294 Medicaid Jobs - Page 4

Job Description Repricing Analyst Job Name: Repricing Analyst Position Title Senior Executive Band A2 Domain Healthcare Reporting To Assistant Manager Location/Site: EXL India, Chennai Overview: The main objective of this position is to validate, calculate, and accurately report any overpaid amounts in the system. As a Repricing Analyst, you will be analyzing claims to determine the precise overpaid amount and recording the outcomes in the client/internal system. Your contribution to these tasks will help us maintain the accuracy and integrity of our client's financial records. Qualifications: AnyGraduate/ Postgraduate Working Hours: 40 hours /week, Full Time Employee Telecommuter/Internet r...

Gainwell Technologies LLC Key Responsibilities • Author, document, and maintain detailed demo scenarios, scripts, and storyboards tailored to workflows (claims, enrollment, eligibility, pharmacy, provider). • Curate and validate synthetic demo data • Collaborate with engineers to ensure all scenarios reflect actual product capabilities and value. • Define talk tracks, metrics for demo success, and acceptance criteria. • Lead or co-lead client demos, gathering feedback, and iterating scenarios/templates accordingly. • Train Sales and Product teams on demo delivery and scenario alignment to business requirements. • Capture post-demo feedback and contribute to knowledge and template updates. Qu...

Role Overview: You will be responsible for fielding questions from Coding Associates, Auditors, and clients. Additionally, you will establish procedures, prepare and coordinate schedules, expedite workflow, prepare reports and correspondence as needed, compile status and work-volume reports for management, and interview, train, motivate, and reward Coding department staff. Key Responsibilities: - Field questions from Coding Associates, Auditors, and clients - Establish procedures, prepare and coordinate schedules, and expedite workflow - Prepare reports and correspondence as needed - Compile status and work-volume reports for management - Interview, train, motivate, and reward Coding departm...

Key Responsibilities: As a Senior Product Manager you will be pivotal to creating roadmap owning release plan for multiple capabilities that is futuristic and meets industry and client needs You will be responsible for continuous backlog management prioritizing the backlog considering the needs and objectives of every stakeholder As a thought leader in your business domain bring in industry best practices learnings from client demos and interactions into designing You will anchor business pursuit initiatives sales demo You will have the opportunity to shape the Infosys platform that enables payers and providers to deliver better care Technical Requirements: Payer Provider PBM organizations P...

hi #linkies I'm #hiring for US Healthcare -Payment Posting Role : Payment Posting Location :Navi Mumbai ,Airoli Experience : 1+ Year relevant experience Payment posting Qualification : Any Graduation 5 Days Working Shifts : From 5:30PM Onwards (Any 9 hours Shift) 2 Way Cab Facility Available Immediate -30 Days Joiners Provider side experience ,Voice Process Interested can DM or share CV at:[HIDDEN TEXT] #PreAuthorization #PriorAuthorization #HealthcareAccess #Insurance #MedicationApproval #priorauthorization #medicalbillingservices #medicalbilling #revenuecyclemanagement #medicalbillingcompany #denialmanagement #paymentposting #healthcare #practicemanagement #rcmservices #reimbursement #medi...

Kindly note RCM and US Medical Billing experience is Mandatory. Job Title: Associate/ Sr. Associate - Operations (Accounts Receivable team) Work from Office Location: Pune (Aundh) , Mumbai (Ghansoli) and Nagpur (Gayatri Nagar) About the Company: We are a product-based software development company based in Portland, Oregon, USA. We have been in business for over 30 years and have 2000 eye care professionals using our software. We were the first company to launch a complete EHR / practice and optical management system in the eye care industry in 1994 for optometrists and ophthalmologists. We have over 300 employees in the company. The company is headquartered in Hillsboro OR with offices in In...

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 ...

As a Medical Coder and Biller, your role will involve investigating, evaluating, and managing calls to complete coverage analysis using Xactimate estimating software. You will be responsible for confirming or denying coverage, obtaining vehicle information from the DMV, and ensuring compliance with HIPAA policies on each call. Your responsibilities will include abiding by laws and regulations associated with HIPAA and patient confidentiality, as well as coordinating Medicare, Medicaid, and secondary insurance coverage. Key Responsibilities: - Investigate, evaluate, and manage calls for coverage analysis using Xactimate estimating software - Obtain vehicle information from the DMV - Follow HI...

As an experienced professional in US healthcare, your role will involve providing expert-level knowledge of US healthcare and health plans, covering areas such as Medicare, Medicaid, and commercial insurance. You will be responsible for developing comprehensive solution proposals that not only address client needs but also aim to improve health plan outcomes. Building strong relationships with clients, understanding their unique requirements, and offering tailored solutions to help them achieve their goals will be a key part of your responsibilities. Additionally, you will work closely with clients to implement health plan solutions, ensuring smooth transitions and effective outcomes. Collab...

Job Description Claims Analyst Job Name: Claims Analyst Position Title Senior Executive - Claims Band A2 Domain Healthcare Reporting To Assistant Manager Location/Site: EXL India, Chennai Job Description Reviewing medical records and producing an accurate summary, Ability to analyze, Look at each medical record to check for missing documentations Priorities workloads to ensure expedited cases are processed within defined timelines Ensures that medical records are up to compliance. Qualifications: AnyGraduate/ Postgraduate Working Hours: 40 hours /week, Full Time Employee Work Model: Training from office for 2 - months and hybrid there after Telecommuter/Internet requirements, if applicable: ...

Role Overview: As an expert in US healthcare and health plans, you will be responsible for providing in-depth knowledge and developing comprehensive solution proposals to address client needs and improve health plan outcomes. Your role will involve building strong client relationships, understanding their needs, and delivering tailored solutions to meet their goals. Additionally, you will collaborate with internal stakeholders to ensure the successful implementation of health plan solutions. Key Responsibilities: - Provide expert-level knowledge of US healthcare and health plans, including Medicare, Medicaid, and commercial insurance. - Develop comprehensive solution proposals that address c...

We Are Hiring: AR Callers (PB & HB) - US Healthcare Location: Chennai Experience: Minimum 2 years in AR Calling - Denial Management Package: Up to 5.5 LPA Location: Hyderabad Experience: Minimum 1 year in AR Calling - Denial Management Package: Up to 40k TH Qualification : Inter & above Shift: Night Shift (6:30 PM to 3:30 AM) Notice Period: Immediate joiners - 15 days notice acceptable Perks: 2way cab facility Incentives Allowances Apply Now !! HR Harshitha - 7207444236 ( Call / WhatsApp ) ragaharshitha.gunturu@axisservice.co.in Refer your friend's / Colleague !!!

Reviewing and investigating claims processing, verifying the proper payment of claims, and bringing insurance claims to full resolution through a combination of external third-party relationships and cross-functional communication and collaboration. Maintaining service level agreements regarding assigned accounts receivable tasks while ensuring timely resolution of all claims while prioritizing responsibilities, problem solving, and thinking critically as you perform your regular duties and accommodate other time sensitive tasks as they arise. Conducts regular review and follow up of accounts receivables, ensuring the timely resolution and payment of accounts. Utilizing multiple reports and ...

Role Overview: As a member of R1 RCM India, you will play a crucial role in transforming the healthcare industry by providing innovative revenue cycle management services. With a commitment to making healthcare simpler and more efficient, you will join a team of over 30,000 employees globally, with a strong presence of 14,000 employees in India. The inclusive culture at R1 RCM ensures that every employee is valued, respected, and appreciated, supported by a robust set of employee benefits and engagement activities. Key Responsibilities: - Identify denial reasons and work towards resolution - Prevent claims from being written off by timely follow-up - Utilize sound knowledge of working on Bil...

As an experienced professional in the field of US healthcare and health plans, you will be responsible for providing expert-level knowledge and solutions to clients to improve health plan outcomes. Your role will involve developing comprehensive solution proposals tailored to meet client needs, particularly focusing on Medicare, Medicaid, and commercial insurance. Building strong relationships with clients is essential to understand their requirements and ensure effective implementation of health plan solutions. Your key responsibilities will include: - Providing expert-level knowledge of US healthcare, health plans, regulatory requirements, and industry trends. - Developing comprehensive so...

Job Title: Senior Credentialing Specialist Experience: 5 to 8 Years US Shift: 4:30 Pm to 1:30 Am Mode of Work: Work From Office Work Location: Chennai - Valasaravakkam Transportation: Cab Provided (Only for Female Employees) Interested candidates send your cv to shane@parkmedicalbilling.com Job Summary: We are seeking an experienced Credentialing Specialist with a strong background in Accounts Receivable (AR) calling . Credentialing Duties: Prepare, submit, and track applications for provider credentialing and re-credentialing with insurance payers and healthcare organizations. Maintain up-to-date provider files, licenses, certifications, and other required documents. Monitor credentialing d...

Gainwell Technologies LLC Summary As a Product Owner -US Healthcare at Gainwell,you will play a key role in driving product vision, strategy, and execution within the US healthcare and pharmacy domain. You will work closely with stakeholders, development teams, and business units to define product requirements, prioritize features, and ensure successful product delivery in alignment with business objectives. Your role in our mission Key Responsibilities • Act as the primary point of contact for the product, owning the roadmap and backlog. • Collaborate with cross-functional teams, including business stakeholders, engineering, UX/UI, and quality assurance, to define and deliver high-impact pr...

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess 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 PowerPointQualificationsGraduate 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 SetCandidate should have good healthcare knowledge. Candidate should have knowledg...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: 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 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...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: 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 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...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: 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 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...

Gainwell Technologies LLC Summary As a Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position. Your role in our mission Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. Help coordinate a business analyst team's duties and activities on IT projects and nurture newer team members by providing guidance and support Be a ...

Summary Gainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are the key player in the Medicaid space with a presence in 51 of the 56 U.S. states and territories with offerings including Medicaid Management Information Systems (MMIS), Fiscal Agent Services, Program Integrity, Care Management, Immunization Registry, and Eligibility Services. We generate over $2 billion in annual revenue, and we've been innovating in the industry for more than 50 years. Powered by more than 14,000 employees, Gainwell solutions support more than 60 million Medicaid beneficiaries nationwide and manage 1...

Gainwell Technologies LLC Gainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are the key player in the Medicaid space with a presence in 51 of the 56 U.S. states and territories with offerings including Medicaid Management Information Systems (MMIS), Fiscal Agent Services, Program Integrity, Care Management, Immunization Registry, and Eligibility Services. We generate over $2 billion in annual revenue, and we've been innovating in the industry for more than 50 years. Powered by more than 14,000 employees, Gainwell solutions support more than 60 million Medicaid beneficiaries natio...

Gainwell Technologies LLC Summary As a Sr Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position. Your role in our mission Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. Help coordinate a business analyst team's duties and activities on IT projects and nurture newer team members by providing guidance and support. B...