Med Karma is a premier international medical billing company headquartered in the United States. We specialize in delivering end-to-end revenue cycle management solutions for healthcare providers, with a focus on accuracy, compliance, and operational efficiency. With a global footprint and a commitment to excellence, Med Karma supports medical practices, hospitals, and healthcare organizations in maximizing revenue and improving patient outcomes. Our team is driven by innovation, integrity, and a deep understanding of the ever-evolving healthcare landscape. Join us and be part of a company that’s redefining medical billing through expertise and personalized service. Website: www.medkarmarcm.com Role Description: We are looking for candidates with relevant experience in California Workers’ Compensation billing and revenue cycle processes. Location: Mohali and Noida Key Responsibilities: Billing & Claims Management Accurately review and process WC claims in accordance with California DWC rules, including submission through designated clearinghouses and EDI systems. Collections & Follow-up Monitor accounts receivable aging for WC claims and conduct thorough follow-ups on delayed or underpaid claims. Contact claims adjusters, third-party administrators (TPAs), and WC insurers to resolve discrepancies. Maintain documentation of all follow-up actions and communications within the practice management system (PMS) or EMR. Denial & Appeal Management Investigate and appeal denied WC claims, preparing persuasive reconsideration letters or documentation per DWC guidelines. Submit timely Second Bill Review (SBR) requests and initiate Independent Bill Review (IBR) cases when applicable. Track deadlines for appeals and dispute resolution to prevent write-offs. Compliance & Documentation Stay current on California WC laws, regulatory changes, and DWC billing rules. Ensure all billing activities are HIPAA-compliant and follow WCAB lien rules. Prepare and file liens through EAMS (Electronic Adjudication Management System) as necessary. Reporting & Collaboration Generate weekly and monthly performance reports related to WC billing KPIs. Participate in audits and provide supporting documentation for compliance reviews. Skills Required: 3+ years of experience in California Workers’ Compensation billing and collections Strong understanding of California DWC regulations , OMFS , IBR/SBR , and lien processes Proficiency in EDI submission platforms (e.g., Jopari, WorkCompEDI) Familiarity with WCAB, EAMS, and other state systems Preferred: Prior experience in orthopedics, pain management, or physical therapy billing Experience using practice management and EMR software Key Competencies: Exceptional attention to detail and organizational skills Strong written and verbal communication Analytical and investigative skills for resolving complex billing issues Ability to work independently and manage a high volume of claims Team-oriented mindset with a commitment to excellent service Why work with us? • Multicultural environment to explore, learn and grow. • Best remuneration, Incentives and bonuses, free Cab and Food facilities. • Wide range of training and certifications available for career development. ⬛ How to Apply : DM your resumes, contact at 7087871901 or email at hr@medkarmarcm.com Show more Show less

JOB DESCRIPTION- CREDENTIALING PROFILE Med Karma is a global revenue cycle management company based in Mohali district. We specialize in providing medical billing companies and healthcare providers with tailored solutions to improve financial viability. Our services include streamlining administrative processes, reviewing claims, ensuring policy compliance, and recommending error correction methods. Website: www.medkarmarcm.com Role Description: This is a full-time on-site role for a Senior Process Associate at Med Karma. In this role, the Credentialing Specialist will be responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities and maintain up-to-date data for each provider in credentialing databases and online systems, ensuring timely renewal of licenses and certifications. Understands CMS Medicare, Medicaid, and managed care billing, credentialing and enrollment requirements and reimbursements methodologies and applies knowledge to identify, quantify, and address missing/incorrect charges. Assist in the development of resources for researching issues. Roles and Responsibilities: · Screening practitioners’ applications and supporting documentation to ascertain their eligibility. · Identifying discrepancies in information and conducting follow-ups. · Medicare & Medicaid enrollment and revalidation. · Processing initial credentialing and re-credentialing applications with follow up to ensure that credentialing is completed, and providers enrolled in health plan products. · CAQH profile creation. · Maintenance of internal and external databases (CAQH, PECOS, NPPES). · Initial and reappointment of hospital privileges. · Assisting internal customers with credentialing inquiries. · Actively participates in group leadership meetings and is accountable for credentialing status for all groups. · Coordinates and facilitates troubleshooting with payer networks to resolve any issues related to enrollments. · Experience in contract negotiations is beneficial. SKILLS REQUIRED: · Minimum 1.5 to 6 years of experience in DME Credentialing is Mandatory. · Should have basic knowledge of the entire Revenue Cycle Management (RCM). · Excellent analytical and problem-solving skills. · Experience with Denials and Insurance processing. · Excellent English written and oral communication skills. Why work with us? • Multicultural environment to explore, learn and grow. • Best remuneration, Incentives and bonuses, free Cab and Food facilities. • Wide range of training and certifications available for career development. ⬛ How to Apply : DM your resumes, contact at 7087871901 or email at hr@medkarmarcm.com

JOB DESCRIPTION- Hospital Billing: Med Karma is a premier international medical billing company headquartered in the United States. We specialize in delivering end-to-end revenue cycle management solutions for healthcare providers, with a focus on accuracy, compliance, and operational efficiency. With a global footprint and a commitment to excellence, Med Karma supports medical practices, hospitals, and healthcare organizations in maximizing revenue and improving patient outcomes. Our team is driven by innovation, integrity, and a deep understanding of the ever-evolving healthcare landscape. Join us and be part of a company that’s redefining medical billing through expertise and personalized service. Website: www.medkarmarcm.com Role Description: This is a full-time on-site role for a Senior Process Associate/Subject Matter Role at Med Karma. We are hiring an AR Specialist with at least 2 years of experience in US hospital billing. The candidate will handle the accounts receivable process, including Claim Rejections, Denial management, Claim follow-up for US healthcare clients. This role requires expertise in the RCM cycle, particularly in working hospital claims (Inpatient/Outpatient). Roles and Responsibilities: · Perform AR follow-up with insurance companies on hospital claims (UB-04/CMS1500). · Analyze and resolve denied, unpaid, and underpaid claims by initiating corrective actions or appeals. · Work on claim rejections by identifying the root cause, correcting the claim, and resubmitting it to payers. · Work on aged accounts to ensure timely resolution and cash flow improvement. · Contact insurance carriers via phone, web portals, or email for claim status and payment details. · Interpret Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial codes (CARC/RARC). · Identify billing and coding errors and coordinate with responsible department for corrections. · Update claim status and actions in the billing software accurately and consistently. · Meet daily/weekly productivity and quality targets as per client SLAs. SKILLS REQUIRED: · Minimum 2 years of hands-on experience in Inpatient & Outpatient hospital billing AR follow-up. · Strong understanding of the US healthcare revenue cycle. · Knowledge of payer guidelines (Medicare, Medicaid, and commercial payers). · Experience working with billing software Advance MD. · Good understanding of ICD-10, CPT, HCPCS codes, and denial management workflows. · Proficient in MS Office, especially Excel. · Excellent verbal and written communication skills. · Ability to work in night shifts (US time zones). Why work with us? • Multicultural environment to explore, learn and grow. • Best remuneration, Incentives and bonuses, free Cab and Food facilities. • Wide range of training and certifications available for career development. ⬛ How to Apply : DM your resumes, contact at 7087871901 or email at hr@medkarmarcm.com