294 Medicaid Jobs - Page 7

Hiring - AR Callers || Locations :- Chennai, Hyderabad, Mumbai Experience :- Min 1 year of experience into AR Calling - denial management Package :- Up to 40K Take home Locations :- Chennai, Hyderabad, Mumbai Qualification :- Inter & Above Mode :- Work from Office Hiring - Pre Authorization - Voice || Location :- Hyderabad Experience :- Min 1 year of experience into pre authorization - Voice Package :- Up to 32K Take home Location :- Hyderabad Qualification :- Any Graduate Mode :- Work from Office AR Caller - International Voice - Us Healthcare || Fresher || Location :- Hyderabad Experience :- Freshers ( 0 years ) Package :- 3 Lpa - 16k Take Home Location :- Hyderabad Qualification :- Any Gr...

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: Follow up is the most essential pa...

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work t...

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 ...

Responsibilities: * Manage US healthcare accounts receivable calls * Execute denial management strategies * Oversee revenue cycle processes * Handle medical billing tasks * Process payments accurately Health insurance Office cab/shuttle Provident fund

R1 RCM India is proud to be a Great Place To Work Certified organization. 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 Follow up is the most essential part in the RCM cycle. It is usually the last step in th...

Role: Associate Vice President (AVP) Training | US Healthcare RCM Location: Pune (Work from Office) Shift Timing: US Shifts CTC: Up to 20 LPA We are hiring for the role of AVP Training to lead learning & development initiatives and strengthen training functions within the US Healthcare RCM domain. Required Experience: Minimum 14 years of overall experience in US Healthcare RCM. Must have at least 1 year of experience as AVP Training(on paper) OR Must have 2.5 years of experience as Senior Director – Training(on paper). Key Responsibilities: Lead end-to-end training and development strategy across RCM operations. Design and implement scalable training frameworks for onboarding, process traini...

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

Role: AR Caller(Account Receivable) Process: International Voice Process Experience : Freshers Location: Chennai Shift: Night Shift Package : 3LPA Qualification : Any Graduate Regards, Prabhakaran Please share your CV to this number 6381236843

The Medical Billing Specialist will submit claims, follow up with payers, and appeal denials. Strong attention to detail is required. You'll also communicate with patients, providers, and insurance companies.

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 R...

To maintain individual provider files to include up to date information needed to complete the required federal and commercial provider credentialing applications. To Maintain internal provider data to ensure all information is accurate and logins are available up-to date. To Update each providers CAQH database file timely according to the priority norms. To Complete re-validation requests for all federal and commercial applications To Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid. To Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. To Ready and adaptable to perform the daily assigned duties with Quality . Conta...

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 ...

Role & responsibilities Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. Should have calling skills, probing skills and denials understanding. Preferred candidate profile Candidate should be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Perk and Benefit Both side tr...

1-5 years of experience in AR calling or revenue cycle management (RCM). Strong understanding of US healthcare Excellent communication skills Send resumes to people-culture@worldsourceteam.co.in Contact : Rajan 99400 65113.

The Supervisor, Coding is responsible for supervising the activities and operations of the Coding department and staff. You will be in charge of organizing, directing, and monitoring the daily activities of Coding Associates, including managing coding edits and denials. Distributing workloads among the team and monitoring the productivity of department employees will be part of your responsibilities. You will also field questions from Coding Associates, Auditors, and clients, as well as prepare reports and correspondence as needed. As the Supervisor, you will establish procedures, coordinate schedules, and expedite workflow to ensure efficient operations. Conducting employee evaluations, int...

POSITION SUMMARY The Senior Product Analyst is responsible to conceptualize solution framework for product requirements and deliver functional blueprint. Define the product component scope in sync with overall product vision and work closely with engineering teams to deliver winning products. Additionally, undertake artefact review to ensure quality deliverables. It also includes working with sales, marketing and support to ensure customer satisfaction goals are met. The Senior Product Analyst job also includes ensuring that the product supports the companys overall strategy and goals. PRINCIPLE JOB RESPONSIBILITIES: Work with Product Managers to define the product strategy and roadmap for a...

As a valued member of the Infosys delivery team, you will be responsible for collaborating with clients to resolve quality assurance issues and ensuring their utmost satisfaction. Your key duties will include comprehending requirements, designing and reviewing solutions, validating architectures, and delivering top-notch service offerings in the technology sector. Furthermore, you will play a crucial role in project estimation, contribute to solution delivery, conduct technical risk assessments, oversee code reviews and unit test plan evaluations. Your leadership will be instrumental in guiding your teams towards creating optimized, high-quality code deliverables, promoting continuous knowle...

As a Physician Billing Associate at our team in Hyderabad, you will be responsible for handling various tasks related to CMS-1500 claims processing and ensuring timely reimbursements from insurance companies. Your role will be crucial in investigating claim denials or rejections, making necessary corrections, preparing appeal letters, and reporting trends to billing managers. To excel in this position, you should possess a High School Diploma or equivalent, although an Associate's degree is preferred. You must have a minimum of 2 years of experience in Physician billing, specifically focusing on CMS-1500 claim processing. A deep understanding of Medicare, Medicaid, and commercial insurance g...

Role: We are seeking a meticulous and organized Payment Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting payments received from insurance companies and patients, ensuring the integrity of financial data and contributing to the overall efficiency of the revenue cycle. Responsibilities: Payment Entry: Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks. Reconciliation: Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies. Claims Management: Review and resolve any payment dis...

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 e...

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 proble...

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 ...

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....

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 em...