438 Medicare Jobs - Page 17

Responsibilities: * Manage denials through effective communication with providers and insurers. * Ensure compliance with HIPAA, Medicaid, Medicare, Cobra, ICD, CPT, HCPCS codes. Health insurance Office cab/shuttle Provident fund

Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Service Delivery Ops Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 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 Pharmacy Benefit Management Team which is responsible for the administration of US healthcare. The business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage progr...

Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Service Delivery Ops Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 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 processes, ope...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - AR Caller (Credentialing only) - Charge Entry & QC - Payment 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 Walk-ins Only) Monday to Friday ( 10 am to 6 Pm ) Everyday contact person VIBHA HR ( 9043585877 ) Interview time (10 Am to 6 Pm) Bring 2 updated resumes Refer( HR Name VIBHA HR) Mail Id : vibha@novigoservices.com Call / WhatsApp ( 9043585877 ) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadh...

#FOLLOW-UP WITH MEDICAL INSURANCE PAYERS REGARDING THE STATUS OF OUTSTANDING CLAIMS #PROFICIENT IN COMPLETING AND SENDING CLAIM FORMS ACCORDING TO UB04,CMS& THIRD-PARTY PAYER GUIDELINES #STRONG KNOWLEDGE OF END TO END DENIAL MANAGEMENT PROCESSES Required Candidate profile 1 TO 4 YEARS EXP. AR CALLING PROCESS(CMS1500)EXP. IN COMP. & SUB. CLAIM FORMS ACC. TO CMS & THIRD-PARTY PAYER GUIDELINES STRONG FOCUS ON SERVICE EXCELL. WHEN DEALING WITH PATIENTS,CLIENTS & COMP. EMP. Perks and benefits #BEST SALARY, INCENTIVE PLANS #VIRTUAL INTERVIEWS

Role & responsibilities Allocates and delegates takes amongst employees. Provides operational support to employees on all phases of transaction processing. Interacts with clients and internal departments to solve issues. Identifies and resolves issues around pending transactions. Performs quality audit on accounts . Preferred candidate profile Skills Required 3-5 years of experience in claims adjudictaion. Demonstrated client interaction skills. Ability to analyze reasons behind incomplete transactions. Understands process interdependencies • Possesses deep domain knowledge in Healthcare and Insurance domain Interested please share your resume to pushpa.shanmugam@nttdata.com

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 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. Responsibilities: Follow up with the payer to check ...

Job description Senior Medical coder Specality : Ed profee &Facility , Surgery Coding , Radiology Both certified and Non Certified Work Location: Chennai , Trichy , Salem Experience Required: 1 to 6 years Job Responsibilities: We are looking for a Medical Coder to join our team to assist us in coding for insurance claims and databases. The Medical Coder will display motivation, be detail-oriented and have outstanding people skills that help them navigate any situation with ease. Responsibilities Account for coding and abstracting of patient encounters Research and analyze data needs for reimbursement Make sure that codes are sequenced according to government and insurance regulations Ensure ...

Job description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 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. Responsibilities: Follow up with the...

The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership. Eligibility: Graduate with Minimum 2- 4 Years experience in Hospital Billing-Denial Management (RCM/AR Domain) & EPIC platform experience is an added advantage! Primary Responsibilities: Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate Analyze and trend data, recommending sol...

Hiring for US Healthcare company Grad with 7 months exp in RCM can apply UG/Btech with 12 months RCM can also apply Salary upto 3.60 LPA to 5.50 LPA Fixed Sat-Sun off Fixed nght shifts Loc- Gurgaon / Noida Snehal@9625998099 Required Candidate profile Candidate should have good knowledge on RCM. Candidate should be comfortable with night shifts. Candidate should have decent typing speed. Perks and benefits Both side cabs One time meal

1. AR Calling (US Healthcare) Physician Billing || Upto 40k TH || Eligibility :- Min 1+ years of experience into AR Calling into physician billing Locations :- Hyderabad , Chennai, Noida & Mumbai Package :- Upto 40k take home Qualification :- Any UG / Graduate Immediate Joiners to 1 month notice is acceptable WFO. Hospital Billing || Upto 55k TH || Eligibility :- Min 1+ years of experience into AR Calling into physician billing Locations :- Hyderabad , Bangalore Package :- Upto 55k take home Qualification :- Inter & above Immediate Joiners Preferred WFO. 2. IV Calling & Prior Authorization (RCM) || 32k TH || Experience :- Min 1 year in IV Caller (or) Prior Authorization Location :- Chennai P...

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

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

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims...

Responsibilities: * Manage AR calls, denials & authorizations * Ensure compliance with HIPAA & Hippas * Execute medical billing processes * Handle CPT & HCPCS codes * Meet revenue cycle management goals

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...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) 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, 1st Floor, TS # 12...

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 : Electronic Medical Records (EMR), Health Insurance OperationsMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Configuration Lead, you will identify opportunities to deliver tan...

We are Hiring AR Callers / AR Analyst / Charge entry - Salem (TN) Greetings from Bristol Healthcare Services Pvt Ltd Job Title 1: AR Caller & AR Analyst (MID Shift) Vacancy: 20+ Experience: 1 - 3 Years in AR Calling or AR Analysis Job Location: Salem, Tamil Nadu Shift: AR Caller Night shift, AR Analyst – MID shift Work Mode: WFO Skills : Excellent communication skills and strong knowledge of denial management. Immediate joiners preferred. Job Title 2: Charge Entry (Day Shift) Vacancy: 20+ Experience: 1 - 3 Years in Patient Demo & Charge entry Job Location: Salem, Tamil Nadu Shift: Day shift Work Mode: WFO Skills: Min 1+year experience in US Medical Billing Patient Demo & Charge entry process...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) - Payment - Charge Entry - Charge QC 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 P...

AR Caller ( Physician Billing & Hospital Billing ) Immediate Joiners Only Salary: Up to 40,000 (Take-Home) + Incentives + Allowances Experience: Minimum 1 year in AR Calling Physician Billing & Hospital Billing Education: Intermediate & above Locations: Hyderabad, Mumbai, Chennai & Bengaluru Role Summary Were seeking a proactive AR Caller with hands-on experience in Physician (and Hospital) Billing , ideally within the US Healthcare / RCM domain. You will drive revenue recovery through effective denials handling, appeals, and account resolution via voice-driven processes. Key Responsibilities Conduct AR Calling to follow up on outstanding invoices and denied claims for physician and hospital...

Role & responsibilities Candidate should have indepth knowledge on the payer enrollment process. Payer enrollment for Medicare, Medicaid, and commercial insurers Managing contracts and participation agreements Knowledge of healthcare laws, payer policies, and revalidation requirements Insights on the waystar clearing house is an added advantage

Role & responsibilities Candidate should have indepth knowledge on the payer enrollment process. Payer enrollment for Medicare, Medicaid, and commercial insurers Managing contracts and participation agreements Knowledge of healthcare laws, payer policies, and revalidation requirements Insights on the waystar clearing house is an added advantage

Join Our Growing US Healthcare Team as a Credentialing Coordinator! Are you detail-obsessed, process-driven, and ready to be the bridge between healthcare providers and payers? This is your chance to shine in a role where accuracy saves time, and time saves lives. Location: Noida (Within a 30 km radius) Experience: 24 years in US healthcare credentialing (Provider Enrollment, CAQH, NPI, and Payer Applications) Education: Any Graduate (Healthcare background preferred) What Youll Do: Manage end-to-end credentialing for US healthcare providers — from initial application to final approval. Maintain CAQH profiles, NPIs, and state license verifications with zero lapses. Work with payers, provider ...