12313 Us Healthcare Jobs - Page 11

Key Responsibilities: Review patient accounts for accuracy and completeness before claim submission. Prepare and submit claims using the UB-04 & CMS 1500 format. Work with insurance companies to resolve denied or unpaid claims. Verify correct coding (ICD-10, CPT/HCPCS) and billing modifiers. Collaborate with coding, admissions, and medical records departments as needed. Monitor and follow up on accounts receivable. Assist in identifying and correcting billing errors. Maintain knowledge of payer guidelines and regulatory requirements. Qualifications: High School Diploma or equivalent (Associate's degree preferred). 1 - 5 years of experience in hospital billing, with emphasis on UB-04 claim pr...

Key Responsibilities: Review patient accounts for accuracy and completeness before claim submission. Prepare and submit claims using the UB-04 & CMS 1500 format. Work with insurance companies to resolve denied or unpaid claims. Verify correct coding (ICD-10, CPT/HCPCS) and billing modifiers. Collaborate with coding, admissions, and medical records departments as needed. Monitor and follow up on accounts receivable. Assist in identifying and correcting billing errors. Maintain knowledge of payer guidelines and regulatory requirements. Qualifications: High School Diploma or equivalent (Associate's degree preferred). 1 - 5 years of experience in hospital billing, with emphasis on UB-04 claim pr...

We are hiring for Claim Adjudication process (US HEALTH CARE) Payer Side 5+ years of experience SME and TL can apply upto 6lpa Coimbatore location Reach me on 9902419093

The Customer Support Agent will be responsible for handling US health insurance Claims from healthcare providers or their authorized representatives. The Agent will assist with inquiries related to benefits, eligibility, claims, authorizations, and other support services. This position requires the ability to work across various systems, deliver exceptional customer service, and ensure compliance with privacy and regulatory standards including HIPAA and other applicable guidelines. Key Responsibility Handles Claims related to providers: Benefits, eligibility, claim status, Claims adjudication Claim research and Explanation of Benefits (EOB) Utilize internal systems and tools (via secure acce...

Insurance Follow-Up: Contact insurance companies via phone, email, or online portals to follow up on outstanding claims. Identify and resolve issues causing payment delays, such as claim denials or underpayments. Verify claim status, appeal denied claims and resubmit claims when necessary. Documentation and Reporting: Maintain accurate and detailed documentation of all communications and actions taken. Update account information and billing systems with payment details and follow-up notes. Generate reports on accounts receivable status, aging trends, and collection efforts. Compliance and Regulations: Adhere to HIPAA regulations and guidelines to ensure patient confidentiality and data secur...

Insurance Follow-Up: Contact insurance companies via phone, email, or online portals to follow up on outstanding claims. Identify and resolve issues causing payment delays, such as claim denials or underpayments. Verify claim status, appeal denied claims and resubmit claims when necessary. Documentation and Reporting: Maintain accurate and detailed documentation of all communications and actions taken. Update account information and billing systems with payment details and follow-up notes. Generate reports on accounts receivable status, aging trends, and collection efforts. Compliance and Regulations: Adhere to HIPAA regulations and guidelines to ensure patient confidentiality and data secur...

Senior Accounts Receivable Associate Qualifications : HSC and above Experience : Minimum 12 months in Medical Billing AR Calling Shift : US Shifts Week Off: Saturday & Sunday (Fixed) Salary : 22,000 40,000 (In-hand) + Performance Incentives Location Turbhe Key Responsibilities: - Engage with insurance companies and patients to resolve outstanding claims. - Analyze and manage accounts receivable data to improve cash flow. - Address billing discrepancies and ensure compliance with healthcare regulations. - Collaborate with internal teams to streamline billing processes. - Prepare and submit accurate financial reports. Intrested one should contact on given contact no Hr Anagha 77385 94657 anagh...

Dear Connections, HIRING AR Caller / Prior Authorization Bangalore | Work From Office Experience: 1–3.5 years Salary: Up to 33,000 TH Relieving Letter: Not mandatory Career Gap: Up to 3 months Skills Required: • Min 1 year in AR Calling – Voice/Denials • OR experience in AR Prior Authorization Call / WhatsApp: 8098305966 Poornima – HR

Job Title: Manual QA Tester EDI & US Healthcare Claims - Immediate Joiner Role Summary: Responsible for testing healthcare EDI transactions, ensuring accuracy and compliance with HIPAA standards, and validating claim processing workflows across payer and provider systems. Key Responsibilities: Perform manual testing of healthcare EDI transactions including 837 (claims), 835 (remittance), 270/271 (eligibility), 276/277 (claim status), 999/TA1 (acknowledgments). Validate EDI file structure, syntax, and compliance with HIPAA 5010 standards. Verify data mapping between EDI files and internal application or database tables. Conduct end-to-end testing of claim life cycle — from submission to adjud...

Business Unit: Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we remain dedicated to partnering with RCM companies that offer diverse solutions and address today's most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we improve financial performance and patient experience, helping to build sustainable healthcare businesses. Job Summary: The Enrollment EDI, EFT, and...

Profile - HR Assistant - US Operations Shift Time - 5:30PM to 2:30AM Working Days - Monday to Friday Role & responsibilities Review and audit employee timecard entries for accuracy and compliance with company policy. Assist with the bi-weekly and monthly payroll preparation process by verifying time records. Process and track PTO requests in HR software (e.g., BambooHR, ADP, Paylocity). Generate and maintain routine and ad hoc HR reports (e.g., headcount, turnover, PTO usage). Analyze trends and metrics related to attendance, performance, and engagement. Support the HR team in preparing presentations and dashboards for leadership. Maintain HR databases with accuracy, ensuring timely updates ...

About The Role Project Role : Custom Software Engineer Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various teams t...

About The Role Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...

About The Role Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...

About The Role Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...

About The Role Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...

About The Role Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...

About The Role Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...

AR Caller - Physician Billing & Hospital Billing & Medical Billing||Immediate Joiner || 1.AR Caller -Physician Billing & Hospital Billing Experience: Minimum 1+ Year AR Calling experience in US Healthcare Qualification: Intermediate & Above Experience: 1+ Year in AR Calling (PB & HB) Preferred: Immediate Joiners Compensation Physician Billing: Up to 40,000 Take-Home(Night Shift). Physician Billing: Up to 25,000 Take-Home(Day Shift). Hospital Billing: Up to 45,000 Take-Home. Work Locations Hyderabad. Mumbai. Bengaluru. Chennai. Coimbatore. 2.Openings for Medical Billing - HB Min 1+ years' experience in Medical Billing with Purely in Hospital Billing (Ub04 Form), also need experience in Reject...

Customer Support Associate – International Voice Process (US Healthcare and Telecommunication) Location : Bangalore – Electronic City Phase 2 / Hongasandra Shift : Night Shift (US Timings) | WFO Eligibility : Freshers & experienced candidates can apply Customer support experience preferred for experienced candidates Graduates / Undergraduates Excellent English communication skills Immediate joiners only Salary & Benefits : CTC: 3.10 LPA – 4.75 LPA Freshers take home: 21,400 + Bonus + Night Allowance + Incentives 2-Way Cab Facility | 5 Days Working | Sat & Sun / Rotational Off Interview Process : Virtual Contact : 9251688427 (Aman) Email : Aman@glorioushr.in

Customer Support Associate – International Voice Process (US Healthcare and Telecommunication) Location : Bangalore – Electronic City Phase 2 / Hongasandra Shift : Night Shift (US Timings) | WFO Eligibility : Freshers & experienced candidates can apply Customer support experience preferred for experienced candidates Graduates / Undergraduates Excellent English communication skills Immediate joiners only Salary & Benefits : CTC: 3.10 LPA – 4.75 LPA Freshers take home: 21,400 + Bonus + Night Allowance + Incentives 2-Way Cab Facility | 5 Days Working | Sat & Sun / Rotational Off Interview Process : Virtual Contact : 9251688427 (Aman) Email : Aman@glorioushr.in

Role & responsibilities Follow up with insurance companies via phone and email on pending claims. Investigate and resolve denied or underpaid claims efficiently. Ensure timely claim submission and resubmission for maximum reimbursement. Document all interactions with insurance companies in the billing system. Work with the medical billing team to resolve coding errors and payment discrepancies. Maintain up-to-date knowledge of insurance policies, coverage, and billing procedures. Preferred candidate profile AR Caller Client Partner AR Associate

Greetings from Knack Global!!! We are hiring candidates for Process Associate profile. To complete the assigned task as per the protocol. Ability to adapt quickly. Good verbal and written communication skills are required. To handle day to day operations in RCM processes in the US Healthcare domain. Prioritize and complete the deliverables on-time delivery of service and quality of work. Understanding of RCM processes like Billing and Accounts Receivables Establish a strong relationship with Team Managers by submitting the desired task reports. Communicate effectively with Seniors. Willing to work in the night shift / US timings. Benefits: Five days working (Fixed Saturday Sunday off) Meal &...

Responsibilities: * Manage denials through appeals process * Post payments & claims * Ensure compliance with HIPAA guidelines * Handle medical billing tasks * Adhere to RCM principles

Greetings from Sagility! We've an exciting opportunity for fresher candidates with excellent communication skills for international voice process (US Healthcare). Walk-in Time: 11:00 A.M. to 2:00 P.M.Mode of Interview: 1. HR Screening 2. Assessments 3. OPS Round. Point of contact - HR NITHRA (Write on top of your resume) Contact Number: 9502212950 Eligibility Criteria: Good verbal communication skills; Proficient in written & reading skills. Minimum Qualification: Any Graduate or Intermediate (NO B.E./B.Tech/MBA Fresher). Fresher upto 6 months experience. Excellent Growth. Flexible to work for night shifts and work from office. Two way cab facility is provided - 30 kms Interested candidates ...