18 Healthcare Billing Jobs

You will be responsible for managing accounts receivable for healthcare services using Advanced MD software. Your main duties will include ensuring accurate and timely billing submissions to insurance companies and patients, following up on outstanding claims and denials, and generating reports to analyze billing trends. Collaboration with the billing team to resolve discrepancies and maintain compliance with healthcare regulations will be key. Additionally, you will identify and implement process improvements to streamline billing procedures and communicate effectively with patients, insurance companies, and internal stakeholders regarding billing inquiries. To excel in this role, you should have 1-3 years of experience in insurance denial and calling, with a strong background in using Advanced MD software. A deep understanding of medical billing processes, excellent analytical and problem-solving skills, and the ability to work both independently and in a team in a fast-paced environment are essential. Being detail-oriented, committed to accuracy, and possessing effective communication skills, both verbal and written, are also crucial. This is a full-time position with a night shift schedule. As part of the application process, you will be asked questions related to your comfort with onsite work, immediate availability, years of experience in medical billing, current and expected CTC, notice period, experience as an AR Caller, and location in Delhi/NCR. The work location is in person. If you meet these requirements and are looking for a challenging role in healthcare billing and collections, we encourage you to apply for this position.,

You are responsible for overseeing all tasks assigned to the revenue cycle department staff, ensuring efficient processing of claims, denials, and appeals, and resolving billing-related issues. You will implement systems to ensure accurate billing information, supervise departmental duties, manage staff performance, review financial applications, oversee hiring and training, handle patient complaints, plan department workflow, and correctly code diagnoses and procedures. To excel in this role, you must hold a Bachelor's degree in finance, business administration, healthcare administration, or a related field. Proficiency in Microsoft Office and medical office software, along with proven experience in healthcare billing, is essential. Sound knowledge of health insurance providers, strong interpersonal and organizational skills, excellent customer service abilities, and the capacity to thrive in a fast-paced environment are also required. This is a full-time position that involves working night shifts and US shifts in person. Additionally, food will be provided as a benefit.,

The role involves ensuring accuracy and compliance with healthcare billing regulations and standards. You will be responsible for analyzing billing data to identify trends, issues, and opportunities for process improvements. Collaborating with cross-functional teams will be crucial to streamline billing operations and enhance service delivery. Additionally, you will play a key role in training and mentoring junior staff on billing procedures, software, and best practices. It is essential to stay updated on healthcare billing codes, regulations, and industry standards and act as a point of contact for client inquiries related to billing, providing timely resolutions. Participation in audits to ensure adherence to internal and external compliance requirements is also expected. The ideal candidate should possess a Bachelor's degree in Healthcare Administration, Business, or a related field, along with 2-4 years of experience in medical billing or healthcare revenue cycle management, particularly focusing on US healthcare. Proficiency in billing software and electronic health record (EHR) systems is required. Strong analytical and problem-solving skills, attention to detail, and excellent communication and interpersonal skills are essential for effective interaction with clients and team members. The ability to work independently, manage multiple priorities in a fast-paced environment, and familiarity with healthcare compliance regulations such as HIPAA and best practices are also necessary for this role.,

As a fresher looking to kickstart your career in the healthcare industry, you have a great opportunity to join SolvEdge, a leading player in the healthcare sector. In this entry-level role, you will be responsible for a variety of tasks related to accounts receivable and medical billing in the US Healthcare industry. Your primary responsibilities will include following up on outstanding claims by contacting insurance companies to inquire about unpaid claims, resolving accounts receivable issues, and ensuring efficient processing of claims by interacting with healthcare providers and other stakeholders. You will also assist in identifying denied claims, understanding the reasons behind denials, correcting errors, and resubmitting claims with the help of senior AR team members. Additionally, you will be involved in learning reporting processes, compiling data, and generating reports to track accounts receivable performance. To excel in this role, you should possess strong communication skills to effectively interact with insurance companies and internal stakeholders. While prior experience is not required, any exposure to accounts, healthcare, or customer service would be advantageous. Basic knowledge of MS Office tools is essential, and familiarity with medical billing software would be a plus. Although not mandatory, having some knowledge of healthcare billing, insurance processes, CPT/ICD-10 codes, and insurance filing limits would be beneficial for freshers. At SolvEdge, you will have the opportunity for career growth and valuable on-the-job training to enhance your understanding of the medical billing process, insurance claims, and accounts receivable management. The company offers a dynamic and supportive work environment where you can learn, grow, and contribute meaningfully to the healthcare industry. If you are eager to make a difference and meet the requirements mentioned above, submit your resume along with a cover letter highlighting your qualifications. SolvEdge is an equal opportunity employer that values diversity and is committed to fostering an inclusive work environment for all employees. Join SolvEdge and be part of the future of digital healthcare innovation, where you will play a crucial role in transforming how hospitals and health systems engage with patients to deliver personalized care plans, real-time patient monitoring, automated care delivery, and remote patient monitoring. By leveraging SOLVEDGE's platform, healthcare providers can improve clinical outcomes, enhance patient satisfaction, and achieve cost savings through streamlined care delivery processes. Apply now to be a part of a company that is dedicated to simplifying healthcare delivery, improving patient outcomes, and enhancing the overall patient experience.,

The position of RCM Quality Analyst in our Revenue Cycle Management (RCM) department in Visakhapatnam, India, is currently open for a detail-oriented and analytical individual. As an RCM Quality Analyst, you will play a crucial role in evaluating and enhancing the quality of revenue cycle processes to ensure accuracy, compliance, and efficiency in all operations. Your responsibilities will revolve around quality and process auditing, data analysis, reporting, feedback and training, continuous improvement, and documentation. Your main tasks will include conducting regular audits to identify discrepancies and areas for improvement, analyzing data to optimize processes, preparing detailed reports for management, providing feedback to the team, and assisting in training initiatives. Moreover, you will collaborate with the RCM team to implement process improvements, maintain accurate documentation, and uphold quality assurance standards. To qualify for this role, you should possess a bachelor's degree in healthcare administration, finance, business, or a related field, along with 2-4 years of experience in revenue cycle management focusing on quality assurance or auditing. Proficiency in RCM software, electronic health records (EHR), and medical billing systems is required, as well as a deep understanding of healthcare billing, coding, and reimbursement processes including ICD-10, CPT, and HCPCS codes. Strong analytical skills, attention to detail, communication skills, problem-solving abilities, and a collaborative approach to teamwork are also essential for success in this role. Additionally, this position offers a fixed night shift, competitive salary, allowances, and insurance benefits. If you are looking to make a meaningful impact in healthcare revenue cycle management and possess the necessary qualifications and skills, we encourage you to apply for the RCM Quality Analyst position and be part of our dynamic team in Visakhapatnam.,

Job Summary We are hiring for Customer Service International Voice Process focused on the US Healthcare domain . You will be responsible for resolving customer queries via calls, assisting with claims, benefits, authorizations, and billing inquiries, while ensuring compliance with US healthcare regulations and delivering an exceptional experience. Role & responsibilities Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility. Assist US-based members and providers with accurate and timely information. Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows. Accurately document customer interactions and transactions in the system. Ensure HIPAA compliance and protect patient privacy at all times. Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT). Collaborate with internal teams for escalation resolution and process improvement. Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating the member website, and other websites while encouraging and reassure them to become self-sufficient Preferred candidate profile Minimum 6 months to 3 years of experience in international voice process (preferably Healthcare & Welfare). Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design) Excellent verbal and written communication skills in English. Strong interpersonal skills with the ability to remain patient and empathetic. Comfortable working night shifts and rotational offs. Basic computer literacy and typing skills. Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations). Knowledge of HIPAA regulations. Graduate in any stream (preferably Life Sciences, Healthcare, or related fields). Undergraduates with relevant BPO experience are eligible to apply Knowledge of billing practices and procedures preferred Proficiency with word processing and spreadsheet software and required Perks & Benefits Paid training and continuous development Cab Facility or Transport Allowance Medical Insurance Life Insurance

The role of overseeing the hospital's accounts receivable operations is crucial for ensuring efficient billing, collections, and follow-up on outstanding balances. As the Accounts Receivable Manager, you will be responsible for managing a team of billing specialists and other staff, overseeing their performance in accounts receivable functions. Your key duties will include developing and implementing processes to enhance billing and collections efficiency, analyzing accounts receivable reports and key performance indicators to identify trends and areas for improvement, and ensuring compliance with current US healthcare regulations and reimbursement policies. In this leadership role, you will be expected to implement effective policies and procedures for accounts receivable management, provide training and support to staff on billing procedures, policies, and regulations, as well as handle any other duties as assigned. The ideal candidate for this position should possess a Bachelor's degree in Healthcare Administration, Business Administration, or a related field, along with at least 12-15 years of experience in hospital billing and accounts receivable management. A thorough understanding of US healthcare regulations and reimbursement policies is essential, as well as knowledge of healthcare billing and coding systems, including ICD-10 and CPT coding. Additionally, the successful candidate should have experience in managing and leading teams, excellent communication, analytical, and problem-solving skills, and a strong attention to detail. Proficiency in Microsoft Office Suite, particularly Excel and Word, is required, along with the ability to adapt to changing priorities and handle multiple tasks simultaneously. If you meet the above qualifications and are excited about this opportunity, we encourage you to submit your resume to mvuyyala@primehealthcare.com.,

The Sr. Executive AR Caller position at Omega Healthcare in Chennai is a full-time on-site role that requires expertise in accounts receivable management, insurance claims processing, collections, and revenue cycle optimization within the healthcare industry. You will be responsible for handling day-to-day tasks related to these areas to ensure efficient operations and maximize revenue. To excel in this role, you should have experience in accounts receivable management, insurance claims processing, and revenue cycle optimization. Strong communication and negotiation skills are essential to effectively interact with stakeholders. Knowledge of healthcare billing and coding regulations is crucial to ensure compliance with industry standards. The ability to thrive in a fast-paced environment is key to success in this role. Proficiency in Microsoft Excel and other relevant software will be necessary to carry out tasks efficiently. Attention to detail and accuracy in data entry are important to maintain the integrity of financial records. A Bachelor's degree in Healthcare Administration, Business, or a related field is required for this position. Certification in Medical Billing and Coding would be considered a plus. Join Omega Healthcare and contribute to the optimization of revenue cycle operations and administrative workflows to support healthcare organizations in delivering quality care.,

Job Summary: We are seeking a detail-oriented and efficient Billing Clerk to join our hospital's finance and billing team. The ideal candidate will be responsible for accurate billing, maintaining patient accounts, coordinating with insurance companies, and ensuring timely generation of invoices. The candidate must be flexible and willing to work in rotational shifts, including evenings, weekends, and holidays as required. Key Responsibilities: Prepare, verify, and issue patient bills, invoices, and payment receipts. Coordinate with various hospital departments to ensure correct service entries. Handle insurance claims verification, submission, and follow-up for payment. Address patient billing inquiries and resolve discrepancies in a professional manner. Post payments and reconcile billing records with hospital accounts. Maintain up-to-date knowledge of medical billing codes and hospital pricing policies. Generate and submit regular billing and collection reports to management. Assist in internal and external audits related to billing. Perform any other administrative or finance-related duties as assigned. Qualifications & Skills: Bachelor's degree in commerce, accounting, or a related field (preferred). Proven experience (1-2 years) in hospital or healthcare billing operations.( preference ) Knowledge ofbilling software (e.g., HIS, ERP systems). Familiarity with insurance claim processing and TPA coordination. Strong numerical, analytical, and problem-solving skills. Good communication and interpersonal skills. Proficiency in MS Office (Excel, Word). Willingness to work in rotational shifts (including night shifts and weekends). Working Conditions: Rotational shifts (Morning/Evening/Night). Hospital environment with direct interaction with patients, doctors, and administrative staff. Salary - 3 lakhs to 3.5 lakhs per annum Cal or whatsapp on : 7982135284 mail your cv at [HIDDEN TEXT]

You will be responsible for managing accounts receivable for healthcare services using Advanced MD software. Your duties will include submitting accurate and timely billing to insurance companies and patients, following up on claims and denials, and analyzing billing trends through Advanced MD reports. Working closely with the billing team, you will ensure compliance with healthcare regulations, identify process improvements, and address billing discrepancies. Effective communication with patients, insurance companies, and internal stakeholders is crucial for resolving billing inquiries. To qualify for this role, you should have 1-3 years of experience in insurance denial and calling, preferably with Advanced MD software knowledge. A strong grasp of medical billing processes, analytical skills, and the ability to work both independently and collaboratively in a fast-paced environment are essential. Attention to detail, accuracy, and excellent communication skills, both written and verbal, are required. This is a full-time position with a night shift schedule. You will need to work onsite and should be comfortable with the location in Delhi/NCR. The role requires immediate availability, so please provide details on your medical billing work experience, current and expected CTC, notice period, and AR Caller experience in your application.,

Description We are seeking experienced IP DRG Coders to join our team in India. The ideal candidates will have a strong background in inpatient coding, specifically in DRG assignment, and will play a crucial role in ensuring accurate and compliant coding practices. Responsibilities Review and analyze patient records to assign appropriate DRG codes based on medical documentation. Ensure compliance with coding guidelines and regulations to maintain accuracy and integrity of coding. Collaborate with healthcare professionals to clarify documentation and coding discrepancies. Maintain up-to-date knowledge of coding standards, guidelines, and regulations. Conduct audits to ensure coding accuracy and identify areas for improvement. Skills and Qualifications 2-10 years of experience in inpatient coding and DRG assignment. Proficiency in ICD-10-CM/PCS and CPT coding systems. Strong understanding of DRG payment methodology and its application. Attention to detail and excellent analytical skills. Ability to work independently and as part of a team. Familiarity with electronic health records (EHR) systems and coding software. Certification in coding (e.g., CPC, CCS, CCA) is preferred.

Job Description As a Sr. Executive AR Caller at Omega Healthcare Management Services, you will play a crucial role in accounts receivable management and revenue cycle optimization. Your responsibilities will include handling insurance claims processing, collections, and ensuring efficient administrative workflows. With your expertise in healthcare billing and coding regulations, you will contribute to the seamless operation of revenue cycle operations. To excel in this role, you must possess strong communication and negotiation skills to effectively interact with clients and stakeholders. Your ability to work in a dynamic environment and attention to detail will be essential in ensuring accurate data entry and maintaining high standards of quality. Proficiency in Microsoft Excel and other relevant software tools will aid you in performing your tasks efficiently. Ideally, you should have prior experience in accounts receivable management, insurance claims processing, and revenue cycle optimization. A Bachelor's degree in Healthcare Administration, Business, or a related field is required to demonstrate your academic background. Additionally, holding a certification in Medical Billing and Coding would be advantageous in fulfilling the responsibilities of this role effectively.,

Positions: Quality Analyst - Charge Entry-2 Quality Analyst - AR Calling-2 Job Responsibilities: Meet daily with Team leaders/Supervisor and/or teammates to review previous day quality results. • Highlight potential issues in the operations to management • Work closely with new hires, anyone new to a process, or having difficulty with errors to ensure quality work is produced in future. • Trending errors to determine training opportunities • May provide small group or on-on-one training/cross-training • Develop recommendations for corrective action based on quality issues • Maintain current knowledge of billing requirements and system practices. This also includes making recommendations for new procedures. • Maintain and update Business Rule and Standard Operating Procedures as needed • Must be able to meet established production and quality standards. • May be working processes in times of backlog to help team maintain production requirements. • Maintain and track accuracy rates for all customers. Requirements: • 3+ years Medical Healthcare billing or Healthcare billing customer service experience • Proficiency in Microsoft Word and Excel as well as Internet/Web applications • Strong knowledge of Medical Billing System processes and the Revenue Cycle Management with a demonstrated understanding of how system impacts patient, client and insurance billing. • Must possess excellent interpersonal skills and the ability to work with others in a positive manner in both written and verbal communication. • High degree of accuracy, attention to detail, and organizational skills. • Excellent problem solving and decision-making skills. • Ability to work in a fast paced environment and meet deadlines

Role:- Front Office Executive Location:- Saidapet, Chennai What Youll Do: - To coordinate registration of new patients. To take all necessary demographical details about the patients like Name & Address and Source to visit the hospital. To prepare the file, O.P.D Card and provide U.H.I.D. No. to the Patients. To guide & direct the patient for the further process. To coordinate with the doctors / consultants. To answer queries of patient and provide details about the Doctors and Hospitals. To handle the admission, billing and coordinate in the absence of any person of reception. To deal with the people who visit the hospital and solve their queries. To give priority to emergency cases and to co-ordinate with the consultants / respective department for the same. To maintain appropriate departmental documentation. To treat all communication about patients, staff, and other organizational business confidentially. To be involved in quality Assurance / Quality control activities. To perform all the jobs as may be assigned due to exigencies of work. Participation in Continuous Quality Improvement. What We Are Looking for: Any Degree What We Offer: Competitive salary and benefits package Opportunities for professional development and career growth A collaborative and inclusive work environment Mandatory Skills Billing & Communication Location Saidapet, Chennai Department Front Office

Graduate freshers are welcome to apply. Basic knowledge of healthcare billing is a plus. Must have attention to detail, accuracy in data entry, and a willingness to learn and adapt to new challenges.

Role & responsibilities Develops and implements strategies to enhance revenue integrity and ensure compliance with healthcare regulations and standards Oversees the billing & collections functions which include: billing, accounts receivables, managed care contracting and vendor management of all secondary functions (early out, collection agency, global resources, coverage discovery, etc.) Monitors provider enrollment activities and denials for impacts on account receivable. Works with credentialing to identify opportunities for improvement Identifies opportunities for process improvement within revenue cycle to increase efficiency, reduce errors, and enhance patient satisfaction Monitors and analyzes key performance indicators (KPIs) for revenue cycle to identify trends, variances, and areas of opportunities to enhance financial integrity Leads initiatives to reduce denials, optimize reimbursement, and manage payer contracts effectively Serves as subject matter expert related to revenue integrity matters, providing education and support to Revenue Cycle Management (RCM) staff on best practices in billing and collections Collaborates with IT and clinical informatics teams to leverage technology for improved revenue cycle data analytics Collaborates with department leaders from Coding, Compliance, and Clinical Operations to identify and address revenue cycle improvement opportunities for strategic development Continuously maintain knowledge on best practices to identify areas for improvement to streamline revenue cycle processes with payors Prepares reports and presentations for senior leadership, outlining revenue integrity performance and recommendations for improvement Develops and implements standard operating procedures that impact RCM and Managed Care processes and procedures Evaluates payor reimbursement patterns to identify opportunities for managed care contracting Ensure department compliance with all relevant regulations, including HIPAA, CMS guidelines, and payer requirements Performs other related duties as assigned Preferred candidate profile Strong understanding of healthcare billing, collections, compliance, and regulations Strond understanding of Revenue cycle platforms and soft ware like - Waystar, Ezclaim e.t.c . Proven track record of improving revenue cycle metrics and financial performance Excellent leadership and team management skills Strong analytical, problem-solving, and decision-making capabilities Effective communication skills, both verbal and written Collaborate with professionals internal and external to the company and across geographic locations Exhibit growth mindset and team-orientated behaviors Navigate competing priorities and effectively work in a fast-paced environment Education: Bachelor's degree in Finance, Healthcare Administration, or related field; MBA or relevant graduate degree preferred Experience Minimum of 7 years of experience in revenue cycle management, with at least 3 years in a leadership role 4+ years of healthcare industry experience strongly preferred Professional fee billing experience preferred Emergency Medicine and/or Hospital Medication experience preferred

Job Summary We are hiring for Customer Service International Voice Process focused on the US Healthcare domain . You will be responsible for resolving customer queries via calls, assisting with claims, benefits, authorizations, and billing inquiries, while ensuring compliance with US healthcare regulations and delivering an exceptional experience. Role & responsibilities Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility. Assist US-based members and providers with accurate and timely information. Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows. Accurately document customer interactions and transactions in the system. Ensure HIPAA compliance and protect patient privacy at all times. Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT). Collaborate with internal teams for escalation resolution and process improvement. Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating the member website, and other websites while encouraging and re-assure them to become self-sufficient Preferred candidate profile Freshers graduated in 2022,23,24 & 25 are eligible for the role. Minimum 6 months to 3 years of experience in international voice process. Excellent verbal and written communication skills in English. Strong interpersonal skills with the ability to remain patient and empathetic. Comfortable working night shifts and rotational offs. Basic computer literacy and typing skills. Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations). Knowledge of HIPAA regulations. Graduate in any stream (preferably Life Sciences, Healthcare, or related fields). Undergraduates with relevant BPO experience are eligible to apply Knowledge of billing practices and procedures preferred Proficiency with word processing and spreadsheet software and required Perks & Benefits Paid training and continuous development Cab Facility (Pick Up & Drop) or Transport Allowance Medical Insurance Life Insurance

Positions: Quality Analyst - Charge Entry-2 Job Responsibilities: Meet daily with Team leaders/Supervisor and/or teammates to review previous day quality results. • Highlight potential issues in the operations to management • Work closely with new hires, anyone new to a process, or having difficulty with errors to ensure quality work is produced in future. • Trending errors to determine training opportunities • May provide small group or on-on-one training/cross-training • Develop recommendations for corrective action based on quality issues • Maintain current knowledge of billing requirements and system practices. This also includes making recommendations for new procedures. • Maintain and update Business Rule and Standard Operating Procedures as needed • Must be able to meet established production and quality standards. • May be working processes in times of backlog to help team maintain production requirements. • Maintain and track accuracy rates for all customers. Requirements: • 3+ years Medical Healthcare billing or Healthcare billing customer service experience • Proficiency in Microsoft Word and Excel as well as Internet/Web applications • Strong knowledge of Medical Billing System processes and the Revenue Cycle Management with a demonstrated understanding of how system impacts patient, client and insurance billing. • Must possess excellent interpersonal skills and the ability to work with others in a positive manner in both written and verbal communication. • High degree of accuracy, attention to detail, and organizational skills. • Excellent problem solving and decision-making skills. • Ability to work in a fast paced environment and meet deadlines