277 Medicare Jobs

Healthcare KPO | Makarba, Ahmedabad We're hiring for: AR Caller Payment Posting Eligibility Verification Credentialing Dental Billing Min. 6 months experience required Fixed Night Shift Graduates only (No IT) Excellent English Communication must

About the Role We are seeking experienced QA Auditors with FQHC expertise to ensure coding accuracy and compliance across multiple specialities. This role involves auditing coders work, identifying gaps, and driving improvements to achieve high first-pass claim acceptance. Key Responsibilities Audit coded charts for accuracy and compliance with FQHC billing and coding rules . Provide detailed feedback and training to coders to reduce errors and improve outcomes. Monitor compliance with CMS, Medicare, Medicaid, and HRSA regulations . Track performance metrics for coders and ensure adherence to productivity and quality benchmarks. Partner with RCM, providers, and operations teams to resolve di...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) - Payment - Charge Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan,...

In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Benefit Configuration . With over 1 year of experience as a Supervisor . Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep in...

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess 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 PowerPointQualificationsGraduate 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 SetCandidate should have good healthcare knowledge. Candidate should have knowledg...

HIRING ALERT | CUSTOMER SERVICE SPECIALIST US HEALTHCARE (NIGHT SHIFT) Role: Customer Service Specialist US Healthcare Location: Airoli, Navi Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We are looking for smart professionals with excellent communication skills and a great attitude to deliver outstanding customer experiences! Your Impact Handle inbound & outbound customer calls Deliver timely and accurate resolutions at high productivity Build client & domain knowledge for first-call resolution Ensure adherence to SLAs CSAT, Handle Time, Customer Effort Maintain quality & compliance standards Document queries/issues and follow up effectively Support operational improvements ...

No-1 Healthcare RCM Company is Hiring for AR Caller For Physician Billing Salary Up-to - 4.5LPA Exp -12 Months required in AR Calling ,denials Management ,RCM Cycle , Authorization, And Physician Billing CMS 1500 Call @ WhatsApp- Sejal -8595347527

We are currently seeking a Software Quality Assurance Specialist to join our team in Chennai, Tamil Ndu (IN-TN), India (IN). Minimum 6+ years of experience in QA functional testing and ETL TestingKnowledge in Us healthcare domain and knowledge in facets and EDI process is required Advance knowledge in Testing Process to guide a team Experience in agile and Hybrid/waterfall methodologies Support QA coordinator on the defect management calls. Guide QA Testers on their Requirement/US analysis Test case design/execution review Bug retest assign/review Attend Client calls and able to take important notes Communicate and Support business users Can work independently with Good analytical skills, Ad...

Location: Chennai (Work from Office) Designation: Team Executive Number of Positions: 2 Key Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 5-9 years of experience in Enrollment & Billing . With over 1 year of experience as a S upervisor . Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintainin...

We are seeking an experienced Account Management Director to lead and optimize our Account Management team. This leadership role will focus on driving customer success and revenue growth, ensuring long-term customer retention, and enhancing overall account health. The ideal candidate will possess a track record of exceeding expansion and retention targets within a fast-paced startup or SaaS company. As the Account Management Director, you will develop and implement strategies, foster a culture of continuous improvement, and collaborate cross-functionally to enhance customer engagement and satisfaction. Responsibilities Lead the Account Management team with a customer-centric approach, priori...

Hiring For AR Caller- UB 04 Exp: 1 to 4 Yrs Salary: Up to 40K Location: Chennai (WFO) Interview : Online Required - Minimum 1 Yr experience in UB-04 with Denial Management Interested Candidate Can Send Your resume to Me Sathya M (HR)- 9659045792

Role Overview: You will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. Your role will involve reviewing inpatient and outpatient records to ensure services are properly documented and billed. Additionally, you will ensure compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Identifying errors in coding, billing, and documentation and providing feedback to relevant departments will be a crucial part of your responsibilities. You will also prepare detailed audit reports, including findings, trends, and recommendations for corrective action. Collaboration with coding, billing, clinic...

Immediate Hiring | US Healthcare (Night Shift) Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We Offer Night-shift timing with one-side cab for safe commute 2.4 LPA salary perfect for fresh graduates Full on-site training learn and grow with us Eligibility Criteria Graduates in B.Com / B.A. / BBA / B.Pharma / B.Sc Excellent English verbal communication skills Basic computer skills (MS Office & typing) Eager to begin a career in BPO / Customer Care What Youll Do Answer inbound customer calls with warmth & clarity Resolve queries with focus on first-call resolution Maintain metrics: AHT, CSAT, compliance Document calls accurately and follow up when needed Sugge...

As an Assistant Operations Manager at R1, you will be responsible for establishing and ensuring compliance with departmental policies and procedures, managing people to drive retention, analyzing data to identify process gaps, preparing reports, and overseeing performance management. You will also be the first level of escalation, working in all shifts on a rotational basis, and focusing on cost efficiency with regards to processes, resource utilization, and overall constant cost management. Your role will involve operating utilizing aggressive operating metrics. Key Responsibilities: - Establish and assure compliance with departmental policies and procedures - Manage people and drive retent...

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...

Were Hiring AR Caller (Denial Management) | Hyderabad Requirements Minimum 1+ Year Experience in AR Calling Physician / Hospital Billing Qualification: Intermediate & Above Immediate Joiners Preferred (Relieving letter not mandatory) What We Offer Salary: Up to 40,000 Take-Home 2-Way Cab Facility Attractive Allowances & Benefits Location: Hyderabad Interested candidates can share their resumes with HR Dharani - 9100982938 Mail ID : dharani.palle@axisservice.co.in

HIRING ALERT | CUSTOMER SERVICE SPECIALIST US HEALTHCARE (NIGHT SHIFT) Role: Customer Service Specialist US Healthcare Location: Airoli, Navi Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We are looking for smart professionals with excellent communication skills and a great attitude to deliver outstanding customer experiences! Your Impact Handle inbound & outbound customer calls Deliver timely and accurate resolutions at high productivity Build client & domain knowledge for first-call resolution Ensure adherence to SLAs CSAT, Handle Time, Customer Effort Maintain quality & compliance standards Document queries/issues and follow up effectively Support operational improvements ...

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business ...

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business ...

Immediate Hiring | Customer Service Specialist US Healthcare (Night Shift) Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We Offer Night-shift timing with one-side cab for safe commute 2.40 LPA salary perfect for fresh graduates Full on-site training learn and grow with us Eligibility Criteria Graduates in B.Com / B.A. / BBA / B.Pharma / B.Sc Excellent English verbal communication skills Basic computer skills (MS Office & typing) Eager to begin a career in BPO / Customer Care What Youll Do Answer inbound customer calls with warmth & clarity Resolve queries with focus on first-call resolution Maintain metrics: AHT, CSAT, compliance Document calls accurately an...

HEALTHCARE AR PROCESS Thane Location Blended process DOJ - 3rd week of May 24*7 rotational shifts 2 rotational week offs Hsc/Graduate with minimum 6 months experience as AR - Medical billing (mandatory) Required Candidate profile Salary - 25k in hand (based on qualification and/or experience) HR-amcat-ops Follow updated Thane IBU transport boundaries

HEALTHCARE AR PROCESS Thane Location Blended process DOJ - 3rd week of May 24*7 rotational shifts 2 rotational week offs Hsc/Graduate with minimum 6 months experience as AR - Medical billing (mandatory) Required Candidate profile Salary - 25k in hand (based on qualification and/or experience) HR-amcat-ops Follow updated Thane IBU transport boundaries

HEALTHCARE AR PROCESS Thane Location Blended process DOJ - 3rd week of May 24*7 rotational shifts 2 rotational week offs Hsc/Graduate with minimum 6 months experience as AR - Medical billing (mandatory) Required Candidate profile Salary - 25k in hand (based on qualification and/or experience) HR-amcat-ops Follow updated Thane IBU transport boundaries

HIRING ALERT | CUSTOMER SERVICE SPECIALIST US HEALTHCARE (NIGHT SHIFT) Role: Customer Service Specialist US Healthcare Location: Airoli, Navi Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We are looking for smart professionals with excellent communication skills and a great attitude to deliver outstanding customer experiences! Your Impact Handle inbound & outbound customer calls Deliver timely and accurate resolutions at high productivity Build client & domain knowledge for first-call resolution Ensure adherence to SLAs – CSAT, Handle Time, Customer Effort Maintain quality & compliance standards Document queries/issues and follow up effectively Support operational improvement...