434 Medicare Jobs - Page 9

The Insurance Coordinator plays a crucial role in the healthcare revenue cycle, ensuring accurate insurance verification, pre-authorizations, claims submission, and follow-up. By coordinating insurance benefits and minimizing financial barriers for patients, this role supports access to care while upholding compliance with healthcare regulations. Key Responsibilities: Insurance Verification & Authorization: - Verify patient insurance coverage and benefits before appointments and procedures. - Obtain prior authorizations and referrals required by insurers for medical services. - Communicate any insurance limitations or requirements to clinical and administrative staff. Claims Processing & Fol...

As a Medical Biller / Coder, you will be responsible for overseeing coding activities to ensure customer service and quality expectations are met. You will serve as the primary contact for coding questions related to Client Services and Operations. Your role will involve reviewing reports, identifying specific issues, investigating and correcting them as per the coding guidelines, and implementing solutions. Additionally, you will proactively identify issues and plan for their resolution for clients and accounts. It will be your duty to maintain compliance with HIPAA and ISO standards, as well as adhere to company policies. You will review and report on process updates and team metrics with ...

*Please read the JD before applying* Role: Program Specialist (Voice Process-Outbound) Shift: 6:00 PM - 03:00 AM Transportation: Cabs are provided as per company policy Contract Duration: This is a fixed 6-month contract Work Model: Work From Home for initial Few Months, then Work From Office as per company's requirement Location : Bengaluru, Karnataka 560001 Requirements: Experience: At least 2-4 years of customer service experience, with a background in the U.S. healthcare i ndustry. Must be familiar with HIPAA guidelines and handling sensitive data. Education: A bachelor's or master's degree is preferred. Selection Process : Each round of the interview process is an elimination round Inte...

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work t...

The Insurance Eligibility and Benefit Verification Specialist is responsible for verifying patient insurance eligibility and benefits prior to medical services being provided. You will ensure that accurate insurance information is obtained and communicated to the medical providers, ensuring smooth billing processes and reducing the likelihood of claim denials or delays. Your role plays a critical role in the revenue cycle management for healthcare providers. As an Insurance Eligibility and Benefit Verification Specialist, your responsibilities and duties will include verifying patient insurance eligibility and benefits through online portals or direct communication with insurance carriers. Y...

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves g...

Job Description About Us Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great ...

Hiring - AR Callers || Locations :- Chennai, Hyderabad, Mumbai Experience :- Min 1 year of experience into AR Calling - denial management Package :- Up to 40K Take home Locations :- Chennai, Hyderabad, Mumbai Qualification :- Inter & Above Mode :- Work from Office Hiring - Pre Authorization - Voice || Location :- Hyderabad Experience :- Min 1 year of experience into pre authorization - Voice Package :- Up to 32K Take home Location :- Hyderabad Qualification :- Any Graduate Mode :- Work from Office AR Caller - International Voice - Us Healthcare || Fresher || Location :- Hyderabad Experience :- Freshers ( 0 years ) Package :- 3 Lpa - 16k Take Home Location :- Hyderabad Qualification :- Any Gr...

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: Follow up is the most essential pa...

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work t...

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 ...

Responsibilities: * Manage US healthcare accounts receivable calls * Execute denial management strategies * Oversee revenue cycle processes * Handle medical billing tasks * Process payments accurately Health insurance Office cab/shuttle Provident fund

R1 RCM India is proud to be a Great Place To Work Certified organization. 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 Follow up is the most essential part in the RCM cycle. It is usually the last step in th...

Job Title : Assistant Manager EDI Enrollment & Credentialing Department : Medica Billing Location : Remote / India [Currently work from Home] Reports To : Manager Experience : 15 years Shift Time : 5:30 Pm to 2:30 Am IST Company Website : https://www.modulemd.com Welcome to ModuleMD At ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare providers. We’re on a mission to revolutionize revenue cycle management through AI, and we’re looking for innovators who are ready to help us shape the future. Our Culture & Values "We foster a culture of inclusivity, innovation, and integrity. Our team values collaboration, continuous improvement, and a passi...

Role: Associate Vice President (AVP) Training | US Healthcare RCM Location: Pune (Work from Office) Shift Timing: US Shifts CTC: Up to 20 LPA We are hiring for the role of AVP Training to lead learning & development initiatives and strengthen training functions within the US Healthcare RCM domain. Required Experience: Minimum 14 years of overall experience in US Healthcare RCM. Must have at least 1 year of experience as AVP Training(on paper) OR Must have 2.5 years of experience as Senior Director – Training(on paper). Key Responsibilities: Lead end-to-end training and development strategy across RCM operations. Design and implement scalable training frameworks for onboarding, process traini...

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 ...

Dear Candidate, Greetings from AGS Health.! Job Title: AR CALLER Eligibility: Candidate holding 1-2 years of experience into Medical Billing (Denial Management) can only apply for this position. Working Days - 5 Days (Fixed weekend off) Location: Chennai Interested candidates can WhatsApp their updated resume to 9384898239 Sai Subhiksha HR-Talent Acquisition AGS Health

Hiring for Ar caller - SPE Location - Hyderabad Timings: Night shift-US Night shift - 2 way cab provided across 20 kms only Notice Period: Immediate to 15 Days WFO - US Night shift SPE :1 year in Ar caller & RCM CTC - Up to 5 lpa Years of exp: 2yrs to 4yrs Skills :RCM, Ar Caller/Revenue cycle management /UB04 - Medical Billing/ Denial Management/with Excellent Communication Interested candidates contact HR Jawahar@8828153744 | jawahar@careerguideline.com

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing, and the corrected claims process Knowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team R...

To maintain individual provider files to include up to date information needed to complete the required federal and commercial provider credentialing applications. To Maintain internal provider data to ensure all information is accurate and logins are available up-to date. To Update each providers CAQH database file timely according to the priority norms. To Complete re-validation requests for all federal and commercial applications To Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid. To Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. To Ready and adaptable to perform the daily assigned duties with Quality . Conta...

We’re Hiring – Customer Service Associate (Night Shift) Location: Mumbai (Airoli) | WFO US Healthcare – International Voice Process 20K in-hand + incentives + night allowance Call HR Khushi – 9389460353 |

We’re Hiring – Customer Service Associate (Night Shift) Location: Mumbai (Airoli) | WFO US Healthcare – International Voice Process 20K in-hand + incentives + night allowance Call HR Khushi – 9389460353 |

We’re Hiring – Customer Service Associate (Night Shift) Location: Mumbai (Airoli) | WFO US Healthcare – International Voice Process 20K in-hand + incentives + night allowance Call HR Khushi – 9389460353 |

SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing ...

Role & responsibilities Follow up with the payer to check on claim status. 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. Preferred candidate profile 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. Perk and Benefit Both side tr...