50 Payer Side Jobs

Role Lead Business Analyst (Healthcare) We are seeking a Lead Business Analyst with deep expertise in healthcare systems, analytics, and digital platforms. You’ll work closely with stakeholders, analytics teams, and delivery squads to design solutions that address complex healthcare business needs while shaping the next wave of AI-powered healthcare innovation. Required Skills & Qualifications Any Engineering background (or) MBA in Business Analytics/ Business Management etc.. 7+ years of experience as a Business Analyst in the healthcare domain (providers, payers, or digital health platforms). Strong domain knowledge of US Healthcare, including clinical documentation workflows & patient inf...

Hands-on experience in Revenue Cycle Management (RCM) Proven experience in Denial Management and Claim Adjudication Experience in Claim Processing and overall Claim Management lifecycle Prior exposure to US Healthcare domain (Payer or Provider environment) Contact - 9561724254, Rajpreetb@hexaware.com

Location: Ghansoli (Navi Mumbai) Education: Graduate Shifts: US evening shifts Designation : Sr TL or TL Roles and Responsibilities Manage a team of Enrollment Specialists to achieve daily targets for Eligibility Verification, Insurance Verification, Payer Side Claims Processing, and EDI files processing. Collaborate with internal stakeholders to resolve issues related to enrollment, claims processing, and customer service. Throughout experience should be there in US Healthcare Should have strong experience in EDI files like 834,835,837 Aware about KRA's & KPI

Verify provider credentials, licenses, certifications, education, and work history. Ensure compliance with NCQA, JCAHO, CMS, and other applicable standards. Communicate with providers and internal teams regarding credentialing statuses and needs.

Hiring for RCM Manager US Healthcare || Vizag & Kolkata || 16 Lpa || WFO|| Designation : Manager Skills :- Overall 10 to 12 yrs of exp with 1 yr on paper manager into claims Adjudication , Payor side & Pre-authorization US Healthcare Good Managment Skills & Communications skills Looking for Payer side Experience Qualification :- Degree Mandate Notice Period :- Immediate Joiners or Else serving Notice period Only Package :- 16 LPA Interview Mode :- Virtual Interview Rounds :- 3 Round Intrested candidates can drop their CV to Mobile no( Only Whatsup ) : 8374730176 or else can forward their Cv to Bhavana.D@axisservice.co.in

we have a wonderful job opportunity for AR Callers/QA/SME. Should have experience in Hospital Billing/Physician Billing/Prior Authorization Voice.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees to 30 days Notice Required Candidate profile looking for AR caller/Sr AR Caller/QA/SME. Experience in to Hospital Billing/Physician Billing/Prior Authorization Voice .Who have experience in CMS1500 or UB04.Incentive based performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing/Prior Authorization Voice.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees to 30 days Notice Required Candidate profile looking for AR caller/Sr AR Caller/Ambulance Billing.Experience in to Hospital Billing/Physician Billing/Prior Authorization Voice .Who have experience in CMS1500 or UB04.Incentive based performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

Pre-Sales Consultant - Healthcare Payers Location: India (Offshore Role) AI & Automation-First | U.S. Healthcare Focused About Genzeon Genzeon is a healthcare-exclusive technology services and solutions partner with a mission to make a meaningful difference in U.S. healthcare by eliminating administrative burdens and addressing affordability and access challenges through intelligent digital transformation. We are an AI & Automation-first organization , built on a foundation of strong IT services including cloud enablement, systems integration, enterprise data, APIs, and healthcare interoperability. Our solutions combine practical automation, agentic AI, and platform-aligned delivery models t...

Job Summary: We are seeking an experienced Quality Lead to oversee and enhance the quality assurance processes. The ideal candidate should have a strong background in Payor services, process improvement, and team leadership. They will be responsible for ensuring high-quality standards and driving process excellence. Key Responsibilities: Quality Assurance & Process Improvement: Monitor and ensure compliance with RCM quality standards and accuracy metrics. Identify process gaps and implement corrective and preventive measures. Develop and refine quality control methodologies, including DPU and DPO analysis. Audits & Root Cause Analysis: Perform Root Cause Analysis (RCA) on errors and denials ...

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing/Ambulance Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees to 30 days Notice Required Candidate profile looking for AR caller/Sr AR Caller/Ambulance Billing.Experience in to Hospital Billing/Physician Billing/Ambulance Billing.Who have experience in CMS1500 or UB04.Incentive based upon your performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

Cognizant walk-in Drive for Senior claims adjudication in Coimbatore location. Interview Date : 27th Sep 2025 (Saturday) Interview Time : 9:30 AM - 12:30 PM Venue : Cognizant, CCC Campus, CHIL SEZ Campus, CHIL SEZ IT Park, Saravanampatti, Keernatham Village, Coimbatore-641035 Building Details : Food court - 2 nd floor, North End Contact Person : Govindaraj S / Gokul R Desired profile : Any graduates Minimum 1 to 4 Years of experience in US Healthcare Claims adjudication process (Payer side) Must have experience into End to End claims processing (US Healthcare) Must have strong knowledge in US Healthcare plans and claims forms like CMS 1500 & UB04 Must be willing to work in Night Shift (US Sh...

Dear Aspirants, Sagility is conducting a huge walk in drive process trainer role for Coimbatore location. Job Description Summary We are seeking a highly motivated and experienced Training Specialist to join our team as a Claims Administration Trainer. In this role, you will be focusing on equipping our team members with the necessary expertise to effectively handle claims processing, customer inquiries, and ensure compliance with company policies and industry regulations. As a Training Specialist, you will play a critical role in maintaining the high standards of our claims administration department and contribute to the overall success of the organization. Job Description Education: Any Gr...

Access Healthcare is hiring for Bpo international Voice experinced for US Healthcare Industry ( Payer Side ) Please apply or refer your friends or acquaintances for the AR international voice process Excellent English Communication Skills Required; Candidates must speak English without any grammatical errors. Must be ready to work in Night shift Experience Any freshers or Candidates with 1 to 3 years experience inbound calling domain are eligible CTC Will be finalized based on experience and interview scores) Free Transportation - Both pick up and drop will be provided in night shift no Transportation in day shift Work Location Navi Mumbai airoli No WFH, Must be ready to report office from d...

Role & responsibilities We are seeking a passionate, results-oriented Project management/Product owner/Lead Business Analyst in the healthcare payer domain with Multi-employer/Benefit Administration of self-funded client experience . The ideal candidate will excel in client interactions, and can collaborate effectively with stakeholders to analyze, define and manage requirements for client or product. He / She will have worked in-depth in healthcare payer domain in Health Plan Administration (Benefits & Claims Administration, Vendor integration, Portals) or Multi-employer/Benefit Administration space. Project experience involving data conversation, data migration, data governance and framewo...

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing/Ambulance Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees to 30 days Notice Required Candidate profile looking for AR caller/Sr AR Caller/Ambulance Billing.Experience in to Hospital Billing/Physician Billing/Ambulance Billing.Who have experience in CMS1500 or UB04.Incentive based upon your performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

Role: Healthcare Business Analyst Work Mode: Hybrid Exp: 5 to 10 years Shift: 5 PM to 2 AM IST (Starlight work shift) Role & responsibilities Responsible for detailed assessment which includes data mapping/file loads and analysis of source data needed for the solution. Responsible for creation of Business Requirement Document which may include data mapping and Business Process flow diagrams. Coordinate with Business stakeholders for requirements gathering, clarifications and query resolution. Ability to work on Discovery phase of a project and create Assessment and Recommendation document Work closely with client business stakeholders to understand and finalize functional and non-functional ...

Role: Healthcare Business Analyst Work Mode: Hybrid Exp: 5 to 10 years Role & responsibilities Responsible for detailed assessment which includes data mapping/file loads and analysis of source data needed for the solution. Responsible for creation of Business Requirement Document which may include data mapping and Business Process flow diagrams. Coordinate with Business stakeholders for requirements gathering, clarifications and query resolution. Ability to work on Discovery phase of a project and create Assessment and Recommendation document Work closely with client business stakeholders to understand and finalize functional and non-functional requirements for solution implementation. Prefe...

Role: Presales/Customer Succes Work Mode: Hybrid Exp: 10 to 15 years Desired Skillset: Presales, RFP, Proposals, US Healthcare Key Skill /Skill Specialization: 10-14 years experience in any one or more sub-sectors of Healthcare such as Payers i.e. Health Insurance preferably in the US market as Healthcare Consultant. Navigate complexities and ambiguities with client ask or industry trend to clearly document & present CitiusTech solution & perspective Ability to understand the client Problem statement and strong analytical skills for identifying the possible solution Ability to build professional relationships, a spirit of co-operation, and a flexible approach to work are required Self-motiva...

Job Description: Education Graduation Experience required – 2 years of Manager or we can also look for DM or AM with high experience Should be from Payer background Should be from US Healthcare background Team handled should be 75 Relocation is OK Good experience in team management & people management US Shifts

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees like proper relieved or without Required doc. Required Candidate profile looking for AR caller/Sr AR Caller/SME. Experience in to Hospital Billing/Physician Billing. Who have experience in CMS1500 or UB04.Pick up and drop is there and Incentive based upon your performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

Role & responsibilities Lead and manage large RCM delivery teams, including managers and team leads across multiple functions (billing, coding, AR, etc.). Ensure smooth execution of processes across the revenue cycle to achieve operational KPIs (cash collections, DSO, AR aging, denial rate, etc.). Drive continuous process improvements through automation, standardization, and lean methodologies. Partner with clients, internal stakeholders, and cross-functional teams to ensure high-quality service delivery and SLA adherence. Analyze performance reports and implement strategies to improve financial outcomes and operational efficiency. Oversee recruitment, training, and development of RCM staff ...

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees like proper relieved or without Required doc. Required Candidate profile looking for AR caller/Sr AR Caller/SME. Experience in to Hospital Billing/Physician Billing. Who have experience in CMS1500 or UB04.Pick up and drop is there and Incentive based upon your performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

wonderful job opportunity for AR Callers to move to AR Analyst. Should have experience in denial Management/Pre Authorisation.AR Voice Process looking for AR Analyst.AR Voice to Non Voice/Semi Voice AR Operations day shift.Preferably Immediate Joinee Required Candidate profile Should have experience in denial Management/Physician Billing.AR Voice Process looking for AR Analyst. AR Voice to Non Voice/Semi Voice AR Operations day shift. Preferably Immediate Joinees. Perks and benefits plus performance incentives

Candidate should have experience working as a Team Leader OR Quality analyst for US healthcare process. Shift - US rotational shifts Work Location - Hyderabad Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Swapna @ 7411718707 for more details.

Job Title : Consultant Medical Coder (Contractual for 1 months- full time-Remote) Job Overview : Review patient visit summary documents and identify the best Payer Side, ICD10, CPT code(s) for the diagnosis and/or treatment. May involve selecting from existing codes, providing/writing codes, and ranking code. Company overview: iMerit is a well-funded, rapidly expanding global leader in data services for Artificial Intelligence in Healthcare. iMerits dedicated Medical Division works with the world’s largest pharmaceutical companies, medical device manufacturers, and hospital networks to supply the data that powers advances in Machine Learning. At iMerit, we have successfully delivered data se...