430 Medicare Jobs - Page 6

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...

Gainwell Technologies LLC Summary As a Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position. Your role in our mission Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. Help coordinate a business analyst team's duties and activities on IT projects and nurture newer team members by providing guidance and support Be a ...

Summary Gainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are the key player in the Medicaid space with a presence in 51 of the 56 U.S. states and territories with offerings including Medicaid Management Information Systems (MMIS), Fiscal Agent Services, Program Integrity, Care Management, Immunization Registry, and Eligibility Services. We generate over $2 billion in annual revenue, and we've been innovating in the industry for more than 50 years. Powered by more than 14,000 employees, Gainwell solutions support more than 60 million Medicaid beneficiaries nationwide and manage 1...

Gainwell Technologies LLC Gainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are the key player in the Medicaid space with a presence in 51 of the 56 U.S. states and territories with offerings including Medicaid Management Information Systems (MMIS), Fiscal Agent Services, Program Integrity, Care Management, Immunization Registry, and Eligibility Services. We generate over $2 billion in annual revenue, and we've been innovating in the industry for more than 50 years. Powered by more than 14,000 employees, Gainwell solutions support more than 60 million Medicaid beneficiaries natio...

Gainwell Technologies LLC Gainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are the key player in the Medicaid space with a presence in 51 of the 56 U.S. states and territories with offerings including Medicaid Management Information Systems (MMIS), Fiscal Agent Services, Program Integrity, Care Management, Immunization Registry, and Eligibility Services. We generate over $2 billion in annual revenue, and we've been innovating in the industry for more than 50 years. Powered by more than 14,000 employees, Gainwell solutions support more than 60 million Medicaid beneficiaries natio...

Gainwell Technologies LLC Summary As a Sr Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position. Your role in our mission Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. Help coordinate a business analyst team's duties and activities on IT projects and nurture newer team members by providing guidance and support. B...

Gainwell Technologies LLC Summary As a Sr Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position. Your role in our mission Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. Help coordinate a business analyst team's duties and activities on IT projects and nurture newer team members by providing guidance and support Be...

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 18 months to 5 years of experience in AR Calling, including both Physician Billing and Hospital Billingwhere Hospital Billing is mandatoryand should have experience in Denial Management within the RCM/AR domain. Primary Responsibilities: Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, ...

1.We Are Hiring -AR Calling || US Healthcare || RCM || Physician Billing || Hospital Billing || Eligibility :- Min 1+ years of experience into AR Calling Package :- UP TO 40 K + Incentives + 2 way Cab Location :- Navi Mumbai, Hyderabad , Bangalore, Chennai Immediate Joiners Preferred Relieving letter is not Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 2. We are Hiring Prior Authorization | Hyderabad Experience: Minimum 1 Year in Prior Authorization (Physician Billing) Salary: Up to 35,000 + 2,200 Allowances Qualification: Graduation Mandatory Relievi...

Role & responsibilities Company: Insight Global India Location: Hybrid schedule at Insight Global Hyderabad Delivery Center: Sattva Knowledge City, Orwell Tower 1, HITEC City, Hyderabad, Telangana 500081, India Position Type: Direct Payroll Joining Availability: MAX 30 days, urgent hiring need, cannot accommodate notice of longer than 30 days Position: We are seeking a Backend Content developer to build and maintain business rules and logic. The incumbent will review detailed requirements and flow diagrams to understand what each rule is supposed to do, then leverage predefined excel based templates and write out Logic in Java. This will be later converted into JSON files that systems use to...

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 ...

Job description CREDENSE MB is looking for multiple candidates with good analytical skills with understanding of US Health care. Candidate should have knowledge on Complete Revenue Cycle Management Accounts Receivables Medical Billing **MUST HAVE EXCELLENT COMMUNICATION SKILLS IN ENGLISH ** **MUST BE GOOD IN MS OFFICE TOOLS****NEED TO WORK IN SHIFTS ** Job Description: US Healthcare Charge Entry Payment posting Accounts Receivables Calls Denials and Appeals Management End to End Billing Cycle Management Posting Payments Eligibility Verification Prior Authorization Knowledge of Insurance Eligibility verification Good understanding of medical terminology, disease processes Excellent Communicat...

AR Callers - Upto 40K TH + Incentives + Cab Facility Experience: Minimum 1+ Year (Physician Billing / Hospital Billing) Locations: Hyderabad | Chennai | Mumbai | Bangalore Package : Up to 40,000 Take-Home + Incentives Qualification: Intermediate & Above Notice Period: Preferred Immediate Joiners WFO Benefits: Incentives Allowances Cab Facility Apply Now HR HARSHITHA - 7207444236 (call/ WhatsApp) ragaharshitha.gunturu@axisservice.co.in Referrals are Welcome Share with friends & colleagues!

AR Caller Jobs Healthcare RCM | Earn Up to 40,000 Take-Home Experience: Minimum 1 Year in AR Caller Physician / Hospital Billing Salary: Up to 40,000 Take-Home Qualification: Intermediate & Above Relieving Letter: Not Mandatory Immediate Joiners Preferred Benefits: 2-Way Cab Facility Location: Hyderabad | Chennai | Bangalore | Mumbai Interested candidates can share your updated resume to HR Dharani - 9100982938 (share resume via WhatsApp ) Mail ID : dharani.palle@axisservice.co.in Refer your friend's / Colleagues

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...

Please share cv @ shikha.nillay@provana.com or ping me @ 7678565526 Key Responsibilities: Credential Verification: Conduct primary source verification of education, licenses, certifications, and work history. Perform background checks including criminal records and disciplinary actions. Compliance & Regulation: Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies. Monitor expiration dates and initiate timely renewals of credentials. Documentation & Database Management: Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES). Track and update provider profiles and credentialing logs. Communication & Coordination: Liaise with providers, pay...

Key Responsibilities: Credential Verification: Conduct primary source verification of education, licenses, certifications, and work history. Perform background checks including criminal records and disciplinary actions. Compliance & Regulation: Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies. Monitor expiration dates and initiate timely renewals of credentials. Documentation & Database Management: Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES). Track and update provider profiles and credentialing logs. Communication & Coordination: Liaise with providers, payers, and internal departments to resolve discrepancies. Respond to i...

Responsibilities: - Demonstrate deep understanding in Payor workflows such as Claims, Enrolment and Provider workflows Experience with Medicare and Medicaid claims preferred. Experience in healthcare plan operations (e.g., claim adjudication life cycle/workflows, network contracting, provider relations, medical management, audit, compliance) Work independently under guidance from the client and possess good communication skills Should be able perform due diligence in understanding client current system Strong experience in business analysis, requirements gathering, client communication Hands on experience with design, build, implementation, and support of healthcare payer IT systems Experien...

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 improvement...

1. We Are Hiring -AR Calling ||US Healthcare ||RCM|| Physician Billing ||Hospital Billing|| Eligibility :- Min 1+ years of experience into AR Calling in denial management into physician OR hospital billing. Locations :- Hyderabad , Chennai , Bangalore & Mumbai. Qualification :- Any Graduate. Package- 40 K + Incentives 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 swetha.n@axisservice.co.in References are Welcome 2. We are Hiring Prior Authorization | Hyderabad Experience: Minimum 1 Year in Prior Authorization (Physician Billing) Salary: Up to 35...

Calling Insurance companies (in US) and follow up on outstanding Accounts Receivable. Calls to insurances for claim status and eligibility verification Denial documentation and taking further action Required Candidate profile Get the status of the unpaid claims 1+ year experience in USA AR calling experience /US healthcare Ready to work in night shift Completes targets with speed and accuracy as per client SLAs

As a member of the accounts receivable follow-up team at R1 RCM India, your role is crucial in ensuring maximum reimbursement from insurance companies by looking after denied claims and reopening them. With a commitment to transforming the healthcare industry, R1 RCM India aims to simplify healthcare processes and enhance efficiency for healthcare systems, hospitals, and physician practices. **Key Responsibilities:** - Identify denial reasons and work towards resolution. - Prevent claims from being written off by timely follow-up. - Utilize knowledge of Billing scrubbers for making edits. - Handle Contractual adjustments & write off projects. - Maintain a good Cash collected/Resolution Rate....

Immediate Hiring | US Healthcare Voice Process (Inbound) Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working What We Offer Night-shift timing with one-side cab facility for safe commute 2.4 LPA salary ideal for freshers & starters Full on-site training – learn and grow with us Friendly & supportive work environment Eligibility Criteria Undergraduate (UG) & Graduate candidates can apply Excellent English verbal communication skills Basic computer knowledge ( MS Office & typing ) Eager to start a career in BPO / Customer Care Your Responsibilities Handle inbound customer calls with warmth & clarity Resolve queries with focus on first-call resolution Maintain perform...