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1.0 - 6.0 years
1 - 4 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 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 ( 10 am to 6 pm ) Everyday Contact person VIBHA HR ( 9043585877 ) Interview time (10 am to 6 pm) Bring 2 updated resumes Refer( HR Name VIBHA ) Mail Id : vibha@novigoservices.com Call / Whatsapp (9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- VIBHA HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)
Posted 1 month ago
3.0 - 8.0 years
10 - 12 Lacs
Pune
Work from Office
Hiring: Team Lead Revenue Cycle Management (RCM) Location: Kothrud, Pune Shift: Day/Night | Work Mode: Work from Office Salary: As per experience and industry standards We are looking for a Team Lead with 35 years of experience in Revenue Cycle Management, including claim submission, denial management, AR follow-up, and team handling. Key Responsibilities: Lead and manage a team of RCM specialists Handle claim submissions, payment posting, and denial resolutions Work on AR reports and improve cash flow Ensure compliance with payer and healthcare regulations Generate reports and drive process improvements Requirements: 35 years of RCM/medical billing experience Strong knowledge of CPT, ICD-10, HCPCS, and insurance guidelines Good communication and leadership skills Graduation or diploma preferred Apply now and grow your career in RCM with us. CONTACT: Sanjana- 9251688426
Posted 1 month ago
1.0 - 6.0 years
5 - 5 Lacs
Pune
Work from Office
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
Posted 1 month ago
1.0 - 6.0 years
5 - 5 Lacs
Pune
Work from Office
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
Posted 1 month ago
3.0 - 6.0 years
2 - 6 Lacs
Hyderabad
Work from Office
DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
2 - 6 Lacs
Gurugram
Work from Office
DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
2 - 6 Lacs
Chennai
Work from Office
DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
5.0 - 9.0 years
2 - 7 Lacs
Hyderabad
Work from Office
SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions. ** Hand on experience in ECW software preferrable**
Posted 1 month ago
3.0 - 8.0 years
4 - 9 Lacs
Pune
Work from Office
Role & responsibilities Accurately post all payments (electronic, checks, credit cards, etc.) to patient accounts in the billing system. Ensure all payments are applied to the correct accounts and invoices. Identify and resolve discrepancies between posted payments and actual deposits. Post adjustments, write-offs, and denials as per payer contracts and company policies. Identify trends in denials and underpayments and communicate findings to management. Identify billing errors and make necessary corrections to avoid claim denials. Ensure timely and accurate submission of claims to payers. Manage the resolution of denied claims by identifying root causes and correcting errors. Resubmit corrected claims to payers for reimbursement. Track and report on claim correction activities and outcomes. Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies. Stay updated on changes in billing regulations and payer requirements. Preferred candidate profile Bachelors degree in business or accounting major is preferred. 1 to 6 years experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.
Posted 1 month ago
8.0 - 13.0 years
5 - 15 Lacs
Pune
Work from Office
Responsibilities may include the following and other duties may be assigned: As a Team Lead Billing for Patient Financial Services, the role involves the specialist to work closely with various departments to ensure accurate coding, compliance with payer requirements, and maximization of reimbursement on Patient Financial Service accounts receivable metrics. Review and analyze charge capture data for accuracy and completeness. Identify and correct charge errors and discrepancies. Collaborate with clinical and coding staff to resolve charge-related issues. Monitor and review billing processes to ensure compliance with payer guidelines. Identify billing errors and make necessary corrections to avoid claim denials. Ensure timely and accurate submission of claims to payers. Manage the resolution of denied claims by identifying root causes and correcting errors. Resubmit corrected claims to payers for reimbursement. Track and report on claim correction activities and outcomes. Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies. Stay updated on changes in billing regulations and payer requirements. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Required Knowledge and Experience: Bachelors degree in business or accounting major is preferred. 8+ years experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.
Posted 1 month ago
0.0 - 3.0 years
1 - 6 Lacs
Chennai, Mumbai (All Areas)
Work from Office
We are looking for candidates with experience in AR Calling, Eligibility and Verification, and initiating Authorizations in the US Healthcare industry. Perks and benefits Cab facility, PF, Health insurance
Posted 1 month ago
1.0 - 3.0 years
0 - 3 Lacs
Chennai
Work from Office
Dear Candidate, Greetings from AGS Health.! Job Title: AR CALLER Eligibility: Candidate holding 1-2 years of experience into Medical Billing (Denial Management) can only apply for this position. Working Days - 5 Days (Fixed weekend off) Location: Chennai Interested candidates can WhatsApp their updated resume to 9384898239 Sai Subhiksha HR-Talent Acquisition AGS Health
Posted 1 month ago
1.0 - 4.0 years
3 - 6 Lacs
Pune, 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.
Posted 1 month ago
2.0 - 7.0 years
4 - 7 Lacs
Mohali
Work from Office
We are looking for a highly skilled and tech-savvy customer support specialist who can provide exceptional support to our U.S.-based healthcare clients. The ideal candidate must have strong knowledge of electronic medical records (EMRs), U.S. healthcare policies, and regulations, along with outstanding problem-solving skills in IT and technology-related issues. A clear American English accent is required to ensure seamless communication with customers. Key Responsibilities: Provide level 1 and level 2 technical and customer support for healthcare clients using our AI and blockchain solutions. Troubleshoot and resolve issues related to EMR/EHR systems, medical billing software, and other healthcare technologies. Assist clients with IT-related challenges, including software integrations, cloud-based solutions, and data security concerns. Educate customers on healthcare compliance requirements, such as HIPAA, Medicare, Medicaid, and telehealth policies. Work closely with internal teams (IT, product development, and sales) to escalate and resolve complex technical issues. Maintain accurate records of customer interactions and issue resolutions in a CRM system. Ensure high customer satisfaction by providing clear, concise, and professional communication. Required Qualifications: 3+ years of experience in customer support for healthcare IT solutions or electronic medical records (EMR) systems. Strong understanding of U.S. healthcare regulations, HIPAA compliance, and medical billing practices. Excellent troubleshooting skills in IT, software applications, and system integrations. Fluent in English with a clear American accent (must be comfortable speaking with U.S. clients). Experience using CRM software, ticketing systems, and remote support tools. Strong interpersonal skills and the ability to explain technical concepts to non-technical users
Posted 1 month ago
2.0 - 7.0 years
4 - 7 Lacs
Chandigarh
Work from Office
We are looking for a highly skilled and tech-savvy customer support specialist who can provide exceptional support to our U.S.-based healthcare clients. The ideal candidate must have strong knowledge of electronic medical records (EMRs), U.S. healthcare policies, and regulations, along with outstanding problem-solving skills in IT and technology-related issues. A clear American English accent is required to ensure seamless communication with customers. Key Responsibilities: Provide level 1 and level 2 technical and customer support for healthcare clients using our AI and blockchain solutions. Troubleshoot and resolve issues related to EMR/EHR systems, medical billing software, and other healthcare technologies. Assist clients with IT-related challenges, including software integrations, cloud-based solutions, and data security concerns. Educate customers on healthcare compliance requirements, such as HIPAA, Medicare, Medicaid, and telehealth policies. Work closely with internal teams (IT, product development, and sales) to escalate and resolve complex technical issues. Maintain accurate records of customer interactions and issue resolutions in a CRM system. Ensure high customer satisfaction by providing clear, concise, and professional communication. Required Qualifications: 3+ years of experience in customer support for healthcare IT solutions or electronic medical records (EMR) systems. Strong understanding of U.S. healthcare regulations, HIPAA compliance, and medical billing practices. Excellent troubleshooting skills in IT, software applications, and system integrations. Fluent in English with a clear American accent (must be comfortable speaking with U.S. clients). Experience using CRM software, ticketing systems, and remote support tools. Strong interpersonal skills and the ability to explain technical concepts to non-technical users
Posted 1 month ago
2.0 - 7.0 years
1 - 6 Lacs
Chennai, Coimbatore
Work from Office
Hiring for Enrollment ( Us Healthcare ) Process : Non voice Location - Coimbatore / Chennai Timings - US Night shift ( 5:30pm to 3:30 am ) Mode - Work From Home Notice Period - Immediate to 15 Days SPE - Upto 5 Lpa SME - Upto 6.4 Lpa SPE 2+yr exp in Enrollment ( Us Healthcare ) SME 4+yr exp in Enrollment ( Us Healthcare ) Interested Candidates contact HR Dinesh@ 9353611283 dinesh@careerguideline.com
Posted 1 month ago
10.0 - 12.0 years
0 - 0 Lacs
Coimbatore
Work from Office
Provider Credentialing (US healthcare medical billing) 1. Collect all the data and documents required for filing credentialing applications from the physicians 2. Store the documents centrally on our secure document management systems 3. Understand the top payers to which the practice sends claim and initiate contact with the payers 4. Apply the payer-specific formats after a due audit 5. Timely follow-up with the Payer to track application status 6. Obtain the enrolment number from the Payer and communicate the state of the application to the physician 7. Periodic updates of the document library for credentialing purposes. Required Candidate profile Desired Candidate Profile: 1. Should have worked as a Credentialing Analyst for at least 3-year medical billing service providers 2. Good Knowledge in Provider credentialing (Doctor side). 3. Good knowledge in clearing house setup - Electronic Data Interchange setup (EDI) - Electronic Remittance Advice Setup (ERA) - Establish Insurance Portals (EFT) 4. Experience in Insurance calling. 5. Good knowledge in filling insurance enrollment applications. 6. Good experience in CAQH, PECOS application. 7. Experience in Medicare, Medicaid, Commercial insurance enrollment. 8. Positive attitude to solve problems 9. Knowledge of generating aging report 10. Strong communication skills with a neutral accent Note: Minimum of 8 to 12 years of Provider Credentialing experience must. Location: Coimbatore (Onsite job) Preference will be given to candidates who can start immediately or with short notice. Candidates who are freshers or have experience in other domains are kindly requested not to apply for this position.
Posted 1 month ago
3.0 - 6.0 years
15 - 25 Lacs
Chennai
Work from Office
Job Summary We are seeking a dedicated Product Specialist with 3 to 6 years of experience to join our team. The ideal candidate will have expertise in .NET and ANSI SQL along with a strong background in Medicare and Medicaid Claims. This hybrid role offers the flexibility of working both remotely and on-site with no travel required. The position is a day shift role perfect for those who thrive in a dynamic and collaborative environment. Responsibilities Develop and maintain software applications using .NET technologies to ensure high performance and responsiveness. Utilize ANSI SQL to manage and manipulate databases effectively ensuring data integrity and security. Analyze Medicare and Medicaid Claims data to identify trends anomalies and opportunities for process improvement. Collaborate with cross-functional teams to gather and define product requirements ensuring alignment with business objectives. Provide technical support and troubleshooting for application issues ensuring timely resolution and minimal disruption. Conduct code reviews and provide constructive feedback to ensure code quality and adherence to best practices. Participate in the full software development lifecycle from concept and design to testing and deployment. Create and maintain comprehensive documentation for developed applications and processes. Stay updated with the latest industry trends and technologies to ensure the continuous improvement of our products. Work closely with stakeholders to understand their needs and translate them into technical solutions. Ensure compliance with regulatory requirements related to Medicare and Medicaid Claims. Mentor junior team members providing guidance and support to help them grow their technical skills. Contribute to the overall success of the team by actively participating in meetings brainstorming sessions and collaborative projects. Qualifications Must have strong experience with .NET technologies to develop robust and scalable applications. Must have proficiency in ANSI SQL for effective database management and manipulation. Must have in-depth knowledge of Medicare and Medicaid Claims to analyze and improve processes. Nice to have experience in a hybrid work model demonstrating flexibility and adaptability. Nice to have excellent problem-solving skills to troubleshoot and resolve technical issues. Nice to have strong communication skills to collaborate effectively with cross-functional teams. Nice to have experience in mentoring junior team members to foster a collaborative learning environment. Certifications Required Certified .NET Developer ANSI SQL Certification
Posted 1 month ago
1.0 - 6.0 years
2 - 5 Lacs
Mohali
Work from Office
Dear Aspirants, We are hiring for experienced IP DRG professionals to join our team at our Mohali location . Eligibility Criteria: Any graduate Mandatory certification in CIC / CCS Medical Coding Minimum 1 year of experience in IP DRG (Mandatory) Strong Communication Skills In-depth knowledge if In-Patient process Flexible to work in rotational shifts, including night shifts Looking for long term commitment If you meet the above requirement and are interested in this opportunity, please share your updated resume with us at: avinash.jeniga@cotiviti.com We look forward to hearing from you! Best regards, Cotiviti Talent Acquisition Team
Posted 1 month ago
5.0 - 8.0 years
2 - 6 Lacs
Hyderabad
Work from Office
SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions.
Posted 1 month ago
8.0 - 11.0 years
8 - 15 Lacs
Hyderabad
Work from Office
Cognizant is hiring Encounter Submission Specialist (US Healthcare) for Hyderabad location. Job Title: Team Manager Experience - 8 - 11 Years Job Location: Hyderabad (relocation benefits available for other location candidates) Mode of Work - Work from Office Shifts - Mid Shift - (1 PM IST to 11 PM IST) Candidates with 8 - 11 years of experience particularly from Encounter submission background US Healthcare Knowledge. E.g. Encounter, EDI, HIPAA, 837 Layout, insights into Medicare and Medicaid , Markets etc. Facets/QNXT or any other healthcare adjudication system knowledge will be an added advantage. SQL Server - SSIS or SSRS plus any Microsoft cloud technologies will be an added advantage. Analytical and Query Writing Skills (SQL) - Joint query, structured query, creating tables, running reports in SQL etc SQL Procedure and Packages, Debugging skills. Knowledge on any reporting tools or software e.g. Tableau or Power BI etc. Should be good at communication skills Interested, kindly share your updated resume to the below email pragya.shrivastav@cognizant.com
Posted 1 month ago
5.0 - 8.0 years
7 - 11 Lacs
Hyderabad
Work from Office
Cognizant is hiring Encounter Submission Specialist (US Healthcare) for Hyderabad location. Job Title: Team Leader Experience - 5 - 8 Years Job Location: Hyderabad (relocation benefits available for other location candidates) Mode of Work - Work from Office Shifts - Mid Shift - (1 PM IST to 11 PM IST) Candidates with 5 - 8 years of experience particularly from Encounter submission background US Healthcare Knowledge. E.g. Encounter, EDI, HIPAA, 837 Layout, insights into Medicare and Medicaid , Markets etc. Facets/QNXT or any other healthcare adjudication system knowledge will be an added advantage. SQL Server - SSIS or SSRS plus any Microsoft cloud technologies will be an added advantage. Analytical and Query Writing Skills (SQL) - Joint query, structured query, creating tables, running reports in SQL etc SQL Procedure and Packages, Debugging skills. Knowledge on any reporting tools or software e.g. Tableau or Power BI etc. Should be good at communication skills Interested, kindly share your updated resume to the below email pragya.shrivastav@cognizant.com
Posted 1 month ago
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 25k ( 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/ 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, Andheri, Turbhe 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
Posted 1 month ago
1.0 - 6.0 years
1 - 4 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 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 ( 10 am to 6 pm ) Everyday contact person VIBHA HR ( 9043585877 ) Interview time (10 am to 6 pm) Bring 2 updated resumes Refer( HR Name VIBHA ) Mail Id : vibha@novigoservices.com Call / Whatsapp (9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- VIBHA HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)
Posted 2 months ago
1.0 - 6.0 years
1 - 4 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - Payment - AR Analyst 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)
Posted 2 months ago
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