47 Nextgen Jobs

HIRING - AR CALLER, PRIOR AUTH, EVBV, MEDICAL BILLING, QA - PRE AUTH / AR - HYDERABAD, CHENNAI, MUMBAI Hyderabad AR Caller Experience - Min 1 year into ar calling ( PB & HB ) Package - Upto 40k Take Home Qualification - Inter & Above Virtual and Walk-in Interviews (Immediate Joiners) Prior Authorization Experience - Min 1 year into Prior Authorization Package - Upto 35k Take Home Qualification - Graduation Walk-in Interviews ( Reliving mandatory ) AR QA Experience - Min 4 years into AR and 1 year as QA on/off paper Package - Upto 6 Lpa - 39k Take Home + 2200 Allowances Qualification - Graduation Walk-in Interviews ( Reliving mandatory ) Prior Auth QA Experience - Min 4 years into Prior Autho...

Role Responsibilities Obtain pre-authorizations for chemotherapy drugs and oncology procedures Coordinate with providers and insurers for timely approvals Communicate patient coverage details and financial responsibilities Navigate portals like Evicore, Optum, and Availity efficiently Key Deliverables Ensure complete and timely submission of authorization requests Maintain accurate logs of approvals, denials, and appeals Stay current on insurance and oncology coding changes Support physicians with clinical documentation for authorization

Role Responsibilities Obtain pre-authorizations for chemotherapy drugs and oncology procedures Coordinate with providers and insurers for timely approvals Communicate patient coverage details and financial responsibilities Navigate portals like Evicore, Optum, and Availity efficiently Key Deliverables Ensure complete and timely submission of authorization requests Maintain accurate logs of approvals, denials, and appeals Stay current on insurance and oncology coding changes Support physicians with clinical documentation for authorization

You have come across a job opportunity with HCL Technologies in Chennai, which requires at least 7+ years of experience in a clinically oriented role. The ideal candidate should be well-versed in medical terminology and familiar with major LIS and EMR systems such as Epic, Cerner/Oracle, Meditech, SCCSoft lab, Sunquest, Orchard, and NextGen. Your key responsibilities in this role will include: - Demonstrating exceptional skills in Microsoft Excel and Access/SQL database - Communicating effectively within your peer group - Multi-tasking and meeting stringent customer deadlines - Providing project status updates to leadership - Quickly learning new systems for compendium mapping/build file pur...

Create test directories for RBU's/EBU's Triage and prep demand requests for team members Monitors and provides status updates to managers for all inflight and pending projects Performs mapping of customer to codes Produce Ongoing compendium maintenance files for strategic customers or vendors Fluent in medical terminology Familiar with major LIS and EMR's like Epic, Cerner/Oracle, Meditech, SCCSoft lab, Orchard, NextGen Exceptional Microsoft Excel skills Exceptional Microsoft Access/SQL database skills Contact Person: Ramya V

Greetings from HCL Technologies! We are currently looking for a candidate with 7+ years of experience to join our team in Chennai for a Night Shift role. The ideal candidate should be clinically oriented and preferably have a background in Med Tech. It is essential to be fluent in medical terminology and have familiarity with major LIS and EMR's such as Epic, Cerner/Oracle, Meditech, SCCSoft lab, Sunquest, Orchard, and NextGen. The candidate must possess exceptional skills in Microsoft Excel and Microsoft Access/SQL database. Effective communication within the peer group, ability to multi-task, and meet stringent customer deadlines are crucial for this role. Providing project status updates ...

Kickstart Your Career in Healthcare AR Callers Wanted! What We Need: 1+ Year Experience in AR Calling Qualification: Intermediate & Above Immediate Joiners (Relieving Letter not mandatory) What We Offer: Salary up to 40,000 + Incentives 2-Way Cab Facility Growth in Healthcare Domain Locations:- Hyderabad, Chennai & Mumbai Interested candidates can share your updated resume to HR Sumalika - 9030461574 (share resume via WhatsApp) Refer your friend's / Colleagues.

WALK-IN DRIVE ACN Healthcare ACN Healthcare is hiring AR Executives Voice Process to strengthen our growing team in Hyderabad. We are looking for experienced professionals in US Healthcare AR Calling who are ready to make an immediate impact. Venue: ACN Healthcare RCM Services Pvt. Ltd Sanali Spazio Building, Ground Floor, Beside Inorbit Mall Plot No: 19, Software Unit Layout, Madhapur, Hyderabad – 500081 Special Walk-in Drive Saturday, 30th August | 2:00 PM – 5:00 PM Regular Walk-ins Monday – Friday | 5:30 PM – 8:00 PM Position: AR Executive – Voice Process Experience: 1–3 years in US Healthcare AR Calling (Physician/Hospital Billing) Preferred: Experience in NextGen & Paragon software Role...

As a Healthcare AR Specialist in the US Healthcare industry, you will be joining a leading US healthcare revenue cycle team. Your role will involve managing accounts receivable, resolving denied claims, and driving reimbursement outcomes through the utilization of top-tier EMR and RCM tools. Your key responsibilities will include tracking and following up on unpaid/denied claims using systems such as Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. You will investigate denials, rectify errors, and prepare appeals with necessary documentation. Analyzing AR aging to prioritize collections and reduce outstanding receivables will be crucial, along with collaborating across codin...

Job Title: Healthcare AR Specialist Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team. Were hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. --- Key Responsibilities: Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. ...

Hiring For Mumbai Andheri Designation- Client Consultant / Sr. Client Consultant 5 days Working Weekends off Work from office Cabs- Both side US Shifts Must have knowledge on oncology and ASC Billing Package Upto 10LPA Required Candidate profile Contact To Apply HR Priyanka-9816787033 HR Ridhi- 8178280056 HR Deepali- 9650092537

Position: Medical Coder Job Summary: Experienced Medical Coder responsible for accurate assignment of ICD-10-CM, CPT, and HCPCS codes across inpatient, outpatient, physician, home-health and hospice settings. The role requires deep familiarity with Medicare/Medicaid rules, payer policy nuances, and specialty coding (including PDGM/OASIS interplay for home health and hospice billing rules). Coders will partner closely with QA, clinical SMEs, and RCM operations to meet TAT and accuracy SLAs. Core Responsibilities: Review clinical documentation (EHR notes, discharge summaries, OASIS, visit notes) and assign accurate ICD-10, CPT, and HCPCS codes. Ensure coding supports correct bill type (UB-04/8...

Key Responsibilities: Call insurance companies (outbound calls) to follow up on pending or denied claims. Analyze and understand EOBs (Explanation of Benefits) and denial codes . Take appropriate actions such as appeals, re-submissions, or escalations. Meet daily/weekly productivity targets and quality benchmarks (accuracy ?95%). Update internal billing systems with clear and concise notes on claim status. Follow HIPAA guidelines and client-specific protocols during interactions. Coordinate with the team and supervisors for escalations or complex cases. Eligibility Criteria: Education: Any graduate (Life Sciences or Healthcare background preferred). Experience: Freshers with excellent commun...

Key Responsibilities: Review and analyze unpaid/denied claims and initiate appropriate follow-up. Make outbound calls to US insurance companies (payers) to resolve claims. Understand and interpret Explanation of Benefits (EOBs) and Claim Adjustment Reason Codes (CARCs) . Work on claim re-submissions , appeals , and denial resolutions . Update the billing system with clear and accurate documentation of actions taken. Meet daily, weekly, and monthly productivity targets (e.g., call volume, aging resolution). Ensure compliance with HIPAA and company policies. Required Qualifications: Education: Any graduate (Life Science or Healthcare background preferred). Experience: Freshers: With excellent ...

We enable financial institutions to become digital leaders. As a professional team of global scale, we work with best clients for great and exciting projects, in an environment where we learn amazing things every day. Each code, each voice, each contribution, each challenge, each success is celebrated here. We welcome candidates who share our values, have the skills and are passionate to enjoy our journey to build the digital future of finance, together. About the job: We are seeking a dynamic and knowledgeable Principal Business Analyst for Open Banking to lead and guide our newly established team focusing on Open Banking and especially PSD2 in Europe and Open Banking in UK, as well as Open...

The ideal candidate should possess excellent analytical, organizational, and interpersonal skills. They should have a minimum of 5+ years of experience in US Healthcare Medical Billing, with at least 3 years of experience in Team Handling. Proficiency in AR tools and practice management systems is mandatory, with preferred experience in Trizetto, Waystar, Jopari & NextGen. Immediate joiners will be preferred and candidates should be flexible with shift timings. The location for this position is Mohali, with a required experience of 9 years. The salary is competitive and considered the best in the industry. Additional benefits include cab facility, in-house meal facility, and performance-base...

Roles and Responsibilities The role of Delivery Manager is crucial for ensuring the successful delivery of projects and services to clients. It requires a combination of leadership, project management, communication, and technical skills. This position is responsible for overseeing the delivery of projects and services to clients, ensuring that they meet the agreed-upon quality standards, timelines, and budgets. Below is an overview of the key responsibilities, required skills, and qualifications for the role of Delivery Manager. Leading a large team with complete P&L ownership, servicing multiple engagements with varied offerings. Actively supporting sales teams in new logo acquisition and ...

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting ...

You are a clinically oriented individual with experience in Customer Service/Call Center, particularly in a White Glove setting. You are fluent in medical terminology and have familiarity with major Laboratory Information Systems (LIS) and Electronic Medical Records (EMRs) such as Epic, Cerner/Oracle, Meditech, SCCSoft lab, Sunquest, Orchard, and NextGen. Your skills include exceptional proficiency in Microsoft Excel and ticketing systems like Service Now. You are adept at communicating effectively within your peer group, facilitating customer status calls and working sessions, and monitoring the progression of validation testing. You excel at multitasking and meeting stringent customer dead...

As an ideal candidate for this role, you should possess excellent leadership, communication, and problem-solving abilities. You must have a minimum of 7+ years of experience in US Healthcare Medical Billing, with at least 6+ years specifically in Physician billing and AR. Additionally, you should have a minimum of 3 years of experience in a managerial role. Your strong analytical skills will be essential for this position, along with prior experience in AR reporting, KPI tracking, and denial management. Proficiency in billing/PM systems is a must, and preferred experience in systems such as Trizetto, Waystar, Jopari, and NextGen will be advantageous. Immediate joiners will be given preferenc...

4 - 6 years of relevant experience supporting Information Security architecture and technologies in large enterprise networks. Architecture of large-scale network and application environments (including Internet-facing) Familiar with cloud infrastructure and related technologies Solid understanding of the TCP/IP protocol suite and related concepts and technologies and IPv6 Experience with router and multilayer switch technologies and products Experience with stateful firewall technologies and products, NextGen firewalls (e.g. Checkpoint, Juniper, Cisco, Palo Alto) and firewall management tools Experience with key security tools such as Antivirus, File Integrity Monitoring, Intrusion Detectio...

Exciting Opportunity for AR Callers Join Our Growing Team in Mumbai & Hyderabad! Locations: Mumbai & Hyderabad (Work from Office Only) Salary: Up to 41,000 Take-Home* Notice Period: Immediate Joiners Preferred! Relieving Letter: Not Mandatory Who Were Looking For: If you have at least 9 months of experience in AR Calling (US Healthcare Process) and you're looking for a rewarding, stable role we want to hear from you! Your Key Responsibilities: Manage and follow up on outstanding insurance claims for US healthcare clients Handle denials and rejections with attention to detail Maintain accurate documentation and claim updates Achieve productivity and quality targets What You’ll Need: Minimum 9...

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...

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 lim...

The Account Receivable Analyst (AR-Physician Billing) in US Healthcare is responsible for managing financial transactions to ensure accurate billing and timely collections. We are looking for immediate joiners with hands-on experience in US healthcare, particularly in physician billing. Your key responsibilities will include generating and submitting accurate physician bills using CT, Nextgen, and eClinical Works (ECW) systems while ensuring compliance with billing regulations. You will be responsible for monitoring and managing collections, reconciling accounts, addressing discrepancies, analyzing and resolving denied claims, and maintaining a thorough knowledge of all denial types. Additio...