3438 Us Healthcare Jobs - Page 10

Greetings from Uthrat Healthcare Solutions! WE ARE HIRING FOR EXPERIENCED AR CALLER FOR US HEALTHCARE Role: AR Caller/ Senior AR Caller Industry Type: Medical Billing in US Healthcare Experience: 06 months - 2 years Location: Tiruchirappalli Employment Type: Full Time, Permanent Shift: Night Notice period: Immediate Joiner Education: Any Graduate Interested candidates can share your updated their updated CVs with Writetous@uthrathealthcare.com or WhatsApp them to +91 84281 11904. Kindly don't call this number. Only Whatsapp. Positions and Accountabilities: Possess familiarity with medical billing for US healthcare. In charge of handling denials, prior authorization, eligibility checks, rejections, and necessary claim adjustments. Making a call to the insurance provider and recording the steps in the notes for the claims billing summary. Determine problems and report them to your direct supervisor. Revise the logs of production. Strict observance of the policies and procedures of the business. Ideal Candidate Characteristics: Strong understanding of healthcare concepts. Should have between one and two years of experience with accounts receivable. Excellent understanding of handling denials. Be able to contact insurance companies with ease. Ensure that daily and monthly target collections are met. Comply with the clients' productivity goals within the allotted period. As needed, be sure you accurately and promptly follow up on pending claims. Assemble and preserve status Perks and Benefits: 5 Days Working Incentives

You will be part of a dynamic team at Annova, dedicated to helping Health Plans and Providers enhance Risk Adjustment performance. Specializing in expert coding across Medicare (Parts C & D), ACA, and Medicaid, our services range from retrospective to prospective reviews, ensuring coding accuracy, RADV audit compliance, and revenue integrity. As a trusted ally, Annova plays a pivotal role in driving financial outcomes, fortifying regulatory readiness, and fostering long-term growth. Your key responsibilities will include: - Contacting US Record keeping offices of Providers and other businesses to facilitate record retrieval - Conducting research to assess the accuracy and sufficiency of information from target offices - Creating detailed and professional notes to document the progress of each case - Collaborating with various stakeholders within the ecosystem to gather and disseminate information related to cases - Identifying opportunities for process improvement and actively contributing to enhancing processes on an ongoing basis The ideal candidate will possess: - Strong work ethics, discipline, and meticulous attention to details - Excellent verbal and written communication skills - Flexibility to work in US shifts - Prior experience in US Healthcare voice operations is advantageous, though not mandatory - Demonstrated track record and commitment to staying in a role for a minimum of 18 months Join us at Annova, where you will have the opportunity to make a meaningful impact in the realm of Risk Adjustment and contribute to the success of our clients and partners.,

Greetings from Flatworld Healthcare Services! About Company: Flatworld Healthcare Services PVT LTD, a Subsidiary of Finnastra Private Limited, a technology-driven B2B solutions provider specializing in Revenue Cycle Management (RCM), Credentialing, and PM & EHR Software. Headquartered in Bengaluru, India, with a strong presence in the US, Flatworld (Finnastra) is committed to innovation, transparency, and efficiency in healthcare. The company offers end-to-end Revenue Cycle Management solutions, Credentialing & Provider Enrollment, Payer Solutions, and PM & EHR Software solutions to empower healthcare organizations. Job Title: Pharmacy Prior Authorization Specialist Oncology (US Healthcare RCM) Experience: 2 to 3 Years Shift: Night Shift Location: Bangalore Job Description: We are hiring experienced Pharmacy Prior Authorization Specialists with a strong background in Oncology within the US Healthcare RCM domain. The ideal candidate will be responsible for handling prior authorization processes for oncology medications, ensuring accuracy, compliance, and timely approvals. Key Responsibilities: Manage end-to-end pharmacy prior authorization processes for oncology drugs. Review prescriptions and medical necessity for specialty medications. Communicate with payers and providers to obtain approvals and resolve denials. Ensure accurate documentation and compliance with payer-specific guidelines. Collaborate with providers and billing teams to streamline the authorization workflow. Desired Candidate Profile: 2 to 3 years of hands-on experience in US Healthcare RCM Pharmacy Prior Authorization. Must have experience in oncology-related medications and treatment protocols. Familiarity with payer guidelines, ICD-10, CPT codes, and EHR systems. Strong communication and coordination skills. Willingness to work in night shifts aligned with US business hours. Benefits: Travel Allowance 5 Days Working Weekends off for personal time Provident Fund & Gratuity Long-term financial security Medical Insurance Health coverage for you Supportive Work Environment Inclusive and growth-driven culture Preferred: Immediate joiners with oncology experience in pharmacy prior auth. Interested candidates can share their CVs at pavan.v@finnastra.com or contact 9035473861 (Available between 01 AM - 10 PM).

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.

Walk -in Drive - Healthcare RCM 26-Jul-2025 Saturday Walkin Location: DivyaSree TechRidge, Block P2 (North Wing), 7th Floor, Manikonda, Hyderabad - 500089 Contact us: Aravind - 7013671172 - Aravind.nirudi@Sutherlandglobal.com Place my name at the top of your resume: Aravind HR. Job Role 1. Reviewing and analyzing claim form 1500 to ensure accurate billing information. 2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. 3. Familiarity with payer websites to verify claim status, eligibility, and coverage details. 4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. 5. Proficiency in using CPT range and modifiers for precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 18 months to 5 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland, Manikonda Lanco hills. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland, Manikonda Lanco hills & with the shift 6:30pm to 3:30am 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com "

Hiring for AR Calling - Hyderabad, Manikonda Walk-in Location: Survey No. 201, Ltd 99LH, Lanco Hills Technology Park, Lanco Hills Private Rd, Hyderabad, Telangana 500089 Contact me : P Aishwarya ;9030711720 Job Role 1. Reviewing and analyzing claim form 1500 to ensure accurate billing information. 2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. 3. Familiarity with payer websites to verify claim status, eligibility, and coverage details. 4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. 5. Proficiency in using CPT range and modifiers for precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 2 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland. 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. ======================================================================= Payment posting Minimum 14 months - 3 years CTC 3.4 LPA - 4.8 LPA Looking for Immediate joiners Mandate WFO, no hybrid Transport radius should be 25KM Day Shift - 9:30 am - 6:30 pm Fixed shift/ Fixed week off ' Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com "

Job Summary As a member of the NA Client Service Teams this role supports the processing of pre renewal, broking, binding and post binding activities required for placement and service of our NA CRB clients and prospects. The work closely with Client Advocacy, Client Service and Broking on a daily basis to delivery White Glove Service to our clients and prospects Principal Duties/Responsibilities . Participate in the draft proposal creation process alongside the Client Team Collaborate with the Client Team to support the activities required to file taxes in a timely manner to avoid fines and penalties due to late fees Support the Client team in process of binding coverage with carriers by drafting of binding confirmation documents and following up with carriers for receipt of binders Support in preparation of the Summary of Insurance to facilitate Clients understanding of their coverage Arrange and facilitate internal strategy meetings to discuss insurance upcoming renewals for a specific period. Support Client Managers and Account Executives in the coordination process Monitor renewal activities and assist in the preparation, review and update of documents and data required for the renewal process Support the Client Service and Advocacy teams with reporting needs Support the Client Service and Advocacy teams in the skillful management of ad hoc and mid term requests to support such activities and endorsements, certificates, loss runs, etc Support Client Management and Client Advocacy colleagues with the preparation and management of tasks and deliverables required as part of the renewal process. Collaborate with functional teams to initiate and finalize client deliverables. Follow up and handle questions and requests for information from functional teams. E.g., Loss Runs, Policy Checking, Certificates, Accounting and Settlement. Support the billing and invoicing process by ensuring that all necessary documents and key data elements are included and accurate Support onboarding of new clients Create and manage Client Exposure details Support the renewal process with document preparation/management, data analysis/management and delivery as part of a packet to Advocacy/Service team in preparation for client renewals Schedule, attend and take minutes of Internal Strategy meetings Data entry required to load and update client details for submission, proposal, binding and billing Knowledge and Experience: 2 to 5 years for experience in the Insurance renewal cycle business US insurance experience (Must) Understanding of the end-to-end insurance renewal cycle and its stages Thorough knowledge and understanding of various insurance documents An understanding of catastrophe modelling will be useful

we are hiring for Team Lead for EVBV/PA Company - Ascent business solution Designation - SME or Team lead Company - Ascent business solution experience - 4+ years salary - as per company norm location - Nagpur contact number - 8956069774

Location : Ahmedabad Process: International Voice Support( US Healthcare ) Salary: Up to 4.2LPA Immediate joiners Freshers and Experience Both can apply Shift: Night Shift Working Days: 5 days/week

Location : Ahmedabad Process: International Voice Support( US Healthcare ) Salary: Up to 4.2LPA Immediate joiners Freshers and Experience Both can apply Shift: Night Shift Working Days: 5 days/week

Location : Ahmedabad Process: International Voice Support( US Healthcare ) Salary: Up to 4.2LPA Immediate joiners Freshers and Experience Both can apply Shift: Night Shift Working Days: 5 days/week

Job Details: Job Process/Role: Claims Adjudication (US Healthcare) Experience: 1 - 3 Years of Relevant experience in Claims adjudication Skillset: CPT Codes, HIPAA, Co-pay and Co-insurance, Medicaid and Medicare, Denial claims, UB and CMS forms. Shift: Night shift Location: Chennai & Coimbatore Mode of Work: Work from office Notice Period Eligible: Immediate to 30 Days of Notice period is acceptable. Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials. Knowledge in handling authorization, COB, duplicate, pricing, and the corrected claims process. Knowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and exclusions, state variations. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team. Resolving complex situations following pre-established guidelines. Requirements: 1-3 years of experience in processing claims adjudication, and the adjustment process. Experience in professional (HCFA), institutional (UB) claims (optional). Both undergraduates and postgraduates can apply. Good communication (Demonstrate strong reading comprehension and writing skills). Able to work independently, with strong analytical skills. 1. Required schedule availability for this position is Monday-Friday, 5.30 PM/3.30 AM IST (AR SHIFT) . The shift timings can be adjusted according to client requirements. 2. Additionally, resources may have to work overtime and on a weekend basis to meet business requirements.

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

Greeting from Gainwell! JD 5+ years of experience as a Product Owner or in a related product management role. Strong knowledge of US healthcare systems, pharmacy workflows, and regulatory requirements (e.g., Medicaid, Medicare, PBMs, e-prescribing, and pharmacy claims processing). Experience working in Agile environments (SAFe, Scrum, or Kanban) with expertise in backlog management tools like Azure DevOps (ADO), Jira, or Rally. Proven ability to translate complex business needs into clear, actionable user stories. Experience collaborating with engineering, QA, business, and compliance teams. Strong analytical and problem-solving skills, with the ability to manage competing priorities. Excellent communication and stakeholder management skills, with experience engaging executive leadership, clients, and development teams. SAFe Product Owner/Manager(POPM) certification or equivalent experience is a plus. Preferred Qualifications Exposure on drug data base such as FDB & Medispan Experience with healthcare data interoperability (HL7, FHIR, EDI 837/835). Familiarity with cloud-based healthcare applications (AWS, Azure, or GCP). Understanding of drug pricing models, formulary management, and pharmacy benefits administration. Knowledge of prior authorization, claims adjudication, and medication therapy management

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation : Lead Associate Reports to (level of category) : Individual COA(Performance Management) Role Objective Identifying revenue gain opportunity or denial prevention opportunities by reviewing the open AR claims/denied claims Essential Duties and Responsibilities Denied Claim Reviews/Account level reviews Identifying themes/trends through data reviews Coordinating with requirement stakeholders on the issues/themes/trends identifies Publishing assigned reports/tasks Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Identifying automation/process efficiencies Maintain a strong focus on identifying the root cause of denials while creating sustainable solutions to prevent future denials. Able to interact independently with counterparts if required Must operate utilizing aggressive operating metrics. Quality Maintenance as per the required standards Understanding client requests requirement and develop a solution Creating adhoc reports utilizing SQL/snowflake, Excel, PowerBI or R1 inhouse applications/tool Required Skill Set Candidate should be good in Denial Management/AR Follow up (4-8 years exp required) Ability to interact positively with team members, peer group and seniors. Good analytical skills and proficiency with MS Word, Excel and Powerpoint Good communication Skills (both written & verbal) Qualifications Graduate in any discipline from a recognized educational Certifications in Power BI, Excel, SQL/Snowflake would add advantage

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting & Payment Posting QC Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

Location : Ahmedabad Process: International Voice Support( US Healthcare ) Salary: 23K - 35K CTC Freshers and Experience Both can apply Shift: Night Shift Working Days: 5 days/week

Experience in BPO Industry- International Voice only Manager - US Health and welfare process voice (MUST) Health and welfare - Medicare Hippa, Cobra Excellent Comms- US Healthcare process

Location : Ahmedabad Process: International Voice Support( US Healthcare ) Salary: Up to 4.2LPA ( Freshers -23K CTC) Immediate joiners Freshers and Experience Both can apply Shift: Night Shift Working Days: 5 days/week

Roles & Responsibilities Candidate should have Indepth knowledge on the payer enrollment process. Payer enrollment for Medicare, Medicaid, and commercial insurers Managing contracts and participation agreements. Knowledge of healthcare laws, payer policies, and revalidation requirements. Insights on the way star clearing house is an added advantage& nbsp; Competency Candidate should have in depth knowledge on the payer enrollment process.

Ensure that all required documentation, such as medical records and invoices Regularly follow up on unpaid or underpaid claims with insurance companies Communicate with patients

Looking Immediate joiners Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines Requirements: 1-4 years of experience in processing claims adjudication and adjustment process Experience of Facets is an added advantage. Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Able to work independently, strong analytic skills **Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.

We are looking for candidates with excellent communication skills. Both graduates and undergraduates with any level of experience and good communication skills offered is 6.5 CTC , please contact Aiman at 8951992041 or Arshi at 8951870137.

Job Title: AR Caller (Fresher) International Voice Process Location : Murgeshpalya, Bangalore Job Type: Full-time Job Summary: We are looking for dynamic and motivated freshers to join our Accounts Receivable (AR) team as AR Callers. This role involves engaging with US-based clients via calls, managing claims, processing denials, and ensuring smooth financial transactions. If you are keen on building a career in healthcare revenue cycle management, this is a great opportunity! Key Responsibilities: * Review emails and systems for updates and action items. * Contact insurance carriers to resolve denied claims and document all communications in software and spreadsheets. * Identify issues and escalate them to the immediate supervisor for resolution. * Maintain and update production logs regularly. * Understand client requirements and specifications to ensure effective service delivery. * Ensure targeted collections are met daily and monthly. * Meet productivity targets set by clients within the stipulated timelines. * Adhere to quality standards while delivering service to clients. * Conduct follow-ups on pending claims to facilitate timely processing. * Prepare and maintain status reports for internal and client review. Qualifications & Skills: *Any graduate (freshers welcome). * Excellent communication skills in English (both verbal and written). * Willingness to work in a night shift or US shift timings. * Basic understanding of healthcare processes and insurance preferred (but not mandatory). * Good analytical and problem-solving skills. * Ability to work in a team and handle pressure efficiently. Why Join Us? * Competitive salary and incentives. * Exposure to the US healthcare domain. * Comprehensive training to ensure a smooth transition into the role. * Growth opportunities within the organization. If you are looking to start a career in an international voice process with great learning and development opportunities, apply now! Regards, Janifer R Human Resources Omega Healthcare Phone: +91 7090082451

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines Requirements: 1-4 years of experience in processing claims adjudication and adjustment process Experience of Facets is an added advantage. Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Able to work independently, strong analytic skills **Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement. Interested please join the below link DATE : 25TH JULY 2025 TIMINGS : 1.00PM - 3.00 PM Microsoft Teams Need help? Join the meeting now Meeting ID: 224 320 787 832 2 Passcode: Bk7MS7fe For organizers: Meeting options Regards, Dharani Priya.S