434 Medicare Jobs - Page 10

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: Madhu-9629690325 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

1-5 years of experience in AR calling or revenue cycle management (RCM). Strong understanding of US healthcare Excellent communication skills Send resumes to people-culture@worldsourceteam.co.in Contact : Rajan 99400 65113.

The Supervisor, Coding is responsible for supervising the activities and operations of the Coding department and staff. You will be in charge of organizing, directing, and monitoring the daily activities of Coding Associates, including managing coding edits and denials. Distributing workloads among the team and monitoring the productivity of department employees will be part of your responsibilities. You will also field questions from Coding Associates, Auditors, and clients, as well as prepare reports and correspondence as needed. As the Supervisor, you will establish procedures, coordinate schedules, and expedite workflow to ensure efficient operations. Conducting employee evaluations, int...

POSITION SUMMARY The Senior Product Analyst is responsible to conceptualize solution framework for product requirements and deliver functional blueprint. Define the product component scope in sync with overall product vision and work closely with engineering teams to deliver winning products. Additionally, undertake artefact review to ensure quality deliverables. It also includes working with sales, marketing and support to ensure customer satisfaction goals are met. The Senior Product Analyst job also includes ensuring that the product supports the companys overall strategy and goals. PRINCIPLE JOB RESPONSIBILITIES: Work with Product Managers to define the product strategy and roadmap for a...

As a Physician Billing Associate at our team in Hyderabad, you will be responsible for handling various tasks related to CMS-1500 claims processing and ensuring timely reimbursements from insurance companies. Your role will be crucial in investigating claim denials or rejections, making necessary corrections, preparing appeal letters, and reporting trends to billing managers. To excel in this position, you should possess a High School Diploma or equivalent, although an Associate's degree is preferred. You must have a minimum of 2 years of experience in Physician billing, specifically focusing on CMS-1500 claim processing. A deep understanding of Medicare, Medicaid, and commercial insurance g...

Job description Job description Team Executive - Claims Adjudication Location : Hyderabad Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 10 years of experience in Claims Adjudication . With over 1 year of experience as a Team leader 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. Main...

Job description Job description Team Executive - Claims Adjudication Location : Hyderabad Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 10 years of experience in Claims Adjudication . With over 1 year of experience as a Team leader 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. Main...

Minimum Required Skills and Qualifications: Minimum of 3+ years of experience in Configuration on either HealthRules Payer or Facets or QNXT is required (US Health insurance). Proven experience with configuration for Medicare, Medicaid, Commercial, and Individual-Exchange lines of business. Experience with HealthEdge HealthRules Payer (HRP) configuration would be preferred Experience with HealthEdge Source (Burgess) or HealthEdge GuidingCare would be added advantage.

Job description Job description Team Executive - Claims Adjudication Location : Hyderabad Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 10 years of experience in Claims Adjudication . With over 1 year of experience as a Team leader 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. Main...

Job description Job description Team Executive - Claims Adjudication Location : Hyderabad Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 10 years of experience in Claims Adjudication . With over 1 year of experience as a Team leader 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. Main...

Job description Job description Team Executive - Claims Adjudication Location : Hyderabad Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 10 years of experience in Claims Adjudication . With over 1 year of experience as a Team leader 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. Main...

We are seeking a motivated and detail-oriented Utilization Management Specialist to join our team. In this role, you will play a crucial part in reviewing medical information to ensure the necessity of healthcare services and adherence to best practices. Your responsibilities will include supporting the approval of cost-effective healthcare services that align with patient needs. You will be tasked with reviewing outpatient procedures, inpatient admissions, home health, and behavioral health services to determine their necessity. Collaborating with providers and medical directors to obtain prior authorization and plan case reviews when necessary will be an essential aspect of your role. Addi...

Job description Summary As a Senior Project Manager at Gain well, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a community most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare biggest challenges. Here are the details on this position. Your role in our mission Strengthen the quality and smooth running of important projects as we create innovative, purpose-built technologies and solutions for our company and clients. Lead one or more medium-sized project management teams by overseeing smaller aspects of a lar...

You will be part of a globally renowned organization that has been recognized as one of India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. At R1 RCM India, we are dedicated to revolutionizing the healthcare sector with our cutting-edge revenue cycle management services. Our primary objective is to streamline healthcare processes and enhance efficiency for healthcare establishments, hospitals, and medical practices. Join our dynamic team of over 14,000 employees across India, located in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our workplace fosters inclusivity, ensuring that each team member is valued, respected, and supported with a comprehensive range of e...

The ideal candidate for this position should possess excellent communication skills and have prior experience working as a Credentialing Analyst in medical billing service providers. A strong understanding of Provider credentialing and clearing house setup is required. Familiarity with Electronic Data Interchange (EDI), Electronic Remittance Advice Setup (ERA), and establishing Insurance Portals (EFT) is essential. The candidate should also have experience in Insurance calling, filling insurance enrollment applications, and be well-versed in CAQH and PECOS application processes. Knowledge of Medicare, Medicaid, and Commercial insurance enrollment is a plus. A positive attitude towards proble...

Join our dynamic team as a Claims Processing Specialist where you will play a crucial role in ensuring the accuracy and efficiency of claims adjudication. With a focus on Medicare and Medicaid claims, you will contribute to the seamless processing of claims enhancing our service delivery. This hybrid role offers the flexibility of working both remotely and on-site during night shifts. Responsibilities Process claims with precision ensuring adherence to Medicare and Medicaid guidelines. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Utilize claims adjudication software to enhance processing ...

As a Medical Records Auditor, you will play a crucial role in ensuring the accuracy of coding and documentation within patient medical records. Your responsibilities will include conducting audits of both inpatient and outpatient records to verify proper documentation and billing practices. It will be essential for you to uphold compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying any errors in coding, billing, or documentation and providing constructive feedback to the relevant departments. You will be expected to prepare detailed audit reports that outline findings, trends, and recommendations for corrective action....

You will be joining R1 RCM India, a company that has been recognized as one of India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. Our mission is to revolutionize the healthcare industry through our innovative revenue cycle management services. We aim to streamline healthcare processes and enhance efficiency for healthcare systems, hospitals, and physician practices. With a global workforce of over 30,000 employees, we have a strong team of about 14,000 individuals in India, located in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive work culture ensures that every employee is valued, respected, and appreciated, supported by a comprehensive range of em...

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 ac...

Hiring US Healthcare experience candidates at Hyderabad Location. Position: Audit Support Assistant Location: Hyderabad Employment Type: Full-time (Work from Office) Shift: Rotational Shifts (Including Night Shifts) Join Date: Immediate Joiners Preferred Eligibility Criteria: Education: Any Graduate or Postgraduate Experience: Minimum 2 years of experience in US Healthcare Voice process OR Experience in international voice process and willing to start a career in US Healthcare Excellent verbal and written communication skills are mandatory Willingness to work from office and in rotational shifts, including night shifts How to Apply: Interested and eligible candidates are requested to share t...

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 Language - Ability: English(International) - Intermediate About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accent...

As a Credentialing Specialist, you will play a crucial role in our healthcare operations team by managing end-to-end credentialing and re-credentialing processes. Your primary responsibility will be ensuring the efficiency of the revenue cycle by handling tasks such as maintaining accurate provider data, tracking expirables, and collaborating with billing teams. You will be responsible for interacting with insurance companies and regulatory bodies to follow up on application statuses and resolve any issues that may arise. Additionally, you will work closely with the RCM team to support eligibility, pre-authorization, and claim submission tasks. Your attention to detail and organizational ski...

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: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Chanchal 9251688424

Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Sanjana 9251688424