2105 Medical Billing Jobs - Page 2

The company is urgently seeking a Credentialing and Enrollment Specialist to join the team. This is a full-time position located in Mohali with a salary of up to 30k. The ideal candidate should have a minimum of 6 months of experience in medical billing, credentialing, and enrollment. The successful candidate will be required to work night shifts and should possess excellent communication skills. The company provides cab facilities for the night shift employees. Preferred candidates will have a total of 1 year of work experience. The work location is in person.,

As a part of our team at Unique Occupational Services Pvt. Ltd (UOS), you will be entrusted with the responsibility of managing accounts receivable and revenue cycle efficiently. Your role will involve utilizing your expertise in accounts receivable processes, along with your strong communication and negotiation skills to ensure effective financial management. You should be well-versed in medical billing processes and insurance protocols, with proficiency in using billing and coding software. Attention to detail and accuracy in handling financial data will be crucial aspects of your daily tasks. Collaboration and teamwork are essential in our work environment, and your ability to work effectively with a diverse team will be highly valued. Having prior experience in the healthcare industry will be advantageous for this role, and certification in medical billing and coding will be considered a beneficial asset. Join us at UOS, where you can contribute your skills and knowledge to make a difference in the field of talent management and recruitment.,

About the job Medical Billing Quality Analyst Designation Quality Analyst Subordinate Team Leader Job Level Intermediate Department Medical Billing/AR Reporting to Senior Operations Manager PURPOSE OF THE POSITION The Quality Analyst (QA) in the Healthcare Accounts Receivable (AR) and Medical Billing team plays a critical role in maintaining service excellence by ensuring compliance with billing standards, payer guidelines, and internal processes. The QA monitors work quality, provides actionable feedback, and partners with operations and training teams to drive performance improvements and reduce error rates. This role serves as a key checkpoint in the quality lifecycleensuring claims are handled accurately and efficiently, supporting timely revenue recovery for our clients. RESPONSIBILITIES Quality Assurance & Performance Monitoring Audit a daily sample of billers' case transcripts. Document audit results in a standardized tracker and ensure completeness and consistency of findings. Identify patterns and recurring errors from audit results and escalate major discrepancies or compliance risks to Team Leads or Ops Managers. Collaborate with TLs and Trainers to align on recurring issues and plan targeted coaching or refresher training sessions. Support calibration sessions to maintain scoring alignment with client and operational leads. Provide clear and structured feedback to specialists based on audit results. Handle QA-related inquiries, audit appeals, validate audit logic, and update feedback if necessary. Reporting & Insights Generate and analyze daily, weekly, or ad hoc QA reports to provide insights on team quality trends and process bottlenecks. Flag outliers, productivity-to-quality gaps, and compliance risks in collaboration with Operations and Training. Prepare QA summaries for client-facing decks and internal reviews as needed. Cross-Functional Collaboration Partner with Trainers and Operations to conduct joint root cause analysis and process refinement. Participate in internal syncs, updates, or policy briefings to stay aligned with client expectations. Support internal and external calibration sessions and provide QA representation in client or compliance reviews. JOB REQUIREMENT Fluent in English (C1 level or above), with strong communication and leadership skills. Excellent verbal and written communication skills in English, with the ability to express ideas clearly and concisely. Be detail-oriented with strong analytical skills; Proficient skills with MS Office and Google Drive. Minimum of 1 year experience in healthcare AR, revenue cycle, or medical billing, with at least 1 year in a leadership role (external candidate). In-depth knowledge of billing practices, payer guidelines, denial management, and compliance standards (e.g., HIPAA). Strong analytical, decision-making, and problem-solving skills. Comfortable using billing systems, claim portals, and productivity monitoring tools. Ability to thrive in a fast-paced, client-driven environment. Able to work on Holidays is preferable. IJP Requirement: Must be an employee with more than 30 days of tenure from the official joining date. No active disciplinary action, PIP, or history of No Call, No Show (NCNS) or unapproved leave in the last 60 days Demonstrates strong work ethic, reliability, and professionalism. Fluent in English (C1 level or above), with strong communication and leadership skills. Excellent verbal and written communication skills in English, with the ability to express ideas clearly and concisely. Be detail-oriented with strong analytical skills; Proficient skills with MS Office and Google Drive; Minimum of 1 year experience in healthcare AR, revenue cycle, or medical billing, In-depth knowledge of billing practices, payer guidelines, denial management, and compliance standards (e.g., HIPAA). Strong analytical, decision-making, and problem-solving skills. Comfortable using billing systems, claim portals, and productivity monitoring tools. Ability to thrive in a fast-paced, client-driven environment. Able to work on Holidays is preferable.

***Greetings From You & I Consulting !**** You & I Consulting has always been in the spotlight for getting placed in 64+ MNC's PAN India. ***We are hiring for a Giant MNC (KPO) In Kolkata for a For US Healthcare Process with Fixed Saturday / Sunday Off. Hiring For Giant MNC Position: US Healthcare (Medical Billing) Location: Kolkata, India *Hurry Call or whtsapp now @ Pritha - 8116048176 Requirements: - Education Required :- 10+2 and above Fresher And Experienced Both Are Welcome ! International BPO Exp. will be a added advantage! Good communication Skill Mandatory Shift: 24x7 Shift (Home drop within the marked boundary, otherwise point drop) What We Offer:- Competitive salary and performance-based incentives. Comprehensive training and continuous learning opportunities to enhance your skills. Friendly and supportive work environment that promotes teamwork and collaboration. Career advancement opportunities based on your performance and dedication. CTC 3Lpa To 5.5Lpa In Hand + PF + Esi + and all other facilities Fixed Saturday / Sunday Off Key Responsibilities:- Help US Doctors and hospitals with proper documentation for their empanelment. Regular follow up via phone or email. Taking international calls. Keeps one updated with latest US healthcare rules & regulations. Applies critical thinking and critical decision making for completing tasks. *Hurry Call or whtsapp now @ Pritha - 8116048176 *Note :- If you encounter a busy tone or If you find our lines occupied, simply Whatsapp and share your details with us in the following format:- Full Name : Current Location : Contact No : Highest Qualification : Experience for Consideration (Total Experience) : Current Organization : Current CTC (Numeric Values only) : Expected CTC (Numeric Values only) : *Hurry Call or whtsapp now @ Pritha - 8116048176 "If you've read through the job description above and thought, 'Hey, this sounds like a perfect fit for someone I know - DO REFER YOUR FRIENDS

Schedule appointments and manage calendars. Maintain accurate and patient records and medication details. Handle patient communication, follow-ups and queries. Manage documentation of medical records. Provide general clerical and office support Required Candidate profile 1–3 years of relevant experience Prior experience in healthcare or clinical support preferred Excellent communication and coordination skills Willing to work night shift (US shift) 6:30 pm - 3:00 am

Arzion RCM is looking for Arzion Business Solutions - Trainee AR Caller in Chennai to join our dynamic team and embark on a rewarding career journeyAssisting experienced employees with their daily tasks and responsibilities.Observing and gaining hands-on experience in various aspects of the job.Receiving feedback and guidance from supervisors and mentors.Completing assigned projects and tasks under the supervision of experienced employees.Collaborating with team members and contributing to team projects.Demonstrating a strong work ethic, positive attitude, and a willingness to learn and grow.

- Offer comprehensive support through both phone and email communications. - Address complaints effectively, delivering suitable solutions and alternatives within established timeframes. - Conduct follow-ups to guarantee resolution. - Supply accurate and relevant information utilizing the appropriate tools. - Document and update notes for each call or email interaction. - Exceed expectations to prevent any inconvenience.

- Offer comprehensive support through both phone and email communications. - Address complaints effectively, delivering suitable solutions and alternatives within established timeframes. - Conduct follow-ups to guarantee resolution. - Supply accurate and relevant information utilizing the appropriate tools. - Document and update notes for each call or email interaction. - Exceed expectations to prevent any inconvenience.

Key Responsibilities: End-to-end follow-up on insurance claims via phone calls and/or payer portals. Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation). Perform root cause analysis and take corrective action for recurring denial trends. Ensure timely re-submission, appeals, and escalations for denied claims. Maintain accurate documentation of all activities performed in the billing system. Meet daily, weekly, and monthly productivity and quality benchmarks. Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials. Work on denial worklists, aging reports, and assigned inventory efficiently. Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices. Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas. Required Skills & Qualifications: Minimum 2+ years of experience in US Healthcare AR and Denial Management. Strong understanding of medical billing terminologies, CPT/ICD codes, and payer guidelines. Hands-on experience with billing platforms (Athena, eClinicalWorks, Epic, In-Sync etc.) is preferred. Good understanding of HIPAA compliance and patient confidentiality. Strong communication skills verbal and written (especially for payer calls). An analytical and problem-solving mindset to investigate and resolve complex denials. Ability to work independently and collaboratively in a high-volume environment.

Greetings from Firstsource Solutions! We are Hiring for AR Caller. Eligibility Criteria: Exp Required: Minimum 1year of experience in US AR caller Qualification: Any Degree Industry: Hospital Billing (Healthcare RCM) Good verbal & written communication skills. Hands on Experience in Denial Management & Hospital Billing. Epic Software Knowledge is must. Rotational Shifts. One way cab facility - 23 kms Immediate Joiners Work from office Interested candidates must directly walk-in to Firstsource office for the interview process. Please carry updated resume and Govt. photo ID proof Point of contact: Harieswar -HR [Write on top of your resume] Contact no: 7708136379 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

The Appeals Submissions Team Member is responsible for managing and resolving appeals related to claims discrepancies. The ideal candidate will have a strong understanding of the healthcare billing and reimbursement process, excellent analytical skills, and a keen eye for detail. Key Responsibilities: Track Appeal Status: Monitor the progress of submitted appeals, follow up as necessary, and ensure timely resolution. Maintain Records: Accurately document all appeal activities, outcomes, and communications in the company’s system. Identify Trends: Analyse denial patterns and provide feedback to improve claim submission processes and reduce future denials. Compliance: Ensure all appeals and related activities comply with relevant regulations, policies, and guidelines. Qualifications: Education: Bachelor's degree in healthcare administration, business, or a related field. Equivalent experience may be considered. Experience: Minimum of 2 years of experience in medical billing, claims processing, or appeals management within an RCM environment. Skills: Strong understanding of healthcare billing, coding, and reimbursement processes. Excellent analytical and problem-solving skills. Ability to interpret and apply complex regulations and guidelines. Proficient in using healthcare management software and databases. Strong written and verbal communication skills. Detail-oriented with strong organisational skills. Ability to work independently and as part of a team. Why you’ll love working at Commure + Athelas Highly Driven Team: We work hard and fast for exceptional results, knowing we’re doing mission-driven work to transform the country’s largest sector. Strong Backing: We are backed by top investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital and Elad Gil. Incredible Growth: Prior to our merger, Commure and Athelas had independently grown more than 500% YoY for three consecutive years. We’ve achieved Series D funding, have an industry-leading runway, and continue to scale rapidly. Competitive Benefits: Flexible PTO (pending specific geographical locations) , medical, dental, vision, maternity and paternity leave. Note that benefits are subject to change and may vary based on jurisdiction.

Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience #NTRQ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NTRQ

Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyze medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC – Anyone Fresher & Experience in Medical coding & years of Experience consider is 0.6 to 5 years Maximum Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. Apply Internal Employee Application

Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Eligibility To apply to an internal job, employees must meet the following criteria SG 22 can apply will move laterally Performance rating in the last common review cycle of “Meets Expectations” or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. #NJP External Candidate Application Internal Employee Application

Primary Responsibilities: The coder will evaluate medical records to verify the plan of care for chronic medical conditions The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Full-timeYes Work from officeYes Travelling Onsite / OffsiteNo Required Qualifications: Any graduate experience Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards Good knowledge in Anatomy, Physiology & Medical terminology At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. External Candidate Application Internal Employee Application

Primary Responsibilities: Identify appropriate assignment of ICD – 10 – CM and ICD – 10 – PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up – to – date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD – 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. External Candidate Application Internal Employee Application

Primary Responsibilities: Review and analyze patient medical records for accurate code assignment Ensure adherence to coding guidelines and regulatory requirements Learn to use medical coding software Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Stay updated on industry changes and attend relevant training sessions Ensure confidentiality and security of all patient information Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do #NTRQ Required Qualifications: Bachelor’s degree or master’s degree, from a medical science backdrop or anything relevant Life Science or Bioscience, Pharmacy or Pharmaceutical Sciences, Nursing or Medicine Allied Health Good knowledge in medical terminology basics Good knowledge in Anatomy physiology basics Well-versed with ICD-10 guidelines and their implementation Proficient in reviewing medical records and determining the accuracy and completeness of the document Preferred Qualifications: AAPC/AHIMA Certification Risk Adjustment coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. External Candidate Application Internal Employee Application

Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC – Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. External Candidate Application Internal Employee Application

About US: AM Medical IT Solutions Pvt. Ltd , located in Mumbai, is dedicated to offering high-quality and cost-effective services to the medical and dental industry. The company specializes in medical and dental revenue cycle management services, account receivable recovery, physician credentialing, contract negotiations, practice management, Chronic Care Management, and software support. With a focus on serving solo practitioners, group-practice physicians, and hospitals for an extensive period, AM Medical IT Solutions is a trusted partner in the healthcare industry. Role Opened: Medical Billing Credentialing/ Provider Enrollment AR/ Sr AR Associate Payment Poster Experience Level: HSC/ Graduate with Min 6 months in Physician Billing/RCM is must. Interested candidates are encouraged to connect directly via Call or WhatsApp at 9326870837/987196013 Interview Venue : A002 UB, Boomerang Building, Oberoi Garden, Chandivali, Andheri East, Mumbai 400072 Landmark : Near to Sakinaka Metro Station

We are looking for a highly skilled and experienced Executive - AR to join our team at Omega Healthcare Management Services Pvt. Ltd., located in Bangalore II. The ideal candidate will have 1-3 years of experience in the field. Roles and Responsibility Manage and resolve accounts receivable issues efficiently. Develop and implement effective strategies to improve cash flow and reduce bad debts. Collaborate with cross-functional teams to ensure seamless operations and accurate billing. Analyze financial data and provide insights to enhance business performance. Ensure compliance with company policies and regulatory requirements. Maintain accurate records and reports of accounts receivable transactions. Job Requirements Strong knowledge of accounting principles and practices. Excellent communication and problem-solving skills. Ability to work in a fast-paced environment and meet deadlines. Proficiency in CRM software and IT-enabled services. Strong analytical and organizational skills. Ability to maintain confidentiality and handle sensitive information. Omega Healthcare Management Services Private Limited is a leading healthcare management services provider, committed to delivering high-quality services and solutions to its clients.

We are looking for a highly motivated and detail-oriented individual to join our team as a Trainee Medical Billing Analyst in Bengaluru. The ideal candidate should have 0-1 years of experience. Roles and Responsibility Analyze medical billing data to identify trends and areas for improvement. Develop and implement process improvements to increase efficiency and accuracy. Collaborate with cross-functional teams to resolve billing discrepancies and issues. Conduct thorough reviews of billing documents to ensure compliance with regulations. Provide exceptional customer service to clients and stakeholders. Stay updated with industry developments and changes in medical billing regulations. Job Requirements Strong understanding of medical billing principles and practices. Excellent analytical and problem-solving skills. Ability to work effectively in a fast-paced environment and meet deadlines. Effective communication and interpersonal skills. Strong attention to detail and organizational skills. Familiarity with CRM/IT enabled services/BPO industry is an added advantage. Omega Healthcare Management Services Private Limited is a leading healthcare management services provider committed to delivering high-quality solutions to its clients. We are dedicated to providing exceptional patient care and ensuring seamless healthcare operations. For more information, please contact us at 1392434 or visit our website at .

We are looking for a highly motivated and detail-oriented individual to join our team as a Trainee Medical Billing Analyst in Bengaluru. The ideal candidate should have 0-1 years of experience. Roles and Responsibility Analyze medical billing data to identify trends and areas for improvement. Develop and implement process improvements to increase efficiency and accuracy. Collaborate with cross-functional teams to resolve issues and enhance services. Conduct quality control checks to ensure compliance with industry standards. Provide exceptional customer service to clients and stakeholders. Stay updated with industry developments and best practices in medical billing. Job Requirements Strong understanding of medical billing principles and processes. Excellent analytical and problem-solving skills with attention to detail. Effective communication and interpersonal skills, with the ability to work in a team. Ability to adapt to changing priorities and deadlines in a fast-paced environment. Strong organizational and time management skills, with the ability to prioritize tasks. Familiarity with CRM/IT enabled services/BPO industry is an added advantage. Omega Healthcare Management Services Private Limited is a leading provider of healthcare management services, committed to delivering high-quality solutions to its clients.

We are looking for a highly skilled and experienced professional to join our team as an Executive - AR in Bangalore. The ideal candidate will have 1-3 years of experience in the field. Roles and Responsibility Manage and resolve accounts receivable issues efficiently. Coordinate with internal teams to ensure accurate billing and payment processing. Develop and implement effective strategies to improve cash flow and reduce outstanding balances. Analyze financial data to identify trends and areas for improvement. Collaborate with external parties to resolve disputes and negotiate payments. Ensure compliance with company policies and procedures related to accounts receivable. Job Requirements Strong knowledge of accounting principles and practices. Excellent communication and problem-solving skills. Ability to work in a fast-paced environment and meet deadlines. Proficiency in CRM software and Microsoft Office applications. Strong analytical and organizational skills. Ability to maintain confidentiality and handle sensitive information. Experience working in a BPO or IT-enabled services industry is preferred. Omega Healthcare Management Services Private Limited is a leading provider of healthcare management services, committed to delivering high-quality solutions to its clients.

Looking for a motivated and detail-oriented AR Associate to join our team in Bangalore. The ideal candidate should have 0-1 years of experience. Roles and Responsibility Manage accounts receivable, including invoicing and payment follow-up. Coordinate with the billing team for accurate invoicing. Develop and implement effective strategies to improve cash flow. Collaborate with the sales team to resolve customer inquiries and disputes. Maintain accurate records of all transactions and payments. Identify and address denials by investigating root causes and resubmitting claims as necessary. Job Requirements Strong understanding of accounting principles and practices. Excellent communication and interpersonal skills. Ability to work effectively in a fast-paced environment. Proficiency in CRM software and Microsoft Office applications. Strong analytical and problem-solving skills. Ability to maintain confidentiality and handle sensitive information. Omega Healthcare Management Services Private Limited is a leading healthcare management services provider committed to delivering exceptional patient care and services. We are dedicated to improving healthcare outcomes through innovative solutions and strategic partnerships.

Looking for a skilled Senior Executive - AR to join our team in Bangalore. The ideal candidate will have 1-5 years of experience in the field. Roles and Responsibility Manage and oversee accounts receivable processes for timely and accurate payments. Develop and implement effective strategies to improve cash flow and reduce outstanding balances. Collaborate with cross-functional teams to resolve billing discrepancies and disputes. Analyze and report on key performance indicators (KPIs) to identify areas for improvement. Ensure compliance with company policies and procedures related to accounts receivable. Provide exceptional customer service to clients and stakeholders regarding payment status and inquiries. Job Requirements Strong knowledge of accounting principles, financial systems, and software applications. Excellent communication, problem-solving, and analytical skills. Ability to work in a fast-paced environment and meet deadlines. Proficiency in Microsoft Office and other relevant software tools. Strong attention to detail and organizational skills to manage multiple tasks simultaneously. Experience working with CRM/IT enabled services or BPO industry is preferred. Omega Healthcare Management Services Private Limited is a leading provider of healthcare management services, committed to delivering high-quality solutions to its clients.