134 Insurance Verification Jobs

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.

As a Senior Process Analyst in the Revenue Cycle Management (RCM) Operations department at Mohali, you will be responsible for reviewing and processing medical claims for submission to insurance companies. Your role will involve performing data entry of patient and insurance information into RCM software, verifying insurance eligibility and benefits, and following up with insurance providers on denied or unpaid claims. It is crucial to maintain accuracy and compliance with healthcare regulations, particularly HIPAA. Additionally, effective communication with clients, insurance companies, and team members will be essential. You will also be required to prepare and maintain reports and documentation as part of your responsibilities. To excel in this role, you should hold a Bachelor's degree in any discipline, preferably in life sciences, commerce, or healthcare-related fields. A good understanding of basic computer skills and MS Office tools is necessary. Strong communication skills, both verbal and written in English, will be beneficial. Attention to detail, the ability to work in a deadline-driven environment, and willingness to work night shifts as per US time zones are essential requirements. An eagerness to learn about medical billing and healthcare processes is also highly valued. While not mandatory, knowledge of medical billing software such as Athena, Kareo, or eClinicalWorks, as well as an understanding of the US healthcare system and insurance terminologies, are preferred qualifications. This position also offers growth opportunities into specialized roles like AR Analyst, Quality Analyst, Team Lead, and Process Trainer within the RCM domain. Walk-in interviews are scheduled from 7:00 PM to 11:00 PM at Apaana Healthcare, Mohali. To apply, please send your resume to hr@apaana.com. For any queries, contact us at +91 9646883394 or 8360765082. This is a full-time position with benefits including commuter assistance and provided food. The work location is in person. If you are passionate about healthcare operations and possess the necessary skills and qualifications, we encourage you to apply for this exciting opportunity.,

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

Location : Ahmedabad Process: International Voice Support( US Healthcare ) Salary: Up to 4.2LPA Immediate joiners Freshers and Experience Both can apply Shift: Night Shift Working Days: 5 days/week

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

Job Description for Authorization Caller (Voice) Night Shift We are seeking a detail-oriented and organized prior authorization Specialist to join our team. Responsible for accurately verifying the benefits and obtaining authorization for the service. Responsible for effective and efficient obtaining authorization process. Verify patient insurance coverage and benefits. Submit prior authorization requests with all necessary documentation. Ability to interpret the medical records and documents. Address and resolve prior authorization denials including appeals. Familiarity with Medicare, Medicaid, Commercial and Managed care plans. Familiar with insurance portals like Availity, UHC, etc., Strong attention to detail and ability to work independently Excellent communication skills, both verbal and written Strong knowledge in basic excels Generate daily reports and maintain the logs Qualification: Experience 1 to 3 Years Immediate joiners are preferred Job Category: Authorization Caller

*** 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

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

AR CALLING ACTIVE VACANCIES Hyderabad Experience - Min 1 year into AR Calling Package - Max Upto 40k Take Home Qualification - Inter & Above Virtual Interviews 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 2 years into AR Calling Package - Max Upto 5.5lpa Qualification - Graduation Virtual Interviews ( Reliving mandatory ) PRE AUTHORIZATION ACTIVE VACANCIES Hyderabad Experience - Min 2 years into Prior Authorization Package - Max Upto 5.5 Lpa Qualification - Graduation Reliving mandatory Walk-in Interviews Mumbai Experience - Min 1 year into Prior Authorization Package : Max Upto 5.75 Lpa Qualification : Inter & Above Virtual Interviews 2 months NP accepted ( Reliving mandatory ) Interested candidates can share your updated resume to: HR Dharani 9100982938 (WhatsApp) Mail ID: dharanipalle.axishr@gmail.com Refer your friends and Colleagues!

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

PDA E-Services Pvt Ltd is a dynamic and fast-growing Global Capability Centre (GCC) for Piccadilly Dental Alliance (PDA) , a leading dental healthcare organization based in the United States. Established in 2022, we offer comprehensive operational and administrative support to dental practices across the U.S., helping them deliver outstanding patient care. As PDAs exclusive India-based outsourcing partner, we are expanding rapidly with a strong focus on process excellence, quality service, and people development. As a Patient Engagement Specialist at PDA E-Services Pvt Ltd , you will play a vital role in supporting U.S.-based dental practices through high-quality virtual front-desk operations, patient communication, and administrative support. This position is part of our offshore healthcare operations team and requires professionals who are proactive, detail-oriented, and capable of delivering exceptional service during U.S. shift hours. What You'll Do: Handle inbound and outbound patient communication with professionalism and empathy. Schedule appointments for new and returning patients across multiple time zones. Assist patients with insurance-related queries and claims coordination. Provide accurate and timely responses to patient inquiries via phone, email, or chat. Maintain detailed records, logs, and patient data across systems and platforms. Share relevant information about practice services, procedures, and promotional offers. Maintain adherence to process standards and SLAs within a fast-paced environment. Communicate with clarity, patience, and attentiveness in a customer-first setting. What We're Looking For: 1 to 3 years experience in healthcare BPO, voice processes, or international customer support. Candidates with 2 to 3 years of international BPO experience will also be considered, especially if trained in voice processes. Excellent English communication (spoken & written). Comfortable working U.S. night shifts. Familiarity with dental/healthcare software (e.g., Dentrix, Open Dental) is a plus. Education: Graduate in any stream (B.Com / BBA / B.Sc / B.A. or equivalent preferred). Work Schedule: Shift: Fixed Night Shift (U.S. Hours) Timings: 8:00 PM to 5:00 AM IST Working Days: Monday to Friday Weekly Off: Saturday and Sunday Location: On-site Pune Benefits Offered: Fixed weekend off (Saturday & Sunday) Fast-paced career growth in the U.S. healthcare space Hands-on training in dental front-desk and communication protocols Professional growth and internal career advancement opportunities. Comfortable, collaborative, and inclusive work environment. Paid leaves and holiday benefits as per company policy. Apply Now and Join the New Era of Healthcare with Us!!!

PDA E-Services Pvt Ltd is a dynamic and fast-growing Global Capability Centre (GCC) for Piccadilly Dental Alliance (PDA) , a leading dental healthcare organization based in the United States. Established in 2022, we offer comprehensive operational and administrative support to dental practices across the U.S., helping them deliver outstanding patient care. As PDAs exclusive India-based outsourcing partner, we are expanding rapidly with a strong focus on process excellence, quality service, and people development. As a Patient Engagement Specialist at PDA E-Services Pvt Ltd , you will play a vital role in supporting U.S.-based dental practices through high-quality virtual front-desk operations, patient communication, and administrative support. This position is part of our offshore healthcare operations team and requires professionals who are proactive, detail-oriented, and capable of delivering exceptional service during U.S. shift hours. What You'll Do: Handle inbound and outbound patient communication with professionalism and empathy. Schedule appointments for new and returning patients across multiple time zones. Assist patients with insurance-related queries and claims coordination. Provide accurate and timely responses to patient inquiries via phone, email, or chat. Maintain detailed records, logs, and patient data across systems and platforms. Share relevant information about practice services, procedures, and promotional offers. Maintain adherence to process standards and SLAs within a fast-paced environment. Communicate with clarity, patience, and attentiveness in a customer-first setting. What We're Looking For: 1 to 3 years experience in healthcare BPO, voice processes, or international customer support. Candidates with 2 to 3 years of international BPO experience will also be considered, especially if trained in voice processes. Excellent English communication (spoken & written). Comfortable working U.S. night shifts. Familiarity with dental/healthcare software (e.g., Dentrix, Open Dental) is a plus. Education: Graduate in any stream (B.Com / BBA / B.Sc / B.A. or equivalent preferred). Work Schedule: Shift: Fixed Night Shift (U.S. Hours) Timings: 8:00 PM to 5:00 AM IST Working Days: Monday to Friday Weekly Off: Saturday and Sunday Location: On-site Pune Benefits Offered: Fixed weekend off (Saturday & Sunday) Fast-paced career growth in the U.S. healthcare space Hands-on training in dental front-desk and communication protocols Professional growth and internal career advancement opportunities. Comfortable, collaborative, and inclusive work environment. Paid leaves and holiday benefits as per company policy. Apply Now and Join the New Era of Healthcare with Us!!!

START YOUR CAREER AS FRESHERS INTO AR MEDICAL BILLING???? !!Hiring for Medical Billing! !???????? Telephonic interviews Location : AIROLI & SAKINAKA Salary: 13.2k +5k incentives (Freshers) ???? Upto 15k-17k+5k incentives (Min 6 Months Bpo/Non Bpo Domestic Exp) ???? Hsc/Graduate freshers can apply Experience into BPO can apply Night shifts With cab facility.... Sat and Sun fixed off???? ??CONTACT?? HR SHUBHADA 7710015943 Great Opportunity For international Medical biling Experience

You are a fresher who will be gaining experience in Health Claims by undergoing a few days of training. Your main responsibility will be to accurately process and adjudicate medical claims in compliance with company policies, industry regulations, and contractual agreements. In this role, you will review and analyze medical claims submitted by healthcare providers to ensure accuracy, completeness, and adherence to insurance policies and regulatory requirements. You will also verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Assigning appropriate medical codes such as ICD-10 and CPT to diagnoses, procedures, and services according to industry standards will be a crucial part of your job. Additionally, you will adjudicate claims based on established criteria like medical necessity and coverage limitations to ensure fair and accurate reimbursement. It will be your responsibility to process claims promptly and accurately using designated platforms. You will investigate and resolve discrepancies, coding errors, and claims denials through effective communication with healthcare providers, insurers, and internal teams. Collaboration with billing, audit, and other staff to address complex claims issues and ensure proper documentation and justification for claim adjudication will be essential. To excel in this role, you should maintain up-to-date knowledge of healthcare regulations, coding guidelines, and industry trends to ensure compliance and best practices in claims processing. Providing courteous and professional customer service to policyholders, healthcare providers, and other stakeholders regarding claim status, inquiries, and appeals is also expected. Documenting all claims processing activities, decisions, and communications accurately and comprehensively in designated systems or databases is a key part of the job. Participation in training programs, team meetings, and quality improvement initiatives to enhance skills, productivity, and overall performance is encouraged. Ideally, you should have a Masters/Bachelors degree in Nursing, B.Pharma, M.Pharma, BPT, MPT, or a related field. Excellent analytical skills with attention to detail, accuracy in data entry, and claims adjudication are essential. Effective communication and interpersonal skills, the ability to collaborate across multidisciplinary teams, and interact professionally with external stakeholders are required. You should possess a problem-solving mindset with the ability to identify issues, propose solutions, and escalate complex problems as needed. A commitment to continuous learning and professional development in the field of healthcare claims processing is crucial for success in this role.,

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: 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

About Client Hiring for one of the most prestigious multinational corporations Job Title : Charge Entry Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience in physician billing and multi-specialty charge entry. 2. Proficiency in E&M coding and familiarity with CPT/ICD-10/HCPCS codes. 3. Strong understanding of insurance verification and billing workflows. 4. Experience using billing and EMR software (Athena, Kareo, eClinicalWorks, NextGen, etc.). 5. Excellent attention to detail and data accuracy. 6. Strong communication skills (verbal and written) Good Have Skills : Knowledge and expertise in in physician billing and multi-specialty charge entry. Roles and Responsibilities : 1. Accurately enter physician charges into the billing system based on clinical documentation. 2. Apply correct E&M (Evaluation and Management) codes, CPT, ICD-10, and modifiers in compliance with payer rules. 3. Process charge entries across multiple specialties including internal medicine, cardiology, orthopedics, etc. 4. Validate provider documentation to ensure complete and compliant billing. 5. Verify insurance coverage and eligibility prior to billing. 6. Confirm plan details, policy status, coordination of benefits (COB), and pre-authorization requirements. 7. Document verified insurance information in the system accurately. 8. Review and enter accurate patient information including name, DOB, address, insurance ID, and guarantor details. 9. Maintain HIPAA compliance and ensure completeness of registration data to avoid front-end denials. 10. Follow payer-specific guidelines for E&M coding and charge processing. 11. Coordinate with coding teams or physicians for clarification on incomplete or ambiguous records. 12. Report any issues related to documentation or insurance to the team lead/supervisor promptly. Location : Bangalore CTC Range : 3 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : General Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in

The Access Customer Service Representative (CSR) plays a pivotal role in providing outstanding customer service and administrative support for the Access program, an essential component of the intake and enrollment procedures for BTCS programs. As a proactive and empathetic individual, you will be responsible for a diverse range of tasks, including conducting non-clinical screenings, performing financial assessments, verifying insurance details, addressing inquiries, collaborating with team members, data entry, and appointment scheduling. Special emphasis will be placed on tasks associated with the Determination of Intellectual Disability (DID) within the IDD Intake process. It is imperative that the Access CSR develops and maintains proficiency in various areas such as DID scheduling, contractor communication, report management, and billing functions. Ensuring accurate service documentation and meticulous data entry in the Electronic Health Record will be a key aspect of your role, alongside maintaining comprehensive records while upholding exceptional standards of customer interaction and service provision. Serving as the primary point of contact for community members seeking services, you must embody the mission of BTCS by delivering a warm, professional, and supportive experience to our clients. Effective communication skills, strong organizational capabilities, and a dedication to delivering exemplary service in a fast-paced, client-centric environment are essential for success in this role. The interactions with individuals will occur both virtually and in-person. The ideal candidate will thrive in a dynamic, integrated environment, always prioritizing the needs of the individual while adhering to the values and standards of BTCS. Location: Any location within the catchment area, with potential for both on-site and remote work. This position is part-time with an FTE of 50%. Hourly Salary Range: $23.02 - $27.77 Differential Details: - $0.75/hour for bilingual proficiency - $1.00/hour for tenure with BTCS - $1.00/hour for career ladder specialty - Up to $2.00/hour for previous experience with a community center in a similar role Minimum Qualifications: - High school diploma or GED - Ability to organize workspace and activities independently - Capable of following oral and written instructions - Proficiency in inputting information into an electronic health record - Ability to remain composed and focused in a fast-paced environment - Skilled in interacting with clients, families, and colleagues with tact and diplomacy - Collaborative work approach with various teams and contractors - Possession of a valid Texas driver's license and maintenance of approved driver status throughout employment Preferred Qualifications: - Front desk experience and familiarity with financial processes in a behavioral health setting - Fluency in English/Spanish is highly preferred - Knowledge of insurance company procedures Salary Range: $23.02 - $27.77 per hour Closing Date: Open until filled,

Urgent Openings for PAYMENT POSTING LOCATION: PUNE EXPERIENCE: 1 T0 4 YEARS SALARY : MAX45K SHIFT: NIGHT/ DAY SHIFT BENEFITS: 5500K INCENTIVES IMMEDIATE JOINERS ONLY REQUIRED TWO WAY CAB AVAILABLE CONTACT: 9344402033 Keerthiga A

Key Responsibilities: Verify insurance eligibility and benefits for patients/clients prior to claims submission. Review, process, and follow up on insurance claims to ensure timely resolution. Ensure quality standards and adherence to turnaround time (TAT) and compliance guidelines. Analyze outstanding accounts, identify discrepancies, and work toward account resolution. Coordinate with internal teams such as billing, coding, and customer service for issue resolution. Maintain accurate documentation of claim status, eligibility checks, and actions taken. Provide feedback and insights to improve claims handling processes. Required Skills & Qualifications: Experience in insurance verification , medical billing, or healthcare revenue cycle management. Strong knowledge of insurance policies, claims lifecycle, and payer guidelines. Excellent attention to detail and organizational skills. Proficiency in claims management systems and MS Office tools. Strong communication and problem-solving abilities.

Administer the revenue cycle process from patient admission to final payment and ensure compliance with federal and state regulations Monitor and manage the flow of patient information and documentation, including insurance verification and authorization, medical coding, and billing Work with insurance companies, patients, and healthcare providers to resolve billing and reimbursement issues Manage the collection of patient copays, deductibles, and outstanding balances Ensure that the billing and coding processes are in compliance with the healthcare organization's policies and procedures Monitor and analyze key performance indicators, such as days in accounts receivable, denied claims, and payment trends, and provide recommendations for improvement Strong analytical and problem-solving skills Excellent communication and interpersonal skills

Aster Medcity is looking for Associate - Outpatient Services to join our dynamic team and embark on a rewarding career journey. As an Associate in Outpatient Services, your primary responsibility is to ensure the smooth operation and efficient delivery of healthcare services in an outpatient setting. You will work closely with patients, healthcare professionals, and administrative staff to coordinate appointments, manage patient flow, and provide excellent customer service. Your role will involve both administrative and patient care tasks. Key Responsibilities: Appointment Scheduling: Coordinate and schedule appointments for patients, ensuring optimal utilization of available resources and healthcare providers schedules. Manage appointment calendars, handle rescheduling requests, and ensure timely communication with patients regarding their appointments. Patient Check-In and Registration: Greet patients, verify their demographic and insurance information, and assist them with the check-in process. Collect necessary paperwork, consent forms, and medical history, ensuring accuracy and completeness. Enter patient information into the electronic medical record (EMR) system. Patient Flow Management: Monitor and manage patient flow within the outpatient facility, ensuring efficient movement and minimizing wait times. Coordinate with healthcare providers, nurses, and other staff to optimize patient scheduling and minimize disruptions. Insurance Verification and Billing: Verify patients insurance coverage and obtain necessary authorizations for services. Assist patients in understanding their insurance benefits, coverage limitations, and financial responsibilities. Coordinate with billing and finance departments to ensure accurate and timely submission of claims. Patient Education and Support: Provide basic information to patients regarding their appointment, procedures, and any pre-visit instructions. Answer patient inquiries, address concerns, and provide assistance as needed. Offer guidance on available support services, resources, and patient education materials. Electronic Medical Record (EMR) Management: Accurately document patient information, encounters, and clinical data in the EMR system. Ensure compliance with documentation standards and legal requirements. Retrieve and update patient records as necessary. Collaboration and Communication: Collaborate with healthcare providers, nurses, and other staff members to ensure coordinated and seamless care for patients. Communicate effectively with patients, families, and external stakeholders to address inquiries, relay important information, and facilitate referrals or follow-up care. Quality Improvement and Compliance: Contribute to quality improvement initiatives within the outpatient services department. Participate in audits, monitor performance metrics, and identify opportunities for process optimization. Adhere to regulatory and compliance guidelines, including patient privacy and confidentiality.

About Client Hiring for one of the most prestigious multinational corporations Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432406 amala@blackwhite.in | www.blackwhite.in ************** Please refer your Friends***************