156 Hipaa Compliance Jobs

As a Senior Business Analyst / Lead Business Analyst at the company, your role will involve: - Having a minimum of 5 - 8 years of experience in EDI healthcare transactions. - Demonstrating strong knowledge of EDI standards and formats, especially related to 837, 835, 270/271, 276/277, and other healthcare-specific transactions. - Utilizing hands-on experience working with EDI translation tools such as Gentran, Sterling Integrator, or similar platforms. - Ensuring compliance with HIPAA regulations and understanding healthcare industry standards. - Having familiarity with HL7 and FHIR standards would be considered a plus. - Proficiency in mapping tools like Altair, Mirth Connect, or other EDI ...

We are looking for EDI X12 Business analyst Designation: Senior Business Analyst / Lead Business Analyst Location: Bangalore / Hyderabad / Chennai Shift timing: general Mode: Hybrid - 3 days office & 2 days work from home. Interested candidates, Please share your profiles and below details to Email ID: [HIDDEN TEXT] Total experience: Relevant Experience: Current CTC: Expected CTC: Notice Period: If Serving Notice Period, Last working day: Email ID: [HIDDEN TEXT] Minimum of 5 - 8 years of experience in EDI healthcare transactions. Strong knowledge of EDI standards and formats, especially related to 837, 835, 270/271, 276/277 , and other healthcare-specific transactions. Hands-on experience wo...

Role Overview: You will be a part of the IND team responsible for thoroughly reviewing data on critical data issues such as Consistency, Continuity, Completeness, Validity, and Referential Integrity during client data onboarding, implementation, and technical upgrades. Your role involves periodic data checks for anomalies even post client activation and comparison of data across multiple subject areas. Key Responsibilities: - Serve as a subject matter expert in data onboarding and standardization within the Health Data Intelligence team. - Ensure accuracy, completeness, and integrity of healthcare data throughout onboarding, implementation, and ongoing processes. - Conduct technical investig...

Job Summary We are seeking a detail-oriented Data Entry Operator & Medical Coder to join our Oncology team. The candidate will be responsible for accurate medical data entry, coding diagnoses and procedures, and ensuring compliance with healthcare standards. This role requires precision, confidentiality, and familiarity with medical documentation. Key Responsibilities Enter, update, and verify patient data in EHR and other databases accurately. Scan and digitize medical records for secure storage. Assign appropriate medical codes (diagnoses, procedures, services). Review and extract relevant information from patient medical records. Ensure compliance with healthcare and data privacy regulati...

We are hiring a Technical Lead (Java/Node.js) with 10+ years of experience to design and lead healthcare application development. Expertise in Java, Node.js, Microservices, Cloud, and FHIR/HL7 integration is essential. Required Candidate profile Seasoned Technical Lead with deep hands-on expertise in Java (Spring Boot), Node.js (Express/NestJS), Microservices, and Cloud (AWS/Azure/GCP), experienced in FHIR/HL7 healthcare integrations.

As a leading platform providing strategic and operational support services across the U.S. healthcare landscape, Scale Healthcare is seeking dedicated professionals to join their growing team. **Key Responsibilities:** - Conduct outbound and inbound calls to patients in both Spanish and English. - Schedule appointments, provide reminders, and verify insurance or demographic details. - Deliver exceptional service while navigating healthcare systems and documentation. - Ensure compliance with HIPAA and all other relevant healthcare regulations. **Qualifications Required:** - Proficiency in both Spanish and English (spoken and written). - Prior experience in U.S. healthcare patient communicatio...

As an IT support specialist at our company, your primary responsibilities will include: - Configuring Windows and Mac based computers - Monitoring system issues through RMM platform - Managing and maintaining Active Directory - Patching servers and critical systems during maintenance windows - Identifying and resolving security and performance issues through system reviews - Auditing systems for compliance with HIPAA and SEC regulations - Implementing scripting solutions for task automation - Handling change requests for various services and systems - Optimizing network deployments including switches, access points, and routers - Configuring and monitoring network firewall assets - Conductin...

HIRING NOW: US Healthcare Voice Process (AR Caller) Join a Leading MNC in Healthcare Revenue Cycle Management | Bangalore Position: AR Caller US Healthcare Voice Process Company: Reputed Multinational Healthcare Organization Location: Bangalore Job Type: Full-Time | Shift: Night (US Business Hours) Experience: 6 Months 4 Years Qualification: 10+2 / Any Graduate Industry: BPO / US Healthcare / RCM About the Role We are hiring experienced and dynamic professionals for the US Healthcare Voice Process (AR Calling) with a leading MNC specializing in Healthcare Revenue Cycle Management . This role offers an opportunity to gain international exposure , receive structured training , and build a long...

POST - Insurance Verification Agent EXP - 4-5 years NP - Immediate Joiners Preferred Time - Night Hours (CST timezone 7:00 PM to 4:00 PM) Preferred Location - Noida Sector 90 Job Summary Insurance Coordinator is responsible for making outbound calls to insurance companies to verify patients eligibility and benefits. This role ensures that all insurance verification data is accurately captured and promptly communicated to the dental care team. Key Responsibilities Review and submit documentation through insurance portals and internal systems. Make calls to insurance companies to check if patients benefits and coverage are valid for their upcoming visits. Gather details like what the insurance...

You will be part of the Medical Records Retrieval team in India, supporting our US Healthcare client. Your role will involve contacting US-based medical providers and facilities to obtain patient medical records. This will require coordination through phone calls, emails, fax, or secure portal uploads while ensuring HIPAA compliance and timely follow-up. Key Responsibilities: - Contact US healthcare providers and medical facilities to request patient medical records. - Use patient authorization forms to initiate and track record requests. - Communicate professionally with provider offices via phone, fax, and email. - Upload retrieved medical records to secure HIPAA-compliant systems. - Maint...

Role Overview: As a PACS Data Migration Lead / Senior Software Engineer (SSE) in the US Healthcare domain, you will be responsible for overseeing all aspects of PACS data migration to ensure integrity, completeness, and compliance. You will play a crucial role in defining migration strategies, coordinating with vendors, establishing data validation protocols, and managing migration timelines effectively. Key Responsibilities: - Define migration strategy for historical and active imaging data. - Coordinate with vendors on data extraction, transformation, and loading (ETL). - Establish data validation protocols and quality assurance measures. - Manage migration timelines to align with cutover ...

As a Senior PostgreSQL DBA at the company, your role will involve leading database operations for high-volume, HIPAA-compliant workloads. You will be responsible for HA/DR, performance tuning, schema optimization, and ensuring compliance for mission-critical healthcare data. **Key Responsibilities:** - Lead administration, performance tuning, and HA/DR support for PostgreSQL databases. - Implement encryption, masking, and auditing mechanisms for HIPAA compliance. - Design partitioning, indexing, and archival strategies for 1020 TB datasets. - Mentor junior DBAs and collaborate with DBE (Database Engineer) for model optimization. - Collaborate with teams for database modeling and ensuring bes...

Hiring Now: US Healthcare Voice Process (AR Caller) Join a Leading MNC in Healthcare Revenue Cycle Management | Bangalore Position: US Healthcare Voice Process (AR Caller) Company: Reputed MNC in Healthcare Location: Bangalore Job Type: Full-Time Experience: 6 Months to 4 Years Shift: Night Shift (US Business Hours) Industry: BPO / US Healthcare Qualification: Any Graduate About the Role We are hiring experienced and result-driven professionals for the US Healthcare Voice Process (AR Calling) with a leading multinational organization. This is an excellent opportunity to work in a global healthcare BPO environment that offers world-class training, international exposure, and continuous career...

Job Title: Process Trainer – International Voice | US Healthcare Location:Bangalore Education:10+2 Experience:1 year(on paper) as Trainer in Healthcare Package: Attractive If interested, contact: Anushka: +91 90360 01770 Email: anushkaizee@gmail.com

Position Reports To : Medical Team Lead Department : Operations Position Summary : - The role will be to review and verify large volumes of patient's full medical records with precision, perform clinical reviews as defined by the specific review methodologies and prepare a detailed report that includes chronologies and timelines, summaries, mass tort matrix and medical opinions on case validity and valuation. Job Responsibilities : - Analyzing and summarizing medical records for pre and post settlement projects. Interpreting clinical data in terms of medical terminology and diagnosis. o Adhering to company policies/ARCHER principles and hence taking good care of Archer culture. Adhere to Hea...

As a healthcare professional in this role, you will be responsible for providing care to patients while ensuring compliance with standards. Your primary focus will be on recognizing patient needs and aligning them with physician directives. Key Responsibilities: - Assure quality care in accordance with physician-set standards - Educate patients on care procedures either in person or via phone communication - Maintain compliance with guidelines from OSHA, FDA, and HIPAA throughout processes Qualifications: - Registered Professional Nurse with current licensure - Certification in CPR, ACLS, and BCLS - Familiarity with OSHA, FDA, and HIPAA compliance - Ability to lift and position patients on e...

As a DME Medical Billing Specialist, you will be responsible for processing and submitting DME claims to insurance companies, ensuring compliance with billing policies, and resolving unpaid or denied claims. Your key responsibilities include: - Prepare and submit clean claims to Medicare, Medicaid, and commercial insurers for DME services. - Verify patient insurance coverage and obtain necessary authorizations or referrals. - Follow up on unpaid claims, rejections, and denials promptly. - Communicate with patients, insurance companies, and healthcare providers to resolve billing issues. - Ensure HIPAA compliance and maintain patient confidentiality in all interactions. To qualify for this ro...

At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more all designed for providers & administrators to focus on what matters most: providing care. Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide more than $10 billion flows throu...

You will be responsible for coordinating and managing daily administrative operations related to NEMT services. This includes managing and submitting medical transportation claims for Medicaid/Medicare and private insurers, handling billing, coding, and documentation to ensure accurate and timely reimbursements, and supporting credentialing, contract management, and affiliation processes with NEMT brokers such as ModivCare and MTM. Additionally, you will track and resolve denied claims, maintain driver and patient records with high confidentiality and HIPAA compliance, assist with audits, reports, and compliance documentation, and effectively communicate with fleet operators, drivers, health...

As a Project Manager in our company, your role involves driving end-to-end project delivery with a focus on quality, timeliness, and budget adherence. You will serve as the primary point of contact for clients, ensuring clear and effective communication throughout the project lifecycle. Your responsibilities will include facilitating requirement gathering sessions, translating business needs into actionable tasks for development teams, and implementing Agile/Scrum methodologies for streamlined project execution. Collaboration with cross-functional teams such as Development, QA, DevOps, and Data Engineering will be essential, along with proactive management of risks, dependencies, and change ...

As a Nurse in the Chronic Patient Care team at Cloudphysician's Clinical Capability Center (CCC), you play a crucial role in delivering exceptional healthcare to patients with chronic conditions. Your responsibilities include serving as a liaison between patients and healthcare providers, ensuring effective communication, accurate information exchange, and coordinated care to enhance patient outcomes. You will address clinical queries, manage patient concerns, and provide ongoing support to guarantee optimal care. - Ensure timely and accurate placement of medication orders in the pharmacy, based on precise dosage calculations, strength, and quantity requirements, in accordance with the provi...

As an Accounts Manager for Dental Insurance Claims at Peroa Consultancy Services LLP, you will be responsible for overseeing our U.S. dental claims operations. Your role will involve utilizing your expertise in U.S. insurance claims and team leadership to ensure efficient and ethical dental RCM solutions. Key Responsibilities: - Manage CDT Coding & J400 Submissions - Implement PPO and Union Plan Workflows - Conduct AR Follow-up & Denial Management - Utilize Dentrix, Open Dental, and Eaglesoft effectively - Ensure HIPAA Compliance & Client Coordination Qualifications Required: - 5+ years of experience in U.S. Dental RCM/BPO - Certifications in CDBS, HIPAA, ADA, CDT are preferred - Experience ...

We are looking for skilled and detail-oriented professionals with experience in Medical Billing (Payment Posting process) to join our dynamic revenue cycle management team. The ideal candidate will ensure accurate and timely posting of payments, reconciliation of accounts, and adherence to compliance standards. Key Responsibilities: Perform daily cash balancing and ensure accuracy in posting payments. Conduct payment posting and matching for insurance and patient payments. Follow up with payors for pending payments and resolve discrepancies. Handle payments with missing Explanation of Benefits (EOBs) and ensure resolution. Close and update daily payment batches in a timely manner. Identify a...

As an experienced Healthcare EMR/EHR professional, you will be responsible for hands-on working experience in EHR/EMR Application clinical data analysis and support activities. Your expertise in Netsmart myAvatar application support, particularly in Mental healthcare and behavioral healthcare workflows & data management, will be crucial for this role. Your responsibilities will include: - Hands-on working experience in EHR/EMR Application clinical data analysis and support activities - Experience in Netsmart myAvatar application support is a plus - Experience in Mental healthcare and behavioral healthcare workflows & data management - Experience in EHR/EMR application troubleshooting - Knowl...

As a candidate for this role, you will be responsible for the following key tasks: - Obtaining prior authorizations for procedures and specialist visits as necessary. - Proactively following up with insurance companies regarding pending authorizations and denials. - Collaborating closely with the billing team to guarantee accurate claim submission and minimize denials. - Ensuring compliance with HIPAA and other relevant regulations in all communication. Experience in verification and authorization for at least 1 year is preferred for this position. The company offers the following benefits: - Commuter assistance - Food provided Please note that this is a full-time, permanent position that re...