430 Medicare Jobs

As a Medical Biller / Coder, your role involves overseeing coding activities to ensure customer service and quality expectations are met. You will be the primary contact for coding questions related to Client Services and Operations. Your responsibilities include reviewing reports to identify specific issues, investigating and correcting them as per the coding guidelines, and implementing solutions. Additionally, you will need to proactively identify issues and plan for their resolution for clients and accounts. It is crucial to maintain compliance with HIPAA and ISO standards, adhere to company policies, and review and report on process updates and team metrics with the management team. You...

Responsibilities: * Manage accounts receivable process from patient billing to payment posting. * Execute denial management strategies to minimize write-offs.

Job description Greetings from Legacy Med Pvt Ltd We are the leading Revenue Cycle Management Company We are hiring for AR Callers & Senior AR Callers for the Chennai Location Job profile : Contacting insurance companies to verify coverage details. Maintaining systems for initial and ongoing benefit verification. Preparing call notes and documenting actions on the patient's revenue cycle platform. Using specific call note standards required by the client. Preferred candidate profile: Proven experience as a VOB Specialist or in a similar role. Knowledge of revenue cycle management and prior authorization. Strong communication skills, often with a neutral accent. Excellent attention to detail ...

We are currently hiring for - Payment Posting - Accounts Receivable Executive Desired Skills 1+ Years of experience in US Medical RCM {Revenue Cycle Management} Willingness to work in US shifts. Immediate Joiners are preffered. Can perform HIPAA compliant auto and manual posting requirements • Executes daily payment posting batch reconciliation • Understanding of posting offsets, forward balance, and refund processing / posting • Familiar with denial and remarks codes to perform posting and assignment of AR appropriately • Familiar with secondary billing process while perform cash posting • Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of...

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration. With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the hea...

1. We Are Hiring -AR Calling || US Healthcare || RCM || Physician Billing || Hospital Billing || Eligibility :- Min 1+ years of experience into AR Calling Package :- 42 K + Incentives + 2 way Cab Location :- Navi Mumbai, Hyderabad , Bangalore, Chennai, Coimbattore, Mohali Immediate Joiners Preferred Relieving letter is Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 2. Chennai Hospital Billing Openings: 1+ Year Experience in AR Calling (Hospital Billing) Up to 40,000 Take-Home + Incentives Immediate Joiners Preferred Relieving is Mandate. Virtual Interv...

HIRING - AR CALLERS - Upto 40K Take Home Experience : Minimum 1 Year in AR Calling (PB & HB) Salary : Up to 40,000 Take-Home Locations : Hyderabad, Chennai, Coimbatore and Mumbai Qualification : Intermediate & Above Notice Period : Immediate Joiners - 15 days Perks and Benefits : 2 way cab Incentives Allowances Interested Candidates Can Share Their Resume HR VYSHNAVI - 9603877908 vyshnavi.e@axisservice.co.in References are highly appreciated

Job Description Role Purpose The purpose of this role is to prepare test cases and perform testing of the product/ platform/ solution to be deployed at a client end and ensure its meet 100% quality assurance parameters. Do Instrumental in understanding the test requirements and test case design of the product Authoring test planning with appropriate knowledge on business requirements and corresponding testable requirements Implementation of Wipro's way of testing using Model based testing and achieving efficient way of test generation Ensuring the test cases are peer reviewed and achieving less rework Work with development team to identify and capture test cases, ensure version Setting the c...

As a Credentialing Analyst at our company, you will play a crucial role in ensuring the smooth functioning of medical billing services. Your responsibilities will include: - Working as a Credentialing Analyst for medical billing service providers. - Demonstrating good knowledge in Provider credentialing and clearing house setup. - Setting up Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA). - Establishing Insurance Portals (EFT) for efficient processes. - Handling Insurance calling and filling insurance enrollment applications. - Utilizing expertise in CAQH and PECOS applications. - Managing Medicare, Medicaid, and Commercial insurance enrollment. - Demonstrating a po...

As a Healthcare Credentialing Executive (Provider Side) in Chennai with a salary of up to 6 LPA, your role involves managing and maintaining the credentialing process for healthcare providers. Your experience in working with Cigna, CAQH, Medicare, and other healthcare networks will be crucial in ensuring that all provider credentials are up-to-date and compliant with regulatory standards. Key Responsibilities: - Manage and process provider credentialing and re-credentialing applications accurately and within set timelines. - Maintain and update provider profiles in CAQH and other credentialing databases. - Review and verify provider documents, licenses, certifications, and other credentials....

***HOSPITAL BILLING AR PREFERRED***. Candidate should have experience in Eligibility and Benefits verification, Authorisation initiating, AR CALLING, Perks and benefits Both pickup and drop cab facilities, Insurance

Role Overview: You will be responsible for reviewing provider disputes related to DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review. Your main tasks will include analyzing disputes, providing explanations based on findings, managing claim dispute volume, and ensuring adherence to client turnaround times and department procedures. Additionally, you will serve as a subject matter expert for the Expert Claim Review Team, creating educational materials, conducting research, and maintaining bill review content. Key Responsibilities: - Review provider disputes for DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review - Submit explanat...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

About The Role Project Role : Business Architect Project Role Description : Identify opportunities to deliver tangible business value by assessing the current state, capturing high-level requirements, and defining business solutions. Translate business needs into technology-enabled solutions and operating models. Support transformation by developing business cases and guiding implementation of key initiatives. Must have skills : Medicare Advantage Good to have skills : Health Insurance Operations, Electronic Medical Records (EMR) Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Configuration Lead, you will identify opportuniti...

Company Size Startup / Small Enterprise Experience Required 1 - 4 years Working Days 5 days/week Office Location Domlur, Bengaluru Role & Responsibilities We're hiring a Benefits Verification Specialist with 14 years of experience in US health insurance eligibility and benefits verification. You'll be part of our operations team, helping verify insurance benefits for patients receiving speciality care in the U.S. This is a full-time, in-office role based in Bangalore, with partial overlap with US hours. Key Responsibilities Perform insurance verification and eligibility checks for commercial and government payers (e.g., Medicare, Medicare Advantage, Medicaid, Managed Medicaid, VA, DoD). Vali...

Job Role : Senior AR Caller Experience : 1 to 4 yrs Salary : 37 K to 40 K based on skills Location : Chennai Mode of Interview : Online Interview Interested Call / Whatsapp : 9976707906 - Saranya, HR For Immediate Response Whatsapp your CV. Required Candidate profile Skills : # Minimum 1 year experience in AR Calling Voice in US health care #work experience in Minimum 8 to 10 denials #Work experience in Physician Billing #Ready to relocate, work in Night Shift

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.

Designation:AR Caller/SR AR Caller(Day Shift/Night Shift) Location:Bangalore Experience:1 to 4 Notice period :Immediate joiner Work mode : Work from office Interview mode:Online(virtual) Salary :Based on experience max(40k) Contact:9043426511-Suvetha Required Candidate profile Candidate must have experience in Physician Billing or Hospital Billing Candidate must have experience in voice process Candidate should have knowledge on denials minimum 8 Denials and More

Designation:AR Caller/SR AR Caller(Night Shift) Location:Bangalore Experience:1 to 4 Notice period :Immediate joiner Work mode : Work from office Interview mode:Online(virtual) Salary :Based on experience max(40k) Contact:6383196883-DEEPIKA Required Candidate profile Candidate must have experience in Physician Billing or Hospital Billing Candidate must have experience in voice process Candidate should have knowledge on denials minimum 8 Denials and More

Designation:AR Caller/SR AR Caller(Night Shift) Location:Bangalore , Chennai ,Trichy Experience:1 to 4 Notice period :Immediate joiner Work mode : Work from office Interview mode:Online(virtual) Salary :Based on experience Contact:9659451176 -DIVYA Required Candidate profile Candidate must have experience in Physician Billing or Hospital Billing Candidate must have experience in voice process Candidate should have knowledge on denials minimum 8 Denials and More

Designation: AR Caller/SR AR Caller Location: Bangalore , Chennai ,Trichy Experience:1 to 4 Notice period :Immediate joiner Work mode : Work from office Interview mode: Online(virtual) Salary :Based on experience Contact: 6379093874 Sangeetha HR Required Candidate profile Candidate must have experience in Physician Billing or Hospital Billing Candidate must have experience in voice process Candidate should have knowledge on denials minimum 8 Denials and More

Hiring: AR Caller/Senior AR Caller Experience in Physician Billing or Hospital Billing Location: Chennai, Bangalore & 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 SHOULD HAVE EXP IN 10 PLUS DENIALS SHOULD HAVE WORKED IN INTERNATIONAL VOICE PROCESS SHOULD HAVE WORKED IN CMS1500/UB04 NEED CANDIDATES WITH GOOD COMMUNICATION

Hiring: AR Caller/Senior AR Caller Experience in Physician Billing or Hospital Billing Location: Chennai, Bangalore & Trichy Experience: 1 to 4 Years Salary: Up to 40,000 per month Relieving letter is not mandatory Contact: Monisha-9629859733 Required Candidate profile SHOULD HAVE EXP IN 10 PLUS DENIALS SHOULD HAVE WORKED IN INTERNATIONAL VOICE PROCESS SHOULD HAVE WORKED IN CMS1500/UB04 NEED CANDIDATES WITH GOOD COMMUNICATION