170 Medicare Jobs - Page 3

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 or documentation or coding issues for review by management and/or professional evaluation committees. Makes recommendations for changes in policies and procedures to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery. Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation. Educates and advises staff on proper code selection, documentation, procedures, and requirements. Performs other duties as assigned. MINIMUM JOB REQUIREMENTS Education, Training, and Experience Required: Bachelors Degree or 3 year Diploma or equivalent is required. Possession of a current Certified Professional Coder (CPC) issued by the American Academy of Professional Coders preferred. Two (2) years of medical coding experience is required, or the; Equivalent combination of experience, education, and training that would provide the required knowledge and abilities. Knowledge/Skills/Abilities: Knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical procedures and terminology. Ability to develop training materials, make group presentations, and to train staff Ability to exercise independent judgment; Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to competently use Microsoft Office Suite, particularly Word, Excel and Outlook. Ability to maintain confidentiality. Perks and Benefits As per market standards

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 limitations, deductibles, co-pays, and co-insurance information and document clearly for billing teams. Coordinate with patients and internal teams (billing, front desk, scheduling) to clarify eligibility-related concerns. Perform eligibility checks for scheduled appointments, procedures, and recurring services. Handle real-time and batch eligibility verifications for various insurance types including commercial, Medicaid, Medicare, and TPA. Escalate discrepancies or inactive coverage to the concerned team and assist in resolving issues before claim submission. Maintain up-to-date knowledge of payer guidelines and insurance plan policies. Ensure strict adherence to HIPAA guidelines and maintain confidentiality of patient data. Meet assigned productivity and accuracy targets while following internal SOPs and compliance standards. 1Preferred Skills & Tools Experience with EHR/PM systems like eCW, NextGen, Athena, CMD Familiarity with major U.S. insurance carriers and payer portals Strong verbal and written communication skills Basic knowledge of medical billing and coding is a plus Ability to work in a fast-paced, detail-focused environment Qualifications ANY LIFE SCIENCE DEGREE BSc, MSc, B.Pharm, M.Pharm, BPT NOTE CPC certification preferable Shift & Work Details: Shift Timing: Night Shift 9:00 PM to 7:00 AM Work Days: [Monday to Friday] Gender: Male candidates only (due to night shift operational requirements)

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 and be ready to work from office locations. Perks: Competitive Salary Performance-based Incentives Cab Facility Quick Onboarding for Immediate Joiners Interested Candidates can share their resumes to: Email: harshithaaxis5@gmail.com Contact: HR Harshitha – 7207444236

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 business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities • Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing • Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills • Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing • Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job • Be a team player and work seamlessly with other team members on meeting customer goals • Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function • Handle reporting duties as identified by the team manager • Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: • Both Under Graduates and Post Graduates can apply. • Excellent communication (verbal and written) and customer service skills. • Able to work independently; strong analytic skills. • Detail-oriented; ability to organize and multi-task. • Ability to make decisions. • Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. • Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. • Ability to work in a team environment. • Handling different Reports - IGO/NIGO and Production/Quality. • To be in a position to handle training for new hires • Work together with the team to come up with process improvements • Strictly monitor the performance of all team members and ensure to report in case of any defaulters. • Encourage the team to exceed their assigned targets. • Candidate should be flexible & support team during crisis period • Should be confident, highly committed and result oriented • Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools • Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers • Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product • Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: • 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. • 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts. ***Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.

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 :- Immediate Joiners/ Relieving is not Mandate Cab - 2 Way Cab Virtual Interviews 2. Experience - Min 1 year into Prior Authorization Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Notice Period :- 0 to 60 Days / Relieving is Mandate Cab - 2 Way Cab Virtual Interviews Chennai - Prior Auth 1. Experience - Min 1 year into Prior Authorization Package : Max Upto 40k Qualification : Inter & above Notice Period :- Immediate Joiners/ Relieving is not Mandate Cab - 2 Way Cab Virtual Interviews Perks and Benefits 1. Cab Facility 2. Incentives Interested candidates can share your updated resume to HR Ashwini -9059181376 (share resume via WhatsApp ) ashwini.axisservices@gmail.com Refer your friend's / Colleagues

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 reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. Should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months Requirements: 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 be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package.,

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 to 3:30 AM. Location: Chennai, Mumbai Preferred Immediate Joiners. Relieving is not Mandate. Qualification :- Inter & Above. WFO. Virtual Interviews . If Interested Kindly share your updated resume to HR. Swetha- 9059181703 3. Hiring for || EVBV || US Healthcare|| Min 1+ years exp in below Positions in Eligibility Verification (EVBV). Package :- Upto 5.75 LPA Qualification :- Degree Mandate. Location :- Hyderabad Notice Period :- 0 to 60 Days. Relieving is Mandate. Virtual Interviews. Perks & Benefits: 2 way Cab Facility. Incentives. Allowances. 4. Hiring for || Prior Authorization || Payment Posting & Medical Billing & Credit Balance|| Min 1+ years exp in below Positions Payment Posting. Prior Auth. Package :- Prior Auth- 5.75 LPA Payment Posting - 4.34 LPA Qualification :- Degree Mandate. Location :- Mumbai . Notice Period :- 0 to 60 Days. Relieving is Mandate. Virtual Interviews. Perks & Benefits: 2 Way Cab Facility. Incentives. Allowances If Interested Kindly share your updated resume to HR. Swetha- 9059181703 Mail ID : nsweta.axis@gmail.com References are welcome

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. Responsibilities Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify the pertinent CPT and ICD 10 CM codes. To code on Medical reports by assigning appropriate CPT & ICD 10 CM codes based on the documentation and per the client specification. Follow project-specific guidelines without any deviation. Check the LCD policy per insurance specification. Performs assigned tasks/complete targets with speed and accuracy as per client SLAs Compliance with client/project guidelines, business rules, and training provided the company's quality system and policies. Communication / Issue escalation to supervisor if there is any in a timely manner. Willing to learn and keep self-updated with the updated codes. Work cohesively in a team setting. Assist team members to achieve shared goals. Qualifications we seek in you! Minimum Qualifications Must have relevant experience in Medical Coding any (ED, E/M, Urgent Care, Ancillary (Path/Lab/Rad) Thorough knowledge of CPT and ICD-10-CM/PCS, HCPCS Level II, Medicare, Medicaid, and Insurance guidelines. Coding certification: Mandatory CPC (AAPC) and/or CCS (AHIMA) Science graduate/BAMS/BHMS/BPT/BUMS and/or relevant equivalent and relevant work experience Preferred Qualifications/ Skills Relevant years general medical coding experience. Must possess computer skills including, but not limited to, Word, Excel, and PowerPoint. Experience with 3M and encoder preferred. Experience with an EPIC preferred. Must be able to use the internet and other electronic resources for the purpose of research. Advanced understanding of Professional coding guidelines, medical terminology, pharmacology, body systems/anatomy, physiology, and concepts of disease processes Job Business Analyst Primary Location India-Gurugram Schedule Full-time Education Level Bachelor's / Graduation / Equivalent Job Posting Apr 1, 2025, 8:46:35 PM Unposting Date Ongoing Master Skills List Operations Job Category Full Time,

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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

: 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 education Accident and Term life Insurance Your key responsibilities Ensure quality/quantity of processing is maintained as per the SLA. Should be capable to handle multiple deadlines Ensure to process and approve all cases in given TAT. Knowledge of AML and ABR procedure and roles. Knowledge of various Regulations like REG E, D, and Volker is required. Ensure timely completion of all request and adhere to ClientConfidentiality. Flexible with business hours respective to volume received. Update volumes in various spreadsheets/work logs accurately and on time. Ensure team work culture is practiced. Escalate all issues in time, to the appropriate level, to avoid any adverse impact on the business. Functional Skills Have fundamental knowledge of KYC, FATCA Account opening, Banking etc Have understanding of Business Information search for prospect clients. Understand important of transactions approval procedure to control risk of fraud and error. Knowledge on different client documentation across geographies. Knowledge of the life cycle of the on-boarding process. Your skills and experience In-depth knowledge of KYC, ABR, FATCA & COB. Needs to be a self-starter with significant ability to undertake initiatives. Should have Effective communication skills and fluency in Microsoft Office skills. Should be open to work in night shift. Education / Certification Graduates with good academic records with relevant experience. Needs to be a self-starter with significant ability to undertake initiatives. Should have Effective communication skills and fluency in Microsoft Office skills. Should be open to work in night shift. Knowledge of various banking products, KYC, AML, FATCA, equity market and their flow would be an added advantage. How well support you About us and our teams Please visit our company website for further information: https://www.db.com/company/company.htm We strive for a culture in which we are empowered to excel together every day. This includes acting responsibly, thinking commercially, taking initiative and working collaboratively. Together we share and celebrate the successes of our people. Together we are Deutsche Bank Group. We welcome applications from all people and promote a positive, fair and inclusive work environment.

10+ years relevant experience in Business Development Expertise in US IT Sales, Staff Augmentation, Manged Services, US Healthcare & Direct Sales. 5+ years of executive-level health care engagement experience with a particular focus on small to mid-size hospitals and integrated delivery networks. 5+ years of a quantifiable, proven sales track record in the provider market. Experience in sales, business development, marketing, and custom application development. A deep understanding of Population Health, Public Health, and Provider Systems, Medicare, Medicare Advantage, Part D and Medicare Supplement insurance sales. Deep knowledge of and fluency in hospital/health system revenue, operations and reimbursement policies and trends. Ready to travel across US. Demonstrated ability to build and maintain relationships with key stakeholders. Demonstrated leadership abilities to impact relationship activities with external partners and drive execution with internal resources. Dual focus on originating new partner relationships AND executing relationships to maximize revenue generation. Excellent communication and presentation skills and goal-oriented Desired Experience: Hands-on experience in target customer prospecting, building sales pipelines, conducting outreach activities, and selling IT Services & Products (preferably in the US market). Understand and apply the Challenger Sales methodology and conduct outbound prospecting, target account management, Cold Calling, call coaching, email writing, and similar outreach activities. Broad and deep existing relationships across the health care Provider landscape to immediately lever actionable business opportunities. Understand the nuance intricacies of the health system purchasing and contracting process0. Ability to extend relationships within the C-suite and to other senior executives at health system and medical group organizations. A deep understanding of Population Health, Provider and Payer Systems, Medicare, Medicare Advantage, Part D, Medicare Supplement insurance sales. Comprehension of and fluency with eHealths portfolio of technology, content and service offerings to effectively communicate the companys value proposition for both the health system and their senior patient populations. Skills and Abilities: Be self-motivated and comfortable with sales quota retention, ongoing relationship management, and a can-do mentality required in an early-stage channel of the organization. Focus on industry and customer insights and insights-to-opportunities conversions. Be the industry thought leader and consultant to group and business level managers. Develop growth strategy and initiatives to drive double digits growth in the industry segment. Consolidate and manage the business performance reporting and dashboard of segment orders. In-depth industry knowledge and propose potential external partnerships and M&A Personal Characteristics: Be self-motivated and comfortable with sales quota retention, ongoing relationship management, and a can-do mentality required in an early-stage channel of the organization. Focus on industry and customer insights and insights-to-opportunities conversions. Be the industry thought leader and consultant to group and business level managers. Develop growth strategy and initiatives to drive double digits growth in the industry segment. Consolidate and manage the business performance reporting and dashboard of segment orders. In-depth industry knowledge and propose potential external partnerships and M&A

Note: These resources should possess certification either in CIC or CCS (Mandatory) Job Description: The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. Please share relevant profiles at the earliest. Let us know if you need any further details. We are looking for professionals with strong expertise in DRG. The ideal candidates should have: Key Responsibilities: Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc. Based on the evidence presented in the medical records, determine, and record the appropriate (revised) Diagnosis Codes, Procedure Codes and Discharge Status Code applicable to the claim. Using the revised codes, regroup the claim using provided software to determine the new DRG Where the regrouped new DRG’ differs from what was originally claimed by the provider, write a customer facing ‘rationale’ or ‘findings’ statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review Document all aspect of audits including uploading all provider communications, clinical rationale, and/or financial research Identify new DRG coding concepts to expand the DRG product. Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures Meet and/or exceed all internal and department productivity and quality standards Recommend new methods to improve departmental procedures Achieve and maintain personal production and savings quota Maintain awareness of and ensure adherence to Zelis standards regarding privacy Skills, Knowledge, and Experience: Registered Nurse licensure preferred Graduate Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) 3 – 5 years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs Understanding of hospital coding and billing rules Clinical skills to evaluate appropriate Medical Record Coding Experience conducting root cause analysis and identifying solutions Strong organization skills with attention to detail Outstanding verbal and written communication skills Note: These resources should possess certification either in CIC or CCS (Mandatory)

AR Caller Minimum of 6 months experience required Excellent English communication Fixed night shift Cab provided for night shifts Salary up to 35K CTC (Depends on Interview)

Responsibilities: * Manage accounts receivable calls: denial management & handling * Execute revenue cycle processes: claims processing, payment posting, charge posting * Adhere to HIPAA compliance standards Cafeteria Travel allowance House rent allowance Office cab/shuttle Accessible workspace Health insurance Provident fund

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: Sanjana 9251688426

Greetings from HappieHire! We are hiring for the following position: Position: AR Caller Denials / Voice Process / Physician or Hospital Billing Location: Mumbai / Bangalore / Chennai / pune Experience: 1 to 4 years in AR calling Salary: Up to 41000 In-Hand Interview Mode: Virtual Joiners: Immediate joiners only Key Requirements: Experience in US healthcare process (denials handling preferred) Strong communication skills for voice-based process Background in physician or hospital billing is a must If you or someone you know fits this role, refer or apply now! Contact: 8925221508 HR Contact: yoga

WE ARE HIRING - AR CALLER - Mumbai, Hyderabad Experience :- Min 1 year into AR caller Mumbai Location :- Package : Max Upto 40k take home Qualification : inter & above Hyderabad Location :- Package : Max Upto 33k take home Qualification : graduation Shift Timings :- 6:30 PM to 3:30 AM WFO Virtual and Walk-in interviews available WE ARE HIRING - Prior Authorization - Mumbai, Chennai Experience :- Min 1 year into Prior Authorization Mumbai Location :- Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Chennai Location :- Package : Max Upto 40k Qualification : Inter & above Shift Timings :- 6:30 PM to 3:30 AM WFO Virtual and Walk-in interviews available Perks and Benefits 1. 2 way cab 2. Incentives Interested candidates can share your updated resume to HR SAHARIKA - 9951772874(share resume via WhatsApp ) Refer your friend's / Colleagues

We are currently hiring for - Payment Posting - Accounts Receivable Executive - EVBV / Rejections - Prior Authorization Call : 7758938726 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. 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. 7758938726 Email: Diya.Dhanani@in.credencerm.com

Job Title: AR Follow-ups Analyst US Healthcare Location: [Gurugram] Salary: Up to 7 LPA Working Days: Monday to Friday (Saturday & Sunday Fixed Off) Transport: Both Side Transport Provided Job Description: We are hiring experienced AR Follow-ups Analysts with a background in US Healthcare to join our dynamic revenue cycle management team. This role is ideal for candidates with strong analytical skills and a passion for resolving complex accounts receivable issues from the hospital or physician side . Key Responsibilities: Perform accounts receivable follow-ups with insurance companies to ensure timely payments. Analyze and resolve denied claims, underpayments, and unpaid accounts. Work on hospital or physician billing (as per assigned client). Document call activities and findings in appropriate systems. Meet daily and monthly productivity and quality targets. Escalate unresolved claims to the appropriate departments. Required Skills & Qualifications: Minimum 1 year of experience in US Healthcare AR Follow-ups (hospital or physician side). Graduation in any discipline is mandatory. Familiarity with denial management, CPT codes, ICD-10, and insurance guidelines. Strong communication and interpersonal skills. Ability to work in a fast-paced, process-driven environment. Perks & Benefits: Competitive salary up to 7 LPA based on experience. Both side transport facility provided. Fixed weekends off Work-life balance ensured. Opportunities for growth and learning in a leading healthcare BPO. Apply Now: If you meet the above criteria and are looking for a rewarding opportunity in the US healthcare domain, call or Whatsaap your resume at 6291864166

Were Hiring: AR Caller – US Healthcare Process | Pune Are you an experienced AR Caller with in-depth knowledge of the US healthcare revenue cycle? Join our growing team and take your career to the next level! Position: AR Caller – US Healthcare Process Location: Pune (Work From Office) Experience: Minimum 1 Year Required Joining: Immediate Joiners Only Key Skills Required: AR Calling Prior Authorizations RCM (Revenue Cycle Management) Medicaid & Medicare Denials & Claims Handling Strong Communication Skills Process: US Healthcare – Night Shift Perks & Benefits: Excellent Work Environment Competitive Salary Opportunity to work with leading healthcare clients If you meet the criteria and are ready to join immediately, apply now! HR Chanchal : 9251688424

Key Responsibilities: As a Senior Product Manager you will be pivotal to creating roadmap owning release plan for multiple capabilities that is futuristic and meets industry and client needs You will be responsible for continuous backlog management prioritizing the backlog considering the needs and objectives of every stakeholder As a thought leader in your business domain bring in industry best practices learnings from client demos and interactions into designing You will anchor business pursuit initiatives sales demo You will have the opportunity to shape the Infosys platform that enables payers and providers to deliver better care Technical Requirements: Payer Provider PBM organizations Product Management Product Engineering Healthcare Operations Experience working with industry leading Enrollment Claims Billing or EHR systems Managing product lifecycle in whole from ideation exploration approval development implementation measurement and ongoing development Expertise in US Government Program Line of Business Medicare Medicaid Duals Marketplace Plan Sponsor Product Enrollment Billing Provider Data Management Provider Network Management Claims Encounters Medicare and Marketplace Risk Adjustment Developing results oriented strategies to solve complex and open ended business problems Market Analysis and Product fitment Communicating and facilitating architecture design discussions decisions and impacts to key stakeholders Customer success on managing customer engagements and requirements Leading business pursuits and product demonstrations Agile Product Development Methodology Additional Responsibilities: Experience in market leading healthcare products key emphasis Proven track record of at least 8 years in software product management roles Capability Feature planning and design manage the specifications of their development and monitor their on going operation to better understand customer experiences Clearly communicating progress towards delivery technical challenges that may occur Act as a thought leader and subject matter expert in the assigned product area develop essential product documentation including business case business requirements and use cases Own product backlog and collaborate closely with the platform engineering team Create Journey Maps that re imagine re define the healthcare problematic process areas Understanding of trends affecting customer adoption Experience of working with enterprise customers both technical and business and at all levels Influence leaders in diverse functional areas Strong business acumen including experience in estimation and pricing market research Demonstrated ability to navigate ambiguity and adapt quickly to modern technology and processes Strong analytical ability with exposure to data science and automation Teaming Collaboration Demonstrates exceptional leadership and team management skills with a collaborative and empowering approach to achieve results through influence Excellent communication presentation and interpersonal skills to develop lasting relationships with senior business or technical leaders with the highest levels of business acumen and technical expertise Preferred Skills: Domain->Healthcare->Healthcare - ALL

Hiring AR Callers Experience :- Minimum 1+ years in AR Calling Package :- Upto 38K Take-home ( Mumbai , Bangalore ) Package :- Upto 33k Take home ( Hyderabad ) Qualification: Inter & Above Notice Period : Preferred Immediate Joiners, Relieving is not Mandate Location : Mumbai, Bangalore, Hyderabad Work from Office 5 Days Working - Monday to Friday Saturday & Sunday - Fixed Off virtual & walk in interviews available perks and benefits 1. cab 2. incentives 3. allowances Interested candidates can Call Or Send Resume to HR Dharani - 9100982938 mail id : dharanipalle.axishr@gmail.com Referrals are welcome

Summary As a medical biller, you'll play a crucial role in healthcare administration by ensuring patient information is accurately coded for insurance claims and billing purposes. You will be responsible for reviewing medical records, assigning standardized codes (such as ICD-10 and CPT) to diagnoses, procedures, and treatments, and ensuring these codes are used to process claims with insurance companies. Responsibilities Perform charge and demo entries. Analyze patient medical records to assign appropriate codes to diagnoses, procedures, and medical services using standardized coding systems (ICD-10 and CPT) Review bills for accuracy and completeness and obtain any missing information. Knowledge of insurance guidelines especially Medicare and state Medicaid. Check each insurance payment for accuracy and compliance with the contract. Understands the medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures. Document all actions taken in the company or Client host system. Adhere to HIPAA, patient confidentiality, and compliance requirements at all times. Research payor rules and regulations to maintain current payor knowledge. Qualifications Proficiency in medical coding (ICD-10, CPT, HCPCS). Strong attention to detail to ensure accuracy in billing and coding. Knowledge of medical terminology and anatomy. Familiarity with healthcare billing software and electronic health records (EHR). Ability to navigate insurance claim processes and resolve issues. Schedule (US Shifts Only) Eastern Time - 6:30 p.m. - 3:30 a.m. IST, Monday - Friday Logistical Requirements Quiet and brightly illuminated work environment Laptop with Minimum 8GB RAM, I5 8th gen processor 720P Webcam and Headset A reliable ISP with a minimum speed of 100 Mbps Smartphone