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0.0 - 4.0 years

0 Lacs

haryana

On-site

You will be part of a globally renowned organization that has been recognized as one of India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. At R1 RCM India, we are dedicated to revolutionizing the healthcare sector with our cutting-edge revenue cycle management services. Our primary objective is to streamline healthcare processes and enhance efficiency for healthcare establishments, hospitals, and medical practices. Join our dynamic team of over 14,000 employees across India, located in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our workplace fosters inclusivity, ensuring that each team member is valued, respected, and supported with a comprehensive range of employee benefits and engagement initiatives. Your responsibilities will include: - Processing accounts accurately in accordance with US medical billing standards within specified timelines. - Operating in a 24*7 work environment, open to working night shifts. - Demonstrating strong analytical abilities and proficiency in MS Word, Excel, and PowerPoint. We are looking for candidates who meet the following qualifications: - A graduate in any discipline from a recognized educational institution. - Proficient in analytical skills and MS Office tools such as Word, Excel, and PowerPoint. - Effective communication skills, both written and verbal. Desired Skills: - Demonstrated knowledge of the healthcare industry. - Familiarity with Medicare and Medicaid. - Ability to engage positively with team members, peers, and seniors. As part of our evolving healthcare environment, you will collaborate with a diverse team to deliver innovative solutions. Our rapidly expanding team provides opportunities for continuous learning and development through collaborative efforts and the freedom to explore professional interests. Our employees have the chance to contribute meaningfully, innovate, and create impactful work that serves communities worldwide. We prioritize excellence, customer success, and patient care, and we are committed to giving back to the community through various initiatives. Additionally, we offer a competitive benefits package to support our employees" well-being. To discover more about us, please visit r1rcm.com.,

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2.0 - 6.0 years

0 Lacs

punjab

On-site

The ideal candidate for this position should possess excellent communication skills and have prior experience working as a Credentialing Analyst in medical billing service providers. A strong understanding of Provider credentialing and clearing house setup is required. Familiarity with Electronic Data Interchange (EDI), Electronic Remittance Advice Setup (ERA), and establishing Insurance Portals (EFT) is essential. The candidate should also have experience in Insurance calling, filling insurance enrollment applications, and be well-versed in CAQH and PECOS application processes. Knowledge of Medicare, Medicaid, and Commercial insurance enrollment is a plus. A positive attitude towards problem-solving and the ability to generate aging reports are important qualities for this role. Immediate joiners are preferred, and candidates must be flexible with shift timings. The location of the job is in Mohali, with 2-4 years of experience required. The salary offered is competitive and the company provides in-house meal facilities, cab facilities, and performance-based incentives. The work schedule involves any 5 days in a week, based on the process requirements.,

Posted 3 days ago

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2.0 - 6.0 years

0 Lacs

coimbatore, tamil nadu

On-site

Join our dynamic team as a Claims Processing Specialist where you will play a crucial role in ensuring the accuracy and efficiency of claims adjudication. With a focus on Medicare and Medicaid claims, you will contribute to the seamless processing of claims enhancing our service delivery. This hybrid role offers the flexibility of working both remotely and on-site during night shifts. Responsibilities Process claims with precision ensuring adherence to Medicare and Medicaid guidelines. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Utilize claims adjudication software to enhance processing efficiency. Provide feedback on process improvements to enhance service delivery. Maintain up-to-date knowledge of industry regulations and compliance standards. Communicate effectively with stakeholders to ensure clarity and resolution of claims issues. Document claims processing activities accurately for audit and reporting purposes. Support the team in achieving departmental goals and objectives. Participate in training sessions to stay informed about the latest claims processing techniques. Ensure confidentiality and security of sensitive claims information. Contribute to a positive work environment by supporting colleagues and fostering teamwork. Adapt to changing priorities and work effectively under pressure. Qualifications Demonstrate proficiency in claims adjudication processes and software. Possess strong analytical skills to identify and resolve claims discrepancies. Exhibit excellent communication skills for effective stakeholder interaction. Show a keen understanding of Medicare and Medicaid claims requirements. Display attention to detail in processing and documenting claims activities. Have the ability to work independently and collaboratively in a hybrid work model. Certifications Required Not required,

Posted 4 days ago

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2.0 - 6.0 years

0 Lacs

tiruppur, tamil nadu

On-site

As a Medical Records Auditor, you will play a crucial role in ensuring the accuracy of coding and documentation within patient medical records. Your responsibilities will include conducting audits of both inpatient and outpatient records to verify proper documentation and billing practices. It will be essential for you to uphold compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying any errors in coding, billing, or documentation and providing constructive feedback to the relevant departments. You will be expected to prepare detailed audit reports that outline findings, trends, and recommendations for corrective action. Collaboration with coding, billing, clinical, and compliance teams will be necessary to address audit findings effectively. In addition, you will monitor the implementation of corrective actions and perform follow-up audits as required. Your support in identifying education opportunities for clinical and billing staff will contribute to ongoing training initiatives within the organization. This is a full-time position that offers Provident Fund benefits. The work location for this role is in person. If you are passionate about ensuring coding accuracy and documentation compliance in the healthcare industry, we encourage you to apply for this opportunity. Your expertise as a Medical Records Auditor will be instrumental in maintaining quality standards and regulatory compliance within our organization.,

Posted 5 days ago

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0.0 - 4.0 years

0 Lacs

noida, uttar pradesh

On-site

You will be joining R1 RCM India, a company that has been recognized as one of India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. Our mission is to revolutionize the healthcare industry through our innovative revenue cycle management services. We aim to streamline healthcare processes and enhance efficiency for healthcare systems, hospitals, and physician practices. With a global workforce of over 30,000 employees, we have a strong team of about 14,000 individuals in India, located in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive work culture ensures that every employee is valued, respected, and appreciated, supported by a comprehensive range of employee benefits and engagement initiatives. In this role, your primary responsibilities will include processing accounts accurately based on US medical billing standards within specified timelines. You should be willing to work in a 24*7 environment and be open to night shifts. Strong analytical skills and proficiency in MS Word, Excel, and PowerPoint will be essential for this position. To qualify for this role, you should hold a graduate degree in any discipline from a recognized educational institution. Additionally, you must possess good analytical skills and proficiency in MS Word, Excel, and PowerPoint, along with excellent communication skills (both written and verbal). The ideal candidate will have a solid understanding of healthcare practices, including knowledge of Medicare and Medicaid. You should also be able to collaborate effectively with team members, peers, and seniors in a positive manner. Joining our dynamic team in the healthcare industry will provide you with opportunities to learn and grow while engaging in rewarding interactions and collaborative projects. We encourage innovation and provide the freedom to explore your professional interests. At R1 RCM, we believe in creating meaningful work that has a positive impact on the communities we serve worldwide. We foster a culture of excellence that promotes customer success and enhances patient care. Additionally, we are committed to giving back to the community and offer a competitive benefits package to our associates. To discover more about us, please visit our website at r1rcm.com. We look forward to welcoming you to our team as we continue to drive innovation in healthcare.,

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2.0 - 5.0 years

2 - 4 Lacs

Hyderabad

Work from Office

Hiring US Healthcare experience candidates at Hyderabad Location. Position: Audit Support Assistant Location: Hyderabad Employment Type: Full-time (Work from Office) Shift: Rotational Shifts (Including Night Shifts) Join Date: Immediate Joiners Preferred Eligibility Criteria: Education: Any Graduate or Postgraduate Experience: Minimum 2 years of experience in US Healthcare Voice process OR Experience in international voice process and willing to start a career in US Healthcare Excellent verbal and written communication skills are mandatory Willingness to work from office and in rotational shifts, including night shifts How to Apply: Interested and eligible candidates are requested to share their updated resume at avinash.jeniga@cotiviti.com Regards, Talent Acquisition Team

Posted 1 week ago

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3.0 - 4.0 years

4 - 4 Lacs

Noida

Work from Office

Responsibilities: * Verify patient eligibility & enrollment * Manage credentialing process from start to finish * Ensure accurate Medicaid verification & billing compliance Health insurance

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2.0 - 6.0 years

0 Lacs

ahmedabad, gujarat

On-site

As a Credentialing Specialist, you will play a crucial role in our healthcare operations team by managing end-to-end credentialing and re-credentialing processes. Your primary responsibility will be ensuring the efficiency of the revenue cycle by handling tasks such as maintaining accurate provider data, tracking expirables, and collaborating with billing teams. You will be responsible for interacting with insurance companies and regulatory bodies to follow up on application statuses and resolve any issues that may arise. Additionally, you will work closely with the RCM team to support eligibility, pre-authorization, and claim submission tasks. Your attention to detail and organizational skills will be essential in maintaining timely renewals and accurate credentialing status. To succeed in this role, you should have a minimum of 2 years of experience in provider credentialing and RCM processes. Familiarity with the U.S. healthcare system, medical billing cycles, and denial management is also required. Excellent communication skills, both verbal and written, are essential, along with the ability to multitask, prioritize, and manage time effectively. Proficiency in MS Office and credentialing software/tools is a must. This is a full-time position with night shift hours (06:30 PM - 03:30 AM) from Monday to Friday. The work location is in person. In addition to competitive compensation, benefits such as leave encashment, paid time off, and Provident Fund are also provided. If you are a highly organized and detail-oriented individual with a passion for healthcare operations, we would love to have you join our team as a Credentialing Specialist.,

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1.0 - 6.0 years

5 - 5 Lacs

Pune

Work from Office

Hiring: Payment Posting (Provider Side) 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 Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Chanchal 9251688424

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1.0 - 6.0 years

5 - 5 Lacs

Pune

Work from Office

Hiring: Payment Posting (Provider Side) 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 Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Sanjana 9251688424

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1.0 - 3.0 years

2 - 3 Lacs

Chennai

Work from Office

Job Details: Job Process/Role: Claims Adjudication (US Healthcare) Experience: 1 - 3 Years of Relevant experience in Claims adjudication Skillset: CPT Codes, HIPAA, Co-pay and Co-insurance, Medicaid and Medicare, Denial claims, UB and CMS forms. Shift: Night shift Location: Chennai Mode of Work: Work from the office Notice Period Eligible: Immediate to 30 Days of Notice period is acceptable. Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials. Knowledge in handling authorization, COB, duplicate, pricing, and the corrected claims process. Knowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and exclusions, state variations. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team. Resolving complex situations following pre-established guidelines. Requirements: 1-3 years of experience in processing claims adjudication, and the adjustment process. Experience in professional (HCFA), institutional (UB) claims (optional). Both undergraduates and postgraduates can apply. Good communication (Demonstrate strong reading comprehension and writing skills). Able to work independently, with strong analytical skills. 1. Required schedule availability for this position is Monday-Friday, 5.30 PM/3.30 AM IST (AR SHIFT). The shift timings can be adjusted according to client requirements. 2. Additionally, resources may have to work overtime and on a weekend basis to meet business requirements.

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2.0 - 6.0 years

0 Lacs

ahmedabad, gujarat

On-site

You will be responsible for calculating, validating, and processing all assigned Medicaid and State Program rebates within legislative timelines. This includes preparing reports required for submission to states, identifying claim anomalies, and recommending disputes. You will also be tasked with submitting dispute backup to states and identifying the root cause of issues with state invoice discrepancies, providing recommendations for corrective action to prevent future occurrences. Additionally, you may be required to participate in or contribute to special projects as needed. Other duties may be assigned to you based on business requirements. To be considered for this role, you should have a Graduate or Post Graduate/MBA qualification with a total of 5+ years of experience, out of which at least 2 years should be in a relevant field. Amneal is an equal opportunity employer that values diversity and inclusion. We do not discriminate based on caste, religion, gender, disability, or any other legally protected status. Join us in fostering a workplace that celebrates and respects individual differences.,

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1.0 - 3.0 years

0 - 2 Lacs

Chennai, Coimbatore

Work from Office

Job Details: Job Process/Role: Claims Adjudication (US Healthcare) Experience: 1 - 3 Years of Relevant experience in Claims adjudication Skillset: CPT Codes, HIPAA, Co-pay and Co-insurance, Medicaid and Medicare, Denial claims, UB and CMS forms. Shift: Night shift Location: Chennai & Coimbatore Mode of Work: Work from office Notice Period Eligible: Immediate to 30 Days of Notice period is acceptable. Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials. Knowledge in handling authorization, COB, duplicate, pricing, and the corrected claims process. Knowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and exclusions, state variations. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team. Resolving complex situations following pre-established guidelines. Requirements: 1-3 years of experience in processing claims adjudication, and the adjustment process. Experience in professional (HCFA), institutional (UB) claims (optional). Both undergraduates and postgraduates can apply. Good communication (Demonstrate strong reading comprehension and writing skills). Able to work independently, with strong analytical skills. 1. Required schedule availability for this position is Monday-Friday, 5.30 PM/3.30 AM IST (AR SHIFT) . The shift timings can be adjusted according to client requirements. 2. Additionally, resources may have to work overtime and on a weekend basis to meet business requirements.

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13.0 - 23.0 years

25 - 40 Lacs

Chennai

Remote

Greeting from Gainwell! JD 5+ years of experience as a Product Owner or in a related product management role. Strong knowledge of US healthcare systems, pharmacy workflows, and regulatory requirements (e.g., Medicaid, Medicare, PBMs, e-prescribing, and pharmacy claims processing). Experience working in Agile environments (SAFe, Scrum, or Kanban) with expertise in backlog management tools like Azure DevOps (ADO), Jira, or Rally. Proven ability to translate complex business needs into clear, actionable user stories. Experience collaborating with engineering, QA, business, and compliance teams. Strong analytical and problem-solving skills, with the ability to manage competing priorities. Excellent communication and stakeholder management skills, with experience engaging executive leadership, clients, and development teams. SAFe Product Owner/Manager(POPM) certification or equivalent experience is a plus. Preferred Qualifications Exposure on drug data base such as FDB & Medispan Experience with healthcare data interoperability (HL7, FHIR, EDI 837/835). Familiarity with cloud-based healthcare applications (AWS, Azure, or GCP). Understanding of drug pricing models, formulary management, and pharmacy benefits administration. Knowledge of prior authorization, claims adjudication, and medication therapy management

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1.0 - 6.0 years

1 - 3 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting & Payment Posting QC Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

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1.0 - 3.0 years

0 - 0 Lacs

chennai

Remote

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

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1.0 - 6.0 years

4 - 7 Lacs

Gurugram, Delhi / NCR

Work from Office

Position: AR Analyst Location: Gurgaon Walk-in Date: 26th July 2025 Eligibility Criteria: Graduate Minimum 1 year of experience in AR follow-ups (US Healthcare) Perks:- Salary up to 7 LPA Both Side Cabs Saturday Fixed Off Required Candidate profile Come prepared with your updated resume and a valid photo ID. Note: This is an exclusive walk-in drive for candidates with AR Follow-Up experience. For queries contact - 7880527464

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1.0 - 3.0 years

1 - 2 Lacs

Noida, Gurugram

Work from Office

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work for 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective : To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : Monday to Friday Walk in Timings :12 PM to 3 PM Walk in Address: Tower 1, 2nd Floor Candor tech space, sector 48 Tikri, Gurugram HR : Abhishek Tanwar 9971338456 / atanwar712@r1rcm.com Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development, and engagement programs, R1 offers transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

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1.0 - 6.0 years

1 - 3 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

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0.0 - 5.0 years

3 - 7 Lacs

Pune, Bengaluru, Mumbai (All Areas)

Work from Office

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims Investigate and address claim rejections or underpayments Review and submit appeals for denied claims Maintain accurate documentation and reporting on claim statuses Collaborate with billing teams to improve revenue cycle processes Stay updated on payer rules, regulations, and changes in billing practices Qualifications : 1+ years of experience in US healthcare billing and RCM processes Familiarity with EOBs, denials, and insurance payer policies Excellent communication and negotiation skills Proficiency in medical billing software and MS Office Hiring for freshers salary 10.7k to 17k ( Depends on last drawn salary) Location- Mumbai *FOR EXPERIENCE CANDIDATES IN MEDICAL BILLING (Voice Process)* Salary upto 50k open for right candidate/ decent hike on last drawn/ 25k joining bonus only Home Pickup and Home Drop facility provided. If travelling not taken then 4000 allowance provided. Us shift/ 5:30pm-2:30am Monday-Friday working / Saturday & Sunday Fixed Off. Location :- Navi Mumbai, Mumbai, Hyderbad, Banglore, Pune Extra Perks: - Incentives - up to 5500 Overtime - per hour 150rs & If working on Saturday - Double Salary Preferred : Certification in Medical Billing and Coding or equivalent Experience with Medicare/Medicaid billing Location: Pune / Navi Mumbai / Bangalore / Andheri / Ghansoli / Airoli /Hyderabad Job Type : Full-time Contact Details. SR.HR Shreya - 9136512502

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1.0 - 3.0 years

5 - 7 Lacs

Gurugram

Work from Office

Call Quality analyst Call Monitoring International BPO Rotational Shifts 5 days working

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3.0 - 6.0 years

4 - 8 Lacs

Gurugram

Work from Office

Experience in BPO Industry- International Voice only Team Leader - Health and welfare process voice (MUST) Health and welfare - Medicare Hippa Cobra Excellent Comms

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2.0 - 6.0 years

0 Lacs

chennai, tamil nadu

On-site

The Denial Analyst position involves analyzing, researching, and resolving denied claims in the field of medical billing. As a Denial Analyst, your responsibilities will include interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. You will collaborate closely with the billing department, insurance companies, and healthcare providers to ensure that claims are processed and paid correctly. A key aspect of this role is tracking trends in denials to address systemic issues causing rejections. The successful candidate must have a comprehensive understanding of insurance policies, coding guidelines, and the revenue cycle process. Proficiency in healthcare billing software and claim management systems, such as Epic, Cerner, or Meditech, is essential. Additionally, familiarity with ICD-10, CPT, and HCPCS codes for billing is required. The ideal candidate should possess a minimum of 2 years of experience in medical billing, claims processing, or healthcare revenue cycle management. Knowledge of Medicare, Medicaid, and commercial insurance policies, as well as HIPAA compliance standards and confidentiality protocols, is crucial for this role. Key Responsibilities: - Analyze denial reasons and take appropriate action - Track denial trends and address systemic issues - Prepare and submit appeals for denied claims - Monitor appeal status and follow up with relevant parties Required Qualifications: - Education: Any graduate - Experience: Minimum 2-3 years in a relevant field - Skills: Proficiency in Denials This is a full-time position with a flexible schedule and benefits including health insurance, Provident Fund, and a performance bonus. The job is based in Chennai, Tamil Nadu, and candidates must be willing to commute or relocate as necessary. If you meet the qualifications and are ready to start this exciting opportunity, the expected start date is 12/07/2025.,

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2.0 - 6.0 years

0 Lacs

tiruppur, tamil nadu

On-site

Job Description: As an integral part of our team, you will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. You will meticulously review both inpatient and outpatient records to ensure that services are correctly documented and billed. Your keen attention to detail will be crucial in ensuring compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying errors in coding, billing, and documentation, and providing valuable feedback to the relevant departments. You will prepare comprehensive audit reports that outline findings, trends, and recommendations for necessary corrective actions. Collaboration with coding, billing, clinical, and compliance teams will be essential in addressing audit findings effectively. Additionally, you will be tasked with monitoring the implementation of corrective actions and conducting follow-up audits as required. Your contribution to supporting training initiatives by identifying educational opportunities for clinical and billing staff will be highly valued. This is a full-time position that offers Provident Fund benefits. The work location for this role is in person. If you are a dynamic individual with a background in Life Sciences and a passion for ensuring accuracy and compliance in healthcare documentation, we encourage you to apply for this exciting opportunity.,

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1.0 - 4.0 years

3 - 6 Lacs

Chennai, Bengaluru

Work from Office

Hiring: AR Caller/Senior AR Caller Experience in Physician Billing or Hospital Billing Location: Chennai, Bangalore, Pune & Trichy Experience: 1 to 4 Years Salary:Up to 40,000 per month Relieving letter is not mandatory Contact: Suvetha D-9043426511 Required Candidate profile Strong understanding of denial management Work with multiple denial types and take appropriate actions for claim Handle appeals and denial management processes.

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