3472 Us Healthcare Jobs - Page 28

Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of whats possible. As we continue to grow, we seek a talented candidate to join our team and contribute to our exciting projects. Position Overview: The Credentialing Executive will be responsible for managing the credentialing and re-credentialing processes for psychiatric care providers within our network. The role will also focus on maintaining up-to-date provider documentation, ensuring compliance with insurance companies, and monitoring provider licensing. This position requires a detail-oriented and proactive individual to ensure the smooth integration of providers into the insurance network and their continued compliance. Responsibilities: Assist in the enrollment of providers with insurance companies, ensuring all required documentation is submitted timely and accurately. Collect, verify, and maintain the necessary documentation for all providers, ensuring compliance with regulatory standards and insurance requirements. Proactively follow up with insurance companies to track the status of credentialing applications, resolve issues, and ensure providers are credentialed in a timely manner. Coordinate and manage the re-credentialing process for existing providers, ensuring timely submissions and compliance with insurance companies requirements. Monitor and maintain CAQH (Council for Affordable Quality Healthcare) profiles for all providers, ensuring accuracy and compliance with industry standards. Oversee the process of enrolling providers with Medicare, ensuring compliance with all relevant regulations and ensuring successful enrollment. Requirements: Minimum of 5 years of experience in healthcare credentialing or provider relations, preferably in US healthcare sector. Candidate must have a bachelor s degree in any field. Experience with insurance portals, CAQH, and Medicare enrollment systems Excellent communication and interpersonal skills, with the ability to build rapport and trust at all levels of the organization. In-depth knowledge of credentialing processes, insurance company contracting, and regulatory requirements in the healthcare sector. Strong organizational and time management skills, with the ability to handle multiple tasks and deadlines. Ability to maintain confidentiality and work with sensitive provider data in a HIPAA-compliant manner. Diversity, equality, and inclusion Diversity, equality, and inclusion are fundamental to our success at HUMS. We actively promote diversity across all aspects of our organization, including but not limited to gender, race, ethnicity, sexual orientation, religion, disability, and age. We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow, contribute, and succeed. Benefits: Competitive salary (including EPF and PS) Health insurance Four days workweek (Monday Thursday) Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly. We look forward to hearing from you! In case of any queries, please feel to reach out us at [email protected] Note: Available to take calls between 4:45 PM to 3:45 AM IST only from Monday to Thursday. #LI-DNI

Job description Greetings From Prochant !!! Opening For Senior Manager / Associate Director operations RCM - TVM Key Responsibilities and Duties: As a Manager you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to Directors and ensure production and quality targets are met as per company requirement, you main responsibilities would include overseeing and optimizing the processes related to the organization's revenue generation. This involves managing the entire revenue cycle, from patient registration and billing to claims processing and collections. Required Skills: Should have minimum 15+ years of experience in RCM process Minimum 5 years in leadership experience Should have experience in End to End RCM process Flexible to work in night shift Overall responsibility for Monitoring all process ( cash, billing, transmission, correspondence, MIS, support, Medicare audit process, AR process, EV/ PA) Responsibilities Supervising RCM team: Leading and guiding a team of RCM specialists, ensuring they adhere to best practices and achieve performance targets. Revenue Optimization: Implementing strategies to improve the revenue cycle efficiency, minimize denials, and increase revenue collection. Data Analysis: Analyzing financial data and performance metrics to identify trends, bottlenecks, and areas for improvement. Process Improvement: Identifying opportunities to streamline revenue cycle processes, reduce costs, and enhance overall operational efficiency. Staff Training: Providing ongoing training and development for RCM staff to stay updated with industry changes and best practices. Reporting: Preparing regular reports on revenue cycle performance and presenting findings to higher management. Collaboration: Working closely with other departments like finance, billing, and clinical teams to ensure seamless coordination and communication. Compliance and Audit: Ensuring adherence to relevant laws, regulations, and internal policies during the revenue cycle process. Technology Integration: Implementing and leveraging RCM software and tools to optimize workflows and enhance revenue cycle performance. Benefits: Salary & Appraisal - Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Upfront Leave Credit Only 5 days working (Monday to Friday) No of openings : 1 Mode Of Interview : Zoom / Teams Contact Person : Abdul Wahab Interested candidates call / whats app to 9043152774 or share your updated CV to sughanyav@prochant.com

Hi, Greetings! This is regarding a job opportunity for the position of Data Modeller with a US based MNC in Healthcare Domain. This opportunity is under the direct pay roll of US based MNC. Job Location: Pune, Mundhwa Mode of work: Hybrid (3 days work from office) Shift timings: 1pm to 10pm About the Company: The Global MNC is a mission-driven startup transforming the healthcare payer industry. Our secure, cloud-enabled platform empowers health insurers to unlock siloed data, improve patient outcomes, and reduce healthcare costs. Since our founding in 2017, we've raised over $81 million from top-tier VCs and built a thriving SaaS business. Join us in shaping the future of healthcare data. With our deep expertise in cloud-enabled technologies and knowledge of the healthcare industry, we have built an innovative data integration and management platform that allows healthcare payers access to data that has been historically siloed and inaccessible. As a result, these payers can ingest and manage all the information they need to transform their business by supporting their analytical, operational, and financial needs through our platform. Since our founding in 2017, it has built a highly successful SaaS business, raising more than $80 Million by leading VC firms with profound expertise in the healthcare and technology industries. We are solving massive complex problems in an industry ready for disruption. We're building powerful momentum and would love for you to be a part of it! Interview process: 5 rounds of interview 4 rounds of Technical Interview 1 round of HR or Fitment discussion Job Description: Data Modeller About the Role: Were seeking a Data Modeler to join our global data modeling team. Youll play a key role in translating business requirements into conceptual and logical data models that support both operational and analytical use cases. This is a high-impact opportunity to work with cutting-edge technologies and contribute to the evolution of healthcare data platforms. What Youll Do Design and build conceptual and logical data models aligned with enterprise architecture and healthcare standards. Perform data profiling and apply data integrity principles using SQL. Collaborate with cross-functional teams to ensure models meet client and business needs. Use tools like Erwin, ER/Studio, DBT, or similar for enterprise data modeling. Maintain metadata, business glossaries, and data dictionaries. Support client implementation teams with data model expertise. What Were Looking For 2+ years of experience in data modeling and cloud-based data engineering. Proficiency in enterprise data modeling tools (Erwin, ER/Studio, DBSchema). Experience with Databricks, Snowflake, and data lakehouse architectures. Strong SQL skills and familiarity with schema evolution and data versioning. Deep understanding of healthcare data domains (Claims, Enrollment, Provider, FHIR, HL7, etc.). Excellent collaboration and communication skills. In case you have query, please feel free to contact me on the below mention email or whatsapp or call. Thanks & Regards, Priyanka Das Email: priyanka.das@dctinc.com Contact Number: 74399 37568

Job Summary Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare solutions without the need for travel. Responsibilities Process claims with a high degree of accuracy ensuring compliance with Medicare and Medicaid regulations. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Maintain up-to-date knowledge of industry standards and regulatory changes. Utilize technical skills to enhance claims processing efficiency. Communicate effectively with stakeholders to ensure clarity and understanding of claims processes. Implement best practices to improve overall claims management. Monitor claims processing metrics to ensure timely and accurate adjudication. Provide feedback and suggestions for process improvements. Support the team in achieving departmental goals and objectives. Ensure all claims are processed within established timelines. Assist in the development of training materials for new team members. Contribute to a positive work environment by fostering collaboration and teamwork. Qualifications Possess strong analytical skills to assess and adjudicate claims accurately. Demonstrate proficiency in claims adjudication processes and tools. Exhibit a solid understanding of Medicare and Medicaid claims requirements. Show excellent communication skills to interact with various stakeholders. Have the ability to work effectively in a hybrid work model. Display a keen attention to detail to ensure compliance and accuracy. Certifications Required N / A

Dear Aspirants, We are hiring for the following details, Position : - AR Analyst Should Know denial action take part. They should know at least 5 denial codes with action. If they have experience in a denial management team, we can consider proceeding with them to assign an AR f/u team. Good knowledge of the claim form (HCFA) field used for billing. General medical billing. Modifier usage & CPT codes Claim Appeals submission & Payer Website access knowledge to check claim status. Monday to Friday Interview time ( 10 Am to 6 Pm ) ( Experienced candidates only can apply ) RCM US HealthCare Medical Billing Salary: Based on Performance & Experience Exp: Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only ( Direct Walkins Only ) Contact person - Rekha HR Interview time ( 10 Am to 6 Pm ) Bring 2 updated resumes ( Refer to HR Name Rekha ) Call / Whatsapp ( 9043004654) Refer HR Rekha Locaion : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Rekha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Rekha Call / Whatsapp ( 9043004654)

SUMMARY OF RESPONSIBILITIES The position of Prior Authorization Specialist is responsible for processing prior authorization requests for Surgical procedures, prescriptions, Imaging, PT etc. Job description: (1) Processes prior authorization requests relating to procedures, radiology, Physical Therapy, prescriptions from pharmacists. This may include receiving a request form via fax or telephone; reviewing the patients chart to verify the Medical record, prescription, patient data, and the proper diagnoses; uploading patients office notes; requesting prior authorizations by speaking personally with the insurance company representatives by phone or via internet portals, receiving immediate authorization or requesting to be placed onto pending queue for a response within 24-72 hours; expediting urgent requests to generate a same day response; answering questions from insurance company representatives; monitoring incoming faxes for authorizations and adding the authorizations and confirmation numbers to the patients charts; and delivering the authorizations to the pharmacist, or otherwise notifying pharmacist of determination. (2) Processes prior authorization requests relating to procedures, imaging, physical therapy prescriptions from provider teams via EMR message in an efficient and timely manner. (3) Requests clarification regarding diagnosis codes and office notes from provider teams as needed via EMR message. (4) When necessary, monitors incoming fax messages and distributes them to appropriate personnel or chart in an efficient and timely manner. (5) Assistant with scanning, as well as duties of Prior Authorizations Specialist (Imaging), when necessary. (6) Performs other related duties as assigned. Prerequisites: Minimum 1 year of experience in Pre-Auth in Procedures (preferred), Peer to Peer Review, Auth related appeals/denials, well versed with EVBV (Eligibility Verification and Benefit Verification). Excellent oral and written communication skills Knowledge of current medical terminology to communicate with physician, staff, and patients High level of attention to detail Strong organization, filing, and time management skills Basic computer literacy and typing Patient focused Good communication skills with RCM knowledge Knowledge of third party payer regulations including Medicare, Medicaid, Veterans Affairs (VA) and commercial insurances. Ok with Night shift. Ok with Work from office - Location: Navi Mumbai

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position : - Team Leader Salary: Based on Performance Overall exp min 7+ yrs Exp : Min 2 years Required in TL role End to end RCM process Knowledge ( AR Analyst ,Charge , Payment ) Male candidates only Joining: Immediate Joiner / Maximum 10 days Work from office only Direct Walkins Only Interview time (12pm to 6pm ) Mail Id : vibha@novigoservices.com Call / Whatsapp ( 9043585877) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32

Description of the position/role: The Subject Matter Expert works closely with Group Lead / Team Lead in streamlining procedures applying technology and industry standards. Will be responsible for meeting the set SLAs with respect to Productivity, Quality & Attendance. Coordinate with Group Lead / Team Lead in mentoring the team. Reports to Team Lead / Assistant Manager. Requirements: Graduates / Diploma Holders Need to have a radial understanding of Charge Entry, Demo Entry and Charge Posting. 5 - 8 years of experience in US Medical Billing. Should have worked for minimum 2 years as a Sr. Executive. Confident and Eloquent in written and verbal communication. Should have Analytical Reasoning and be a Team Player. Sound knowledge and hands-on experience with MS Office tools. Essential Functions / Tasks: Production expectation: 100% Ensures to meet expected production & agreed as per SLA is met. Ensures that the assigned accounts are completed with quality standards. Ensures that the target is achieved & approach leads to assistance if there is any challenge. Identify and escalate issues to the Assistant Manager. Assist new users in day-to-day work and mentor them as per the process. Other Requirements/Skills Required: Understand the client requirements and specifications of the process. Meet the productivity targets of clients within the stipulated time (Daily/Weekly/Monthly). Ensure that the deliverables adhere to client expectations and meet quality standards. Prepare and maintain status reports for the team. Verify error logs placed in the path and maintain reports daily. Attending client training and meetings to calibrate amongst the team members. Complete the work allocated and report to the Group Lead / Assistant Manager.

Opening for Quality Analyst/AR Analyst/Payment Posting We are looking for a experienced Quality Analyst/AR Analyst/Payment Posting Specialist to join our medical billing team. The ideal candidate will have 1-4 years of experience in medical billing with a strong focus on Quality Analyst/AR Analyst/payment posting Quality Analyst(Day shift): Key Responsibilities: Conduct regular audits of medical billing, and payment posting transactions. Identify discrepancies and ensure compliance with healthcare billing regulations. Monitor team performance metrics such as accuracy, productivity, and adherence to policies. Prepare quality analysis reports and present findings to leads. Provide feedback and coaching to team members based on audit findings. Collaborate with training and operations teams to implement process improvements. Ensure timely documentation and tracking of errors and corrective actions. Participate in calibration sessions to align quality standards across teams. Payment Posting(Day shift): Key Responsibilities: Payment Posting: Accurately post payments from insurance companies and patients into the billing system. Charge Entry: Input charges for medical services and procedures, ensuring accuracy and proper coding. Claims Processing: Verify and process claims, ensuring compliance with insurance and billing guidelines. Reconciliation: Balance daily payment batches, addressing discrepancies promptly. Data Management: Maintain accurate patient billing records, including demographics, insurance details, and payment histories. Reporting: Generate reports on payment posting and charge entry to identify trends and areas for improvement. AR Analyst (Day shift): Key Responsibilities: Should have worked as an AR Analyst for min 1 year max 4 years with medical billing Good knowledge of revenue cycle and denial management concept Positive attitude to solve problems Addressing outstanding account receivables Submitting appeals in a timely manner Perform ageing analysis, understand days in A/R, top reasons for denials and provide reports to clients as needed Qualifications: Minimum 1-4 years of AR Analyst experience. Minimum 1-2 years of Payment posting experience. Proficiency with billing software and EHR systems. Interested candidates please contact Saranya Devi(HR)- 7200153996.

Hiring for AR Calling Location blore exp min 6m US Shift Food Available. Handle customer calls in a professional and efficient manner Address customer queries, concerns, and complaints with a problem-solving approach Maintain accurate records of customer interactions and follow-ups Provide timely and relevant information to customers to resolve their issues Work collaboratively with other teams to escalate and resolve complex issues Meet performance targets, including call handling time, customer satisfaction, and issue resolution rates To apply Call Neha @ 7259704081 to mails meena@nextgenhrcom.in

Job Description: We are hiring AR Callers (Account Receivable Callers) for a leading US healthcare process. The role involves following up with insurance companies in the US to resolve outstanding claims and ensuring revenue cycle management efficiency. Key Responsibilities: Follow-up with insurance companies for claim status. Analyze and resolve denied and unpaid claims. Understand US healthcare revenue cycle management (RCM). Work on aged accounts, EOB, and ERA. Maintain productivity and quality standards as per process requirements. Skills Required: Excellent English communication skills. Knowledge of US healthcare terms (EOB, Denials, AR follow-ups). Experience in voice-based process (preferably healthcare). Strong analytical and problem-solving skills. Willingness to work in Night Shifts. To Apply: Please Contact us / Walk-in Directly (Monday to Saturday, 9 AM to 6 PM) Free Job Placement Assistance White Horse Manpower Get placed in Fortune 500 companies. Address: #12, Office 156, 3rd Floor, Jumma Masjid Golden Complex, Jumma Masjid Road, Bangalore 560051. Contact Numbers: 8884139292 / 8884572014

Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus. Call/WhatsApp- 9311316017 (HR Manish Singh)

Greetings from Vee Healthtek....! Immediate hiring for AR Caller's Underpayments....... Hiring Experienced AR Caller US Healthcare Location: Chennai (Underpayment) Shift: Night Shift (US Process) Job Description: We are hiring experienced AR Callers to join our growing team in Chennai and Bangalore. If you have solid knowledge of the US healthcare RCM process and are looking for a great work environment with exciting perks we want to hear from you! Responsibilities: Follow up with US insurance companies on outstanding medical claims Analyze and resolve claim denials, rejections, and underpayments Maintain accurate documentation in the billing system Meet daily/weekly productivity and quality targets Collaborate with the team to improve AR performance Requirements: Minimum 1 year of experience in AR Calling (US healthcare) Strong communication and analytical skills Knowledge of denial management and revenue cycle process Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200rs worth food coupon every month * Incentives based on performance Interested candidate can reach Sahithya 8925866803 or sahithya.m@veehealthtek.com

Job Description: Medical Record Retrieval and Release of Information Specialist Position Overview: We are seeking dedicated and detail-oriented Medical Record Retrieval and Release of Information (ROI) Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. Key Responsibilities: Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards regarding the privacy and security of medical records. Process release of information requests for authorized parties such as patients, legal entities, insurance companies, and other healthcare providers. Organize and maintain medical records in both paper and electronic formats, ensuring they are accessible and easily retrievable. Coordinate with other departments (e.g., billing, insurance) to provide requested information while safeguarding patient confidentiality. Review and verify records for completeness and accuracy before releasing them. Perform audits of medical records to ensure accuracy and compliance with regulatory standards. Skills & Qualifications: Experience in healthcare administration or medical records management (preferred). Knowledge of HIPAA regulations and patient confidentiality. Strong communication skills (for calling positions). Excellent attention to detail and organizational skills. Ability to work efficiently and accurately in a fast-paced environment. Experience with medical records systems and software (e.g., Epic, Cerner, etc.) preferred. Ability to handle sensitive information with professionalism and discretion. Comfortable with night shift. Salary & Benefits: Competitive salary based on experience Health and Accidental insurance Call or WhatsApp -9311316017 (HR Manish Singh)

Title/Designation : Product Consultant/ Payer Integration Lead/Architect Role : Payer Core Solutioning Location : Navi Mumbai/ Pune/ Bangalore/ Chennai/ Gurgaon/ Hyderabad Work Mode: Hybrid Exp: 12 to 15 years Role & responsibilities: Candidate will be part of our Payer consulting team, responsible for working with clients on implementing key solutions, work closely with client account leads in identifying new transformational opportunities with accounts and develop proactive proposals thereby contributing to overall account growth and client success Actively participate in client presentations, proposal walkthroughs, demos to convey CitiusTech solution & value proposition Work with customer delivery and field teams and educating on roadmaps and delivery. Single handedly drive & own the sales support process in coordination with Sales / Account Management leads, Delivery leads, other Architects Provide consulting and domain thought leadership to customers, company and teams Preferred candidate profile: 12 - 15 years experience in any one or more sub-sectors of Healthcare such as Payers i.e. Health Insurance preferably in the US market as Healthcare Consultant. More than 10 years hands-on experience on TriZettos platforms (either Facets or QNXT) or any other leading US claims platforms in a Technical Architect / Lead / role Deep knowledge of core payer processes incl. member enrolment, provider, claims, authorizations, payments, contact center etc. Design and architect robust integration solutions encompassing data flows, APIs, message routing, transformation, orchestration, and infrastructure considerations Deep understanding of integration patterns, architectures, and technologies, including ESB, message brokers, data integration tools, APIs, and web services. Experience developing efficiency tools incl. accelerators, best practices, automation scripts etc. Navigate complexities and ambiguities with client ask or industry trend to clearly document & present CitiusTech solution & expertise Ability to understand the client problem statement and strong analytical skills for identifying the possible solution Ability to build professional relationships, a spirit of co-operation, and a flexible approach to work are required Experience in defining themes, epics, stories for requirements, experience of working in Agile Scrum Experience of working in cloud and hybrid environments incl. use of cloud-native services, containerization, CI/CD pipelines Good understanding of SDLC process and experience working with development teams to ensure successful delivery of solutions Self-motivated and strong team player Ability to work in a fast paced, entrepreneurial environment Strong verbal and written communication skills Travel Expected travel: Short term to US to meet customers and internal planning and discussions, as and when required (Post Covid) Travel within India as required for project work or internal meetings

Job description Greetings from Vee HealthTek...!!! We are hiring for candidates who have experienced in AR Caller - Denial Management for medical billing in the US Healthcare industry... Experience - 1 to 4 years excellent communication skills. Designation - AR Caller/Senior AR Caller Joining: Immediate/ or a max of 10-15 days Shift Timing: Night shift (US Shift) (5.30PM 2.30AM IST) Work Mode: Work from Office Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way home cab available * Night shift allowance * 1200rs worth food coupon * Incentives based on performance Interested candidate's kindly contact HR: - Name - Sterling Jos Contact Number - 9597592977 Mail Id - SterlingJos.J@veehealthtek.com

Greetings From Vee HealthTek Private Limited....!! " Immediate Hiring for Quality Analyst/ Senior Quality Analyst (AR - RCM ) - Mohali" Process - US Process (Healthcare) Experience - 3+Years Designation: Quality Analyst/ Senior Quality Analyst Location - Mohali & Pune "Note - On Papers QA ( Medical Billing -AR) is Mandatory" Skills required: Good Domain Knowledge Good Oral & Written Communication skills Proficient in MS Word/Excel Excellent analytical skills with understanding of health care claims processing. Ability to multi-task Willingness to be a team player and show initiative where needed. Willingness to work in Flexible Shifts Roles & responsibilities: Ensure all Quality parameters are met by removing errors. Work towards Service Levels and meet the productivity and quality requirements. Counsel the team members on quality issues. Document all errors and feedback given to each team member in the prescribed format. Ensure all client updates are recorded and shared across the team. Execute quality check are done as per the latest updates. Ensure timely communication with the clients. Identify and update your supervisor on the training requirements of your team. Interested candidates can reach out to Subiksha G - subiksha.g@Veehealthtek.com/ 9606003487

Job Summary: The Medical Biller is responsible for submitting medical claims to insurance companies and payers, including Medicare and Medicaid. The role ensures the accuracy and timely processing of claims to maximize reimbursement. Key Responsibilities: Prepare and submit clean claims to insurance companies (electronically/paper). Review and verify patient billing data from EMR systems. Work with providers and coding team to correct claim discrepancies. Follow up on unpaid claims within standard billing cycle timeframe. Monitor and resolve claim rejections and denials. Verify eligibility and benefits with insurance companies when needed. Maintain patient confidentiality and adhere to HIPAA regulations. Skills & Qualifications: Good understanding of CPT, ICD-10, and HCPCS coding. Knowledge of insurance guidelines (Medicare, Medicaid, commercial payers). Familiarity with billing software (e.g., Kareo, AdvancedMD, eClinicalWorks). Attention to detail and data entry accuracy. Strong communication and analytical skills.

we're Hiring AR Callers! .Experience: 2+yrs .Location: Chennai, Bangalore. Contact :- Ph- 7540031714 Mail-sreganesh.hr@gmail.com

Job description In-depth Knowledge and Experience in the US Health Care Payer System. 4-9 years of experience in Dental Claims . With over 1 year of experience as a supervisor. Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the Clients as well as Internal Management. Managing and co- ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process. Key Performance Indicators Ensuring that the key Service Level Agreements are met consistently without any exceptions. Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded . Work in tandem with all Business functions to ensure smooth business process. Retention of key team members Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com

====================================================================== Walk-in Details:- Job Mode:- Work from Office Interview Dates:- 16-Jul-25 (Wednesday) to 31-Jul-25 (Thursday) (Except Sundays) Interview Timings:- 03:00 PM to 08:30 PM Interview Location:- Confiance House Near Shree Punjabi Seva Samaj, Behind Navrangpura Bus Stop, Swastik Society, Navrangpura, Ahmedabad, Gujarat 380009 ====================================================================== Role & responsibilities Performing outbound calls to insurances regarding medical claims (in the US) to collect outstanding Accounts Receivables. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs. Responding to customer requests by phone and/or in writing to ensure timely resolution of unpaid medical insurance claims. Resolving complex situations following pre-established guidelines. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team. Organizing and completing tasks according to assigned priorities. Preferred candidate profile Excellent English Communication required (Oral & Verbal) Graduation or above Should be Comfortable with US Shifts Goal oriented and stable Positive attitude towards work Perks and benefits 5 working days Overtime benefits. Health Insurance. Other employee benefits. If you are not able to attend the walk-in interview or have any doubt then you can connect on 7486008424 or work@confiancebizsol.com Open Positions AR Caller:- 15

Role & responsibilities Assign Procedure Codes Analyze operative reports and surgical note documentation to accurately assign CPT, HCPCS, ICD10CM, and inpatient ICD10PCS codes (with modifiers) to ensure compliant and optimized billing MedEvolve+15The College of Health Care Review and Audit Documentation Audit surgeon notes and supporting clinical records for completeness, specificity, and alignment with coding standards, resolving coding gaps and ensuring accurate reimbursement Claims Preparation & Submission Integrate surgical charge capture into claims, verify pre-authorizations and insurance eligibility, then submit claims following RCM protocols to support revenue maximization The College of Health Care Professions. Denial Management & Reconciliation Monitor claim rejections/denials, perform root-cause analysis, correct coding issues, resubmit claims, and reconcile payments to maintain clean accounts receivable PMC+11 Provider & Team Collaboration Work closely with surgeons, clinical staff, and RCM/billing teams to clarify documentation, drive clinical documentation improvement (CDI), and stay up-to-date on coding rules and payer guidelines Reporting & Quality Assurance Maintain productivity and quality standards with coding benchmarks, track KPIs (e.g. error rates, turnaround times), participate in audits, and produce reports to inform revenue cycle optimization Preferred candidate profile Hands-on surgical coding expertise At least 24 years of experience accurately coding surgical cases (inpatient and/or outpatient), using CPT, ICD10CM, ICD10PCS, HCPCS, and applying appropriate modifiers. Demonstrated track record of 95% accuracy and coded volume consistent with productivity benchmarks Certified and thorough knowledge of coding guidelines Holds CPC and/or CCS credential (AAPC or AHIMA), with specialty coding certifications (e.g., CPMA, CIRCC) considered a plus Strong familiarity with payer-specific rules (e.g. CMS, Medicare/Medicaid), denial management processes, clinical documentation improvement, and regulatory compliance Analytical, collaborative, and tech-savvy Demonstrated analytical skills: ability to audit documentation, identify coding inconsistencies, perform root-cause denial analysis, and recommend process/coding improvements Effective communicator, adept at querying providers for documentation clarification, and comfortable using EHR/encoder tools (e.g., Epic) and RCM workflows Interested candidates can share their resume to kaaviya.uppliraja@firstsource.com or Contact - 9150465315 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or kaaviya.uppliraja@firstsource.com email address.

Job Summary - A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients to achieve better results, which ultimately allows them to provide better patient care. Minimum Degree Required (BQ) *: Bachelor Degree Degree Preferred: Required Field(s) of Study (BQ): Computer Science, Data Analytics, Accounting Preferred Field(s) of Study: Minimum Year(s) of Experience (BQ) *: US 10 years of experience Certification(s) Preferred: Preferred Knowledge/Skills *: Demonstrates proven success in roles and extensive abilities to lead client-facing consulting teams, including the following areas: Identifying and addressing client needs: build, maintain, and utilize networks of client relationships; Managing resource requirements, project workflow, budgets and status updates; Managing and conducting quantitative and qualitative analyses of large and complex dat;a Examining feasibility of activities from short and long term perspective; Communicating effectively in written and oral formats to various situations and audiences; and, Leveraging MS Excel, PowerPoint, Word, Project, Visio to communicate effectively in written and oral formats to various situations and audiences. US Hospital and/or Medical Group Accounts Receivable Management US Hospital and/or Medical Group Performance Reporting and KPI Improvement US Healthcare Revenue Cycle Performance Management Reporting US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Denials Management (technical and clinical) US Healthcare Underpayment/Payment Variance Management Ability to lead client-facing consulting teams Strong Client relationship skills Ability to analyze complex data Resource management Project workflow management Strong working knowledge of MS office tools Strong stakeholder management skills Thorough understanding of state and federal regulations Epic Resolute, HB and PB Patient Accounting Cerner RevElate Patient Accounting Meditech Patient Accounting Experience Level: 16 to 22 years. Shift timings: Flexible to work in night shifts (US Time zone) Preferred Qualification: Bachelors degree in finance or Any Graduate PMS Experience: Epic HB & PB experience is Mandatory

Job Summary - A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients to achieve better results, which ultimately allows them to provide better patient care. Minimum Degree Required (BQ) *: Bachelor Degree Degree Preferred: Required Field(s) of Study (BQ): Computer Science, Data Analytics, Accounting Preferred Field(s) of Study: Minimum Year(s) of Experience (BQ) *: US 5 years of experience Certification(s) Preferred: Preferred Knowledge/Skills *: Demonstrates proven success in roles and extensive abilities to lead client-facing consulting teams, including the following areas: Identifying and addressing client needs: build, maintain, and utilize networks of client relationships; Managing resource requirements, project workflow, budgets and status updates; Managing and conducting quantitative and qualitative analyses of large and complex dat;a Examining feasibility of activities from short and long term perspective; Communicating effectively in written and oral formats to various situations and audiences; and, Leveraging MS Excel, PowerPoint, Word, Project, Visio to communicate effectively in written and oral formats to various situations and audiences. US Hospital and/or Medical Group Accounts Receivable Management US Hospital and/or Medical Group Performance Reporting and KPI Improvement US Healthcare Revenue Cycle Performance Management Reporting US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Denials Management (technical and clinical) US Healthcare Underpayment/Payment Variance Management Ability to lead client-facing consulting teams Strong Client relationship skills Ability to analyze complex data Resource management Project workflow management Strong working knowledge of MS office tools Strong stakeholder management skills Thorough understanding of state and federal regulations Epic Resolute, HB and PB Patient Accounting Cerner RevElate Patient Accounting Meditech Patient Accounting Experience Level: 8 to 12 years. Shift timings: Flexible to work in night shifts (US Time zone) Preferred Qualification: Bachelors degree in finance or Any Graduate PMS Experience: Epic HB & PB experience is Mandatory

Assistant Manager Operations : Education Any graduate.(Preferred Life Science). Should have experience into auditing, claims, billing, reimbursement, data analysis is desired. Must have at least 3 years customer support experience in handling voice projects for US based client Must be Assistant Manager on paper for 2-3 years International BPO experience mandatory. Candidates with US healthcare experience will be preferred. Strong verbal and interpersonal communication abilities Good team player with strong interpersonal skills & high integrity. Flexible to work in rotational shifts including night shift Interested & suitable candidates can share their resume - Jitendra.pandey@cotiviti.com