157 Hipaa Compliance Jobs - Page 5

Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and following outstanding Accounts Receivable. To prioritize the pending claims for calling from the aging basket. Should be able to convince the claims company (payers) for payment of their outstanding claims. To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear. To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Escalate difficult collection situations to management in a timely manner. Review provider claims that have not been paid by insurance companies. Handling patients billin...

The job is located in Mohali, Sector 75 Quark city with Scale Healthcare. As a leading platform in the U.S. healthcare landscape, Scale Healthcare specializes in optimizing performance for provider platforms and is looking for dedicated professionals to join their growing team. Your responsibilities will include conducting outbound and inbound calls to patients in both Spanish and English, scheduling appointments, providing reminders, and verifying insurance or demographic details. You will be expected to deliver exceptional service while navigating healthcare systems and documentation, ensuring compliance with HIPAA and all other relevant healthcare regulations. To excel in this role, you m...

As a skilled and detail-oriented Business Analyst with proven experience in the Healthcare domain, you will be playing a critical role in bridging the gap between business requirements and technical solutions. Your primary focus will be on data validation and analysis to ensure data integrity and support healthcare data initiatives. You will collaborate with business stakeholders, product owners, and development teams to gather and analyze business and data requirements in healthcare-related projects. Your responsibilities will include translating business needs into detailed functional and non-functional specifications, user stories, and data mapping documents. Additionally, you will be per...

You will be responsible for providing L1, L2, and L3 support as a support specialist. Your key responsibilities will include the configuration of Windows and Mac based computers, monitoring system issues through the 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, creating scripting solutions for task automation, handling change requests for services and systems, optimizing network deployments, configuring and monitoring network firewall assets, maintaining Windows Server inf...

DATA CONVERSION SPECIALIST At EverCommerce [Nasdaq: EVCM], we are on a mission to digitally transform the service economy with tailored, end-to-end SaaS solutions that simplify and empower the lives of our 685,000+ customers. As a leading service commerce platform, our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals in the areas of Home & Field Services, Health Services, and Fitness & Wellness industries. Responsibilities: Own and facilitate patient data conversion projects over a 2-4 week timeline Participate in planning, implementing, and monitoring the continuous quality improvement Audit dat...

XO Health believes healthcare is fixable. Become part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone from those who receive care, to those who deliver it, to those who pay for it. We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation. Director Data Engineer - India (Remote) Position Summary: XO Health Inc., an innovative startup health plan, is seeking a visionary leader to spearhead our data engineering strategy, driving the developme...

Experienced Healthcare Recruiter to source, screen, and place top healthcare professionals across the US. Responsibilities include candidate outreach, resume evaluation, interview Required Candidate profile coordination, and client engagement. Strong knowledge of healthcare systems, compliance, and recruiting best practices is essential.

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. This candidate should be able to recognize patient needs and prioritize those needs with the needs outlined by physicians. Responsibilities Assure quality care by adhering to standards set by the physicians Provide care education to patients in person or over the phone Adhere to compliance guidelines throughout processes (OSHA, FDA, HIPAA) Qualifications Must be a Registered Professional Nurse with current licensure CPR, ACLS, and BCLS Certification Knowledge of OSHA, FDA, and HIPAA compliance Candidate must be able to lift and position patients on endoscopy stretcher and transport ...

Walk In Details Walk In Date- 22nd & 23rd August 2025 Walk In Time- 12:00 PM - 5:00 PM IST Venue- TELUS Digital, DLF World Tech Park, 7th Floor, Tower B2 & B3, Sector 30, Gurugram, Haryana 122001 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 a...

Job Description: Seeking a Medical Coding Manager to lead coding operations, ensure accuracy, compliance with guidelines, train coders, audit records, and improve process efficiency. Minimum 5+ yrs coding experience required.

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. You should be able to recognize patient needs and prioritize those needs with the requirements outlined by physicians. You will be responsible for assuring quality care by adhering to the standards set by the physicians. Additionally, you will provide care education to patients in person or over the phone and ensure adherence to compliance guidelines throughout processes, including OSHA, FDA, and HIPAA. To qualify for this position, you must be a Registered Professional Nurse with current licensure. Certification in CPR, ACLS, and BCLS is required. Knowledge of OSHA, FDA, and HIPAA ...

The company BasisEHR, a product development company based in Ohio, USA, with offshore activities in Vijayawada, India, is currently looking for a highly motivated Technical Writer to join their Product Management team. As a Technical Writer, you will be responsible for creating user documentation, manuals, and support materials for their Electronic Health Records (EHR) platform. The ideal candidate should possess a strong technical writing background in SaaS products and be able to simplify complex technical concepts into easily understandable documentation. With a minimum of 4 years of experience, the key responsibilities of this role include creating and updating user documentation, collab...

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. You should be able to recognize patient needs and prioritize them alongside the requirements outlined by physicians. You will be responsible for assuring quality care by adhering to the standards set by the physicians. Additionally, you will provide care education to patients either in person or over the phone, and ensure compliance with guidelines throughout the processes, including OSHA, FDA, and HIPAA. As a candidate for this position, you must be a Registered Professional Nurse with current licensure. It is essential to possess CPR, ACLS, and BCLS certification, as well as have ...

A Medical Records Clerk is responsible for maintaining and managing patient medical records in a healthcare setting. Your duties include organizing, filing, retrieving, and ensuring the accuracy and confidentiality of patient information. You will also assist with data entry, processing admissions and discharges, and responding to requests for medical records. Your key responsibilities will include the following: Record Management: You will be responsible for maintaining and organizing patient files, both physical and electronic, ensuring they are accurate, complete, and readily accessible. Data Entry: You will accurately enter patient information into the system, including demographic detai...

As a Team Lead in AR (Accounts Receivable) at Wave Online Infoway, you will play a crucial role in overseeing a team of 30+ AR associates and ensuring the smooth day-to-day operations of US Healthcare Revenue Cycle Management (RCM). With a minimum of 5 years of experience in US Healthcare RCM, including at least 2 years in managing teams/processes, you will lead by example and drive excellence in client-specific RCM processes and projects. Your responsibilities will include leading and managing the AR team to achieve high performance levels, distributing daily work volumes to meet client SLAs, and providing support for production and delivery. You will troubleshoot challenges, conduct qualit...

Our client, a leading healthcare services provider, is seeking a Salesforce Health Cloud Business Analyst to join their team. As a Salesforce Health Cloud Business Analyst, you will play a crucial role in the integration and enhancement of Salesforce Health Cloud within the organization. Your responsibilities will include leading requirements-gathering sessions with key stakeholders from clinical, administrative, and IT teams. You will analyze and document current and future business processes, develop detailed User Requirement Documents (URD), and process flow diagrams. Conducting gap analysis to identify areas for improvement and system enhancements will be a key part of your role. You wil...

The Credentialing Specialist role involves managing the credentialing and recredentialing process for healthcare providers. You will be responsible for ensuring timely submission of documentation, compliance with regulatory requirements, verification of qualifications, and coordination with insurance companies. Collaboration with the billing team is crucial to resolve issues, track credentials, and support providers in the credentialing process. Continuous improvement of procedures and staying updated on industry trends are key aspects of this role. This position requires familiarity with credentialing software and/or healthcare management systems. A strong understanding of HIPAA compliance ...

The job requires a candidate with any graduation and CPC Certification, along with good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles. As a Clinical Coder, you will be responsible for demonstrating a high level of quality in clinical coding work, validating HCC mapped diagnoses, and ensuring revenue generation. Adherence to official coding guidelines, client-specific coding guidelines, CMS regulations, and other compliance requirements is crucial. Your accuracy should be 95% or above with consistent productivity. Excellent written and verbal communication skills are necessary for coaching and interpersonal i...

As a Solution Architect, your primary responsibility will be to design and implement scalable data integration solutions using Oracle Data Integrator (ODI). You will utilize Python for advanced data transformation, automation, and orchestration tasks. It will be crucial for you to translate business requirements into comprehensive end-to-end data solutions, prioritizing performance, maintainability, and regulatory compliance. Collaboration with stakeholders from various teams such as data engineering, analytics, compliance, and business will be essential to define architecture standards and ensure alignment. In this role, you will lead technical design sessions, develop architecture document...

As an EBO Accounts Receivable professional at Guidehouse in India, you will be responsible for initiating calls to request the status of claims in the queue. It will be your duty to take appropriate actions on claims to ensure resolution, along with ensuring accurate and timely follow-up when necessary. Documenting the actions taken in the claims billing summary notes is also a crucial part of this role. Your tasks will include prioritizing pending claims for calling from the aging basket and making physical calls in accordance with international norms and applicable rules for confidentiality and HIPAA compliance. You will be accountable for working on Denials, Rejections, and LOA's to accou...

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. You should be able to recognize patient needs and prioritize those needs with the requirements outlined by physicians. Your responsibilities will include assuring quality care by following the standards set by the physicians, providing care education to patients in person or over the phone, and adhering to compliance guidelines throughout processes, such as OSHA, FDA, and HIPAA. To qualify for this role, you must be a Registered Professional Nurse with current licensure. Additionally, you should hold certifications in CPR, ACLS, and BCLS. It is essential to have knowledge of OSHA, F...

You will be joining BeeperMD as a Patient Calling Specialist in the US Healthcare Revenue Cycle Management team. Your primary responsibility will involve communicating with patients post-billing to address outstanding balances and resolve accounts receivable issues related to insurance coverage. Your key responsibilities will include investigating and resolving accounts delayed due to coverage issues such as coordination of benefits and eligibility denials. You will collaborate with internal teams including billing, coding, and AR follow-up to ensure accurate resolution of patient accounts. It is essential to document all interactions and follow-up actions in the patient management system wh...

As a member of the EBO Accounts Receivable team in India, you will be responsible for initiating calls to request the status of claims in the queue. Your main tasks will involve taking appropriate actions on claims to ensure timely resolution, accurate follow-up when necessary, and documenting all actions taken in the claims billing summary notes. Additionally, you will prioritize pending claims for calling from the aging basket and make physical calls following international norms and applicable rules for confidentiality and HIPAA compliance. You will also be tasked with working on denials, rejections, LOA's to accounts, and making necessary corrections to claims. To qualify for this role, ...

As a Healthcare Support Analyst at our US-based client, you will play a crucial role in providing exceptional support to healthcare clients by resolving product issues, creating custom reports using tools like Looker and Metabase, and identifying opportunities for upselling value-added solutions. Your responsibilities will involve being the primary point of contact for clients, translating complex data insights into actionable recommendations, collaborating with internal teams, and staying updated with product advancements and healthcare analytics trends. Taliun Solutions, a data-driven technology company headquartered in Silicon Valley, focuses on software innovation for the healthcare indu...

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. You should be able to recognize patient needs and prioritize those needs with the requirements outlined by physicians. You will be responsible for assuring quality care by adhering to the standards set by the physicians. Additionally, you will be required to provide care education to patients in person or over the phone while ensuring compliance with guidelines such as OSHA, FDA, and HIPAA throughout the processes. To qualify for this position, you must be a Registered Professional Nurse with current licensure. It is essential to have CPR, ACLS, and BCLS certifications along with a ...