12313 Us Healthcare Jobs - Page 31

- Experience - 6 to 12 yrs - Must have experience in P&C Insurance OR US Healthcare OR US Mortgage - Experienced in quality audits, escalation management - Current designation should be Team Leader or Assistant Manager

Location CHENNAI & work from office only. Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information...

Minimum of 2 years of experience in physician revenue cycle management and AR calling. Basic knowledge of claim form 1500 and other healthcare billing forms. Proficiency in medical coding tools such as CCI and McKesson. Familiarity with payer websites and their processes. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. Understanding of Clearing House systems like Waystar and e-commerce platforms. Excellent communication skills. Should be a Graduate. Comfortable to Work in Night Shifts. Ready to join immediately or 15Days NP. other benefits: Night shift Allowance (100 Per Working Day) Saturday and Sunday Fix...

Shift timings: Flexible to work in night shifts (US Time zone) / Rotational shift Transport Facility - For both pick & drop (25KM- 30KM Circle) Preferred Qualification- Bachelors degree in finance or Any Graduate (No DIPLOMA Candidates. The candidate should have completed a 3-year degree course) Work Mode Complete 5 days office Notice Period - Immediate to 30days RCMS- Specialist 0 to 3 months Bangalore Excellent communication (Dont source B.E/B.TECH candidates) RCMS- Specialist 1 to 2 Bangalore and Hyderabad AR Calling with denial management exp, US healthcare RCMS- Associate 2.5 to 5 Bangalore and Hyderabad AR Calling with denial management exp, US healthcare

Role & responsibilities : * Current Openings : - Ipdrg Coders - Chennai & Hyderabad ( 2 - 10 Yrs ) - Ipdrg QA - Chennai & Hyderabad ( 3 - 12 yrs ) Medical Coder IPDRG :- Chennai & Hyderabad ( 2 - 10 Yrs ) Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor :Chennai & Hyderabad ( 3- 12 Yrs ) Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and training to coding...

AR Specialist–Resolve physician claim denials, follow up with insurance via calls& portals 1-5 yrs physician AR denials req Walk-In Interview Mon - Fri 10 am-4 pm Mysuru, Karnataka - Onsite - No other locations Shift: 5:30 pm-2:30 am Onsite-No WFH

Eligibility verification Staff is responsible for daily data entry of patient Details & patient insurance information into the Billing systems. Research & correct any missing or invalid data entry information. Min 1+ Years of experience in EV in RCM

Shift timings: Flexible to work in night shifts (US Time zone) / Rotational shift Transport Facility - For both pick & drop (25KM- 30KM Circle) Preferred Qualification- Bachelors degree in finance or Any Graduate (No DIPLOMA Candidates. The candidate should have completed a 3-year degree course) Work Mode Complete 5 days office Notice Period - Immediate to 30days RCMS- Specialist 0 to 3 months Bangalore Excellent communication (Dont source B.E/B.TECH candidates) RCMS- Specialist 1 to 2 Bangalore and Hyderabad AR Calling with denial management exp, US healthcare RCMS- Associate 2.5 to 5 Bangalore and Hyderabad AR Calling with denial management exp, US healthcare

Role & responsibilities Work on Accounts Receivable for Physician or DME billing. Conduct insurance follow-ups via calls / portals for claim status and resolution. Analyze denials, rejections and unpaid claims, take corrective action. Work on A/R aging reports to reduce outstanding days. Maintain detailed and accurate documentation of each call / action. Ensure adherence to HIPPA and RCM quality standards.

As an experienced healthcare professional in the US market, your role will involve providing expert-level knowledge of US healthcare and health plans, with a focus on Medicare, Medicaid, and commercial insurance. You will be required to develop comprehensive solution proposals that cater to client needs and aim to enhance health plan outcomes. Building strong relationships with clients is key, as you will need to understand their requirements and offer customized solutions to help them achieve their objectives. Working closely with clients to implement health plan solutions will be part of your responsibilities to ensure seamless transitions and successful outcomes. Collaboration with intern...

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 : EPIC Systems 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 identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may a...

Understands the unique operational needs of each customer. Actively promotes the needed configurations and carries out implementations per plan; ensuring the product contributes to the success of the customer and of UST. Outcomes: Collaborate with Product Managers and the marketing team. ensuring that the product contributes to the success of the customer. Conduct and document pre-implementation process review of customer workflow. Provide in- depth process reviews and ensure implementation of improved processes. Consult with customer to identify and communicate hardware and software requirements prior to implementation. Conduct training sessions with customers pre- and post-implementation. ...

Role & responsibilities : Revenue Cycle Management: Manage and optimize the entire RCM process. Payment Posting & Charge Entry: Ensure accurate and timely payment postings and charge entries. Medical Billing & Claims: Supervise billing, reduce denials, and enhance collections. Adaptive Behavior Assessment: Knowledge of ABAS or similar tools; ensure proper documentation and billing. Team Leadership: Train, mentor, and enhance team productivity. Reporting & Analysis: Generate reports, analyze data, and improve revenue generation. Client & Stakeholder Communication: Address queries, resolve issues, and provide updates. Continuous Improvement: Stay updated with industry changes and implement pro...

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.50 LPA TO 6.00 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Virtual Interviews

We are hiring for Claims Adjudication!! HR SPOC: Abhilash Job Title: CSA and Senior CSA Grade: H1/H2 Job Category: Associate Function/Department: Operations Reporting to: Team Lead Roles & Responsibilities (Indicative not exhaustive): A claims examiner needs to analyze multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims needs to be completed adhering to required TAT and quality SLA. Minimum Eligibility: Graduation is Mandatory Minimum 1 ye...

Any Graduation Min 1 years experience in AR Calling in US Health care Outbound calls to insurances for claim status and eligibility verification Denial documentation and further action Calling the insurance carriers based on the appointment received by the clients. Working on the outstanding claims reports/account receivable reports received from the client or generated from the specific client software. Calling insurance companies to get the status of the unpaid claims. Willing to work in any process pertaining to voice based on the requirement (Insurance Follow UP, Patient calling, Provider outreach program etc. Maintain the individual daily logs. Performs assigned tasks/ completes targets...

Role & responsibilities Accounts Receivable Follow-up Call insurance companies to check claim status. Follow up on pending, denied, or delayed claims. Ensure timely collections by tracking unpaid balances. 2. Claim Status Verification Verify whether claims are processed, pending, denied, or need additional information. Document findings clearly in the billing system. 3. Denial Management Identify reasons for denials. Take corrective actions such as re-submission, appeal, or sending missing documents. 4. Updating Billing System Update call notes, actions taken, and next steps in the billing software. Maintain accurate and complete account documentation. 5. Coordination with Team Communicate i...

Review clinical documents, determine authorization requirements, and submit prior authorization requests to insurance payers. Follow up with payers to ensure timely approvals and maintain accurate authorization records. Coordinate with providers to obtain required clinical information and ensure compliance with payer guidelines. Communicate authorization status to internal teams and support ARRCM teams to reduce authorization-related denials. Resolve payer issues, assist with appeals, and ensure compliance with HIPAA and organizational standards. Skill Sets 1-4 years of experience in Prior Authorization , Pre-Certification, or Utilization Management (US Healthcare). Strong understanding of U...

Job Information The VP - Sales will spearhead Cabot s growth in the US healthcare IT market, driving new business, building strategic partnerships, and closing enterprise deals. This high-impact role requires deep expertise in healthcare workflows and technology, with the ability to independently identify opportunities and deliver results. Key Responsibilities Develop and execute Cabot s sales strategy for the US healthcare technology market. Identify, prospect, and generate new business opportunities in provider, payer, and health-tech segments. Build and maintain a strong sales pipeline; achieve quarterly and annual revenue targets. Lead end-to-end sales cycles including discovery, proposa...

Skills: Experience in RCM and healthcare an US Medical Billing company. Excellent team leading capability, open to direction and collaborative work style and commitment to get the job done. Experience managing the entire spectrum of Operations, Customer Service Delivery, Customer Relationship Management, Client Servicing, Training & Development, Team Management for both Payer & Provider-RCM in U.S. Healthcare BPO Space. Knowledge of entire BPO operations ranging from ensuring SLAs, SOP's, Local work instructions, Process flows, Team Forecasting, Workforce Analysis, Basic Matrix Reporting, Recruitment, Seat Utilization, Training and meeting the quality standards. Proven experience as Manager/...

AR Callers - Experienced candidates. Contact; Bharani - 7695999758 * Immediate joiners preferred ( Ready to join immediately or 15Days NP) *Location -Hyderabad * 1-4 years relevant exp in AR calling (Physician billing) *Comfortable to Work in Night Shifts. Detailed JD: Reviewing and analyzing claim form 1500 to ensure accurate billing information. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. Familiarity with payer websites to verify claim status, eligibility, and coverage details. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. Proficiency in using CPT r...

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Desired Skills : Customer Service Healthcare Qualifications: Bachelor of Arts Job Summary: We are seeking dedicated and detail-oriented professionals to join our US Healthcare Services team. The primary responsibility will be to manage and resolve Accommodation Service Requests, specifically for sit-stand desks and related support for employees with disabilities. This role demands excellent communication, strong client and stakeholder interaction experience, and a commitment to delivering superior customer service in a US-focused operational environment.

Role & responsibilities: We are looking for an experienced AR Caller to handle insurance follow-ups, resolve claim issues, and ensure timely reimbursement from US insurance providers. The ideal candidate should have strong communication skills, US RCM knowledge, and the ability to work in a fast-paced environment. Key Responsibilities Make outbound calls to US insurance companies to follow up on pending, denied, or unpaid medical claims. Review claim status (paid/denied/pending) and take corrective action accordingly. Identify, analyze, and resolve claim denials (coding issues, eligibility, prior authorization, etc.). Update claim information with accurate call notes in the billing system. C...

Interact with the US health insurance companies (Insurance Customer Care/Nurses/UM Team) Quality of Notation, Ability to read clinical documentation and data enter for payer requirements. Would secure relevant information of Health Insurance of the patient. Work on Websites/Applications to perform the activity as per the SOP. Would be working in 6pm to 3 am & 9pm to 6am, Supporting US operations (in EST Zone) Should be Open to Learn & adapt as per the changing needs of the process. Will have to go thru ongoing Trainings (for performance / process needs) Should be flexible to be moved across the processes assigned by the Manager (Cater to ongoing process requirements) Will have to work as per...