2106 Medical Billing Jobs - Page 17

Role & responsibilities : Claims Processing: Managing and processing insurance claims, including verifying patient information, coding procedures accurately, and submitting claims to insurance companies. Follow-up on Unpaid Claims: Monitoring the status of submitted claims, identifying unpaid or denied claims, and following up with insurance companies to resolve issues and ensure timely payments. Appeals and Disputes : Handling claim denials and rejections by preparing and submitting appeals to insurance companies and resolving billing disputes. AR Aging Management : Managing accounts receivable aging reports and actively working to reduce outstanding balances. Preferred candidate profile: Experience: A minimum of 1-5 years of experience in medical billing and insurance claims processing. Previous experience in a senior or leadership role within a medical billing department is highly desirable. Knowledge: Strong understanding of medical billing procedures, healthcare reimbursement, and insurance claim processes. Proficiency in medical coding (ICD-10, CPT, HCPCS) and knowledge of billing software and electronic health records (EHR) systems. Familiarity with healthcare regulations, including HIPAA, and the ability to maintain compliance.

Should have minimum 1 yr experience in AR calling - Denial Management Physician and Hospital billing experience is required WFO , night shifts, cab provided Contact 8977711182 Required Candidate profile MUST have the experience of fetching claim status over the call from Health insurance companies.

Job Profile Coordinating Develop and execute innovative strategies to improve and secure business delivery Able to establish pilot A/R process and devise strategy to improve collections. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices i.e. Payment Posting, AR Followup/Denial Management, & Patient Billing. Understands the eccentricities of various provider specialties. Actively develop the management capabilities and business acumen of direct reporters, and drives the development of team members, ensuring full and well- rounded team competency Experience of performing annual performance review/appraisals. Proficient in Excel and PowerPoint to create weekly reports, dashboards for both internal management and client . Strong people management skills with fair understanding of required techniques to create win-win situation Strong Employee Retention capabilities. Candidate Requirements Minimum 4 years of Medical Billing Experience is AR Follow and Denial Management Minimum 1 year experience as a Team Leader Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work night shifts. Preferred Qualification - Any Graduate

Hiring For Payment Posting - SPE Location : Hyderabad Exp : 1 - 5 yrs (Payment Posting) Qualification : Any Graduates Shift Timing : WFO / US shift ( 2 Way Cabs Available Within 25 Kms) CTC : Upto 4.5 LPA Notice Period : Immediate / 0-15 days Key Skills : Payment posting, Denial posting, ERA/EFT posting, EOB analysis knowledge of US Healthcare Domain Interested Candidates Contact HR Jawahar 8828153744 / jawahar@careerguideline.com If you Had Friends Were Interested Share This Number !!

Hiring AR Caller / Senior AR Caller - Immediate Joiner Exp : 1 to 3 yrs Salary : 35 K Based on skills Location : Trichy Online Interview Relieving letter is not mandatory. Interested Call / Whatsapp your CV : 9976707906 - Saranya, HR Refer your frnz Required Candidate profile Skills : # Minimum 1 year experince in AR Calling voice withd denials. # Ex omega is not eligible

Role & responsibilities Work in teams that process medical billing transactions and strive to achieve team goals Process Payment Posting transactions with an accuracy rate of 99% or more Absorb all business rules provided by the customer and process transactions with a high standard of accuracy and within the stipulated turnaround time Actively participate in companys learning and compliance initiatives Apply your knowledge of medical billing to report performance on customer KPIs Be in the center of ethical behavior and never on the sidelines Desired Candidate Profile Should have 1-2 years of experience in medical billing, preferably in payment posting process & charge entry Ability to learn and adapt to new practice management system Good Process knowledge Excellent Typing Skills Good written & verbal communication Hindi Language is added advantage CONTACT : HR THENDRAL - 9080343507 HR PADMAJA - 7358440054

Hiring AR Caller / Senior AR Caller - work from office Exp : 1 to 4 yrs Salary : 40 K based on skills Location : Chennai & Bangalore Online Interview Relieving letter is not mandatory. Interested Call / Whatsapp your CV : 9976707906 - Saranya, HR Required Candidate profile Skills : # Minimum 1 year experience in AR Calling Voice with denials. # Should have experience in 10 to 15 denials # Should have work experience in Either Physician Billing or Hospital Billing

Walk in Drive # Shift: US Shift #Location: Ahmedabad #Salary: Upto 30K CTC Cab Facility Provided( Both side) Fluent English Required 01 to 02 year Experience Required

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.

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - Operations Manager ( Male candidates Only ) Job description:- Min 8+ years experience in US Healthcare Industry in End to End RCM. At least 3 + years experience as a Manager Operations. (day shift ) Have good Knowledge of entire Medical Billing Processes such as Charge Entry, EDI, Cash Posting, Denial, and AR & MIS. Has Clear understanding of functioning of major Insurance Carriers, Health Care Facilities and Billing offices in USA. Has ability to drive a RCM process from different aspects, Such as Bad Debt Management, Denial Management, AR Management, Credit Balance Management & KPI Tracking, Good Knowledge in Provider credentialing (Doctor Side). Experience in Insurance calling. Initiate process improvement methods and best practices that will improve the performance of the team Proven ability to meet & exceed performance expectations set by upper management. Proven ability to independently manage large teams & advise business leaders of the same. Identifying and implementing ways to build better team effectiveness by encouraging a healthy environment for the team Strong business communication skills including the ability to work with all levels of the organization. contact person Vineetha HR ( 9600082835 ) 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)

Job Title: AR Caller & Senior AR Caller Company: Vee Healthtek Pvt Ltd Location: Pune Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Card & Two-way Cab Key Responsibilities: • Contact insurance companies to follow up on pending claims and secure timely payments. • Investigate claim denials and work towards quick resolutions. • Understand insurance policies, coverage limitations, and reimbursement processes. • Maintain and update records of follow-up activities and payment statuses. • Collaborate with internal teams to escalate unresolved claims. • Ensure compliance with industry regulations and company policies. Who Can Apply? • AR Caller: 1 year of experience in healthcare AR calling. • Senior AR Caller: Minimum 2+ years of experience in AR calling with expertise in claim resolution. • Strong understanding of US healthcare revenue cycle management. • Excellent communication and analytical skills. • Ability to work night shifts and meet performance targets. If your interested in joining our team, please reach out to Vinith R at 9566699374 or email your resume to vinith.ra@veehealthtek.com. We look forward to welcoming you to Vee Healthtek Pvt Ltd!!!!

Contact insurance companies in the US to follow up on unpaid or denied medical claims Review patient account information resolve denials or rejections Work on hospital billing claims Analyze denial codes, understand reason for denials Required Candidate profile Document update the system with call outcomes and next steps Ensure adherence to HIPAA guidelines internal quality std Meet daily and weekly targets for call volume resolution Communicate effectively Perks and benefits Perks and Benefits

Build your career with one of India's largest and fastest growing companies in healthcare revenue cycle management . Join a team that values your work and enables you to become a true partner to your clients by investing in your growth, besides empowering you to work directly on KPIs that matter to your clients. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture. Review and apply online below. JOB LOCATION : Noida JOB DESCRIPTION Call to the insurance companies, responsible for the outstanding balances on patient accounts from the aging reports. Manage A/R accounts. Resolve billing issues that have resulted in delay in payment. Establish and maintain excellent working relationship with internal and external clients. Escalate difficult collection situations to management in a timely manner. Call to the clearing houses and EDI departments of insurance companies for any claim transmit disputes. Should have the knowledge of patient insurance eligibility verification. Manage A/R accounts by ensuring accurate and timely follow-up. Review provider claims that have not been paid by insurance companies. Handling patients billing queries and updating their account information. SKILLS AND QUALIFICATIONS REQUIRED 1-5 years of experience in AR Calling / Follow up with US Healthcare (provider side). Flexibility to work in night shift, according to US office timings and holiday calendars. Fast learner with the ability to talk to people effectively, and adapt well to different situations for meeting operational goals. Basic working knowledge of MS Office. * Contact Number - 9910028569/ 9311316017/ 9971170400.

Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. SME in Denial Management Should identfy and work on AR automation to simply the process and ensure it provide quality results Provide trend analysis of issues with their appropriate solutions to the respective supervisor. Review remittance and action the claim for solution towards payment. Respond to customer requests by phone and/or in writing to ensure timely resolution of unpaid and denied claims. Adhere to SOP guidelines within established productivity standards. Report changes identified on payer adjudication guidelines. Knowledge on appeals management. Attending meetings and in-service training to enhance Accounts Receivable knowledge, compliance skills, and maintenance of credentials. Ensure complete adherence to TAT and SLA s as defined by the customer Maintaining patient confidentiality. Required Skills for this role include: 5+ years of experience working on Revenue Cycle Management regarding medical billing. Expertise on Revenue cycle management and End to End resolution guidelines. Expertise with Windows PC applications that required you to use a keyboard, MS office, navigate screens, and learn new software tools. Ability to work regularly from office scheduled shifts from Monday-Friday 5:30 pm to 3:30 pm IST.

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 ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

Hiring: AR Caller / Senior AR Caller Locations: Bangalore Experience: 6 Months -5 Years Notice Period: Immediate Joiners Preferred For a quick response from HR, please WhatsApp your CV to: HR Phani 9494994261 We are hiring experienced AR Callers / Senior AR Callers with strong knowledge in Physician Billing . Experience in Hospital Billing is an added advantage. Job Description: Work on denial management and resolution Follow up with insurance companies for claim status Good understanding of the US healthcare RCM process Strong domain knowledge and communication skills required Requirements: 6 Months to 5 years of experience in AR Calling (US healthcare) Hands-on experience with denials Good understanding of Physician Billing; Hospital Billing is a plus Immediate joiners preferred Special Note: Candidates currently based in Hyderabad or Chennai are welcome to attend virtual interviews . However, relocation to our Bangalore office is mandatory upon selection . Please apply only if you are open to relocating post-offer. For a quick response from HR, please WhatsApp your CV to: HR Phani 9494994261 Company: ACN Healthcare RCM Services Pvt Ltd. Special Note: Candidates currently based in Hyderabad or Chennai are welcome to attend virtual interviews . However, relocation to our Bangalore office is mandatory upon selection . Please apply only if you are open to relocating post-offer.

Benefits Our Expertise Compliances Outsourcing Resources Executive System Admin Job Experience: Experience Required Experience: 1-3 Years Job Category: Support Job Location: Chennai Skill Required: Good oral & Written communication skills Level Desktop Support. Job Essentials: Resolving Tickets within TAT Record all the issues and service request received via phone and mail. Ensure all software installed and definition file updated in all the desktops, laptops Data Management File format conversion, data movement related request handling as per TAT AD User Management Creating, disabling the IDs on same day based on HR Mail. Update the relevant documents on time Daily Monitoring Check Server events, Email Server alert and physical health, take necessary action if any hardware failure / abnormal observed. All network devices except Firewall Daily monitoring and reporting the status of Switches, Router and Link. Hardware Inventory Manually track & update the hardware movement in asset register with immediate effect. Team Bonding Attendance / Flexibility Reporting on time to shift and extending support when required

Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of whats possible. As we continue to grow, we seek a talented candidate to join our team and contribute to our exciting projects. Position Overview: The Credentialing Executive will be responsible for managing the credentialing and re-credentialing processes for psychiatric care providers within our network. The role will also focus on maintaining up-to-date provider documentation, ensuring compliance with insurance companies, and monitoring provider licensing. This position requires a detail-oriented and proactive individual to ensure the smooth integration of providers into the insurance network and their continued compliance. Responsibilities: Assist in the enrollment of providers with insurance companies, ensuring all required documentation is submitted timely and accurately. Collect, verify, and maintain the necessary documentation for all providers, ensuring compliance with regulatory standards and insurance requirements. Proactively follow up with insurance companies to track the status of credentialing applications, resolve issues, and ensure providers are credentialed in a timely manner. Coordinate and manage the re-credentialing process for existing providers, ensuring timely submissions and compliance with insurance companies requirements. Monitor and maintain CAQH (Council for Affordable Quality Healthcare) profiles for all providers, ensuring accuracy and compliance with industry standards. Oversee the process of enrolling providers with Medicare, ensuring compliance with all relevant regulations and ensuring successful enrollment. Requirements: Minimum of 5 years of experience in healthcare credentialing or provider relations, preferably in US healthcare sector. Candidate must have a bachelor s degree in any field. Experience with insurance portals, CAQH, and Medicare enrollment systems Excellent communication and interpersonal skills, with the ability to build rapport and trust at all levels of the organization. In-depth knowledge of credentialing processes, insurance company contracting, and regulatory requirements in the healthcare sector. Strong organizational and time management skills, with the ability to handle multiple tasks and deadlines. Ability to maintain confidentiality and work with sensitive provider data in a HIPAA-compliant manner. Diversity, equality, and inclusion Diversity, equality, and inclusion are fundamental to our success at HUMS. We actively promote diversity across all aspects of our organization, including but not limited to gender, race, ethnicity, sexual orientation, religion, disability, and age. We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow, contribute, and succeed. Benefits: Competitive salary (including EPF and PS) Health insurance Four days workweek (Monday Thursday) Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly. We look forward to hearing from you! In case of any queries, please feel to reach out us at [email protected] Note: Available to take calls between 4:45 PM to 3:45 AM IST only from Monday to Thursday. #LI-DNI

Experience Required: 1 to 4 Years in US Healthcare / AR Calling / RCM Process CTC Offered: 3LPA 6 LPA + Incentives + Shift Allowance Job Description: We are hiring energetic and goal-driven AR Callers to join our dynamic US healthcare team. As an AR Caller, you will be responsible for calling insurance companies (in the US) to follow up on pending claims. Key Skills Required : Good Communication Skills (English Verbal & Written) Basic Knowledge of Denial Management, RCM, CPT/ICD codes Understanding of US Healthcare Insurance Terms (Medicare, Medicaid, etc.) Ability to work in Night Shifts (US Timing) Shift Timings: Night Shift (6:30 PM 3:30 AM IST) | Monday to Friday Perks & Benefits: Attractive Incentives 2-Way Cab (Night Shift) Performance Bonus Health Insurance Career Growth & Internal Promotions Qualifications: Any Graduate / Diploma (Medical/Non-Medical) Prior experience in AR Calling / Voice Process preferred How to Apply: Contact HR: Boopathy [9944781780] (Send the CV in Whatsapp) Mention AR Caller Current Location in the subject line

Experience: 1-4 years in AR calling (US healthcare) Exp in denial management and handling AR calls Exp with healthcare billing software Ensure accurate & timely follow up where required. Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Noida & Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577

Role & responsibilities Generate and process inpatient and outpatient bills based on treatment and services rendered. Verify patient details, insurance coverage, and authorization before billing. Submit claims to insurance companies and follow up on approvals and reimbursements. Handle billing-related queries from patients and resolve discrepancies. Maintain records of all billing activities, payments, and outstanding balances. Coordinate with departments (e.g., admissions, pharmacy, diagnostics) to ensure complete and accurate billing. Monitor and report daily billing collections and outstanding dues. Assist in audit processes by providing necessary billing records. Comply with hospital policies, billing regulations, and insurance guidelines. Ensure confidentiality of patient financial and medical information.

Job Summary Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare solutions without the need for travel. Responsibilities Process claims with a high degree of accuracy ensuring compliance with Medicare and Medicaid regulations. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Maintain up-to-date knowledge of industry standards and regulatory changes. Utilize technical skills to enhance claims processing efficiency. Communicate effectively with stakeholders to ensure clarity and understanding of claims processes. Implement best practices to improve overall claims management. Monitor claims processing metrics to ensure timely and accurate adjudication. Provide feedback and suggestions for process improvements. Support the team in achieving departmental goals and objectives. Ensure all claims are processed within established timelines. Assist in the development of training materials for new team members. Contribute to a positive work environment by fostering collaboration and teamwork. Qualifications Possess strong analytical skills to assess and adjudicate claims accurately. Demonstrate proficiency in claims adjudication processes and tools. Exhibit a solid understanding of Medicare and Medicaid claims requirements. Show excellent communication skills to interact with various stakeholders. Have the ability to work effectively in a hybrid work model. Display a keen attention to detail to ensure compliance and accuracy. Certifications Required N / A

Designation: AR Caller / Senior AR Caller Experience: Minimum 2 years in Hospital billing preferred. Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

Dear Aspirants, We are hiring for the following details, Position : - AR Analyst Should Know denial action take part. They should know at least 5 denial codes with action. If they have experience in a denial management team, we can consider proceeding with them to assign an AR f/u team. Good knowledge of the claim form (HCFA) field used for billing. General medical billing. Modifier usage & CPT codes Claim Appeals submission & Payer Website access knowledge to check claim status. Monday to Friday Interview time ( 10 Am to 6 Pm ) ( Experienced candidates only can apply ) RCM US HealthCare Medical Billing Salary: Based on Performance & Experience Exp: Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only ( Direct Walkins Only ) Contact person - Rekha HR Interview time ( 10 Am to 6 Pm ) Bring 2 updated resumes ( Refer to HR Name Rekha ) Call / Whatsapp ( 9043004654) Refer HR Rekha Locaion : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Rekha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Rekha Call / Whatsapp ( 9043004654)

SUMMARY OF RESPONSIBILITIES The position of Prior Authorization Specialist is responsible for processing prior authorization requests for Surgical procedures, prescriptions, Imaging, PT etc. Job description: (1) Processes prior authorization requests relating to procedures, radiology, Physical Therapy, prescriptions from pharmacists. This may include receiving a request form via fax or telephone; reviewing the patients chart to verify the Medical record, prescription, patient data, and the proper diagnoses; uploading patients office notes; requesting prior authorizations by speaking personally with the insurance company representatives by phone or via internet portals, receiving immediate authorization or requesting to be placed onto pending queue for a response within 24-72 hours; expediting urgent requests to generate a same day response; answering questions from insurance company representatives; monitoring incoming faxes for authorizations and adding the authorizations and confirmation numbers to the patients charts; and delivering the authorizations to the pharmacist, or otherwise notifying pharmacist of determination. (2) Processes prior authorization requests relating to procedures, imaging, physical therapy prescriptions from provider teams via EMR message in an efficient and timely manner. (3) Requests clarification regarding diagnosis codes and office notes from provider teams as needed via EMR message. (4) When necessary, monitors incoming fax messages and distributes them to appropriate personnel or chart in an efficient and timely manner. (5) Assistant with scanning, as well as duties of Prior Authorizations Specialist (Imaging), when necessary. (6) Performs other related duties as assigned. Prerequisites: Minimum 1 year of experience in Pre-Auth in Procedures (preferred), Peer to Peer Review, Auth related appeals/denials, well versed with EVBV (Eligibility Verification and Benefit Verification). Excellent oral and written communication skills Knowledge of current medical terminology to communicate with physician, staff, and patients High level of attention to detail Strong organization, filing, and time management skills Basic computer literacy and typing Patient focused Good communication skills with RCM knowledge Knowledge of third party payer regulations including Medicare, Medicaid, Veterans Affairs (VA) and commercial insurances. Ok with Night shift. Ok with Work from office - Location: Navi Mumbai