430 Medicare Jobs - Page 5

Job Title: Associate US Healthcare Voice Process Location: Airoli, Mumbai (Work from Office) Process: US Healthcare Voice (Inbound & Outbound Calls) Work Mode: Work from Office Shift: Night Shift (5 Days Working) Training: 10 Days Virtual Work-from-Home Training Training Stipend: 5,000 (after completion of 10 days training) Salary: 22,000 In-Hand + 3,000 Night Shift Allowance (Total 25,000 per month) Transport: One-side cab facility provided (Free of cost) Job Responsibilities: Handle inbound and outbound calls for US Healthcare clients. Assist customers with queries related to healthcare plans, billing, and claims. Maintain high-quality customer service and accuracy on every call. Achieve d...

Job Description Repricing Analyst Job Name: Repricing Analyst Position Title Senior Executive Band A2 Domain Healthcare Reporting To Assistant Manager Location/Site: EXL India, Chennai Overview: The main objective of this position is to validate, calculate, and accurately report any overpaid amounts in the system. As a Repricing Analyst, you will be analyzing claims to determine the precise overpaid amount and recording the outcomes in the client/internal system. Your contribution to these tasks will help us maintain the accuracy and integrity of our client's financial records. Qualifications: AnyGraduate/ Postgraduate Working Hours: 40 hours /week, Full Time Employee Telecommuter/Internet r...

Job Summary We are seeking a Technical Lead with 6 to 15 years of experience to join our team. The ideal candidate will have expertise in AS/400 Synon RPG AS400/COBOL and CLP along with domain experience in Medicare & Medicaid Claims and Payer. This hybrid role requires a proactive individual who can drive technical excellence and contribute to our mission of improving healthcare systems. Responsibilities Lead the development and maintenance of applications using AS/400 Synon RPG AS400/COBOL and CLP. Oversee the technical aspects of projects related to Medicare & Medicaid Claims and Payer. Provide technical guidance and support to team members to ensure high-quality deliverables. Collaborate...

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 P...

hi #linkies I'm #hiring for US Healthcare -Payment Posting Role : Payment Posting Location :Navi Mumbai ,Airoli Experience : 1+ Year relevant experience Payment posting Qualification : Any Graduation 5 Days Working Shifts : From 5:30PM Onwards (Any 9 hours Shift) 2 Way Cab Facility Available Immediate -30 Days Joiners Provider side experience ,Voice Process Interested can DM or share CV at:[HIDDEN TEXT] #PreAuthorization #PriorAuthorization #HealthcareAccess #Insurance #MedicationApproval #priorauthorization #medicalbillingservices #medicalbilling #revenuecyclemanagement #medicalbillingcompany #denialmanagement #paymentposting #healthcare #practicemanagement #rcmservices #reimbursement #medi...

Immediate Hiring | US Healthcare (Night Shift) Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We Offer Night-shift timing with one-side cab for safe commute 3 .30 LPA salary perfect for fresh graduates Full on-site training learn and grow with us Eligibility Criteria Graduates in B.Com / B.A. / BBA / B.Pharma / B.Sc Excellent English verbal communication skills Basic computer skills (MS Office & typing) Eager to begin a career in BPO / Customer Care What Youll Do Answer inbound customer calls with warmth & clarity Resolve queries with focus on first-call resolution Maintain metrics: AHT, CSAT, compliance Document calls accurately and follow up when needed Sug...

Immediate Hiring | US Healthcare (Night Shift) Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We Offer Night-shift timing with one-side cab for safe commute 3 .30 LPA salary perfect for fresh graduates Full on-site training learn and grow with us Eligibility Criteria Graduates in B.Com / B.A. / BBA / B.Pharma / B.Sc Excellent English verbal communication skills Basic computer skills (MS Office & typing) Eager to begin a career in BPO / Customer Care What Youll Do Answer inbound customer calls with warmth & clarity Resolve queries with focus on first-call resolution Maintain metrics: AHT, CSAT, compliance Document calls accurately and follow up when needed Sug...

Hiring AR Callers, Prior Auth QA & Prior Auth Executives Multiple Locations Hyderabad | Chennai | Bangalore | Mumbai| Hyderabad Openings Physician Billing (AR Caller) Min 1 Year Exp (CMS 1500 Form) Up to 40,000 Take-Home + 2,200 Shift Allowance 2-Way Cab | WFO NP: 015 Days | Relieving Letter Mandatory Hospital Billing (AR Caller) Min 1 Year Exp (UB04 Form) Up to 5 LPA 2-Way Cab | WFO NP: Immediate Joiners | Relieving Letter Mandatory Prior Auth QA Min 3+ Years in Prior Auth (1 Year QA On/Off Papers) Up to 47,000 Take-Home 2-Way Cab | WFO NP: Immediate Joiners | Relieving Letter Not Mandatory Prior Auth Executive Min 1 Year Exp in Clinical Prior Auth Up to 40K TH 2-Way Cab | WFO NP: Immediate...

Kindly note RCM and US Medical Billing experience is Mandatory. Job Title: Associate/ Sr. Associate - Operations (Accounts Receivable team) Work from Office Location: Pune (Aundh) , Mumbai (Ghansoli) and Nagpur (Gayatri Nagar) About the Company: We are a product-based software development company based in Portland, Oregon, USA. We have been in business for over 30 years and have 2000 eye care professionals using our software. We were the first company to launch a complete EHR / practice and optical management system in the eye care industry in 1994 for optometrists and ophthalmologists. We have over 300 employees in the company. The company is headquartered in Hillsboro OR with offices in In...

HIRING ALERT | CUSTOMER SERVICE SPECIALIST US HEALTHCARE (NIGHT SHIFT) Role: Customer Service Specialist US Healthcare Location: Airoli, Navi Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We are looking for smart professionals with excellent communication skills and a great attitude to deliver outstanding customer experiences! Your Impact Handle inbound & outbound customer calls Deliver timely and accurate resolutions at high productivity Build client & domain knowledge for first-call resolution Ensure adherence to SLAs CSAT, Handle Time, Customer Effort Maintain quality & compliance standards Document queries/issues and follow up effectively Support operational improvements ...

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 ...

As a Medical Coder and Biller, your role will involve investigating, evaluating, and managing calls to complete coverage analysis using Xactimate estimating software. You will be responsible for confirming or denying coverage, obtaining vehicle information from the DMV, and ensuring compliance with HIPAA policies on each call. Your responsibilities will include abiding by laws and regulations associated with HIPAA and patient confidentiality, as well as coordinating Medicare, Medicaid, and secondary insurance coverage. Key Responsibilities: - Investigate, evaluate, and manage calls for coverage analysis using Xactimate estimating software - Obtain vehicle information from the DMV - Follow HI...

As an experienced professional in US healthcare, your role will involve providing expert-level knowledge of US healthcare and health plans, covering areas such as Medicare, Medicaid, and commercial insurance. You will be responsible for developing comprehensive solution proposals that not only address client needs but also aim to improve health plan outcomes. Building strong relationships with clients, understanding their unique requirements, and offering tailored solutions to help them achieve their goals will be a key part of your responsibilities. Additionally, you will work closely with clients to implement health plan solutions, ensuring smooth transitions and effective outcomes. Collab...

Job Description Claims Analyst Job Name: Claims Analyst Position Title Senior Executive - Claims Band A2 Domain Healthcare Reporting To Assistant Manager Location/Site: EXL India, Chennai Job Description Reviewing medical records and producing an accurate summary, Ability to analyze, Look at each medical record to check for missing documentations Priorities workloads to ensure expedited cases are processed within defined timelines Ensures that medical records are up to compliance. Qualifications: AnyGraduate/ Postgraduate Working Hours: 40 hours /week, Full Time Employee Work Model: Training from office for 2 - months and hybrid there after Telecommuter/Internet requirements, if applicable: ...

Minimum of 3 years of experience in technical writing, with a focus on business operations policies and procedures for US Healthcare. Qualification - Graduate Work Location - Bangalore Shift - Rotational shifts Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Manager Reejo @ 9886360719 for more details.

Role Overview: As an expert in US healthcare and health plans, you will be responsible for providing in-depth knowledge and developing comprehensive solution proposals to address client needs and improve health plan outcomes. Your role will involve building strong client relationships, understanding their needs, and delivering tailored solutions to meet their goals. Additionally, you will collaborate with internal stakeholders to ensure the successful implementation of health plan solutions. Key Responsibilities: - Provide expert-level knowledge of US healthcare and health plans, including Medicare, Medicaid, and commercial insurance. - Develop comprehensive solution proposals that address c...

We Are Hiring: AR Callers (PB & HB) - US Healthcare Location: Chennai Experience: Minimum 2 years in AR Calling - Denial Management Package: Up to 5.5 LPA Location: Hyderabad Experience: Minimum 1 year in AR Calling - Denial Management Package: Up to 40k TH Qualification : Inter & above Shift: Night Shift (6:30 PM to 3:30 AM) Notice Period: Immediate joiners - 15 days notice acceptable Perks: 2way cab facility Incentives Allowances Apply Now !! HR Harshitha - 7207444236 ( Call / WhatsApp ) ragaharshitha.gunturu@axisservice.co.in Refer your friend's / Colleague !!!

Reviewing and investigating claims processing, verifying the proper payment of claims, and bringing insurance claims to full resolution through a combination of external third-party relationships and cross-functional communication and collaboration. Maintaining service level agreements regarding assigned accounts receivable tasks while ensuring timely resolution of all claims while prioritizing responsibilities, problem solving, and thinking critically as you perform your regular duties and accommodate other time sensitive tasks as they arise. Conducts regular review and follow up of accounts receivables, ensuring the timely resolution and payment of accounts. Utilizing multiple reports and ...

Role Overview: As a member of R1 RCM India, you will play a crucial role in transforming the healthcare industry by providing innovative revenue cycle management services. With a commitment to making healthcare simpler and more efficient, you will join a team of over 30,000 employees globally, with a strong presence of 14,000 employees in India. The inclusive culture at R1 RCM ensures that every employee is valued, respected, and appreciated, supported by a robust set of employee benefits and engagement activities. Key Responsibilities: - Identify denial reasons and work towards resolution - Prevent claims from being written off by timely follow-up - Utilize sound knowledge of working on Bil...

Responsibilities: Regulatory compliance: Ensure that the department complies with industry standards and government regulations Patient and Insurance payments: Follow up with patients who have not paid their bills Financial responsibility: Confirm who is financially responsible for a particular visit Communication: Ensure that all departments communicate effectively Problem-solving: Resolve disputes between staff and balance budgets Interpersonal skills: Use empathy and leadership to manage staff and departments Strategic planning: Implement policies and procedures to improve operations

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) - Payment - Charge Candidates can share resume to WhatsApp Also ( 9600082835 ) 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 On the top of Resume Location : Chennai , Ekkattuthangal Warm...

As an experienced professional in the field of US healthcare and health plans, you will be responsible for providing expert-level knowledge and solutions to clients to improve health plan outcomes. Your role will involve developing comprehensive solution proposals tailored to meet client needs, particularly focusing on Medicare, Medicaid, and commercial insurance. Building strong relationships with clients is essential to understand their requirements and ensure effective implementation of health plan solutions. Your key responsibilities will include: - Providing expert-level knowledge of US healthcare, health plans, regulatory requirements, and industry trends. - Developing comprehensive so...

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...

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...

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...