184 Medicaid Jobs - Page 7

Roles & 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. Work in all shifts on a rotational basis. No Planned leaves for next 6 months Requirements: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (bo...

Role Objective : Authorization Creation is a process where we need to coordinate with the nurses for decrypting the medical records & reports. Essential Duties and 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 t...

Role Objective Follow 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 man...

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 hav...

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 hav...

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 hav...

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...

Responsibilities: * Manage denials through effective communication with providers and insurers. * Ensure compliance with HIPAA, Medicaid, Medicare, Cobra, ICD, CPT, HCPCS codes. Health insurance Office cab/shuttle Provident fund

Job Description The Provider Enrollment is responsible for the timely and accurate enrollment of healthcare providers with government and commercial insurance payers. This role ensures that providers are enrolled correctly and efficiently so that they can bill and receive reimbursement for services renders. The Specialist works closely with the Hospital system and payer organizations to facilitate smooth onboarding and maintain compliance with payer requirements. Role & responsibilities Prepare, submit, and track provider applications for enrollment and credentialing with Medicare, Medicaid, and commercial payers. Assist with creating and maintenance of CAQH profiles. Monitor and follow up o...

#FOLLOW-UP WITH MEDICAL INSURANCE PAYERS REGARDING THE STATUS OF OUTSTANDING CLAIMS #PROFICIENT IN COMPLETING AND SENDING CLAIM FORMS ACCORDING TO UB04,CMS& THIRD-PARTY PAYER GUIDELINES #STRONG KNOWLEDGE OF END TO END DENIAL MANAGEMENT PROCESSES Required Candidate profile 1 TO 4 YEARS EXP. AR CALLING PROCESS(CMS1500)EXP. IN COMP. & SUB. CLAIM FORMS ACC. TO CMS & THIRD-PARTY PAYER GUIDELINES STRONG FOCUS ON SERVICE EXCELL. WHEN DEALING WITH PATIENTS,CLIENTS & COMP. EMP. Perks and benefits #BEST SALARY, INCENTIVE PLANS #VIRTUAL INTERVIEWS

Role & responsibilities Allocates and delegates takes amongst employees. Provides operational support to employees on all phases of transaction processing. Interacts with clients and internal departments to solve issues. Identifies and resolves issues around pending transactions. Performs quality audit on accounts . Preferred candidate profile Skills Required 3-5 years of experience in claims adjudictaion. Demonstrated client interaction skills. Ability to analyze reasons behind incomplete transactions. Understands process interdependencies • Possesses deep domain knowledge in Healthcare and Insurance domain Interested please share your resume to pushpa.shanmugam@nttdata.com

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 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. Responsibilities: Follow up with the payer to check ...

Job description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 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. Responsibilities: Follow up with the...

Hiring for US Healthcare company Grad with 7 months exp in RCM can apply UG/Btech with 12 months RCM can also apply Salary upto 3.60 LPA to 5.50 LPA Fixed Sat-Sun off Fixed nght shifts Loc- Gurgaon / Noida Snehal@9625998099 Required Candidate profile Candidate should have good knowledge on RCM. Candidate should be comfortable with night shifts. Candidate should have decent typing speed. Perks and benefits Both side cabs One time meal

1. AR Calling (US Healthcare) Physician Billing || Upto 40k TH || Eligibility :- Min 1+ years of experience into AR Calling into physician billing Locations :- Hyderabad , Chennai, Noida & Mumbai Package :- Upto 40k take home Qualification :- Any UG / Graduate Immediate Joiners to 1 month notice is acceptable WFO. Hospital Billing || Upto 55k TH || Eligibility :- Min 1+ years of experience into AR Calling into physician billing Locations :- Hyderabad , Bangalore Package :- Upto 55k take home Qualification :- Inter & above Immediate Joiners Preferred WFO. 2. IV Calling & Prior Authorization (RCM) || 32k TH || Experience :- Min 1 year in IV Caller (or) Prior Authorization Location :- Chennai P...

Responsibilities: * Manage AR calls, denials & authorizations * Ensure compliance with HIPAA & Hippas * Execute medical billing processes * Handle CPT & HCPCS codes * Meet revenue cycle management goals

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...

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 # 12...

Role & responsibilities Candidate should have indepth knowledge on the payer enrollment process. Payer enrollment for Medicare, Medicaid, and commercial insurers Managing contracts and participation agreements Knowledge of healthcare laws, payer policies, and revalidation requirements Insights on the waystar clearing house is an added advantage

Role & responsibilities Candidate should have indepth knowledge on the payer enrollment process. Payer enrollment for Medicare, Medicaid, and commercial insurers Managing contracts and participation agreements Knowledge of healthcare laws, payer policies, and revalidation requirements Insights on the waystar clearing house is an added advantage

Join Our Growing US Healthcare Team as a Credentialing Coordinator! Are you detail-obsessed, process-driven, and ready to be the bridge between healthcare providers and payers? This is your chance to shine in a role where accuracy saves time, and time saves lives. Location: Noida (Within a 30 km radius) Experience: 24 years in US healthcare credentialing (Provider Enrollment, CAQH, NPI, and Payer Applications) Education: Any Graduate (Healthcare background preferred) What Youll Do: Manage end-to-end credentialing for US healthcare providers — from initial application to final approval. Maintain CAQH profiles, NPIs, and state license verifications with zero lapses. Work with payers, provider ...

Role & responsibilities The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of business. This includes direct management of internal teams and external vendors handling both first-pass and second-pass recovery efforts. The role requires experience across a wide range of subrogation case typesincluding automobile-related claims (e.g., no-fault/PIP), workers compensation, general liability, medical malpractice, and mass tortwith the ability to manage and optimize recoveries across all applicable third-party liability scenarios. Key Responsibilities Oversee subrogation operations, including inter...

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...

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...

This opportunity is under the direct pay roll of US based MNC. Job Location: Pune, Mundhwa Mode of work: Hybrid (3 days work from office) Shift timings: 1pm to 10pm About the Company: The Global MNC is a mission-driven startup transforming the healthcare payer industry. Our secure, cloud-enabled platform empowers health insurers to unlock siloed data, improve patient outcomes, and reduce healthcare costs. Since our founding in 2017, we've raised over $81 million from top-tier VCs and built a thriving SaaS business. Join us in shaping the future of healthcare data. With our deep expertise in cloud-enabled technologies and knowledge of the healthcare industry, we have built an innovative data ...