10 Healthcare Process Jobs

Job Description: Boost your career prospects as a Medical Coding - Quality Auditor with Medical Billing Wholesalers, one of the fastest-growing offshore medical billing companies. At MBW, normal is truly boring and we provide you with exciting opportunities to learn and work with your customers to grow your career. Our remuneration is in line with industry standards along with attractive benefits. As a Quality Auditor - Coding, your responsibilities will include reviewing the work performed by the Coders and documenting any quality issues. You will also review charts, production, and quality-related issues on various parameters. Additionally, you will participate in developing process documentation and maintaining our Quality Management System for ISO. Providing feedback and working with the training team to provide remedial training, checking the reports developed by Coders and Senior Coders, and adhering to MBWs information security guidelines are also key aspects of this role. You will be expected to uphold ethical behavior at all times and never be on the sidelines. Candidate Profile: The ideal candidate should have a minimum of 1 year of experience working as a Quality Auditor - Coding with medical billing service providers. Good hands-on experience in ED & E/M specialty is required, along with 4 to 6 years of experience in Medical Coding. Certification in CPC / COC from AAPC is mandatory. A very good knowledge of medical billing, medical coding, and confidence in process knowledge are essential. Experience in the end-to-end Healthcare process and Medical Coding audit, ability to adapt to new situations and challenges, good communication and typing skills, and adherence to all company policies and procedures are also necessary. To apply for this position, please email your resume to our recruiting team at careers@medicalbillingwholesalers.com.,

As an Operation Manager & Team Lead in Healthcare Process, you will be responsible for leading a high-performing team dedicated to maintaining service quality and compliance in healthcare support operations. Your role will involve overseeing QA and training functions to ensure that customer interactions align with TELUS's standards of care, privacy, and professionalism. Your primary responsibilities as an Operation Manager will include managing end-to-end healthcare operations such as claims, eligibility, RCM, and prior authorizations. You will be tasked with driving performance to meet SLAs, collaborating with US healthcare clients, ensuring compliance with HIPAA and data security standards, forecasting staffing needs, implementing process improvements, and mentoring team leads and supervisors. As a Team Lead, you will supervise a team of associates handling US healthcare processes, monitor team performance against KPIs, provide coaching and feedback, manage daily workflows and client expectations, ensure adherence to HIPAA guidelines, support process training and onboarding, and report team metrics to Operations Managers. To be successful in this role, you must have a minimum of 3-7 years of experience as an Operations Manager or 2 or more years as a Team Lead in the Health and Welfare domain. You should possess a strong understanding of US healthcare benefits, insurance plans, and regulatory compliance, along with excellent presentation, facilitation, and communication skills. Proficiency in MS Office tools is essential, and experience in a BPO/KPO setup, virtual training tools, instructional design knowledge, and training certifications are preferred. If you are a dynamic and compassionate leader with a passion for continuous improvement and a focus on quality and compliance in healthcare operations, we encourage you to apply for this challenging and rewarding role.,

Spes Manning Solutions is actively seeking dedicated and detail-oriented individuals to join our team as a Healthcare Claims Associate for our US Healthcare Insurance Process . This is a great opportunity to work in a critical and highly-regulated industry, helping customers navigate the complexities of their health insurance. You will be responsible for a variety of tasks, from processing claims to providing direct support to members and providers. Key Responsibilities Process health insurance claims and ensure full compliance with federal and state regulations, such as HIPAA and the ACA . Provide support to members regarding policy coverage, billing issues, and provider networks. Coordinate with healthcare providers , internal departments, and third-party administrators to resolve issues. Perform eligibility verification and enrollment updates accurately. Assist with prior authorizations, appeals, and denials when applicable. Maintain accurate and timely documentation in internal systems. Eligibility Criteria Qualification: 10+2 / Any Graduate (any stream). Excellent verbal and written communication skills in English are mandatory. Knowledge of additional regional languages is a plus. Basic computer knowledge and the ability to navigate various software applications. Ability to work in rotational shifts , including night shifts . A positive attitude and a strong willingness to learn and grow. Benefits Competitive salary and performance-based incentives . Paid training will be provided to all new hires to ensure you're fully equipped for the role. A friendly and supportive work environment. Excellent career growth opportunities within the healthcare domain. How to Apply To apply for this position, please send your updated resume directly to: HR ISHA Phone: 7447719444 Email: [HIDDEN TEXT]

Process- Trainer- International Voice only Medical billing Excellent communication skills. Excellent interpersonal and customer service skills BPO Experience only- VOICE Shift- Rotational (24*7)

Experience in BPO Industry- International Voice only Team Leader - Healthcare process voice (MUST) Medical billing AR Excellent Comms

Process- Trainer- International Voice only- Healthcare Process - Voice Excellent communication skills. Excellent interpersonal and customer service skills BPO Experience only- VOICE Shift- Rotational (24*7)

Experience in BPO Industry- International Voice only Team Leader - Healthcare process voice Excellent Comms

Hiring Team Leader with on-paper TL experience in US voice process (Sales ). Excellent communication skills required. Only candidates with current US process experience & under 35 yrs considered. Healthcare, B2B, non-voice & mortgage not suitable.

Job description Hiring Graduates for Paid Internship in US Healthcare Backend Process. Work from home. Job Location - Gurgaon Day shift - 9am to 6pm 5 days working (Monday-Friday) Stipend - 15k in hand (For initial 6 months) Designation - Intern (For initial 6 months) Note - Internship will be converted to full time employment on satisfactory completion of 6 months Salary will be revised once employee will be confirmed. Note - Under graduates & BE/B.Tech candidates are not eligible. Perks - Day Shift, 5 days working, Travel Allowance, Salary revision post 6 months Mandatory Skills*: 1. Excellent communication skills in English 2. Ability to remain focused in high work-pressure situations. 3. Hardworking and committed individual. To Apply - Interested candidates can get in touch on 9294675985 or can send CV on agupta@valerionhealth.in About company Valerion Health India (Helionext) is a global outsourcing provider brought together to provide the best-in-class back office services and technology solutions.Our mission is to simplify growth for small-medium size businesses (SMBs). We do this by becoming the easy extension of your everyday process management.Our teams of process experts are ready to understand your needs and provide integrated people services and digital solutions that will drive business efficiency.We are proud to say our clients are our partners. Clients stay with us for years because of our commitment to quality, innovation and a deep understanding that their customers are our customers.

Experience in BPO Industry- International only Customer service - Healthcare process 5.5 days working- Rotational shift and off