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4.0 - 9.0 years
3 - 5 Lacs
Bengaluru
Work from Office
Job TitleFinance reporting (Refund Claims and analysis) Location[Bangalore] Experience RequiredMinimum 3–4 years Employment Type[Full-time] Job SummaryWe are looking for a detail-oriented and proactive Refund Claims & Collections Executive with prior experience in the travel industry, who has knowledge in airline refund collections. The ideal candidate will have a strong understanding of industry practices, familiarity with GDS tools, MS office and the ability to manage the refund claim transaction volume on a daily basis. Key Responsibilities: Handle refund processes related to bookings and transactions within the travel domain. Manage end-to-end claims processing, ensuring timely validation, documentation, and closure. Coordinate with internal teams and external partners (airlines, GDS, vendors) to resolve refund claim-related issues. Maintain accurate records and logs of claims and collections activities. Use GDS software for information retrieval and resolution (As applicable). Generate basic reports and summaries using MS Excel and other MS Office tools. Ensure compliance with company policies and service level agreements (SLAs). Required Qualifications & Skills: 3–4 years of relevant experience in GDS and airline refund claims and collections within the travel industry. Exposure to GDS software such as Amadeus, Sabre, or Galileo (preferred). Strong analytical and problem-solving skills. Proficiency in MS Office, especially Excel. Ability to communicate clearly and professionally across teams and with external partners. Attention to detail, time management, and organizational abilities. Preferred Attributes: Prior experience working with travel agencies, airlines, or B2B travel platforms. Understanding of ticketing and refund processes.
Posted 1 month ago
1.0 - 3.0 years
2 - 3 Lacs
Ambattur, Chennai
Work from Office
Good knowledge in Denials, appeals, rejection/claims, correspondence Knowledge in RCM & AR fundamentals AR Caller (Night shift - no cab) Sat & Sun Fixed Week Off Direct Walk-in Interview Contact: Priyadarshini HR 9363752251
Posted 1 month ago
3.0 - 6.0 years
3 - 5 Lacs
Noida
Remote
We are seeking a detail-oriented and clinically proficient Post-Processor to join our Radiology Operations team. The selected candidate will be responsible for preparing diagnostic imaging studies for efficient interpretation by radiologists. This role involves inserting standardized templates, reviewing clinical and billing information, and ensuring complete and accurate study data. Candidates with a strong clinical background, experience in U.S. healthcare, and familiarity with radiology workflows are highly encouraged to apply. Key Responsibilities: Process and organize imaging studies to make them ready for radiologist review. Insert protocol-approved or required templates into the studies to streamline radiologist interpretation. Review each study for completeness of clinical and billing data , including referring physician details, patient demographics, and payer information. Verify and validate insurance information, referral documentation, and prior authorizations . Upload and associate relevant clinical documents , technologist worksheets , and report templates with the imaging studies. Collaborate with radiologists, technologists, and administrative staff to ensure timely and accurate study preparation. Ensure data integrity and compliance with internal protocols and HIPAA standards. Utilize AI tools like ChatGPT , Copilot , and other market-leading technologies to enhance productivity and workflow efficiency. Contribute to ongoing efforts in AI integration within the post-processing workflow to improve turnaround time and quality assurance. Preferred Qualifications: Bachelors degree in a clinical, allied health, or healthcare-related field. 3+ years of experience in the U.S. healthcare industry , particularly within clinical operations or medical documentation . Experience working in or with a radiology facility or imaging center is highly preferred. Prior involvement in the clinical investigation or trial documentation domain is a strong advantage. Strong knowledge of Human Anatomy and related subjects Strong understanding of radiology workflow , medical terminology, and clinical documentation practices. Technologically savvy with a strong grasp of current AI tools , including but not limited to OpenAI's ChatGPT , Microsoft Copilot , or similar platforms. Excellent communication, organization, and critical-thinking skills. Ability to work independently and in a team-based, fast-paced environment. Why Join Us? Be part of a forward-thinking healthcare organization integrating AI into radiology workflows . Work in a dynamic environment with cutting-edge medical and AI technologies . Opportunity to make a meaningful impact on radiology efficiency and patient care . How to Apply: Please submit your updated resume to hr@intelligentradiologysolutions.com or via Whatsapp at 6006642618.
Posted 1 month ago
0.0 - 4.0 years
0 - 0 Lacs
navi mumbai, mumbai city, thane
On-site
Dear Candidates, Greetings from NLEY Consultants!! We are hiring for the International collection Process!!! Eligibilty Criteria -SSC, HSC, GRADUATE With 1 year of international customer service, sales or collections voice process experience with Excellent Communication Skills SHIFT: US/UK based shift (Any 9 hours) Docs required Bank statements mandatory and last 3 months of payslips, reliving letter or else resignation acceptance Salary 32k Gross in hand will be 31,920 + attractive incentives!!! Interested candidates can share their CV whatsapp at 881085997 or can share your CV at richanagalia.nley@gmail.com Regards, NLEY Consultants Pvt Ltd
Posted 1 month ago
5.0 - 10.0 years
7 - 12 Lacs
Hyderabad
Work from Office
Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: . 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
Posted 1 month ago
1.0 - 6.0 years
3 - 6 Lacs
New Delhi, Gurugram, Delhi / NCR
Work from Office
Hiring for AR Healthcare Process Graduation Required Minimum 6 months relevant experience required Job Details: 5 Days Working Rotational Shifts Rotational Offs Both Side Cab Provided Salary: Up to 45,000 Share your CVs @ 7291098048 , 8700591262
Posted 1 month ago
0.0 - 1.0 years
3 Lacs
Kolkata, Chennai, Mumbai (All Areas)
Hybrid
Hiring for News Analyst Job role Employer: Cognizant Any Graduate Fresher can apply (Journalism, Mass Comm. Graduate preferred) Should have Excellent English Communication Salary: As per industry standards Rotational Night Shifts, 5 days Working Required Candidate profile Hybrid Work Model, Candidate should be located at below mentioned city. Multiple Locations: Gurgaon, Hyderabad, Pune, Kolkata, Mumbai, Chennai, Coimbatore (hybrid work mode) Perks and benefits Allowances, Provident Fund, and Insurance benefits
Posted 1 month ago
0.0 - 1.0 years
3 Lacs
Hyderabad, Pune, Delhi / NCR
Hybrid
Hiring for News Analyst Job role Employer: Cognizant Any Graduate Fresher can apply (Journalism, Mass Comm. Graduate preferred) Should have Excellent English Communication Salary: As per industry standards Rotational Night Shifts, 5 days Working Required Candidate profile Hybrid Work Model, Candidate should be located at below mentioned city. Multiple Locations: Gurgaon, Hyderabad, Pune, Kolkata, Mumbai, Chennai, Coimbatore (hybrid work mode) Perks and benefits Allowances, Provident Fund, and Insurance benefits
Posted 1 month ago
1.0 - 3.0 years
2 - 5 Lacs
Navi Mumbai, Mumbai (All Areas)
Work from Office
Job description: Good communication skills with RCM knowledge Knowledge of Insurance AR follow up, Denial management, Appeal creation. Minimum 1 year of experience in AR follow up & denials is a must Ok with Night shift Ok with Work from office - Location: Navi Mumbai
Posted 1 month ago
0.0 - 5.0 years
3 - 6 Lacs
Hyderabad
Work from Office
Sutherland is now hiring individuals who are passionate to start/ build their career in the BPO Industry. Job Title: Sr Associate 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 QUALIFICATIONS: - 1. Should be a complete Graduate 2. Minimum of 2 years of experience in physician revenue cycle management and AR calling 3. Basic knowledge of claim form 1500 and other healthcare billing for
Posted 1 month ago
5.0 - 7.0 years
15 - 16 Lacs
Chennai
Work from Office
5-7 Years of SF Service Cloud/Health Cloud Testing Experience. US Healthcare Experience is required. Agile Scrum experience is required. Strong communication and ability to interact with US customers without assistance Essential experience with building Test Automation frameworks (Cucumber, Selenium, Jenkins, BDD) and Automated Testing. Strong delivery ownership. Collaborate with stakeholders to understand application needs and objectives. Participate in Agile ceremonies required for the project (daily stand-ups, sprint planning, backlog grooming, retrospectives, etc.) Demo the feature/story on sprint/release demos.
Posted 1 month ago
0.0 - 3.0 years
2 - 5 Lacs
Kolkata
Work from Office
Aster Medcity is looking for Associate.Medical Records.MIMS Hospital Calicut to join our dynamic team and embark on a rewarding career journey Processing requisition and other business forms, checking account balances, and approving purchases. Advising other departments on best practices related to fiscal procedures. Managing account records, issuing invoices, and handling payments. Collaborating with internal departments to reconcile any accounting discrepancies. Analyzing financial data and assisting with audits, reviews, and tax preparations. Updating financial spreadsheets and reports with the latest available data. Preparation of operating budgets, financial statements, and reports. Reviewing existing financial policies and procedures to ensure regulatory compliance. Providing assistance with payroll administration. Keeping records and documenting financial processe
Posted 1 month ago
1.0 - 3.0 years
1 - 4 Lacs
Kolkata, Mumbai, New Delhi
Work from Office
Tourism Writer About the job Tourism Writer Tourism Writer DataAnnotation is committed to creating quality AI. Join our team to help train AI chatbots while gaining the flexibility of remote work and choosing your own schedule. We are looking for a bilingual professional (Hindi/English) to join our team and teach AI chatbots. You will have conversations in both Hindi and English with chatbots in order to measure their progress, as well as write novel conversations in order to teach them what to say. Benefits: Tourism Writer This is a full-time or part-time REMOTE position You ll be able to choose which projects you want to work on You can work on your own schedule Projects are paid hourly, starting at $22+ USD per hour, with bonuses for high-quality and high-volume work Responsibilities (both in Hindi and English): Come up with diverse conversations over a range of topics Write high-quality answers when given specific prompts Compare the performance of different AI models Research and fact-check AI responses Qualifications: Fluent in Hindi + English (native or bilingual level): A bachelor s degree (completed or in progress) Excellent writing and grammar skills Strong research and fact-checking skills to ensure accuracy and originality Note: Payment is made via PayPal. We will never ask for any money from you. #hindi Tourism Writer DataAnnotation is committed to creating quality AI. Join our team to help train AI chatbots while gaining the flexibility of remote work and choosing your own schedule. We are looking for a bilingual professional (Hindi/English) to join our team and teach AI chatbots. You will have conversations in both Hindi and English with chatbots in order to measure their progress, as well as write novel conversations in order to teach them what to say. Benefits: Tourism Writer This is a full-time or part-time REMOTE position You ll be able to choose which projects you want to work on You can work on your own schedule Projects are paid hourly, starting at $22+ USD per hour, with bonuses for high-quality and high-volume work Responsibilities (both in Hindi and English): Come up with diverse conversations over a range of topics Write high-quality answers when given specific prompts Compare the performance of different AI models Research and fact-check AI responses Qualifications: Fluent in Hindi + English (native or bilingual level): A bachelor s degree (completed or in progress) Excellent writing and grammar skills Strong research and fact-checking skills to ensure accuracy and originality Note: Payment is made via PayPal. We will never ask for any money from you. #hindi Tourism Writer DataAnnotation is committed to creating quality AI. Join our team to help train AI chatbots while gaining the flexibility of remote work and choosing your own schedule. We are looking for a bilingual professional (Hindi/English) to join our team and teach AI chatbots. You will have conversations in both Hindi and English with chatbots in order to measure their progress, as well as write novel conversations in order to teach them what to say. Benefits: Tourism Writer This is a full-time or part-time REMOTE position You ll be able to choose which projects you want to work on You can work on your own schedule Projects are paid hourly, starting at $22+ USD per hour, with bonuses for high-quality and high-volume work Responsibilities (both in Hindi and English): Come up with diverse conversations over a range of topics Write high-quality answers when given specific prompts Compare the performance of different AI models Research and fact-check AI responses Qualifications: Fluent in Hindi + English (native or bilingual level): A bachelor s degree (completed or in progress) Excellent writing and grammar skills Strong research and fact-checking skills to ensure accuracy and originality Note: Payment is made via PayPal. We will never ask for any money from you. #hindi
Posted 1 month ago
3.0 - 5.0 years
3 Lacs
Chennai
Work from Office
Role Responsibilities : In-depth knowledge and experience in the US healthcare (Non Voice) - Provider Data Validation and Provider Data management. Candidate should have 3 years and above experience in US healthcare and into provider enrollment and credentialling. Ensures day-day transactions are processed per standard operating procedures. Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards. Knowledge in Amisys and Cenprov application are preferred. Product knowledge in checking affiliation for Medicaid, Medicare and Exchange. Everyday checked Contract information in Payment Index such as, Pay class, override key, accepts code and etc. Ability to read and understand the provider contract. Handling Paid claims and recouped claims. Claims Rejections handling. Working in claims denial management. Knowledge about End to End provider billing process. Working knowledge in EDI rejection claims Handing Patient and provider demographic changes. Required Skills : 3 to 5 years of experience in US healthcare working with Provider Data Enrollment and Management. Ability to work in a 24/5 environment; shifts can be rotational . University degree or equivalent that required 3+ years of formal studies. Ability to work in a team environment. Good logical thinking ability. Good English Comprehension/written skills should have exposure to MS Office. Good Communication Skills - Both Verbal and Written Ability to interact with clients preferred. **Required schedule availability for this position is 24/5 and the shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend s basis business requirement.
Posted 1 month ago
5.0 - 10.0 years
5 - 14 Lacs
Hyderabad
Work from Office
Looking for Team Lead and above for eligibility and benefit verification / Authorization (Voice Process) Company - Ascent Business Solution (Hyderabad) Experience - 5+ years salary - as per company immediate joiner Contact number - 8956069774
Posted 1 month ago
2.0 - 7.0 years
5 - 6 Lacs
Navi Mumbai
Work from Office
Role & responsibilities Oversee day-to-day operations for Medical Transcription, Medical Record Listing and Medical Record Summarization. Ensure adherence to client-specific guidelines, productivity benchmarks, and quality standards. Monitor team performance, allocate work effectively, and manage schedules to ensure timely delivery. Provide coaching and mentorship to team members to build skills and improve efficiency. Conduct regular audits and quality checks. Identify areas of improvement and implement corrective actions or process enhancements. Act as a key point of contact for client communications including updates, escalations, and feedback. Ensure timely communication of requests, deadlines, and any changes in process. Maintain professional and effective client relationships. Leadership and team-building skills Problem-solving and analytical mindset Client-centric approach with adaptability to changing requirements Ability to multitask and prioritize under pressure Preferred candidate profile Male Candidates are more Preferred Contact Details : Vinay - HR Recruiter 8309773532
Posted 1 month ago
9.0 - 14.0 years
8 - 16 Lacs
Hyderabad
Work from Office
Job Title: Manager - Accounts Receivable (AR) Job Summary: We are seeking a skilled Manager to lead our Revenue Cycle Management (RCM) team. The ideal candidate will oversee the revenue cycle process, ensuring efficient billing, collections, and revenue reporting. This role requires strong leadership skills, knowledge of healthcare regulations, and the ability to drive continuous improvement. Key Responsibilities: Lead and manage the AR follow-up team. Develop and monitor KPIs to identify trends and areas for improvement. Ensure compliance with healthcare regulations and standards. Collaborate with department heads to streamline processes. Provide strategic direction and mentorship to team members. Resolve complex billing and payment issues. Prepare and present reports on revenue cycle performance. Implement best practices in RCM to optimize revenue and reduce denials. Manage a team of 150 including direct and indirect reports. Drive quality improvement initiatives and manage attrition. Conduct performance reviews and handle disciplinary issues. Implement efficiency improvement projects using lean sigma methodology. Coordinate with functional heads to address process gaps. Ensure timely submission of MIS reports. Skills Required: Team Management Process Management Process Excellence Candidate Attributes: Good communication and interpersonal skills. Knowledge of the US healthcare industry and RCM. Proficiency in computer applications, PMS, Excel, and PPT. 10+ years of experience in US Healthcare provider side AR. Qualifications: Bachelor's degree in Healthcare Administration, Business, Finance, or a related field. Minimum of 10 years of experience in revenue cycle management. Strong understanding of medical billing, coding, and collections processes. Excellent analytical and problem-solving skills. Proficiency in RCM software and Microsoft Office Suite. Strong leadership and team management abilities. Knowledge of healthcare regulations and compliance standards. Preferred Qualifications: Certified Revenue Cycle Professional (CRCP) or similar certification. Experience with electronic health records (EHR) systems. Strong skills in denial management. Impeccable professional reputation with high energy, integrity, and a positive attitude.
Posted 1 month ago
0.0 - 5.0 years
2 - 4 Lacs
Thane
Work from Office
Position: Customer Service Executive US Insurance (Inbound Voice) Location : Wagle Estate, Thane Shift : Night Shift (US Time Zone) Salary : As per Experience + Travel Allowance Process : Inbound – Health Insurance (Non-Sales) Key Requirements: Experience : Minimum 6 months – 2 years of experience in an international voice process (US preferred) Freshers will not be considered Communication Skills : Excellent spoken English with neutral or US-accented communication Should be able to match or adapt to the US customer accent and style of conversation Clear, empathetic, and professional tone – ability to handle senior citizens (65+ age group) with patience Call Volume : 90% inbound voice support Candidates should be comfortable with extended conversations and query handling Education : Minimum 12th pass Graduates preferred Other Requirements : Good listening skills and attention to detail Willingness to work night shifts aligned with US hours Immediate joiners preferred Primary Responsibilities Handle inbound calls from US-based customers regarding insurance policies, claims, billing, and coverage. Resolve queries and concerns efficiently while maintaining a professional and empathetic tone. Document interactions accurately using CRM or call tracking systems. Follow up on unresolved issues to ensure complete customer satisfaction. Adhere to scripts and compliance guidelines specific to US insurance regulations. Meet performance metrics such as call quality, resolution time, and customer satisfaction scores. Required Skills Excellent verbal communication in American English. Active listening and problem-solving to understand and address customer needs. Basic computer proficiency , especially in CRM software and call center tools. Time management and multitasking to handle high call volumes effectively. Adaptability to work night shifts aligned with US time zones. Insurance-Specific Duties Explain policy details including coverage, premiums, and exclusions. Assist with claims processing by gathering required information and guiding customers through procedures. Ensure compliance with HIPAA and other US insurance regulations. Minimize claim leakage by verifying details and escalating complex cases appropriately. Application Process: Interested candidates are encouraged to send their updated resume to jdg@apexltd.in with the subject line: " Customer Service Executive – US Insurance " Contact Person: Jyoti Gawande Email: jdg@apexltd.in
Posted 1 month ago
1.0 - 4.0 years
2 - 5 Lacs
Hyderabad, Mumbai (All Areas)
Work from Office
Hiring for AR Callers, Prior Authorization, Medical Billing, Credit Balance, Eligibility and Benefit verification || Hyderabad, Mumbai || upto 5.75 lpa Location AR Caller, Eligibility Verification - Hyderabad AR Caller, Prior authorization, Medical Billing, Credit Balance - Mumbai Eligibility: Minimum 1 yr of experience in any field is mandatory Package : AR caller (Hyderabad) - Upto 40k take home Eligibility and Benefit Verification (Hyderabad) - Upto 5.75 LPA AR Caller (Mumbai) - Upto 4.6 LPA Payment posting, Medical Billing, Credit Balance (Mumbai) - upto 4.34 LPA Prior Authorization (Mumbai) - upto 5.75 LPA Qualification: Inter & Above Notice Period : Immediate Joiners are preferred Cab Facility available Interested candidates can Call Or Send Resume to HR Shravani - 8121575006 Referrals are welcome
Posted 1 month ago
1.0 - 5.0 years
2 - 6 Lacs
Mumbai, Navi Mumbai, Pune
Work from Office
Urgent openings for AR Caller/SR AR Caller Job Loc: Mumbai, Bangalore, Chennai Exp: 1 yr to 4yrs Salary: 40k Max Skills: Physician / hospital Billing, Denial Management exp is must Contact: 9659451176 starworth09@gmail.com REGARDS; divya
Posted 1 month ago
0.0 - 2.0 years
2 - 4 Lacs
Pune
Work from Office
Role Description: As a Revenue Cycle Management (RCM) Associate / Senior Associate at PDA E-Services Pvt Ltd , you will be an integral part of our US healthcare operations team, responsible for managing the end-to-end revenue cycle process for dental practices in the United States. Your primary focus will be to ensure accurate billing, efficient payment processing, timely insurance follow-ups, and effective resolution of revenue-related discrepancies. Company Profile: PDA E-Services Pvt Ltd is a dynamic and fast-growing Global Capability Centre (GCC) for Piccadilly Dental Alliance (PDA) , a leading dental healthcare organization in the United States. Established in 2022 , we provide operational, administrative, and practice management support to US-based dental practices, enabling them to focus on delivering exceptional patient care. As PDAs exclusive India-based outsourcing partner, we are expanding rapidly with a strong emphasis on operational excellence and healthcare service expertise. Roles & Responsibilities: Ensure accurate and timely generation of patient bills. Support insurance-related pre-processing and post-processing requirements. Conduct payment reconciliation processes to ensure completeness of receivables. Identify and resolve billing and audit issues related to the US dental healthcare system. Analyse revenue trends and claims performance for efficient payment processing and insurance follow-ups. Demonstrate an end-to-end understanding of the US dental insurance clearance and claim management process. Maintain high attention to detail, strong organizational skills, and effective coordination and communication abilities. Regularly interact with the senior leadership team based in the United States for operational updates and issue resolutions. Qualifications: Education: Graduate in any discipline (B.Com / BBA / B.Sc / B.A / or equivalent preferred). Experience: Associate: 0-2 years of experience in RCM / medical billing / US healthcare process. Senior Associate: 2- 4 years of relevant RCM or US healthcare billing experience preferred. Strong verbal and written communication skills in English. Proficiency in Microsoft Office applications (especially Excel and Outlook). Good analytical and problem-solving abilities. Prior experience in US dental or healthcare RCM processes is an added advantage. Benefits Offered: Fixed weekend off (Saturday & Sunday) Opportunity to work with an expanding US healthcare organization. Professional growth and internal career advancement opportunities. Exposure to international healthcare operations and leadership interaction. Comfortable, collaborative, and inclusive work environment. Paid leaves and holiday benefits as per company policy. Job Details: Job Title: Associate / Senior Associate RCM Working Days: Monday to Friday (Saturday and Sunday fixed off) Location: PDA E-Services Pvt Ltd 405, Fourth Floor, PT Gera Centre, Dhole Patil Road, Bund Garden Road, Pune 411001.
Posted 1 month ago
2.0 - 6.0 years
4 - 7 Lacs
Hyderabad
Work from Office
Work Location: Begumpet, Uppal, Kothaguda Salary range: 4- 7 LPA (Negotiable based on relevant experience) + Performance Incentives up to 24 Lakhs Work timings: 7:30 PM IST - 4:30 AM IST Key skills: The role requires managing the complete End-to-End Recruitment lifecycle. Key skills for this position include: Strategic sourcing Screening resumes ATS proficiency LinkedIn Recruiter Candidate management Knowledge of US Tax terms Situation handling Relationship building Decision making Ability to evaluate work authorization types Join Our Team as a Recruiter! Are you ready to advance your recruiting career in a thriving environment? We're on the lookout for talented Recruiters to join our team in Hyderabad. If you meet these criteria, we want to hear from you: Minimum 2+ years of experience in US Non-IT/ Healthcare Recruitment Expertise in Engineering, Construction, Finance, Banking, Automotive, Legal, Healthcare and other Non-IT fields in recruitment Proficiency with LinkedIn RPS, Monster, CareerBuilder, Indeed, and more A track record of meeting goals and KPIs Proficiency using an ATS (Applicant Tracking System) Strong sourcing skills and a Boolean Search expert Excellent communication and interpersonal skills What we offer: Cab drop facility only for women employees (Up to 20 Km radius) Comprehensive Health + Accidental + Life insurance coverage Best-in-industry Incentives and Bonuses (Quarterly & Annual). Growth Opportunities Learning & Development programs Fast track career growth path for performers from Trainees to Senior managers. Welcome to W3Global (www.w3global.com) - Your Pathway to Perfect Staffing At W3Global, we stand at the forefront of staffing excellence, committed to a singular mission: streamlining the recruitment journey to connect the ideal candidate with the perfect role, precisely when it's needed. Established in the year 2006, we have grown into a trailblazing staffing entity, with an expansive footprint across 6 countries (USA, Canada, UK, India, Poland, and Australia) and growing and a resounding global presence that echoes from our headquarters in Frisco, Texas. Over the past 15+ years, we've undergone an extraordinary evolution, transcending our humble beginnings of just four individuals to blossom into a dynamic team of 1000+ employees. This journey has propelled us into a prominent role as premier providers of recruitment and staffing solutions across a spectrum of industries, ranging from IT, accounting/finance, legal, engineering, government, and human resources, all the way to executive staffing. Our dedication is clear: placing people in positions where they thrive.
Posted 1 month ago
3.0 - 8.0 years
2 - 6 Lacs
Noida
Work from Office
Location: NOIDA Role: Charge Entry Specialist Responsibilities: Payment Entry: Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks. Reconciliation: Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies. Claims Management: Review and resolve any payment discrepancies, denials, or underpayments by working closely with the billing and collections teams. Reporting: Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow. Customer Communication: Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner. Compliance: Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting. Process Improvement: Identify opportunities for streamlining the payment posting process and contribute to best practices within the team. Key Skills: Previous experience 1+ Year in payment posting, medical billing, or revenue cycle management in a healthcare setting is required. Strong knowledge of medical billing processes and payment posting practices. Proficiency in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (30 WPM with 97% of accuracy) 3+ years of experience required. Package up to 6 LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.
Posted 1 month ago
3.0 - 8.0 years
2 - 6 Lacs
Noida
Work from Office
Location: NOIDA Role: Charge Entry Specialist Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Key Skills: Strong knowledge of medical terminology, coding (CPT, ICD-10), and billing practices. Proficient in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Self-motivated, analytical, and able to work both independently and as part of a team. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (30 WPM with 97% of accuracy) 3+ years of experience required. Package up to 6 LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.
Posted 1 month ago
0.0 - 5.0 years
2 - 6 Lacs
Pune
Work from Office
Walk-In Drive on 19th July for the role of Audit Support Assistant (Voice Process) Cotiviti-Pune Walk-in Date: 19-July-25 Time : 10:30 AM to 2:00 PM Address: COTIVITI INDIA PRIVATE LIMITED Plot C, Podium Floor, Binarius/Deepak Complex, Opposite Golf Course, Yerwada, Pune - 411006. PRINCIPLE PURPOSE OF JOB The Audit Support Assistant position is an entry level position responsible for reviewing documents, analyzing data and interpreting comments or audit outcome shared by clinicians and answer provider queries via inbound call or email. This role requires an individual to document relevant facts, information and conclusions drawn to support the work performed and communicate recommendations and outcomes to supervisory for evaluation, verification, and continuous learning. POSITION REQUIREMENTS: Graduation is mandatory. Excellent written & verbal communication skills. Must have International Voice experience. Must be ready to work in Night shifts. Immediate Joiners Preferred Good energy and Positive attitude Long Term Career Orientation JOB RESPONSIBILITIES Handle calls and provide appropriate information to providers/ Hospitals in US enquiring about their claim audit or appeals status Respond to emails from provider requesting claim audit or appeal status Identify and coordinate the method for record retrieval with provider offices Maintain professional and frequent contact with provider offices throughout the record retrieval process Candidates who have attended the interview in 6 months are not eligible to apply. Regards Kirti Golwalkar Human Resource_Cotiviti kirti.golwalkar@cotiviti.com Cotiviti is a leading healthcare solutions and analytics company headquartered in the United States, with more than 10000 employees in offices across the U.S., Canada, Australia, India, Philippines & Mexico. Cotiviti has been in business for more than two decades (including predecessor companies), and our solutions have been well proven and tested. Our clients are primarily health insurance companies, including U.S. government payers, although healthcare providers, employers, and insurance brokers also use our solutions. In fact, we support almost every major health plan in the U.S. and more than 180 healthcare payers in total. We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and helping our clients discover ways they can improve efficiency and quality.
Posted 1 month ago
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