170 Medicare Jobs - Page 2

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. Role Objective : To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. 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 Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : Monday to Friday Walk in Timings :12 PM to 3 PM Walk in Address: Tower 1, 2nd Floor Candor tech space, sector 48 Tikri, Gurugram HR : Abhishek Tanwar 9971338456 / atanwar712@r1rcm.com 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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development, and engagement programs, R1 offers transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

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 # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

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

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 Investigate and address claim rejections or underpayments Review and submit appeals for denied claims Maintain accurate documentation and reporting on claim statuses Collaborate with billing teams to improve revenue cycle processes Stay updated on payer rules, regulations, and changes in billing practices Qualifications : 1+ years of experience in US healthcare billing and RCM processes Familiarity with EOBs, denials, and insurance payer policies Excellent communication and negotiation skills Proficiency in medical billing software and MS Office Hiring for freshers salary 10.7k to 17k ( Depends on last drawn salary) Location- Mumbai *FOR EXPERIENCE CANDIDATES IN MEDICAL BILLING (Voice Process)* Salary upto 50k open for right candidate/ decent hike on last drawn/ 25k joining bonus only Home Pickup and Home Drop facility provided. If travelling not taken then 4000 allowance provided. Us shift/ 5:30pm-2:30am Monday-Friday working / Saturday & Sunday Fixed Off. Location :- Navi Mumbai, Mumbai, Hyderbad, Banglore, Pune Extra Perks: - Incentives - up to 5500 Overtime - per hour 150rs & If working on Saturday - Double Salary Preferred : Certification in Medical Billing and Coding or equivalent Experience with Medicare/Medicaid billing Location: Pune / Navi Mumbai / Bangalore / Andheri / Ghansoli / Airoli /Hyderabad Job Type : Full-time Contact Details. SR.HR Shreya - 9136512502

Call Quality analyst Call Monitoring International BPO Rotational Shifts 5 days working

Experience in BPO Industry- International Voice only Team Leader - Health and welfare process voice (MUST) Health and welfare - Medicare Hippa Cobra Excellent Comms

Experience with CUBS (The Collector System), Artiva HCx, FACS, Velocity or similar collection management platforms.Familiarity with SQL, data analysis, and reporting tools. Contact/ Whatsapp:82973 71110/ Nagasaila.y@liveconnections.in Required Candidate profile "Strong experience as a Business Analyst in the US Healthcare domain.

Designation/ Role: Process Associate/ Sr Process Associate Department: Accounts Receivable Work Timing: Night Shift Qualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred) Skills: A successful candidate must have proficient knowledge/capabilities in the following areas: 1. Claims management and/or customer service experience desired. 2. Bachelors degree preferred, or any equivalent combination of education and experience. 3. Ability to perform at a high level of productivity and quality. 4. Capacity to maintain a high level of accuracy. 5. Excellent written and oral communication skills required to represent Infinx Clients. 6. Computer skills including Microsoft Office Suite. 7. Skills to work independently and be resourceful with the ability to multitask. Experience 1-4 years experience US calling process. Job Description The job involves an analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed. This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocol. Job Responsibilities A successful candidate will perform the following activities: 1. Review patient accounts and perform appropriate follow up actions to resolve the outstanding balance according to best practice standards. 2. Complete and send appropriate claim forms according to CMS and third-party payor guidelines. 3. Follow up with medical insurance payors regarding the status of outstanding claims. 4. Contact patients and guarantors regarding outstanding self-pay balances due. 5. Compose correspondence to insurance payors, third parties, and patients regarding the resolution of outstanding balances and claim appeals. 6. Document all actions taken in appropriate Infinx or Client host system. 7. Adhere to HIPAA, patient confidentiality and compliance requirements at all times.

HIRING FOR US HEALTHCARE, GRAD CANDS WITH 1 YEAR EXP WITH KNOWLEDGE OF CLAIMS, CASH POSTING, AR FOLLOW UPS, DENIAL MANAGEMENT, INSURANCE CAN APPLY SAL UPTO 46K INHAND VOICE GGN CALL/WHATSAPP SAHIB 8448577782 KOMAL 9811399344 MANKIRAT 9811395705 Required Candidate profile FINE TO WORK IN 24x7 Shifts LOOKING FOR CANDS HAVING GOOD COMMS SKILLS, CABS AND SHIFTS AS PER THE COMPANY REFRENCES ARE HIGHLY VALUABLE, SHARE YOUR PROFILE - hr@head-hunters.in Perks and benefits SHIFTS, CABS, INCENTIVES AS PER THE COMPANY REQ.

Hiring : US HEALTHCARE(AR CALLER- RCM/DENAILS) 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 US HEALTHCARE(AR CALLER- RCM/DENAILS) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Hiring: US HEALTHCARE(AR CALLER- RCM/DENAILS) Qualification: Any Key Skills: Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance 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 AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Chanchal - 9251688424

Eurofins Assurance India Pvt Ltd is a leading certification body providing Audit & Certification , Inspections , and other services covering the broad spectrum of sustainable supply chain. Eurofins will help the customers to mitigate risks in their supply chain and to ensure the benchmarking performance with operations, processes, systems, people or capabilities. Whether you are in Food, Cosmetics, Consumer products or Health care sector, our global auditor and technical expert network will help to mitigate/eliminate your risks against supply chain and distribution flows: Regulatory and Industrial standards . We have accreditations for a number of different industry standards/memberships to ensure we service the entire supply chain. TC application review "¢ Preparation of draft manual transaction certificate "¢ Issuing TC or rejecting TC "¢ Client Coordination related to the TC application. "¢ Compile the GMO related data for GOTS and TE using applicable templates. "¢ Compile the monthly TC data for TE. Qualifications Any graduate can apply.

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 healthcare billing software and claim management systems, such as Epic, Cerner, or Meditech, is essential. Additionally, familiarity with ICD-10, CPT, and HCPCS codes for billing is required. The ideal candidate should possess a minimum of 2 years of experience in medical billing, claims processing, or healthcare revenue cycle management. Knowledge of Medicare, Medicaid, and commercial insurance policies, as well as HIPAA compliance standards and confidentiality protocols, is crucial for this role. Key Responsibilities: - Analyze denial reasons and take appropriate action - Track denial trends and address systemic issues - Prepare and submit appeals for denied claims - Monitor appeal status and follow up with relevant parties Required Qualifications: - Education: Any graduate - Experience: Minimum 2-3 years in a relevant field - Skills: Proficiency in Denials This is a full-time position with a flexible schedule and benefits including health insurance, Provident Fund, and a performance bonus. The job is based in Chennai, Tamil Nadu, and candidates must be willing to commute or relocate as necessary. If you meet the qualifications and are ready to start this exciting opportunity, the expected start date is 12/07/2025.,

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 necessary corrective actions. Collaboration with coding, billing, clinical, and compliance teams will be essential in addressing audit findings effectively. Additionally, you will be tasked with monitoring the implementation of corrective actions and conducting follow-up audits as required. Your contribution to supporting training initiatives by identifying educational opportunities for clinical and billing staff will be highly valued. This is a full-time position that offers Provident Fund benefits. The work location for this role is in person. If you are a dynamic individual with a background in Life Sciences and a passion for ensuring accuracy and compliance in healthcare documentation, we encourage you to apply for this exciting opportunity.,

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 codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Job Category: Revenue Cycle Mangement Job Type: Full Time Job Location: Pune Con. 7028889320 Email: Elizabeth.Pillay@in.credencerm.com

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 Knowledge in Provider credentialing (Doctor Side). Experience in Insurance calling. Initiate process improvement methods and best practices that will improve the performance of the team Proven ability to meet & exceed performance expectations set by upper management. Proven ability to independently manage large teams & advise business leaders of the same. Identifying and implementing ways to build better team effectiveness by encouraging a healthy environment for the team Strong business communication skills including the ability to work with all levels of the organization. contact person Vineetha HR ( 9600082835 ) 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 # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

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. With our deep expertise in cloud-enabled technologies and knowledge of the healthcare industry, we have built an innovative data integration and management platform that allows healthcare payers access to data that has been historically siloed and inaccessible. As a result, these payers can ingest and manage all the information they need to transform their business by supporting their analytical, operational, and financial needs through our platform. Since our founding in 2017, it has built a highly successful SaaS business, raising more than $80 Million by leading VC firms with profound expertise in the healthcare and technology industries. We are solving massive complex problems in an industry ready for disruption. We're building powerful momentum and would love for you to be a part of it! Interview process: 5 rounds of interview 4 rounds of Technical Interview 1 round of HR or Fitment discussion Job Description: Data Modeller About the Role: Were seeking a Data Modeler to join our global data modeling team. Youll play a key role in translating business requirements into conceptual and logical data models that support both operational and analytical use cases. This is a high-impact opportunity to work with cutting-edge technologies and contribute to the evolution of healthcare data platforms. What Youll Do Design and build conceptual and logical data models aligned with enterprise architecture and healthcare standards. Perform data profiling and apply data integrity principles using SQL. Collaborate with cross-functional teams to ensure models meet client and business needs. Use tools like Erwin, ER/Studio, DBT, or similar for enterprise data modeling. Maintain metadata, business glossaries, and data dictionaries. Support client implementation teams with data model expertise. What Were Looking For 2+ years of experience in data modeling and cloud-based data engineering. Proficiency in enterprise data modeling tools (Erwin, ER/Studio, DBSchema). Experience with Databricks, Snowflake, and data lakehouse architectures. Strong SQL skills and familiarity with schema evolution and data versioning. Deep understanding of healthcare data domains (Claims, Enrollment, Provider, FHIR, HL7, etc.). Excellent collaboration and communication skills. In case you have query, please feel free to contact me on the below mention email or whatsapp or call. Thanks & Regards, Priyanka Das Email: priyanka.das@dctinc.com Contact Number: 74399 37568

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. Maintain up-to-date knowledge of industry standards and regulatory changes. Utilize technical skills to enhance claims processing efficiency. Communicate effectively with stakeholders to ensure clarity and understanding of claims processes. Implement best practices to improve overall claims management. Monitor claims processing metrics to ensure timely and accurate adjudication. Provide feedback and suggestions for process improvements. Support the team in achieving departmental goals and objectives. Ensure all claims are processed within established timelines. Assist in the development of training materials for new team members. Contribute to a positive work environment by fostering collaboration and teamwork. Qualifications Possess strong analytical skills to assess and adjudicate claims accurately. Demonstrate proficiency in claims adjudication processes and tools. Exhibit a solid understanding of Medicare and Medicaid claims requirements. Show excellent communication skills to interact with various stakeholders. Have the ability to work effectively in a hybrid work model. Display a keen attention to detail to ensure compliance and accuracy. Certifications Required N / A

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 web portals Creating and Sending Appeals to Insurance companies Following up on Appeals sent to insurance companies Prior Authorization/ Retro Authorizations Validating underpaid and overpaid claims Knowledge of Out of Network Claim would be an added advantage. Skills and Responsibilities: Excellent in English Communication (Verbal and written). Candidates should have knowledge of computers. Min. 1 year experience on Physician billing is required. Eligibility of Candidates: Immediate joining. Should be Graduate. Should be comfortable with Night Shift. Required Details- Shift timings - US shift - (6.30pm- 3.30am) Free Cab facility both Pick up & drop (females) /Travel allowance (Male) 5 Days working - Fixed shift(Saturday & Sunday Week off) Job location (Noida sector-3) Salary 3lac- 8lac CTC Feel free to call at 9266021789 for the telephonic interview .

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: Experience with Medicare DDE (Direct Data Entry). At least 2-4 Years of experience in medical billing, specializing in Medicare billing (Charge Entry). Immediate Joiners Preferred. Willing to work in Night shift. Both Two way cab facility is available. Perks & Benefits 5 Days of working Saturday & Sunday fixed off Double Wages ( If working on Saturday) Interested candidates can send their updated resumes to: hr@shai.health (Mail subject line: " Applying for Experienced Hospital Billing Executive for any queries call to this number 78457 77499).

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, and compliance teams will be essential to address audit findings and monitor the implementation of corrective actions. You will also support training initiatives by identifying education opportunities for clinical and billing staff. This is a full-time position that offers Provident Fund benefits. The work location for this role is in person. If you are a dedicated professional with a keen eye for detail and a passion for maintaining the highest standards of coding and documentation in healthcare, we encourage you to apply for this exciting opportunity.,

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