max Upto 32k Take Home Qualification - Graduation Walk-in Interviews ( Reliving mandatory ) Mumbai Experience - Min 1 year into Prior Authorization Package : Max Upto 5.75 Lpa Qualification : Inter & above Virtual Interviews ( 2 months NP accepted ) Interested & Eligible candidates can share their resume to: HR Harshitha 7207444236 (Call / WhatsApp) harshithaaxis5@gmail.com References are appreciated

*** Looking for IMMEDIATE JOINER *** Job Description: We are seeking a dedicated MRI and CT Prior Authorization Specialist to join our Radiology Services team. This role is critical in ensuring prior authorizations for MRI and CT scans are obtained efficiently while maintaining close communication with physicians to secure scripts, medical records, and necessary documentation. The ideal candidate will be detail-oriented, communicative, and experienced in the U.S. healthcare and insurance systems. Key Responsibilities : Obtain prior authorizations for MRI and CT imaging procedures from insurance providers. Contact physicians and healthcare providers to request scripts, medical records, and supporting documentation for authorization submissions. Submit accurate and timely prior authorization requests, following payer-specific guidelines. Follow up with insurance companies to resolve denials, appeals, or additional information requests. Collaborate with radiology teams and billing departments to ensure proper coding (e.g., CPT/ICD-10). Maintain detailed records of authorization statuses in electronic health record (EHR) systems. Keep physicians and staff informed of authorization progress and requirements. Stay current on insurance policies, radiology procedures, and compliance standards (e.g., HIPAA). Provide exceptional support to patients regarding authorization inquiries. Qualifications: High school diploma or equivalent required; degree in healthcare administration or related field preferred. Minimum of 2 years of experience in prior authorization or radiology services. Strong understanding of MRI and CT procedures and medical terminology. Proven ability to communicate effectively with physicians and insurance representatives. Familiarity with U.S. insurance processes (e.g., Medicare, Medicaid, private insurers). Proficiency in EHR/EMR systems and Microsoft Office Suite. Excellent organizational skills and the ability to manage multiple priorities. Preferred Skills: Certification in medical billing/coding (e.g., CPC, CPB) is a plus. Experience with radiology-specific software (e.g., RIS, PACS) is advantageous.

Eligibility Verification/Insurance verification (EV/IV) Walk-in Interview on July (24th & 25th) 2025 Interview day : July (24th & 25th) 2025 Walk-in time : 3 PM to 6 PM Contact person : Prabakaran E Email : pelangovan@med-metrix.com Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi, Chennai, Tamil Nadu 600096, India Note : Only Insurance verification Voice process is preferred . Preferred candidate profile : Insurance Verification/Eligibility Verification - (EV/IV) - (Healthcare) Looking for a candidate who has good experience in Eligibility Verification Voice Flexible to WFO Experience Required Min 1-4 years Salary best in industry Perks and Benefits Cab facility (2 way) Captive Company

Precertification Intake Support involves determination of precertification requirement of an upcoming medical/surgical procedure. It consists of frontline professional staff who take incoming calls either from members or providers Front line staff accepts incoming calls from members or providers to determine precertification requirement for any medical and surgical procedure Screens requests in order to appropriately refer items to the medical services staff Utilizes reference tools to determine the need for notification and medical review Collates medical information and determines precertification review in accordance with the benefit plan Assigns length of stay based on approved reference tools for certain elective inpatient surgical procedures Pend cases that require medical review Appropriately identifies cases for case management and disease management Performs Non-medical research including eligibility verification, coordination of benefits and benefits verification OUTPUT : Medical procedures/ services authorized or cases created and sent to clinicians for review.

We Are Hiring Prior Authorization Executive | Hyderabad & Mumbai(WFO) Location: Hyderabad Work From Office Shift: Fixed Night Shift Cab: 2-Way Transportation (Within 25 KM Radius) Job Requirements: • Minimum 2+ Years of Experience in Prior Authorization • Degree Mandatory • Relieving Letter Mandatory Salary Details: • CTC: Up to 5.5 LPA • Take-Home: Up to 35,000 (30% Hike on Current Take-Home) • Shift Allowance: 2,200 We Are Hiring AR QA :- Exp :- Min 5+ yrs exp in AR Calling & 1.5 Years On Papers Experience As a QA OR 2 Years Off papers exp in Mandate to have Location :- Hyderabad Package :- Up to 6 LPA & 42K TH + 2200 Allowances 2 Way Cab Must Haves :- Degree with all docs & Relieving Letter WFO Notice Period :- 0 to 10 Days Interested? Please share your updated resume with: HR Swetha – 9059181703 Mai ID - nsweta.axis@gmail.com References Are Welcome!

Hiring Pre authorization & EVBV candidates for mohali Walkin interviews Package: upto 50k per month Night shift allowance & both ways cab facility Min 1 year of exp in RCM domain in evbv & pre auth Contact 9309385868/Prerna.bagul@equavantage.com Office cab/shuttle Shift allowance

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims Investigate and address claim rejections or underpayments Review and submit appeals for denied claims Maintain accurate documentation and reporting on claim statuses Collaborate with billing teams to improve revenue cycle processes Stay updated on payer rules, regulations, and changes in billing practices Qualifications : 1+ years of experience in US healthcare billing and RCM processes Familiarity with EOBs, denials, and insurance payer policies Excellent communication and negotiation skills Proficiency in medical billing software and MS Office Hiring for freshers salary 10.7k to 17k ( Depends on last drawn salary) Location- Mumbai *FOR EXPERIENCE CANDIDATES IN MEDICAL BILLING (Voice Process)* Salary upto 50k open for right candidate/ decent hike on last drawn/ 25k joining bonus only Home Pickup and Home Drop facility provided. If travelling not taken then 4000 allowance provided. Us shift/ 5:30pm-2:30am Monday-Friday working / Saturday & Sunday Fixed Off. Location :- Navi Mumbai, Mumbai, Hyderbad, Banglore, Pune Extra Perks: - Incentives - up to 5500 Overtime - per hour 150rs & If working on Saturday - Double Salary Preferred : Certification in Medical Billing and Coding or equivalent Experience with Medicare/Medicaid billing Location: Pune / Navi Mumbai / Bangalore / Andheri / Ghansoli / Airoli /Hyderabad Job Type : Full-time Contact Details. SR.HR Shreya - 9136512502

Greetings From Prochant !!! Openings For for Assistant Team Leader-EVPA Key Responsibilities and Duties: As a Assistant Team Leader you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to manage the team and ensure production and quality targets are met as per company requirement. You are responsible for identifying issues and alerting the appropriate parties before these issues are identified by the client. Your job is to enhance and expand the capacity of your team members, allowing Prochant to expand the scope of its teams to include a much larger client base. Knowledge Skills and Abilities: Exceptional verbal, interpersonal, and written communication skills. Organized, detail-oriented and self-motivated. Ability to juggle multiple responsibilities. Professional presentation skills and confidence when speaking. Exceptional problem-solving skills to analyse issues and identify potential liabilities. Strong leadership skills to promote personal and professional development and teamwork. Ability to maintain strong professional relationships with internal teams and management. Consistent demonstration of a professional, positive attitude. A strong, working understanding of computers and an ability to self-troubleshoot simple issues. Essential Functions: Designated on paper as Acting Team Leader/Group Leader/Group Coordinator must be at least 1-years Production Monitoring overall responsibility for monitoring daily production for assigned clients and updating the Connect Portal with this information. Production Continuity ensure that key processes are completed daily. Tracking Daily production ensure the allocation goes smooth . Review Reports review key reports for accuracy and quality. These reports include: Production log (Target Vs. Achieved), Your analysis should be well documented for reference. Daily Standing Meeting Prepare respective report for daily meeting, reporting results and associated red flags. Always bring proposed solutions when reporting these issues. Allocation of work Prepare downloads of respective process and allocate the work to the subordinates and ensure a smooth flow of production. Quality Assurance Overall responsible for the quality of the team for all Day process. Month End overall responsibility for ensuring that month end procedures like Client invoicing reports and month end closing reports are maintained in timely manner. Benefits Salary & Appraisal - Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Upfront Leave Credit Only 5 days working (Monday to Friday) Experience : 6+ years Location: Chennai Shift timing : Night Shift Mode Of Interview : Zoom / Teams Contact Person : Abdul Wahab (HR) Interested candidates call / whats app to 8248165076 or share your updated CV to abdulwahab @prochant.com

Job Title: EV Caller Location: Noida Shift: Night Shift Experience Required: 3-5 Years Job Description: The EV (Eligibility & Verification) Caller is responsible for verifying patients' insurance coverage by calling insurance providers or using online portals. They ensure accurate recording of policy details, coverage limits, co-pays, deductibles, and benefit information.The Authorization Specialist secures prior authorizations for medical services by coordinating with payers and providers. They follow up on pending requests and ensure all approvals are in place before patient services are rendered. Key Responsibilities: Contact insurance companies to verify patient benefits and eligibility Document insurance responses accurately in the system Identify and obtain required prior authorizations for procedures Follow up on authorization requests and escalate when necessary Maintain compliance with HIPAA and organizational policies Coordinate with internal teams to resolve insurance or authorization issues Contact Person: HR - S.Revathi Contact Number: 9354634696

Huge openings for AR Callers at Chennai and Bangalore. WORK FROM OFFICE Only. 50+ openings for AR Callers Min 1 year experience in Denial management & Healthcare is must. Physician and Hospital billing. AR Caller - Day & Night shift, Chennai & Bangalore. Authorization Caller - Night shift, Chennai. Pre-authorization Caller - Night shift, Bangalore. Rounds of Interview: Only one technical round. Shift Timing: Night Shift & Day shift Pick up and drop facility at door step. Location: Chennai and Bangalore. Interview Mode: Virtual only (Online video call) Salary: Best in the Market + Incentive + Every 3 months once appraisal. Immediate joiners are preferred. Kindly reach out to Rajesh @ 8667472289 (WhatsApp) or rajesh.sairam@globalconnectsolution.in Note: Kindly message on WhatsApp if i am not answered. Please share it to your friends, colleague and groups, it may help some one.

Walk-In Drive | Mohali | 21st26th July We’re hiring professionals from RCM for: Eligibility Verification & Benefits Verification Prior Authorization Location: Mohali, Punjab Experience: Min 1 Year | Job Summary: We are hiring skilled RCM professionals for our **Mohali office** to handle Eligibility & Benefits Verification and Prior Authorization tasks. Join us to grow your healthcare career and make an impact! Key Responsibilities: * Verify patient insurance eligibility and benefits via payor contact/portals. * Initiate and complete prior authorization requests for medical services. * Follow up with insurance companies on approval/denial status. * Document authorization details accurately in systems. * Analyze medical records to interpret diagnoses and treatment plans. * Resolve discrepancies and escalate complex cases. * Ensure timely completion of tasks with quality compliance. Requirements: * Minimum 1 year RCM experience in EVBV or Prior Authorization. * Strong communication & analytical skills. * Flexible to work night shifts. Work Location: Mohali, Punjab Contact: HR Suraj Gupta | 8898807421 Apply now or walk in directly!

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! Job Openings AR Caller & AR Analyst (Hospital Billing - US Healthcare BPO) Experience: 1 to 6 years Location: Velachery, Chennai Notice Period: Immediate to 15 Days Open Positions: 1. AR Caller Hospital Billing (Night Shift) 2. AR Analyst Hospital Billing (Day Shift) Job Requirements: Experience in US Healthcare - Hospital Billing (RCM Process) Hands-on experience in AR Calling / AR Analysis Strong communication and analytical skills Willing to work in respective shifts (Night/Day) Work Location: Velachery, Chennai Notice Period: Immediate Joiners Preferred / Max 15 Days Interested candidate contact or share your updated resume to 8925808597 [Whatsapp] Regards, Kayal HR 8925808597

Hiring : US HEALTHCARE(AR CALLER- RCM/DENAILS) Location : Pune CTC : Up to 5.5 LPA Shift : US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced US HEALTHCARE(AR CALLER- RCM/DENAILS) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Hiring: US HEALTHCARE(AR CALLER- RCM/DENAILS) Qualification: Any Key Skills: Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Chanchal- 9251688424

Job Title: Business Analyst (Candidate must have experience in to US Healthcare Domain Adjudication System) Job Summary: We are seeking a motivated and detail-oriented Business Analyst with 3+ years of experience, preferably in the US healthcare domain , to join our dynamic team in Pune. This is a full-time, on-site position ideal for someone who thrives in a collaborative environment and is passionate about driving process improvement and delivering value through data-driven insights. The ideal candidate will work closely with cross-functional teams including operations, technology, and client stakeholders to understand business needs, analyze processes, and contribute to high-impact healthcare solutions. Key Responsibilities: Collaborate with stakeholders to gather, analyze, and document business requirements. Translate business needs into functional specifications for technical teams. Analyze healthcare claims, eligibility, and enrollment data to identify patterns and opportunities. Support project delivery by coordinating with development QA and configuration teams. Participate in client meetings, requirement walkthroughs, and status updates. Develop and maintain process documentation, user stories, workflow diagrams etc. Assist in UAT planning, execution, and issue tracking. Continuously monitor industry trends and regulatory changes in US healthcare. Mandatory Requirements: 3+ years of experience as a Business Analyst, with a strong understanding of US healthcare processes . Hands-on experience working with claims, eligibility, EDI 837/835/270/271 or other healthcare-related data sets. Experience in requirement elicitation , documentation , and business process mapping . Proven ability to work independently and in a team environment. Willingness to work from the Pune office on a full-time basis. Required Skills: Strong analytical and problem-solving skills. Proficiency in tools such as MS Excel, Visio , MS Word or similar. Excellent written and verbal communication skills. Attention to detail with strong organizational skills. Understanding of Agile/Scrum methodologies . Preferred Qualifications: Bachelor's degree in Computer science, IT, Healthcare Management, Information Systems, or a related field. Experience with HIPAA regulations , healthcare compliance, or payer-provider workflows. Exposure to reporting tools is a plus. Certification in Business Analysis (e.g., CBAP, CCBA) or Healthcare IT (e.g., CPHIMS) is a plus.

Hiring: AR Caller (Denial Management) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426