Company Description Nath Outsourcing Solutions Pvt. Ltd. (NOS) was established in 2003 to provide end-to-end solutions to clients in the US Healthcare Industry. The company focuses on Revenue Cycle Management, combining technology, knowledge, and a skilled team to serve clients efficiently. NOS is located in Sahibzada Ajit Singh Nagar and offers opportunities to work in a high-performing business organization. Role Description This is a full-time on-site role for an Eligibility & Benefit Verification specialist at Nath Outsourcing Solutions. The role involves verifying patient insurance coverage and benefits, communicating with insurance companies and patients, providing customer service, and working with Medicaid and insurance providers to ensure accurate billing. Qualifications Communication and Customer Service skills Experience with Medicaid and Insurance processes Strong attention to detail and accuracy Bachelor's degree Show more Show less
Company Description Nath Outsourcing Solutions Pvt. Ltd. (NOS), established in 2003, provides end-to-end solutions to clients in the US Healthcare Industry. Understanding the complexities of Revenue Cycle Management, NOS combines sophisticated technology with deep knowledge of managed care, payer rules, coding, and compliance. Our motivated team of highly skilled professionals is dedicated to delivering excellent results. We address the challenges of today's medical practices by offering specialized knowledge and managerial oversight to navigate complex processes effectively. Role Description This is a full-time on-site role for an Accounts Executive at Nath Outsourcing Solutions Pvt. Ltd., located in Sahibzada Ajit Singh Nagar. The Accounts Executive will be responsible for managing accounts, preparing financial reports, reconciling accounts, and ensuring compliance with accounting standards. Daily tasks include processing invoices, conducting financial analysis, assisting in budgeting, and supporting the finance team with various accounting activities. Qualifications Strong knowledge of accounting principles, reconciling accounts, and preparing financial reports Experience in accounts payable, accounts receivable, and general ledger accounting Proficiency in accounting software and Microsoft Office Suite, particularly Excel Excellent analytical skills and attention to detail Ability to work independently and collaboratively within a team Bachelor's degree in Accounting, Finance, or a related field Prior experience in the healthcare industry is a plus
Company Description Nath Outsourcing Solutions Pvt. Ltd. (NOS) was established in 2003 to provide end-to-end solutions for the US Healthcare Industry. We understand the complexities of managing medical practices beyond patient care, addressing challenges like managed care contracts, reimbursement rates, staff turnover, and compliance with government policies. Our expertise in Revenue Cycle Management, combined with advanced technology and a dedicated team of professionals, enables us to deliver exceptional results for our clients. Role Description This is a full-time on-site role for a Prior Authorization, Eligibility & Benefit Verification Specialist located in Mohali district. The Specialist will be responsible for handling prior authorization processes, verifying patient eligibility and benefits, and navigating insurance portals. Daily tasks include communicating with insurance companies, healthcare providers, and customers to ensure accurate and timely processing of authorizations and verifications. Qualifications Excellent Communication skills. Experience of obtaining prior authorization, Eligibility & Benefits Highly organized with attention to detail Ability to work in a fast-paced, collaborative environment Previous experience in a healthcare-related field is beneficial Bachelor's degree in a relevant field such as Healthcare Administration is preferred
The Eligibility & Benefits Verification Specialist is responsible for verifying patient insurance coverage and ensuring that services are covered prior to and after patient visits. This includes determining primary and secondary insurance benefits, coordinating with insurance providers, and ensuring the accuracy of insurance details to ensure smooth claims processing. Key Responsibilities: Coordination of Benefits (COB): Determine the primary and secondary insurance coverage for patients with multiple policies, ensuring correct insurance order is followed. Authorization Management: Contact insurance companies to verify if services are authorized and covered. Handle both prior and retroactive authorization requests. Eligibility for Medicaid and Commercial Plans: Verify Medicaid eligibility and HMO plans. Analyze commercial plans (HMO, PPO, POS) to understand coverage and out-of-pocket expenses. Birthday Rule Application: Determine primary insurance for newborns based on the birthday rule, ensuring accurate coverage determination. Out-of-Pocket Costs: Clarify and verify patient responsibility for deductibles, co-insurance, and out-of-pocket expenses. Medical Necessity Verification: Ensure services meet medical necessity criteria and coordinate with insurance to verify authorization for required services. Plan and Policy Dates: Review effective and termination dates of insurance policies to ensure accurate coverage details. Skills & Qualifications: - Graduation in any stream. - Strong understanding of insurance plans (HMO, PPO, EPO, POS) and coverage policies. - Experience with eligibility and benefits verification processes in healthcare. - Familiarity with coordination of benefits (COB), including primary and secondary insurance determination. - Excellent attention to detail and ability to interpret insurance policy information. - Strong communication skills to interact with insurance providers and patients. - Ability to handle both prior and retro authorizations for medical services. - Minimum of 2 years of experience in eligibility & benefit verification including authorization.,
Company Description Nath Outsourcing Solutions Pvt. Ltd. (NOS) was established in 2003 to provide comprehensive solutions to clients in the US Healthcare Industry. NOS offers specialized knowledge in Revenue Cycle Management to ensure exceptional results. Role Description This is a full-time on-site role for Medical Billing in the US Healthcare sector at NOSPL. The role involves processing and managing patient data, coordinating with insurance companies, handling patient billing and collections, maintaining compliance with healthcare regulations and communication with providers and other stakeholders We have Openings in Medical billing Operations (US Healthcare) Pre Authorization, Eligibility Coding Charges payment posting Accounts receivable System and PMS Support HR - Sr. Exe; TL and AM Email your resume: asood@nath-mds.com || 9958899364
Job Title: Prior Authorization Analyst Location: Mohali, Punjab Experience Required: Minimum 1+ year (Physician Side – US Healthcare) Job Description: We are seeking a skilled Prior Authorization Analyst with hands-on experience in Physician-side Prior Authorization . The role involves managing authorization requests, handling denials, and ensuring smooth communication with payers and providers. Key Responsibilities: Process Prior Authorization requests for physician services efficiently and accurately. Manage denials, appeals, and resubmissions for timely resolution. Conduct calls with insurance companies to check authorization status and requirements. Work with different insurance plan types ( HMO, PPO, EPO, POS ). Coordinate with physicians, providers, and insurance representatives. Document and track authorization requests, approvals, and denials. Ensure compliance with payer guidelines and healthcare regulations. Required Skills & Experience: Minimum 1+ year experience in Physician-side Prior Authorization . Strong understanding of prior auth denials and resolution process. Good communication skills for calling and follow-ups with payers. Knowledge of insurance plan types ( HMO, PPO, EPO, POS ). Detail-oriented with the ability to work in a fast-paced environment. Familiarity with healthcare billing software will be an added advantage. Benefits: PF/ESIC Cab/Meal Facility GMI 5 Days Working
Job description Company Description Nath Outsourcing Solutions Pvt. Ltd. (NOS) was established in 2003 to provide comprehensive solutions to clients in the US Healthcare Industry. NOS offers specialized knowledge in Revenue Cycle Management to ensure exceptional results. Role Description This is a full-time on-site role for Medical Billing in the US Healthcare sector at NOSPL. The role involves processing and managing patient data, coordinating with insurance companies, handling patient billing and collections, maintaining compliance with healthcare regulations and communication with providers and other stakeholders We have Openings in Medical billing Operations (US Healthcare) Pre Authorization, Eligibility (Analyst Openings) Coding (Analyst and AM Openings) Charges (Analyst and AM Openings) payment posting ( Analyst and AM Openings) Accounts receivable (Analyst and AM Openings) System and PMS Support (Analyst Openings) HR - Sr. Exe; TL and AM Email your resume: asood@nath-mds.com || 9958899364 Industry Hospitals and Health Care Employment Type Full-time
Prior Authorization Specialist Job Summary The Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The Specialist acts as a liaison between providers, patients, and insurance companies to streamline the authorization process and ensure compliance with payer requirements. Key Responsibilities Authorization Request Management: Initiate and follow up on prior authorization requests for medical services, diagnostic tests, and procedures with insurance companies. Insurance Communication: Coordinate with insurance providers to verify the necessity and coverage of requested services. Clinical Information Gathering: Collect and submit necessary medical documentation (e.g., clinical notes, test results) to support authorization requests. Timely Follow-Up: Track authorization requests to ensure timely approvals and address any denials or pending issues proactively. Documentation & Record-Keeping: Maintain accurate and complete records of all authorization requests, approvals, and denials in accordance with organizational standards. Coordination with Providers: Work closely with physicians, clinical staff, and scheduling teams to obtain required information for submission to payers. Denial Management: Identify reasons for authorization denials and work to resolve issues or submit appeals as needed. Policy & Coverage Verification: Confirm insurance plan requirements for authorizations, including coverage limitations, medical necessity criteria, and pre-certification rules. Payer Portal Utilization: Access and navigate payer portals (Medicare, UHC, BCBS, Availity, Trizetto, etc.) to submit and track prior authorization requests. Compliance: Ensure all authorizations are obtained in compliance with payer regulations and organizational policies. Skills & Qualifications Graduation in any stream. Strong understanding of insurance authorization processes, payer requirements, and medical necessity criteria. Knowledge of payer portals such as Medicare (Noridian), UHC, BCBS, Availity, and Trizetto. Experience with prior authorization workflows in a healthcare environment. Familiarity with insurance plan types (HMO, PPO, EPO, POS) and coverage policies. Excellent organizational and follow-up skills to manage multiple authorization requests simultaneously. Strong communication skills to coordinate between providers, patients, and insurance companies. Attention to detail and ability to interpret insurance policies and medical documentation. Minimum of 2 years of experience in prior authorization (Physician Billing) or related healthcare roles. Interested Candidates please contact us on hanand@nath-mds.com / asood@nath-mds.com/ +91 7988003159 **** Immediate joiners welcomed = Bonus - 10000***
Job Title: AR Analyst – Physician Billing, Lab Billing Location: Plot No: I-48, Sector 83, Alpha IT City, Mohali – 160055 Shift Timings: Night Shift (6:30 PM IST to 3:30 AM IST) Working Days: Monday – Friday (5 Days) Email ID for Applications: hanand@Nath-mds.com Job Summary We are seeking an experienced AR Analyst – Physician Billing to manage financial transactions, ensure accurate billing, and drive timely collections. Immediate joiners with hands-on experience in US healthcare , specifically physician billing , are highly preferred. Key Responsibilities 1. Billing and Invoicing Generate and submit accurate physician bills using CT, Nextgen, and eClinicalWorks (ECW). Ensure compliance with all billing regulations and standards. 2. Accounts Receivable Management Monitor and manage collections effectively. Reconcile accounts and promptly address discrepancies. 3. Denial Management Analyze and resolve denied claims efficiently. Maintain comprehensive knowledge of all denial types. 4. Revenue Cycle Optimization Collaborate with internal teams to streamline processes. Identify and implement areas for improvement. 5. Reporting and Documentation Maintain detailed reports on all billing activities. Document all actions and maintain accurate records. Qualifications Education: Bachelor’s degree in a relevant field. Experience: 2–3 years of experience in US healthcare, specifically in physician billing. Technical Skills: Proficiency in CT, Nextgen, and eClinicalWorks (ECW).
We are seeking individuals from Revenue cycle management industry in Medical Billing of US Healthcare for the Assistant Manager position in the domains of Practice excellence, Accounts receivable, Charges, Documentation. Qualifications: • Bachelor's degree (Any field) or above. • Minimum of 7 years of experience in healthcare industry and Mandatory 2 year in client communication and a related role. • Strong understanding of healthcare operations, collections, compliance, and regulatory requirements. • Proven track record of implementing process improvements and achieving measurable results. • Excellent communication and leadership skills. • Ability to work collaboratively in a team environment. Responsibilities: • Communicate with Client on daily basis to fill the gaps between various departments and client to exchange information related to billing and collections. • Lead and participate in cross-functional teams to implement practice enhancements. • Collaborate with Various department to ensure the billing and collections for client done timely. Work closely with the billing, coding, and reimbursement teams to ensure coordinated efforts. Oversee the charge entry process to ensure accuracy, efficiency, and timeliness. Ensure all charge entries comply with healthcare regulations, company policies, and coding standards. Supervise and manage Charge Entry FTEs, providing guidance, support, and training. • Develop and implement strategies to improve the overall efficiency and effectiveness of healthcare practices. • Collaborate with leadership to establish and monitor key performance indicators (KPIs) related to practice operations and patient care. • Foster a culture of continuous improvement, innovation, and patient-centered care. • Monitor and ensure compliance with regulatory requirements and industry standards. • Analyze data and performance metrics to identify trends and areas for improvement. Shift timings – Rotational (Morning/overlapping) Working days – 5Days (Monday – Friday) Location - Plot No: I-48, Sector 83, Alpha IT City, Mohali 160055 Email ID - asood@Nath-mds.com , Team-HR@Nath-mds.com
About the Role: We’re looking for a dynamic Assistant Manager to lead our Eligibility & Benefits Verification and Prior Authorization team. The ideal candidate will have strong expertise in U.S. healthcare RCM processes, payer policies, and operational management. This role involves leading a team, driving performance, ensuring accuracy, and maintaining client satisfaction across multiple healthcare accounts. Department: Practice Support Services (RCM) Key Responsibilities: Supervise daily E&B and PA operations ensuring 100% accuracy and timely completion of the tasks. Review payer responses, coverage details, and prior authorization requirements. Lead, train, and motivate the team to achieve quality and productivity goals. Manage client email communication, escalations, and performance reporting. Ensure compliance with payer guidelines and internal SOPs. Drive process improvements and assist in new client transitions. Required Skills & Experience: 8+ years of experience in U.S. healthcare RCM, with strong domain knowledge in Eligibility, Benefits, and Prior Authorization. Minimum 3 years in a Team Lead or 2 Years in an Assistant Manager role. Hands-on experience with MS Excel, Power Point, Payer portals, EMR/EHR systems, and Insurance Verification Tools. Strong Leadership, Analytical, and Communication skills. Education: Bachelor’s degree in any discipline (Healthcare or Business preferred). Pls send resume to - asood@nath-mds.com 9958899364
Job Title: Analyst – Tableau Reporting & Analytics Location: Mohali (Office) Shift: Night Shift (Preferred) or overlap till 11:00 PM IST Role Overview: We are seeking a highly skilled Analytics Professional with strong expertise in Tableau to design, develop, and maintain interactive dashboards and reports integrated with our Practice Management System (PMS) . The ideal candidate will have hands-on experience in building automated reporting templates and data visualizations that refresh dynamically, ensuring accuracy, efficiency, and insight-driven decision-making. Key Responsibilities: Design, develop, and maintain Tableau dashboards and reports linked with PMS data sources. Define and create reporting templates that automatically refresh data and summaries upon updates. Collaborate with internal teams and clients to understand reporting requirements and translate them into actionable Tableau visualizations. Perform data validation and ensure accuracy of reports and dashboards. Provide insights and data-driven recommendations through comprehensive analytics. Present dashboards and explain analytical outcomes to clients in a clear and professional manner. Continuously enhance reporting efficiency and visual storytelling within Tableau. Required Skills and Experience: 3+ years of hands-on experience with Tableau , including dashboard creation, data blending, and calculated fields. Strong proficiency in data visualization, data modeling, and data interpretation . Good understanding of data structures and ability to connect Tableau with external databases and PMS systems. Excellent communication and client interaction skills – able to gather requirements and explain insights effectively. Ability to work independently with minimal supervision and handle multiple reporting needs simultaneously. Willingness to work in the night shift (preferred) or at least an overlap shift till 11:00 PM IST . Preferred Qualifications (Good to Have): Prior experience in Revenue Cycle Management (RCM) or healthcare analytics. Strong understanding of financial metrics, AR trends, claim analytics , and performance reporting. Experience with SQL or other database query tools for backend data extraction.