294 Medicaid Jobs - Page 5

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...

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 Be...

Job description CREDENSE MB is looking for multiple candidates with good analytical skills with understanding of US Health care. Candidate should have knowledge on Complete Revenue Cycle Management Accounts Receivables Medical Billing **MUST HAVE EXCELLENT COMMUNICATION SKILLS IN ENGLISH ** **MUST BE GOOD IN MS OFFICE TOOLS****NEED TO WORK IN SHIFTS ** Job Description: US Healthcare Charge Entry Payment posting Accounts Receivables Calls Denials and Appeals Management End to End Billing Cycle Management Posting Payments Eligibility Verification Prior Authorization Knowledge of Insurance Eligibility verification Good understanding of medical terminology, disease processes Excellent Communicat...

AR Callers - Upto 40K TH + Incentives + Cab Facility Experience: Minimum 1+ Year (Physician Billing / Hospital Billing) Locations: Hyderabad | Chennai | Mumbai | Bangalore Package : Up to 40,000 Take-Home + Incentives Qualification: Intermediate & Above Notice Period: Preferred Immediate Joiners WFO Benefits: Incentives Allowances Cab Facility Apply Now HR HARSHITHA - 7207444236 (call/ WhatsApp) ragaharshitha.gunturu@axisservice.co.in Referrals are Welcome Share with friends & colleagues!

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...

Please share cv @ shikha.nillay@provana.com or ping me @ 7678565526 Key Responsibilities: Credential Verification: Conduct primary source verification of education, licenses, certifications, and work history. Perform background checks including criminal records and disciplinary actions. Compliance & Regulation: Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies. Monitor expiration dates and initiate timely renewals of credentials. Documentation & Database Management: Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES). Track and update provider profiles and credentialing logs. Communication & Coordination: Liaise with providers, pay...

Key Responsibilities: Credential Verification: Conduct primary source verification of education, licenses, certifications, and work history. Perform background checks including criminal records and disciplinary actions. Compliance & Regulation: Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies. Monitor expiration dates and initiate timely renewals of credentials. Documentation & Database Management: Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES). Track and update provider profiles and credentialing logs. Communication & Coordination: Liaise with providers, payers, and internal departments to resolve discrepancies. Respond to i...

Responsibilities: - Demonstrate deep understanding in Payor workflows such as Claims, Enrolment and Provider workflows Experience with Medicare and Medicaid claims preferred. Experience in healthcare plan operations (e.g., claim adjudication life cycle/workflows, network contracting, provider relations, medical management, audit, compliance) Work independently under guidance from the client and possess good communication skills Should be able perform due diligence in understanding client current system Strong experience in business analysis, requirements gathering, client communication Hands on experience with design, build, implementation, and support of healthcare payer IT systems Experien...

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...

1. We Are Hiring -AR Calling ||US Healthcare ||RCM|| Physician Billing ||Hospital Billing|| Eligibility :- Min 1+ years of experience into AR Calling in denial management into physician OR hospital billing. Locations :- Hyderabad , Chennai , Bangalore & Mumbai. Qualification :- Any Graduate. Package- 40 K + Incentives Immediate Joiners Preferred . Relieving letter Not Mandate. WFO. Perks & Benefits: Cab Facility. Incentives. Allowances. If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 2. We are Hiring Prior Authorization | Hyderabad Experience: Minimum 1 Year in Prior Authorization (Physician Billing) Salary: Up to 35...

As a member of the accounts receivable follow-up team at R1 RCM India, your role is crucial in ensuring maximum reimbursement from insurance companies by looking after denied claims and reopening them. With a commitment to transforming the healthcare industry, R1 RCM India aims to simplify healthcare processes and enhance efficiency for healthcare systems, hospitals, and physician practices. **Key Responsibilities:** - Identify denial reasons and work towards resolution. - Prevent claims from being written off by timely follow-up. - Utilize knowledge of Billing scrubbers for making edits. - Handle Contractual adjustments & write off projects. - Maintain a good Cash collected/Resolution Rate....

Company: Med Globe Healthcare Services. **WE NEED EXCELLENT VERBAL AND WRITTEN SKILLS IN ENGLISH** We are hiring only for the Kolkata location; applicants who reside in Kolkata are eligible to apply for this job. Designation: "AR Caller" / Account Receivable Analyst / AR - Follow-Up / Medical Billing / Denial Management / US - Healthcare - Night Shifts/US Shifts / Multispecialty Denials / FRESHERS Mode: WORK FROM HOME - NEWTOWN, KOLKATA, W.B. Roles and responsibilities * Build a learning culture. * Manage and handle effectively escalations raised by the clients. * Adhere to organizational policies and procedures. * The candidate should lead by demonstrating the highest standards of ethical b...

Job Description: You will be responsible for reviewing and following up on unpaid or denied insurance claims, analyzing Explanation of Benefits (EOBs) and Remittance Advice (RA) to determine appropriate action, working denials and rejections in a timely manner, collaborating with coding and billing teams to resolve discrepancies or missing documentation, updating claim status and notes in the billing system (e.g., EPIC, Kareo, eClinicalWorks), and meeting productivity and quality targets such as the number of claims worked per day and resolution rate. Key Responsibilities: - Review and follow up on unpaid or denied insurance claims (primary and secondary). - Analyze Explanation of Benefits (...

Role & responsibilities Interact with the US health insurance companies (Insurance Customer Care/Nurses/UM Team) Quality of Notation, Ability to read clinical documentation and data enter for payer requirements. 80%+ Calling will be involved (may vary site to site), should be open to Voice based work Would secure relevant information of Health Insurance of the patient. Work on Websites/Applications to perform the activity as per the SOP. Would be working in 6pm to 3 am & 9pm to 6am, Supporting US operations (in EST Zone) Should be Open to Learn & adapt as per the changing needs of the process. Will have to go thru ongoing Trainings (for performance / process needs) Should be flexible to be m...

About the Role We are hiring Medical Coders with experience in Federally Qualified Health Centres (FQHCs) to support accurate, compliant coding for multiple specialities. This role requires deep knowledge of FQHC billing rules and a commitment to accuracy in every encounter coded. Key Responsibilities Review medical records and assign correct CPT, HCPCS, and ICD-10 codes across FQHC specialities (Primary Care, Dental, Womens Health & OBGYN, Paediatrics, Behavioural Health, Senior Care, Diabetes Care, Podiatry). Ensure coding accuracy in line with CMS, Medicare, Medicaid, and HRSA regulations . Apply FQHC-specific billing rules, including encounter-based billing, PPS, and wrap-around payments...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) - Payment - Charge 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,...

In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Benefit Configuration . With over 1 year of experience as a Supervisor . Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep in...

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...

No-1 Healthcare RCM Company is Hiring for AR Caller For Physician Billing Salary Up-to - 4.5LPA Exp -12 Months required in AR Calling ,denials Management ,RCM Cycle , Authorization, And Physician Billing CMS 1500 Call @ WhatsApp- Sejal -8595347527

We are seeking an experienced Account Management Director to lead and optimize our Account Management team. This leadership role will focus on driving customer success and revenue growth, ensuring long-term customer retention, and enhancing overall account health. The ideal candidate will possess a track record of exceeding expansion and retention targets within a fast-paced startup or SaaS company. As the Account Management Director, you will develop and implement strategies, foster a culture of continuous improvement, and collaborate cross-functionally to enhance customer engagement and satisfaction. Responsibilities Lead the Account Management team with a customer-centric approach, priori...

Role Overview: You will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. Your role will involve reviewing inpatient and outpatient records to ensure services are properly documented and billed. Additionally, you will ensure compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Identifying errors in coding, billing, and documentation and providing feedback to relevant departments will be a crucial part of your responsibilities. You will also prepare detailed audit reports, including findings, trends, and recommendations for corrective action. Collaboration with coding, billing, clinic...

As an Assistant Operations Manager at R1, you will be responsible for establishing and ensuring compliance with departmental policies and procedures, managing people to drive retention, analyzing data to identify process gaps, preparing reports, and overseeing performance management. You will also be the first level of escalation, working in all shifts on a rotational basis, and focusing on cost efficiency with regards to processes, resource utilization, and overall constant cost management. Your role will involve operating utilizing aggressive operating metrics. Key Responsibilities: - Establish and assure compliance with departmental policies and procedures - Manage people and drive retent...

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...