50 Payer Side Jobs - Page 2

Candidate should have experience working as a Process Trainer in Claims adjudication process for US Healthcare 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.

operations of the healthcare claims processing team (Mediclaim, RCM, and denial management) Ensure claims, including verification, validation, coding .Monitor & manage denials, rejections, and appeals in accordance with Payer & Provider guidelines. Required Candidate profile knowledge of healthcare claims, RCM workflows, & denial management. Should have Team Management , Client Management. Analyze RCM data to identify trends, gaps, & opportunities for process improvement

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 Incentives + CAB pick up and Drop

Greetings from Firstsource Solution!!! We have an exciting opportunity for experienced candidates for with good communication skills for claims adjudication process. Walk-in Time : 11:30 AM to 2:00 PM Mode of Interview: 1. F2F HR round 2. Assessments 3. Live chat 4. Operations manager round. Eligibility Criteria: Minimum 6 months experience is required in Claims/ Insurance or healthcare. Processing and data entry for routine types of physician and contract linkage transactions such as: Load new physician demographics and contract linkage using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.) Perform physician demographics and con...

Access Healthcare is hiring for AR Experience 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 in AR 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 day 1 Interview Process f2f For ...

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 Incentives + CAB pick up and Drop

Candidate should have 8+ years of relevant experience in Project Management US Healthcare ,US Hospital ,EMR , EHR,HIS experience is must Interested candidates ,please share resume : ankita.shrivastava@elevancesysyems.com

Role & responsibilities 15-18 years of experience with a minimum of 15 years in Healthcare RCM. Proven success in managing 200+ FTEs. Strong understanding of RCM functions like AR, Billing, Payment Posting, EV/BV. Demonstrated ability in P&L management, client satisfaction, and team development. Experience with at least one billing platform (e.g., Epic, eCW, Athena, NextGen). Preferred candidate profile Functional Competencies: AR: Knowledge on AR strategies, Payer guidelines, AR platforms, global issues, exposure to & understanding of AR complexities, denials & revenue stream, front end working environment would be preferred Billing: Knowledge on billing nuances, payer rules & guidelines, e...

About the Role : The Director of Engineering at Abacus is a key leadership role across US, India and Nepal, responsible for shaping the technical direction of the organization, ensuring the efficient operation of engineering teams, and driving the development of cutting-edge products and solutions. This role requires a combination of technical expertise, leadership skills, and strategic vision to support the company's growth and success. Specific Duties include the following: Manage a group of Data Engineers in US, India and Nepal and provide technical guidance, mentorship and performance management Collaborate with engineering managers, tech leads, cross-functional teams and stakeholders ac...

Company Profile A RP Sanjiv Goenka Group company. Firstsource is a leading provider of customized Business Process Management (BPM) services. We are trusted custodians and long-term partners to 100+ leading brands with a presence in the US, the UK, India, and Philippines. Our rightshore delivery model offers solutions covering the complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services and Insurance Verticals. Our clientele includes Fortune 500 & FTSE 100 companies Job Summary: We are seeking a strategic and results-driven transformation leader to drive operational excellence across the Provider Revenue Cycle Management (RCM) ecosystem. The A...

Role & responsibilities We are seeking a dynamic and experienced Sr Team Manager to join our team in Hyderabad, India. As a Sr Team Manager, you will play a crucial role in overseeing, coaching, and developing our Customer Care team to deliver exceptional service and support to our customers and partners. Lead and manage a team of 50-60 Customer Care associates, ensuring high-quality service delivery and issue resolution Analyze large data sets and provide inputs to tackle any potential challenges proactively Monitor and optimize email/call volume, backlogs, and team performance metrics to maintain and improve service quality Coach and develop Team Managers to enhance their leadership skills...

Candidate should have experience working as a Process Training in Claims adjudication process for US Healthcare Shift - US rotational shifts Work Location - Chennai / Bangalore Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Swapna @ 7411718707 for more details.

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

Firstsource HIRING for Claims Adjudication !! HR SPOC: Aiswarya HR / 8072289336 Job Title: CSA & Senior CSA Grade: H1/H2 Job Category: Associate Function/Department : Operations Reporting to: Team Lead Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims needs to be completed adhering to required TAT and quality SLA. Key Results : Production, Quality Shi...

Candidate must have experience in service delivery, transitions, process excellence, transformational leadership, and solutioning Required Experience - Healthcare Operations + Transitions Candidate must be green/black certified, good with transformation concepts Shift - US Location - Kochi Essential Functions The role will manage a single or multi-client portfolio in healthcare domain with span of control of ~400 - 500 employees The role will be responsible for ensuring noiseless delivery across the accounts, working closely with the onshore teams to support sales opportunities, and moving each of the delivery accounts towards Intelligent (a combination of leveraging AI, robotics, and analyt...

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 Process Training in Claims adjudication process for US Healthcare Shift - US rotational shifts Work Location - Chennai / Bangalore Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Rhea @ 7411697700 for more details.

we have a wonderful job opportunity for AR Callers to move to AR Analyst. Should have experience in denial Management/Physician Billing.AR Voice Process looking for AR Analyst. AR Voice to Non 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 AR Operations day shift. Preferably Immediate Joinees. Perks and benefits plus performance incentives

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

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

Job description Preferred candidate profile : Bachelors degree Proven experience in training with over 1+ years of experience as a Trainer on papers. Minimum of 3 years of experience from Healthcare Payer side ( Claims & Payment Integrity ) Experience with the development of training materials including presentations, user manuals, and assessments. Classroom management skills Strong analytical and technical skills Exceptional organizational abilities Excellent interpersonal and communication skills. Visionary mindset with the ability to identify and implement innovative training solutions. Ability to thrive in a fast-paced and dynamic work environment. Familiarity with learning management sy...

Role - The incumbent will oversee operations in a premium contact center & back-office environment, ensuring the achievement of revenue targets and maintaining high levels of service quality. The role requires strategic planning, crisis management, and effective account management. The individual will be responsible for managing a large team across different accounts, ensuring adherence to SLAs, and implementing quality assurance measures. This position demands a seasoned professional with experience in processes for US-Healthcare industry, capable of leading operational excellence in a dynamic, fast-paced setting. Job responsibilities - Must haves; Manage and lead a team of 300+ members wit...

Job Summary: We are seeking a dedicated and detail-oriented Credentialing Specialist with at least 2 years of experience working in a provider office . The ideal candidate will manage the full lifecycle of provider credentialing and payer enrollment processes to ensure timely billing and revenue recognition within the Revenue Cycle Management (RCM) framework. Key Responsibilities: Manage end-to-end provider credentialing and re-credentialing processes with commercial and government payers. Complete payer enrollment applications for Medicare, Medicaid, and private insurers. Maintain and update provider profiles in CAQH , PECOS , NPPES , and other relevant portals. Liaise with providers to obt...

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

Join Our Growing US Healthcare Team as a Credentialing Coordinator! Are you detail-obsessed, process-driven, and ready to be the bridge between healthcare providers and payers? This is your chance to shine in a role where accuracy saves time, and time saves lives. Location: Noida (Within a 30 km radius) Experience: 24 years in US healthcare credentialing (Provider Enrollment, CAQH, NPI, and Payer Applications) Education: Any Graduate (Healthcare background preferred) What Youll Do: Manage end-to-end credentialing for US healthcare providers — from initial application to final approval. Maintain CAQH profiles, NPIs, and state license verifications with zero lapses. Work with payers, provider ...