434 Medicare Jobs - Page 12

The Denial Analyst position involves analyzing, researching, and resolving denied claims in the field of medical billing. As a Denial Analyst, your responsibilities will include interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. You will collaborate closely with the billing department, insurance companies, and healthcare providers to ensure that claims are processed and paid correctly. A key aspect of this role is tracking trends in denials to address systemic issues causing rejections. The successful candidate must have a comprehensive understanding of insurance policies, coding guidelines, and the revenue cycle process. Proficiency in healthc...

Job Description: As an integral part of our team, you will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. You will meticulously review both inpatient and outpatient records to ensure that services are correctly documented and billed. Your keen attention to detail will be crucial in ensuring compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying errors in coding, billing, and documentation, and providing valuable feedback to the relevant departments. You will prepare comprehensive audit reports that outline findings, trends, and recommendations for ...

Hiring for Accounts Receivable Executive (XiFin) experience!!! Call : Elizabeth - 7028889320 Job Description Desired Skills 1+ Years of experience in US Medical RCM {Revenue Cycle Management} Willingness to work in US shifts. Immediate Joiners are preffered. Looking for experience in XiFin Software! 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 c...

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.

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - Operations Manager ( Male candidates Only ) Job description:- Min 8+ years experience in US Healthcare Industry in End to End RCM. At least 3 + years experience as a Manager Operations. (day shift ) Have good Knowledge of entire Medical Billing Processes such as Charge Entry, EDI, Cash Posting, Denial, and AR & MIS. Has Clear understanding of functioning of major Insurance Carriers, Health Care Facilities and Billing offices in USA. Has ability to drive a RCM process from different aspects, Such as Bad Debt Management, Denial Management, AR Management, Credit Balance Management & KPI Tracking, Good Knowled...

Hi, Greetings! This is regarding a job opportunity for the position of Data Modeller with a US based MNC in Healthcare Domain. This opportunity is under the direct pay roll of US based MNC. Job Location: Pune, Mundhwa Mode of work: Hybrid (3 days work from office) Shift timings: 1pm to 10pm About the Company: The Global MNC is a mission-driven startup transforming the healthcare payer industry. Our secure, cloud-enabled platform empowers health insurers to unlock siloed data, improve patient outcomes, and reduce healthcare costs. Since our founding in 2017, we've raised over $81 million from top-tier VCs and built a thriving SaaS business. Join us in shaping the future of healthcare data. Wi...

Job Summary Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare solutions without the need for travel. Responsibilities Process claims with a high degree of accuracy ensuring compliance with Medicare and Medicaid regulations. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Maintai...

Kozent Tec Pvt. Ltd (formerly known as Genesis Transcriptions Pvt. Ltd) is business associate of Panacea Solutions LLC having presence in US Healthcare documentation business for more than 20 years. We use cutting edge technology to help our US Healthcare Providers. We have diversified into RCM and IT support services in the recent past and have aspiring growth plan. We have been operating from Noida. Job Responsibility Calling Insurance companies to follow on Un-Paid and Denied Claims Denial Management Identifying denial trends and come up with the solution to resolve that denial issue Fighting incorrect denials with insurance rep and sending back claims for reprocessing through calls and w...

US Health and welfare Voice Exp Medical billing AR Call Quality analyst Call Monitoring International BPO Rotational Shifts 5 days working

Job Responsibility Calling Insurance companies to follow on Un-Paid and Denied Claims Denial Management Identifying denial trends and come up with the solution to resolve that denial issue Night Shifts ONLY WFO. Provident fund Office cab/shuttle

Greetings from Synthesis Healthcare!!! We are hiring Hospital Billing Executive(Medicare Biller) at Chennai location. Required Skills: Extensive hands-on experience in claims editing and billing within a hospital setting. Comprehensive knowledge of UB-04 (CMS-1450) billing practices and requirements. Thorough understanding of Medicare billing guidelines , with particular emphasis on the 72-hour rule and its impact on billing accuracy. Ability to review and interpret medical records and support documentation for billing purposes. Familiarity with accurate assignment and billing of occurrence codes and value codes. Good communication skills, both written and verbal. Preferred Skills: Experienc...

The ideal candidate for this position should be a Life Science Graduate with a strong attention to detail and proficiency in conducting audits of patient medical records. As a Medical Record Auditor, you will be responsible for ensuring coding accuracy and documentation compliance in both inpatient and outpatient settings. Your primary duties will include reviewing medical records, identifying errors in coding and billing, and preparing detailed audit reports with recommendations for corrective action. In addition, you will play a crucial role in ensuring compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Collaboration with coding, billing, clinical,...

Experience in BPO Industry- International Voice only Team Leader - Healthcare process voice (MUST) Medical billing AR Excellent Comms

ESSENTIAL DUTIES AND RESPONSIBILITIES Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports visits and to ensure that data complies with legal standards and guidelines. Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial. Evaluates records and prepares reports on such topics as the number of denied claims ...

MEDICAL CODER / MEDICAL BILLER Job Description We are looking for a detail-oriented and proactive Eligibility Executive to manage insurance verification and benefits validation for patients in the revenue cycle process. The ideal candidate will have experience working with U.S. healthcare insurance systems, payer portals, and EHR platforms to ensure accurate eligibility checks and timely updates for claims processing. Key Responsibilities Verify patient insurance coverage and benefits through payer portals, IVR, or direct calls to insurance companies. Update and confirm insurance details in the practice management system or EHR platforms accurately and in a timely manner. Identify policy lim...

Hiring for AR Callers & Prior Authorization Process Hyderabad, Chennai & Mumbai Role: AR Caller / Prior Authorization Executive Experience: Minimum 1+ Year in AR Calling & Prior Authorization Process Work Mode: Work from Office Locations: Hyderabad | Chennai | Mumbai Notice Period: Immediate Joiners Preferred (Relieving Letter Not Mandatory) Shift: Night Shift (US Healthcare Process) Package: Up to 40,000 Take-home Incentives 2-Way Cab Facility Qualification: Intermediate & Above Job Description: We are hiring experienced professionals in AR Calling and Prior Authorization with a strong understanding of the US healthcare process. Candidates must have at least one year of relevant experience ...

Dear Candidate, Greetings from NTT DATA. We are happy to take your profile for a wonderful career with NTT DATA. Job Title: HC & Insurance Senior Associate (Claims Adjudication/Processing) Experience: 3 - 5 Years of relevant experience in Claims adjudication Skillset: HIPAA. ICD, CPT Codes, Medicare, Medicaid, Copay & Coinsurance Shift: Night Shift Work Location: Chennai - DLF Cybercity Mode of Work: Work From Office Positions General Duties and Tasks: • Process Insurance Claims timely and qualitatively • Meet & Exceed Production, Productivity and Quality goals • Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level busine...

We Are Hiring for AR Caller, Prior Auth Executives, EVBV Executives || Loc :- Hyderabad, Mumbai & Chennai Hyderabad - AR Callers & EVBV Porcess 1. Experience - Min 1 year into ar calling Package - Max Up to 33k Take Home Qualification - Inter & Above Notice Period :- Immediate Joiners/ Relieving is not Mandate Cab - 2 Way Cab Virtual Interviews 2. Experience - Min 1 year into EVBV Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Notice Period :- 0 to 60 Days / Relieving is Mandate Cab - 2 Way Cab Virtual Interviews Mumbai - AR Callers & Prior Auth 1. Experience - Min 9 Months Exp into ar calling Package - Max Upto 40k Take Home Qualification - Inter & Above Notice Period :- Immedi...

Hiring for SR AR Analyst for one of the Leading US Healthcare Company Location: Gurugram | Salary: Up to 7 LPA Req: Graduate with min 1 yr exp in AR Follow-ups Perks: Both side cabs Sat-Sun fixed off Apply at 9354076916 / 6291864166 Required Candidate profile Expertise in RCM (Revenue Cycle Management) AR calling and insurance follow-ups (Denials, Rejections, Appeals) Familiarity with CPT, ICD-10, and HCPCS codes Knowledge of HIPAA guidelines

About R1 R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities Roles & Responsibilities: Identify denial ...

Experience in BPO Industry- International Voice only Team Leader - Healthcare process voice Excellent Comms

1. We Are Hiring -AR Caller ||US Healthcare ||RCM|| Physician Billing ||Hospital Billing|| Eligibility :- Min 1+ years of experience into AR Calling in denial management into physician and hospital billing. Locations :- Hyderabad, Bangalore & Mumbai. Qualification :- Inter & Above Package- UPTO 40K TH Immediate Joiners Preferred . Relieving letter not Mandate. WFO. Perks & Benefits: Cab Facility. Incentives. Allowances If Interested Kindly share your updated resume to HR. Swetha- 9059181703 Mail ID : nsweta.axis@gmail.com 2. We Are Hiring -|| Prior Authorization || US Healthcare ||RCM|| Experience :- Min 1 year in Prior Authorization. Package : Upto 40K Take-home . Shift Timings :- 6:30 PM t...

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose the relentless pursuit of a world that works better for people we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI. Inviting applications for the role of Business Analyst, Medical Coding In this role, you need to work as Medical coder for Provider Coding. Responsibilit...

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...

: Job Title: Client On Boarding, NCT Location: Jaipur, India Corporate TitleNCT Role Description The Analyst will be responsible for completion of day-to-day activity as per standards and ensure accurate and timely delivery of assigned production duties. The role is required to verify account opening documents for PWM US client against the KYC. And also ensure correct FATCA reporting to comply with regulatory requirement. Candidate/Applicants would need to ensure adherence to all cut-off times and quality of processing as maintained in SLAs. What well offer you 100% reimbursement under childcare assistance benefit (gender neutral) Sponsorship for Industry relevant certifications and educatio...