2106 Medical Billing Jobs - Page 19

# Location- Ahmedabad # Shift Timing: US Shift (Night Shift) # Facilities - Cab Facilities # 5-day work week # Saturday and Sunday are fixed off # Experienced from 2 months to 2 years in AR calling or healthcare

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.

#Shift: US Shift #Location: Ahmedabad #Salary: Up to 30k CTC Cab Facility Both Side 5 Days working in a week Strong English Communication 01 to 02 Year Experience

Hello Connections..! We have Huge openings for Ar callers!!!! Greetings from Happiehire!!! Designation: Ar caller / Sr Ar caller (International voice process) Experience: 1 to 4 years - (physician billing / hospital billing / Denials, voice process) **** Chennai location / Bangalore location / Mumbai location*** Experience in physician or hospital billing Denial experience mandatory Good salary hike Virtual /walkin available FOR IMMEDIATE RESPONSE SEND CV TO 8925221508 Yogalakshmi Happiehire

Job TitleFinance reporting (Refund Claims and analysis) Location[Bangalore] Experience RequiredMinimum 3–4 years Employment Type[Full-time] Job SummaryWe are looking for a detail-oriented and proactive Refund Claims & Collections Executive with prior experience in the travel industry, who has knowledge in airline refund collections. The ideal candidate will have a strong understanding of industry practices, familiarity with GDS tools, MS office and the ability to manage the refund claim transaction volume on a daily basis. Key Responsibilities: Handle refund processes related to bookings and transactions within the travel domain. Manage end-to-end claims processing, ensuring timely validation, documentation, and closure. Coordinate with internal teams and external partners (airlines, GDS, vendors) to resolve refund claim-related issues. Maintain accurate records and logs of claims and collections activities. Use GDS software for information retrieval and resolution (As applicable). Generate basic reports and summaries using MS Excel and other MS Office tools. Ensure compliance with company policies and service level agreements (SLAs). Required Qualifications & Skills: 3–4 years of relevant experience in GDS and airline refund claims and collections within the travel industry. Exposure to GDS software such as Amadeus, Sabre, or Galileo (preferred). Strong analytical and problem-solving skills. Proficiency in MS Office, especially Excel. Ability to communicate clearly and professionally across teams and with external partners. Attention to detail, time management, and organizational abilities. Preferred Attributes: Prior experience working with travel agencies, airlines, or B2B travel platforms. Understanding of ticketing and refund processes.

Good knowledge in Denials, appeals, rejection/claims, correspondence Knowledge in RCM & AR fundamentals AR Caller (Night shift - no cab) Sat & Sun Fixed Week Off Direct Walk-in Interview Contact: Priyadarshini HR 9363752251

Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: . 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

Hiring for AR Healthcare Process Graduation Required Minimum 6 months relevant experience required Job Details: 5 Days Working Rotational Shifts Rotational Offs Both Side Cab Provided Salary: Up to 45,000 Share your CVs @ 7291098048 , 8700591262

Bizmatics, A leading EHR company provides clinical and business productivity software and services to medical practices & multi-specialties. Our cloud-based application, PrognoCIS is a fully-integrated solution comprising EHR, Telemedicine, Practice Management, Medical Billing, RCM, Patient Engagement tools, and more. Built on multi-tier Internet architecture, PrognoCIS EHR supports all major specialties and has fully customizable templates. The integrated architecture supports common databases for all Prognocis products to ensure seamless, real-time information flow between EHR and Billing. PrognoCIS is available both as an ASP service or an in-house Client-Server solution. As a Quality Assurance Analyst, this professional will be responsible for ensuring the quality and reliability of our software applications through comprehensive testing processes. You will collaborate closely with cross-functional teams, including developers, product managers, and project managers, to drive the success of our products. Work Mode: Hybrid Shift Timings: 9:30AM to 6:30PM IST Location: Mumbai, Nagpur Responsibilities & Duties: 1. Analyze software requirements and technical specifications. 2. Participate in requirement and design review meetings. 3. Develop and documents application test plans based on business requirements and technical specifications. 4. Create test cases including detailed expected results. What we are looking for: 1. Bachelor s degree in Computer Science, Software Engineering, a related field, or relevant experience. 2. 1+ year(s) of experience in software quality assurance or software testing. 3. Hands-on experience in manual testing and familiarity with automated testing tools. 4. Proven understanding of QA processes, methodologies, and testing types

Job Description 1 Graduate Medical background, MR (B pharma), BHMS, BAMS/ MBA in Hospital Adminstration 2 2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit 3 Candidate must have excellent knowledge of health insurance / Health TPA domain. 4 Candidate must have excellent bill/medical negotiation skills & customer handling skills. 5 Good communication skills in Hindi/English and regional language of the state/region. 6 Ready to relocate himself/herself at location within India as may be required according to the job requirement 7 Candidate must own vehicle to travel in various hospital assigned to him 8 Candidate must be computer literate and shall possess skills including but not limited to Microsoft Office Suite and navigating through internet Portals 9 Candidate will be mapped with minimum 20 hospitals for physical visit based on the location and city. Additionally 20-25 Hospitals for Case Audit and Management 10 Proficient in handling complex situations and customers. 11 Candidate must possess clinical knowledge for evaluation of medical files 12 Sound knowledge of surgical procedures and disease cure management

Job Description 1 Graduate Medical background, MR (B pharma), BHMS, BAMS/ MBA in Hospital Adminstration 2 2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit 3 Candidate must have excellent knowledge of health insurance / Health TPA domain. 4 Candidate must have excellent bill/medical negotiation skills & customer handling skills. 5 Good communication skills in Hindi/English and regional language of the state/region. 6 Ready to relocate himself/herself at location within India as may be required according to the job requirement 7 Candidate must own vehicle to travel in various hospital assigned to him 8 Candidate must be computer literate and shall possess skills including but not limited to Microsoft Office Suite and navigating through internet Portals 9 Candidate will be mapped with minimum 20 hospitals for physical visit based on the location and city. Additionally 20-25 Hospitals for Case Audit and Management 10 Proficient in handling complex situations and customers. 11 Candidate must possess clinical knowledge for evaluation of medical files 12 Sound knowledge of surgical procedures and disease cure management

- Grade Specific Key Responsibilities :- All Technologies and Sub technologies within that specific Architecture Work with the relevant BU and Strategic Partners stakeholders to build and refresh the Learning Maps (LMs) Create/ Evaluate Quiz Working with the lab team to build the relevant LABs and Demos required to go into the partner enablement Learning Maps. Desired technical and interpersonal skills include, but are not limited to: 1.BE with hands on experience in Cisco technologies- NOC/Deployment/Troubleshoot/Design & Implement - Cisco Meraki, SDWAN, ACI, Nexus 2.CCNA and/or CCNP Routing & Switching certifications (preferred) 3.Strong communication skills 4.Very Good understanding on Cisco Architectures (EN/Sec/SP) and Solutions 5.Desire and ability to learn new technology and solutions.

Job description: Good communication skills with RCM knowledge Knowledge of Insurance AR follow up, Denial management, Appeal creation. Minimum 1 year of experience in AR follow up & denials is a must Ok with Night shift Ok with Work from office - Location: Navi Mumbai

Minimum 2 years of experience in RCM domain in US Health, preferably in Quality Auditor/Expert capacity in Billing. Expertise in medical billing end to end RCM. Knowledge on EPIC, eCW, NextGen, IMS, Raintree applications is an added advantage. Strong knowledge of Billing and understanding of Medical records. Should have strong understanding of medical billing terms. Should have strong verbal and written communication skills. Monitor and analyze RCM process errors Audit error corrections both short and long term Quantify error rates and their trends individually, by team, by client, and by client pool Analyze the errors to build training materials and tests Create automation solutions to reduce error rates Should be able to identify and report issues front end/client that have resulted in delay in authorization Responsible for call/data quality monitoring Provide feedback to agents using the prescribed feedback model Mentoring and coaching agents on process-level issues Monitor adherence to compliance procedures and processes Responsible for reporting program-level quality scores to the process owners Responsible for conducting calibration and performance review calls in terms of quality with clients as well as the internal team Conduct refresher training on the basis of the errors identified Perform weekly analysis aiming at improving SLA Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to the operation/management team Identify and highlight potential risk areas and recommend preventive action Maintaining a robust monitoring system to ensure key program metrics are adhered to and the required level of quality is maintained across the board

Aster Medcity is looking for Associate.Medical Records.MIMS Hospital Calicut to join our dynamic team and embark on a rewarding career journey Processing requisition and other business forms, checking account balances, and approving purchases. Advising other departments on best practices related to fiscal procedures. Managing account records, issuing invoices, and handling payments. Collaborating with internal departments to reconcile any accounting discrepancies. Analyzing financial data and assisting with audits, reviews, and tax preparations. Updating financial spreadsheets and reports with the latest available data. Preparation of operating budgets, financial statements, and reports. Reviewing existing financial policies and procedures to ensure regulatory compliance. Providing assistance with payroll administration. Keeping records and documenting financial processe

Minimum 2 years of experience in RCM domain in US Health, preferably in Quality Auditor/Expert capacity in Accounts Receivables. Expertise in medical billing end to end RCM Knowledge on EPIC, eCW, NextGen, IMS, Raintree applications is an added advantage. Strong knowledge on process to initiate authorization and basic understanding of Medical records. Should have worked on various authorization scenarios and able to take immediate action to resolve them and follow up with Insurance to obtain authorization timely. Should have strong verbal and written communication skills. Monitor and analyze RCM process errors Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on authorization Audit error corrections both short- and long-term Quantify error rates and their trends individually, by team, by client, and by client pool Analyze the errors to build training materials and tests Create automation solutions to reduce error rates Should be able to identify and report issues front end/client that have resulted in delay in authorization Responsible for call/data quality monitoring Provide feedback to agents using the prescribed feedback model Mentoring and coaching agents on process-level issues Monitor adherence to compliance procedures and processes Responsible for reporting program-level quality scores to the process owners Responsible for conducting calibration and performance review calls in terms of quality with clients as well as the internal team Conduct refresher training on the basis of the errors identified Perform weekly analysis aiming at improving SLA Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to the operation/management team Identify and highlight potential risk areas and recommend preventive action Maintaining a robust monitoring system to ensure key program metrics are adhered to and the required level of quality is maintained across the board

Hiring for AR Callers, Prior Authorization, Medical Billing, Credit Balance, Eligibility and Benefit verification || Hyderabad, Mumbai || upto 5.75 lpa Location AR Caller, Eligibility Verification - Hyderabad AR Caller, Prior authorization, Medical Billing, Credit Balance - Mumbai Eligibility: Minimum 1 yr of experience in any field is mandatory Package : AR caller (Hyderabad) - Upto 40k take home Eligibility and Benefit Verification (Hyderabad) - Upto 5.75 LPA AR Caller (Mumbai) - Upto 4.6 LPA Payment posting, Medical Billing, Credit Balance (Mumbai) - upto 4.34 LPA Prior Authorization (Mumbai) - upto 5.75 LPA Qualification: Inter & Above Notice Period : Immediate Joiners are preferred Cab Facility available Interested candidates can Call Or Send Resume to HR Shravani - 8121575006 Referrals are welcome

Urgent openings for AR Caller/SR AR Caller Job Loc: Mumbai, Bangalore, Chennai Exp: 1 yr to 4yrs Salary: 40k Max Skills: Physician / hospital Billing, Denial Management exp is must Contact: 9659451176 starworth09@gmail.com REGARDS; divya

Location: NOIDA Role: Charge Entry Specialist 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 discrepancies, denials, or underpayments by working closely with the billing and collections teams. Reporting: Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow. Customer Communication: Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner. Compliance: Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting. Process Improvement: Identify opportunities for streamlining the payment posting process and contribute to best practices within the team. Key Skills: Previous experience 1+ Year in payment posting, medical billing, or revenue cycle management in a healthcare setting is required. Strong knowledge of medical billing processes and payment posting practices. Proficiency in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (30 WPM with 97% of accuracy) 3+ years of experience required. Package up to 6 LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.

Location: NOIDA Role: Charge Entry Specialist Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Key Skills: Strong knowledge of medical terminology, coding (CPT, ICD-10), and billing practices. Proficient in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Self-motivated, analytical, and able to work both independently and as part of a team. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (30 WPM with 97% of accuracy) 3+ years of experience required. Package up to 6 LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.

Greetings From Vee HealthTek Private Limited....!! " Immediate Hiring for Quality Analyst/ Senior Quality Analyst (AR - RCM ) - Mohali" Process - US Process (Healthcare) Experience - 3+Years Designation: Quality Analyst/ Senior Quality Analyst Location - Sebiz Square Tech Park, Sector 67, Mohali - Chandigarh "Note - On Papers QA ( Medical Billing -AR) is Mandatory" Skills required: Good Domain Knowledge Good Oral & Written Communication skills Proficient in MS Word/Excel Excellent analytical skills with understanding of health care claims processing. Ability to multi-task Willingness to be a team player and show initiative where needed. Willingness to work in Flexible Shifts Roles & responsibilities: Ensure all Quality parameters are met by removing errors. Work towards Service Levels and meet the productivity and quality requirements. Counsel the team members on quality issues. Document all errors and feedback given to each team member in the prescribed format. Ensure all client updates are recorded and shared across the team. Execute quality check are done as per the latest updates. Ensure timely communication with the clients. Identify and update your supervisor on the training requirements of your team. Interested candidates can reach out to Subiksha G - subiksha.g@Veehealthtek.com/ 9606003487

Preferred candidate profile Average to Good communication Good knowledge about health care industry Should have experience in Charge entry and payment posting. Sound knowledge in MS office Immediate joiner. Typing speed min 25 words per minute Shift : Day Shift Address: Plot: 27, Siruseri IT Park, Project Office, A-40, First Cross Road, Siruseri, Tamil Nadu 603103

We're hiring freshers as AR Analysts in the US Healthcare RCM domain. Great opportunity to learn medical billing, insurance denials, and payment posting. Build your career in the fast-growing healthcare outsourcing industry.

Excellent Opportunity in AR Calling - Denial Management (International Voice - US Healthcare) Are you an experienced AR Caller with expertise in denial management? Join our team and advance your career in the US healthcare industry! Roles & Responsibilities: > Review work orders and follow up with insurance carriers for claim status. >Check the status of outstanding claims and receive payment details. >Analyze claim rejections and take necessary actions. > Ensure all deliverables meet quality standards. Who Can Apply? >Experience: 1.5 - 4 Years >Candidates with excellent communication skills and strong knowledge of denial management. > Immediate joiners preferred. > Denial management experience is mandatory. >Willing to work night shifts (US shift). Perks & Benefits: >5-day working (Weekends Off) Job Location: Velachery, Chennai Apply Now - Share your updated resume! Amirtha: 8122080023 / Krithika: 8220518877 Join us and take your career to the next level!

Greetings from happiehire, we are hiring for payment posting, AR Caller , EVBV , Pri-Auth Location :- Mumbai / Pune / Chennai / Benglore / Hyderabad EXP:- More than 1 Year Immediate Joiners Only Salary :- Negotiable INTERESTED CANDIDATES CONTACT NAGAMANI HR 8074384512