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2.0 - 7.0 years

4 - 7 Lacs

tiruchirapalli, bengaluru

Work from Office

Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations Keeping accurate records of authorization information Interacting with patients, insurance providers, and other staff to ensure accurate and timely claims Approving or authorizing prior authorizations over the phone, online, or by fax Working with other departments to gather and analyze client information Creating efficient intake and authorization processes

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1.0 - 4.0 years

4 - 5 Lacs

navi mumbai, mumbai (all areas)

Work from Office

Healthcare RCM Careers Mumbai We are expanding our team and looking for experienced professionals in: Prior Authorization | Medical Billing | EVBV What We Expect: 1+ Year in Prior Authorization & EVBV (Mandatory) Qualification: Intermediate & Above Relieving Letter: Mandatory Notice Period: Immediate to 60 Days Mumbai Location What We Offer: Salary up to 5.75 LPA Two-Way Cab Facility Defined Career Growth Path Professional yet Supportive Work Culture Interested candidates can share their resume at: HR Dharani - 9100982938 Mail ID : dharani.palle@axisservice.co.in

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3.0 - 7.0 years

0 Lacs

noida, uttar pradesh

On-site

As a Sr. Process Associate- Behavioral Healthcare Billing at Med Karma, you will be responsible for handling medical billing solutions for healthcare providers specializing in behavioral health. With a minimum of 3 years of experience in this field, you will demonstrate expertise in behavioral health billing, coding, and reimbursement policies. Your role will involve managing a wide range of billing functions, including utilization management, prior authorization, claims review, and analyzing denials to develop effective appeal strategies. You should possess good communication skills and a strong understanding of revenue codes related to IOP/PHP services. Additionally, you must navigate carve-out plans in insurance billing and reimbursement efficiently. Attention to detail, strong analytical skills, and problem-solving abilities are crucial for this role. Your responsibilities will also include preparing and submitting appeals for various denials, ensuring proper documentation and justifications. This is a full-time on-site position located at our Noida office. If you meet the qualifications and skills required for this role, we encourage you to get in touch by sending your resume via direct message or contacting us at 9815017770.,

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1.0 - 4.0 years

2 - 5 Lacs

bengaluru

Work from Office

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities: Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.Provides insurance company with clinical information necessary to secure prior-authorization or referral.Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries.Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization with Surgery/Orthopedic Experience Good understanding of the medical terminology and progress notes How to Apply:Contact Person: Venkatesh R (HR)Phone Number: 8762650131 (Call or WhatsApp)Email: Venkatesh.ramesh@omegahms.comLinked in : https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ This opportunity is a work-from-office (WFO) position based in Bangalore. Regards,Venkatesh R https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ HR TEAM

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1.0 - 4.0 years

2 - 5 Lacs

hyderabad, chennai, mumbai (all areas)

Work from Office

Hiring for AR Caller | Hyderabad | Chennai | Mumbai **Location:** Hyderabad, Chennai and Mumbai **Job Type:** Full-Time | Regular / Permanent **Position:** Senior AR Caller **Eligibility Criteria:** * Minimum **1+ year of experience** in AR Calling (Mandatory). * **Graduation** is mandatory. * **Relieving letter not mandatory**. * **Immediate Joiners** or candidates with up to **15 days notice period** preferred. **Compensation & Benefits:** * Salary: **Up to 40,000 Take-Home** * Additional **Incentives & Allowances** * **Cab Facility** provided **Required Skills:** * **Minimum 1 year of AR Calling experience** (Denial Management). * Strong **communication and interpersonal skills**. * Ability to work in a **fast-paced, target-driven environment**. Interview Mode: Virtual or Walk-in Interested candidates can share their updated resume via WhatsApp to: **HR Srujana - 8520996202** Referrals are welcome! Share this opportunity with your friends/colleagues. *Join Our Healthcare RCM Team Prior Authorization (Mumbai & Hyderabad) & EVBV Executives & Medical billing (Mumbai)* *Why Youll Love Working With Us* Competitive Salary Up to 5.75 LPA Hassle-Free Commute 2-Way Cab Facility Clear Career Growth Path in Healthcare RCM Work with a supportive, dynamic team *What We’re Looking For* Experience: Minimum 1 Year in Prior Authorization, EVBV and Medical Billing (Mandatory) Qualification: Intermediate & Above Relieving Letter: Mandatory Notice Period: Immediate Joiners Preferred (Up to 60 Days Accepted) *Location: Mumbai* Apply Today & Take the Leap! Send your resume now: HR Srujana - 8520996202 Referrals are welcome! Share this opportunity with your friends/colleagues.

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11.0 - 20.0 years

20 - 35 Lacs

pune, chennai, bengaluru

Work from Office

Urgent Hiring for- Role - QA Lead / Architect Location : Chennai , Bangalore, Hyderabad, Pune Mandate Skills : Functional Testing, Automation Testing , End to End US healthcare (Member Enrolment, Claims, Prior Authorization, Encounters and Care Management) Note- Strong experience in EDI with 8 years of experience in healthcare domain. Key Responsibilities: Develop, execute, and maintain end-to-end test scenarios spanning multiple healthcare domains (Member, Enrolment, Claims, Prior Auth, Encounters, Care Management). Collaborate with Business Analysts, Product Owners, and Stakeholders to understand requirements and translate them into comprehensive test strategies. Conduct functional, Automation , integration, regression, and UAT support testing across cross-functional modules. Validate data flow across systems (EDI, downstream platforms, provider/member portals, etc.) and ensure alignment with business rules. Identify data requirements and create test data (including mock EDI files like 834, 837, 278, etc.). Drive root cause analysis of issues and work independently to resolve or escalate with minimal dependency on development teams. Ensure compliance with HIPAA and industry standards across testing activities. Participate in Agile ceremonies, providing test status, risk assessment, and quality insights. Required Skills: Strong domain expertise in US Healthcare : Member Management, Enrollment (834) , Claims (837P/I), Prior Authorization (278 ), Encounters and Care Management workflows. Hands-on experience with EDI formats , healthcare platforms, and data validation tools. Proven ability to work independently , drive testing strategy, and challenge assumptions. Experience with tools such as JIRA, qtest, ADO, SQL, Postman , and test automation basics (TOSCA, optional but a plus). Strong communication and analytical skills to work across cross-functional teams. Ability to troubleshoot data and integration issues across APIs, DBs, and EDI feeds Interested candidate can share updated resume at axum@vishusa.com

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1.0 - 3.0 years

1 - 3 Lacs

bengaluru, karnataka, india

On-site

Job highlights Minimum 1+ years experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description Please Ignore if you have experience into NON VOICE Minimum 1+ years experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization ( Voice Process ) Good understanding of the medical terminology and progress notes

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3.0 - 8.0 years

5 - 8 Lacs

gurugram

Work from Office

Report results of evaluations to appropriate Quality/Operations stakeholders Achieve departmental productivity requirements Facilitate remote call monitoring sessions as needed internal quality audits internal & external calibration sessions Required Candidate profile Experience in managing international voice clients preferably in Banking/Insurance/Healthcare 2+yrs of experience BPO industry immediate joiners Suvidha Mahajan suvidham@emsol.co.in 9911254430

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3.0 - 8.0 years

5 - 8 Lacs

gurugram

Work from Office

providing the day-to-day functional direction to agents within the program training classroom environment, including student progress monitoring for the duration of training, providing coaching & developmental feedback & readiness recommendations Required Candidate profile Proven experience in training methodologies & soft skills Process Training-Voice Process International BPO Exp 24*7 shifts 5 days working Suvidha Mahajan suvidham@emsol.co.in 9911254430

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5.0 - 10.0 years

5 - 9 Lacs

gurugram

Work from Office

day to day communication directly with the US clients. Report creation and publishing. Responsible for the day-to-day supervision of a group of call center associates including work and attendance monitoring Handle a team of 20 to 30 people Required Candidate profile Healthcare domain knowledge Experience in Billing and Reconciliation Benefit Access will be an added advantage Prior Authorization Exp is a must Suvidha Mahajan suvidham@emsol.co.in 9911254430

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6.0 - 12.0 years

0 Lacs

hyderabad, telangana, india

On-site

Job Title: Prior Authorization Team Lead Location: Kondapur, Hyderabad - ONSITE Shift Timing: U.S. Time Zone - Indian night shifts Department: Revenue Cycle / Prior Authorization We appreciate the value of your time as well as ours, so please review the entire job description and apply only if you are interested. At Staffingly, Inc., we are at the forefront of revolutionizing healthcare operations by providing essential services to doctors, laboratories, pharmacies, and other healthcare providers. As a leader in economic Prior Authorization solutions, we tackle the challenges of staff shortages that impact revenue flow and patient care quality. Our mission is to empower healthcare facilities to focus on what truly matters, exceptional patient care by simplifying and streamlining their administrative processes. Our comprehensive service offerings include handling intricate Prior Authorization processes, accurate insurance verifications, expert management of medication and procedural authorizations, full-spectrum Revenue Cycle Management (RCM), Medical Billing/Coding, Data Entry, and Customer Support services. With 24/7 operations, we ensure efficiency and responsiveness, supporting our clients in maintaining smooth and effective healthcare delivery. If youre passionate about making a meaningful impact in the healthcare industry by improving operational efficiencies and enhancing patient care, Staffingly, Inc. is the place for you. We are eager to see how your skills and expertise can contribute to our growth and success. For more information, visit us at https://staffingly.com Join Our META Verified WhatsApp Channel for Healthcare BPO/KPO Jobs! https://bit.ly/bpo-whatsapp-jobs Please share with friends Position Summary: ? The Prior Authorization Team Lead will oversee and coordinate the daily operations of the prior authorization team, ensuring timely and accurate processing of prior authorizations, eligibility verification, and benefits verification. The ideal candidate will have in-depth knowledge of cardiology, radiology, orthopaedics , and medication prior authorization workflows . This role requires strong leadership, payer policy knowledge, and the ability to coach team members to meet productivity and quality standards. Key Responsibilities: Team Leadership & Oversight Supervise, train, and mentor prior authorization staff. Monitor workload distribution and ensure timely completion of all authorization requests. Provide performance feedback, coaching, and training to enhance staff knowledge and efficiency. Prior Authorization Processing Review and process prior authorization requests for cardiology, radiology, orthopaedics, and medications in compliance with payer guidelines. Ensure all necessary clinical documentation is complete for submission. Serve as a subject matter expert for specialty-specific prior authorizations. Eligibility & Benefits Verification Oversee teams verification of patient eligibility and insurance benefits prior to scheduling services. Interpret payer benefit coverage, limitations, co-payments, deductibles, and out-of-pocket costs. Escalate and resolve complex coverage or benefit disputes. Compliance & Quality Ensure compliance with HIPAA, payer guidelines, and internal policies. Monitor and maintain quality assurance metrics and audit results. Stay current with payer requirements, coding updates, and industry best practices. Collaboration Work closely with providers, schedulers, and billing teams to ensure accurate authorization and verification workflows. Communicate with insurance companies to expedite authorization decisions and resolve issues. Act as the liaison between clinical staff and payers for complex or urgent cases. Qualifications & Skills: Required: Minimum 6 - 12 years of prior authorization experience, with at least 12 years in a lead or supervisory role . Strong working knowledge in speciality & Modalities (ophthalmologist, Oncology, Pain Management etc..) Proficiency in eligibility and benefits verification using payer portals and clearinghouse tools. Strong understanding of insurance payer guidelines, CPT/HCPCS/ICD-10 codes. Excellent communication, leadership, and problem-solving skills. Ability to work in a fast-paced environment and manage competing priorities. Preferred: Experience with EHR systems (Cerner, Athena, Allscripts, or similar). Familiarity with Medicare, Medicaid, and commercial insurance plans. Benefits: Provident Fund contributions. Overtime and holiday pay. On-site benefits, including travel allowances and meals. Referral and birthday bonuses. Night shift allowances. Recognition through our "Employee of the Month" program. Show more Show less

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0.0 - 4.0 years

0 Lacs

punjab

On-site

This is a full-time on-site role for an Insurance Verification Specialist, located in Mohali. Your primary responsibilities will include verifying patient insurance coverage, obtaining prior authorizations, and accurately updating patient information. You will be required to communicate with insurance companies and patients to resolve any coverage issues, while consistently providing exceptional customer service. To excel in this role, you should possess Insurance & eligibility Verification and Prior Authorization skills, proficiency in Medical Terminology, strong Communication and Customer Service skills, attention to detail and accuracy, and the ability to work collaboratively within a team. Experience in a dental or medical office setting is a plus. A high school diploma or equivalent is required for this position. Both freshers and experienced candidates are welcome to apply. If you are interested, please DM your CVs.,

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2.0 - 4.0 years

2 - 5 Lacs

bengaluru

Hybrid

* 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 Interview Rounds: 3 Requirements: Experience: At least 2-4 years of customer service experience, with a background in the U.S. healthcare industry . Must be familiar with HIPAA guidelines and handling sensitive data. Education: A bachelor's or master's degree is preferred. Preferred candidate profile Candidates should be flexible in working from home or in an office setting as per business needs Must be comfortable working in US shift Must be comfortable to attend F2F final interview Must be a residing in Bangalore About the Role : Aston Carter is looking for a Program Specialist to be the main point of contact for our customers. In this role, you'll provide crucial operational and reimbursement support, ensuring patients get the therapies they need. You'll be a self-starter who identifies and removes obstacles, using your problem-solving skills to advocate for our customers. Key Responsibilities: Handle incoming calls and faxes, and make outbound calls for insurance verification. Document all communications and escalate issues as needed. Process patient applications to determine program eligibility. Coordinate prescription transfers to specialty pharmacies. Educate patients on available insurance options. Maintain a professional demeanor while adhering to HIPAA guidelines and SOPs. To schedule interview drop resume at gansari@astoncarter.com along with the details below Name as per Aadhar and PAN: Contact No.: Email Address: Gender: Highest Qualification: Total Years of Experience: Relevant years of experience in US Healthcare Current/Last Organization : Notice Period/LWD : Current Location : Current CTC : Expected CTC: Are you comfortable for Work From Office whenever asked by the organization: Are you comfortable with the 6 months CONTRACT: Comfortable with US shift timings( 6:00 PM - 3:00 AM) :

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1.0 - 3.0 years

2 - 3 Lacs

hyderabad

Work from Office

Job description EXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLE Position 1: Prior Authorization Executive- Voice Process. Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients cost estimation calculation. Review and process pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures Get prior authorization approval from insurance firms and nurse managers Appeal insurance companies after prior authorization refusals. Get prior authorization approval from insurance firms and nurse managers. Document account activity using correct medical and billing codes. At least 1 year of experience in obtaining prior authorization. Interact with the insurance rep to follow-up on appealed authorizations. Calling Insurances on claims resolutions and handling the denials for a closure Qualifications: Good organizational skills to implement timely follow-up Excellent verbal and written communication skills Strong reporting skills Ensure accurate & timely follow up where required. Interested candidates can share their updated resume with below details to hr@finchhealthcare.com Contact: Mr. Naveen (Director) - 9281471911

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1.0 - 4.0 years

3 - 5 Lacs

hyderabad, navi mumbai, chennai

Work from Office

Huge openings for AR Callers & Prior Authorisation - US Healthcare Locations: AR Caller: Hyderabad, Chennai, Mumbai Prior Authorisation: Hyderabad & Mumbai Eligibility: Minimum 1 year of experience in AR Calling / Prior Authorisation Qualification : Intermediate & above Immediate Joiners preferred Salary & Benefits: Salary : Up to 40,000 (Take-Home) 2-Way Cab Facility 5 Days Working (Saturday & Sunday fixed off) Attractive Performance-Based Incentives How to Apply: Share your updated resume on Whats App 9603167695 Note : The above requirement is only for US Healthcare - RCM .

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3.0 - 7.0 years

4 - 9 Lacs

hyderabad, chennai

Work from Office

*We're Hiring* Job Title: Multiple Positions Available - Revenue Cycle Management If Interested, Kindly Register to the below link :(Mandate) Registration Link: https://forms.office.com/r/KJxsEYmgGH?origin=lprLink Job Summary: We are seeking experienced and motivated individuals to join our growing team in Chennai and Hyderabad. We have multiple openings across various functions within our medical billing and healthcare operations departments. If you have a strong background in any of the areas listed below, we encourage you to apply! Key Responsibilities & Requirements: Accounts Receivable/AR Calling (5-7 Years Experience): Extensive experience in accounts receivable management within the healthcare industry. Proficiency in insurance follow-up procedures and resolving claim denials. Strong communication and negotiation skills. Pre-Authorization (3-5 Years Experience): Experience in obtaining pre-authorization for medical services. Thorough understanding of insurance verification and authorization processes. Processing Claims (Medical Billing) (3-5 Years Experience): Comprehensive knowledge of medical billing processes. Experience in demographics entry, charge entry, claims editing, clearinghouse edits, and claims scrubbing. Eligibility Verification (3-5 Years Experience): Experience in back-end registration verification and eligibility checks. Charge Entry (3-5 Years Experience): Proficient in charge creation and reviewing medical documentation to ensure accurate billing. Credentialing (3-5 Years Experience): Experience in provider credentialing processes. Qualifications: Bachelor's degree in a related field is preferred. Proven experience in the relevant skill area as outlined above. Excellent attention to detail and accuracy. Strong analytical and problem-solving skills. Ability to work independently and as part of a team. Additional Information: Notice Period: Immediate to 30 days Work Location: Chennai and Hyderabad Shifts: Rotational Work Environment: 5 days working from the office Locations: Chennai: 6th Floor, SEZ, Ramanujan IT City, 8th Floor Cambridge Tower, SH 49A, Tharman, Chennai, Tamil Nadu 600113, India Hyderabad: 6th floor, M/s Sundew Properties Ltd, IT/ITES SEZ, 12D, Mindspace, HITEC City, Madhapur, Telangana 500081, India

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0.0 - 3.0 years

0 Lacs

maharashtra

On-site

As a Prior Authorization Specialist at Resolv, you will play a crucial role in managing prior authorizations and referrals to ensure timely approvals and accurate verification of insurance eligibility. Your responsibilities will include reviewing clinical data, coordinating with insurance providers, and maintaining compliance with client workflows. Operating in a fast-paced, team-oriented environment, you will need to demonstrate exceptional accuracy, critical thinking, and multitasking abilities. Working remotely, you will be part of a night shift team based in Mumbai. Your primary functions will involve verifying patient insurance coverage, initiating new prior authorizations/referrals, and reviewing clinical data against specified medical criteria. You will also monitor client schedules, follow up on pending requests, and communicate with insurance providers on a daily basis. Additionally, you will be expected to meet departmental production standards, identify and escalate issues when necessary, and support colleagues by sharing best practices and assisting in training new staff members. To qualify for this position, you should hold a Bachelor's degree in any stream and have at least 6 months to 1 year of relevant experience in Pre-authorization, Verification, or Accounts Receivable (AR). Strong attention to detail, proficiency in multitasking, and effective communication skills are essential. Knowledge of CPT Codes, ICD-10, clinical documentation requirements, and awareness of retro-authorization timelines are also required. Preferred skills that would make you stand out include prior authorization experience in Drugs and Radiology, familiarity with revenue cycle processes, and prior experience in Accounts Receivable. The ability to work independently while collaborating effectively in a team setting is highly valued. As a problem-solver, you will be adept at identifying and resolving healthcare billing discrepancies. Your organizational skills will help you manage high volumes of medical remittances efficiently, while your analytical abilities will enable you to understand healthcare financial data and denial patterns. In addition to a competitive salary, joining Resolv offers you a range of benefits including annual public holidays, 30 days of leave per calendar year, a Mediclaim policy, a Lifestyle Rewards Program, Group Term Life Insurance, Gratuity, and more.,

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1.0 - 4.0 years

2 - 5 Lacs

hyderabad, chennai, mumbai (all areas)

Work from Office

Were Hiring: AR Callers & Prior Authorization Executives US Healthcare (RCM / Medical Billing) Locations: AR Caller: Hyderabad | Chennai |Mumbai Prior Authorization: Hyderabad | Mumbai Eligibility: Minimum 1 year of experience in AR Calling / Prior Authorization / US Healthcare RCM Qualification: Intermediate & above Immediate Joiners preferred Salary & Benefits: Take-Home: Up to 40,000 2-Way Cab Facility 5 Days Working (Saturday & Sunday fixed off) Attractive Incentives How to Apply: Share your updated resume on WhatsApp: Archana - 9603164736

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1.0 - 4.0 years

0 - 3 Lacs

hyderabad, chennai, mumbai (all areas)

Work from Office

Job Description AR Caller (US Healthcare Physician Billing) Locations: Hyderabad | Mumbai | Chennai | Bangalore Work Mode: Work From Office (WFO) Employment Type: Full-Time, Permanent About the Role We are looking for AR Callers (Physician Billing – US Healthcare) with strong communication skills and prior experience in Accounts Receivable calling. This role involves working with US healthcare clients on denial management, claim follow-up, and ensuring timely collections. Key Responsibilities Handle AR calling for physician billing in US Healthcare domain. Follow up with insurance companies for claim status and resolution. Work on denial management and take corrective actions. Maintain documentation of all calls and actions taken. Ensure productivity and quality targets are met. Provide regular updates to the team leader/manager. Requirements Experience: Minimum 6 months – 1+ years in AR Calling (Physician Billing). Qualification: Intermediate & above (Graduation not mandatory). Communication: Strong verbal and written communication skills in English. Relieving Letter: Not mandatory. Flexibility: Willingness to work in night shifts (US process). Compensation & Benefits Salary: Up to 40,000 Take-Home (based on experience & performance). Cab Facility: 2-way cab provided. Incentives: Attractive performance-based incentives. Shift Allowance: Applicable for night shifts. Why Join Us? Opportunity to grow in the US Healthcare domain. Supportive work culture with fast-paced career progression. Assured cab facility for safe commute. Interested candidates can share their resumes with HR Vyshnavi Bogineni – 9154144802

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1.0 - 6.0 years

3 - 5 Lacs

chennai, bengaluru

Work from Office

Huge openings for AR Callers at Chennai and Bangalore. WORK FROM OFFICE Only. 50+ openings for AR Callers Min 1 year experience in Denial management & Healthcare is must. Physician and Hospital billing. AR Caller - Day & Night shift, Chennai & Bangalore. Rounds of Interview: Only one technical round. Shift Timing: Night Shift Pick up and drop facility at door step. Location: Chennai and Bangalore. Interview Mode: Virtual only (Online video call) Salary: Best in the Market + Incentive + Every 3 months once appraisal. Immediate joiners are preferred. Kindly reach out to Rajesh @ 8667472289 (WhatsApp) or rajesh.sairam@globalconnectsolution.in Note: Kindly message on WhatsApp if i am not answered. Please share it to your friends, colleague and groups, it may help some one.

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5.0 - 8.0 years

6 - 9 Lacs

navi mumbai

Work from Office

Key Responsibilities Supervise, mentor, and guide a team of prior authorization associates to achieve individual and team goals. Review and allocate daily workloads, ensuring timely submission of prior authorization requests. Monitor team performance, productivity, and accuracy in handling authorization requests. Handle escalations, complex cases, and provide solutions to ensure timely approvals. Coordinate with physicians, clinical staff, patients, and insurance carriers to resolve pending authorization issues. Stay updated on payer policies, guidelines, and prior authorization requirements. Track and analyze metrics such as turnaround time (TAT), approval rate, and denial rate, and prepare performance reports for management. Ensure compliance with HIPAA regulations and client-specific requirements. Conduct regular team huddles, training, and performance reviews to maintain operational excellence. Identify process gaps and work on continuous improvement initiatives. Required Skills & Competencies In-depth knowledge of US healthcare payer guidelines and prior authorization processes . Strong leadership and people management skills with experience in team handling. Excellent communication (verbal & written) and interpersonal skills. Ability to resolve escalations and manage high-volume requests with accuracy. Strong organizational, analytical, and problem-solving skills. Proficiency in MS Office and prior authorization/RCM software tools. Qualifications & Experience Graduate in any discipline (preferred: Healthcare, Life Sciences, or Business Management). 57 years of experience in prior authorization within US healthcare, with at least 2+ years in a leadership/supervisory role. Hands-on experience in payer guidelines, clinical documentation review, and PA submission processes. Kindly share your resume to hr@oncospark.com | Contact - Sangeeth HR - 7824834817.

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1.0 - 4.0 years

1 - 4 Lacs

hyderabad, chennai, mumbai (all areas)

Work from Office

We are hiring AR Callers & Prior Authorization Executives for US Healthcare (RCM / Medical Billing Process). Locations: AR Caller: Hyderabad, Chennai, Bangalore, Mumbai (Day & Night Shifts in Bangalore) Prior Authorization: Hyderabad & Mumbai Eligibility: Minimum 1 year of experience in AR Calling / Prior Authorization / US Healthcare RCM Qualification: Intermediate & above Immediate Joiners preferred Salary & Benefits: Salary: Up to 40,000 (Take-Home) 2-Way Cab Facility 5 Days Working (Saturday & Sunday fixed off) Attractive Performance-Based Incentives How to Apply: Share your updated resume on WhatsApp 8121575006 No Calls – Only Forward Resume. Shortlisted candidates will be contacted.

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1.0 - 4.0 years

1 - 5 Lacs

hyderabad, chennai, mumbai (all areas)

Work from Office

Were Hiring AR Caller / Sr. AR Caller || Prior Authorixation || Dayshift || NIghtshift || 5.5 LPA || 2 way cab Roles Were Hiring For: AR Caller / Sr. AR Caller Physician Billing (RCM / Denial Management) Prior Authorization Executive US Healthcare Locations: Hyderabad | Bangalore | Mumbai (Work From Office) Shifts: Day & Night Shifts Available (Based on process) US Shift (6:30 PM 3:30 AM) Night Shift with 2-Way Cab Eligibility: Experience: Minimum 1 Year in AR Calling (Physician Billing / RCM / Prior Auth) Qualification: Intermediate / Graduate (Any stream) Relieving Letter: Required for some processes (Not mandatory for all) Notice Period: Immediate Joiners Preferred Salary & Perks: Up to 41,000 Take-Home Shift Allowance: Up to 2,200 Joining Bonus: 20,000 (Mumbai only) Performance Incentives + Monthly Allowances Cab Facility: 1-Way / 2-Way (Depends on project & location) Fast & Easy Interview Process How to Apply: 1 Fill the Quick Form to stay updated: Click Here : https://forms.gle/QKi3U8TUCsci9eSG6 2 Share your updated resume on WhatsApp: HR Nandani – 9705749568 Timings: 9:30 AM – 6:30 PM

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0.0 - 5.0 years

3 - 5 Lacs

hyderabad, navi mumbai, chennai

Work from Office

1. We Are Hiring AR Callers || Up to 40 K take home Salary || Cab Facility || Incentives || Immediate Joiners || Job Title - Senior AR Caller Eligibility :- Min 1+ years of experience into AR Calling Package :- Best In the Industry + Incentives + 2 way Cab Location :- Navi Mumbai, Hyderabad , Bangalore, Chennai Immediate Joiners Preferred, Relieving letter is not Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 2. Hiring AR Callers , Customer Support - Voice || Freshers || Immediate Joiners AR Caller US Healthcare - Freshers Location: Hyderabad (Manikonda) Mode: Work from Office Shift: Night Shift (6:30 PM 3:30 AM) || Sat & Sun Fixed Off Package: 3 LPA (16,000 Take Home) + 2-Way Cab Facility (25 KM) + 2200 Night Shift Allowance + Perks Qualification: Any Graduate Responsibilities: Make outbound calls to US Insurance companies regarding claims. Follow up on pending/denied claims until resolved. Requirements: Good English Communication (Verbal & Written). Willing to work in US Night Shifts. Immediate Joiners Only. Perks: 2-Way Cab Facility (25 KM) + 2200 Night Shift Allowance If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome

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1.0 - 2.0 years

5 - 5 Lacs

new delhi, gurugram

Work from Office

Only Bpharma / Mpharma / BDS candidate can apply 1 year Exp in Prior Authorisation Backend mandate Sal- Upto 5.8 lpa 5 Days / Both Side Cabs / US Process For Quick Alignment Whatsapp CV- 7678227725 (Eva) and write Healthcare Required Candidate profile B.Pharma/M.Pharma candidate With Minimum1 year Of Exp Into Health Care process Can Apply Please Note : We Need Immediate Joiners For More Queries Whatsapp Your Cv 7678227725 (Eva)

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