3474 Us Healthcare Jobs - Page 47

Job Title: Product Owner Experience: 8 -13 Years Job Location: Remote, India Note : Apply if you have expereince in US healthcare domain with Revenue cycle management Company Overview: As Ensemble Health Partners Company, we're at the forefront of innovation, leveraging cutting-edge technology to drive meaningful impact in the Revenue Cycle Management landscape. Our future-forward technology combines tightly integrated data ingestion, workflow automation and business intelligence solutions on a modern cloud architecture. We have the second-largest share in the RCM space in the US Market with 10000+ professionals working in the organization. With 10 Technology Patents in our name, we believe the best results come from a combination of skilled and experienced team, proven and repeatable processes, and modern and flexible technologies. As a leading player in the industry, we offer an environment that fosters growth, creativity, and collaboration, where your expertise will be valued, and your contributions will make a difference. Position Overview: Product Owner is a key member of the Product Management vertical at Ensemble and manages the product development process within an organization. They research and determine clients needs, convert needs to consumable requirements, determine value and incorporate them into product roadmap. They are the primary contact for the offshore development teams and scrum teams for clarifying business requirements and unblocking them. They collaborate amongst scrum, engineering, data and product management teams to ensure the products meet specific objectives as outlined by stakeholders and clients. After product feature development, the Product Owner will conduct a final review and submit their approval before releasing the product into production. Roles & Responsibilities: Demonstrate understanding of RCM terms, industry standards, business processes, and Ensembles applications and information flow Understand, analyse, and document the business needs Build process flows for current and future state Breakdown business needs into features and stories and back them with diagrams and documentation Bring feature requirements to PM and Manager/Co-manager for peer review Realize requirements, know the value and reasoning behind current prioritization Managing and creating forward looking product backlog Prioritizing the backlog items based on changing requirements Think comprehensively to align non-functional (security, performance, etc) and reporting requirements to Functional features to ensure holistic development Work across different verticals ops-engineering-product-analytics-implementation to seek feature related feedback, understand and resolve dependencies Work with offshore engineering teams to clarify business requirements during offshore hours. Present requirements to the team during sprint planning, unblock the engineering teams and act as of proxy PM Work with the teams to build high level estimates, define timelines and respectively add features to roadmap Overseeing all stages of product creation including design and development, to understand any risk Monitoring and evaluating product development, to mitigate any risk Collaborate with engineering, product, and data teams to deliver updates Participating in grooming, scrum meetings and product sprints Perform feature acceptance Demonstrate deliverable to stakeholders Required Skills Knowledge of Healthcare - RCM (Revenue Cycle Management) or Insurance is a great plus Knowledge of product development architecture Experience working in an Agile environment using scrum methodologies Strong collaboration skills - partner with others teams to solve problems, incorporate feedback and ensure smooth delivery Strong business analysis, documentation, and presentation skills Excellent oral and written communication skills Quick learner and ability to lead from the front Good to have Experience in multitenant enterprise cloud application, .Net, SQL Knowledge of Azure ADO, AHA, draw.io, Visio is a plus Why Join US? We adapt emerging technologies to practical uses to deliver concrete solutions that bring maximum impact to providers bottom line. We currently have 10 Technology Patents in our name. We offer you a great organization to work for, where you will get to do best work of your career and grow with the team that is shaping the future of Revenue Cycle Management. We have our strong focus on Learning and development. We have the best Industry standard professional development policies to support the learning goals of our associates. We have flexible/ remote working/ working from home options Benefits Health Benefits and Insurance Coverage for family and parents. Accidental Insurance for the associate. Compliant with all Labor Laws- Maternity benefits, Paternity Leaves. Company Swags- Welcome Packages, Work Anniversary Kits Exclusive Referral Policy Professional Development Program and Reimbursements. Remote work flexibility to work from home.

Job Summary Join our team as a Subject Matter Expert in Claims HC where you will leverage your expertise in Facets Claims and Claims Adjudication to optimize our claims processing systems. With a focus on Dental and Commercial Claims you will play a pivotal role in enhancing operational efficiency and ensuring compliance with industry standards. This office-based role offers the opportunity to work in a dynamic environment contributing to impactful projects that benefit both the company and society. Responsibilities Lead the analysis and optimization of claims processing workflows to enhance efficiency and accuracy. Oversee the implementation of Facets Claims and Claims Adjudication systems to ensure seamless integration and functionality. Provide expert guidance on Dental and Commercial Claims processes to ensure compliance with industry standards. Collaborate with cross-functional teams to identify and resolve system issues improving overall operational performance. Develop and maintain documentation for claims processing procedures to support training and knowledge sharing. Monitor and evaluate system performance recommending improvements to enhance service delivery. Conduct regular audits of claims processes to ensure adherence to regulatory requirements and company policies. Facilitate training sessions for team members to enhance their understanding of claims systems and processes. Analyze data trends to identify opportunities for process improvements and cost savings. Support the development of new claims processing initiatives to drive innovation and efficiency. Communicate effectively with stakeholders to provide updates on project progress and system enhancements. Ensure that all claims processing activities align with the companys strategic goals and objectives. Contribute to the development of best practices for claims management to support continuous improvement. Qualifications Demonstrate proficiency in Facets Claims and Claims Adjudication with a strong understanding of system functionalities. Possess in-depth knowledge of Dental and Commercial Claims processes and industry standards. Exhibit excellent analytical skills to identify and resolve complex system issues. Show strong communication skills in English both written and verbal to effectively collaborate with team members. Display a proactive approach to problem-solving and process improvement. Have a minimum of 5 years of experience in claims processing with a focus on Dental and Commercial Claims. Be able to work independently and manage multiple tasks in a fast-paced environment. Certifications Required Certified Professional Coder (CPC) or equivalent certification in claims processing.

Job description Trainer - Claims Adjudication Location : Chennai - Navalur Roles & Responsibilities: In-depth Knowledge and experience in the US Healthcare. 4-9 years of experience in Claims Adjudication/Payment Integrity/Adjustments/Prepay, Post Pay audit . With over 1 year of experience as a Trainer. Conducting multiple trainings for new hires and managed nesting along with certification process Maintain the training effectiveness above the required threshold by holding strong governance process in training Ability to read through various standard operating procedures and communicate the extracts to the trainees clearly Identify gaps between internal process and customers expectations to help business produce the desired outcome Create content / training material for effective training Revamp the training materials to suit the need of current business and easy understanding / knowledge transfer to trainees Liaison with QA to calibrate process knowledge Conduct workshops for project team members on recent update and US healthcare industry trends Perform user acceptance testing for any new process rollouts / automation in the program Provides refresher training for bottom quartile Support the team by performing floor trouble shooting to ensure all relevant queries are tracked and answered appropriately Periodic knowledge calibration with client. 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@firstsource.com email addresses.

Hiring for Inbound voice process (US HEALTHCARE) Graduate/HSC Fresher with Excellent communication skills (Qualified Technical or Hotel Management Degrees are not eligible.) Night shift allowance – 0 to 3,000 PM WHATS APP ONLY JYOTI 7982435738 Required Candidate profile Graduate/HSC Fresher with Excellent communication skills (Qualified Technical or Hotel Management Degrees are not eligible.) Night shift allowance – 0 to 3,000 PM

Exp 1 to 4 years Worked in End to End hashtag#Denials and hashtag#RCM Specialized in #Hospital billing r #physician billing Salary Max upto 40 k Location Chennai, Hyderabad, Bangalore, Mumbai, pune, 9789080904

We are currently hiring for Medical Coding Trainer with minimum 5 Years of experience into Medical Coding Prior experience training medical coding batches in a classroom or group setting is required. Strong background in ICD-10, CPT, and HCPCS Required Candidate profile Proven ability to design and lead group training sessions, including interactive learning activities and performance evaluations. CPC (Certified Professional Coder) certification required.

We Advantum Health Pvt. Ltd - US Healthcare MNC looking for Software Engineer - QA. We Advantum Health Private Limited is a leading RCM and Medical Coding company, operating since 2013. Our Head Office is located in Hyderabad, with branch operations in Chennai and Noida. We are proud to be a Great Place to Work certified organization and a recipient of the Telangana Best Employer Award. Our office spans 35,000 sq. ft. in Cyber Gateway, Hitech City, Hyderabad Job Title: Software Engineer - QA Location: Hitech City, Hyderabad, India Work from office Ph: 9177078628, 7382307530, 9059683624 Address: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Job Summary: We are seeking an experienced QA Development Engineer to join our team. The ideal candidate will be proficient in manual and automated testing and will play a critical role in ensuring the quality of our software products. If you have a passion for testing, finding bugs, and ensuring a smooth user experience, we want to hear from you. Key Responsibilities: Design, develop, and execute detailed test cases for new features, enhancements, and bug fixes. Perform manual testing across various platforms (web, mobile, etc.) to ensure high-quality software releases. Report, track, and manage defects using issue tracking tools (e.g., JIRA, Bugzilla). Work closely with developers, business analysts, and other stakeholders to understand requirements and ensure testing aligns with business needs. Create and maintain test documentation, including test plans, test cases, and test data. Execute functional, regression, integration, system, and user acceptance tests. Identify, analyze, and document software defects and discrepancies, providing detailed steps for reproduction. Collaborate with the development team to troubleshoot and resolve issues efficiently. Ensure high levels of testing coverage, ensuring all functionalities are well-tested. Contribute to the improvement of testing methodologies, tools, and processes. Perform compatibility testing across various environments (browsers, OS, devices). Help maintain and update the testing environment. Required Skills and Qualifications: 3+ years of experience in Software Testing, specifically as a QA Tester. Strong experience with manual testing and creating test cases. Knowledge of software development life cycle (SDLC) and testing methodologies (e.g., Agile, Waterfall). Familiarity with bug-tracking tools like JIRA, Bugzilla, or others. Basic SQL knowledge to perform data verification and database testing. Understanding of web and mobile testing practices. Ability to identify, troubleshoot, and document defects. Familiarity with version control systems (e.g., Git). Strong problem-solving, analytical, and debugging skills. Excellent communication skills, both written and verbal. Ability to work independently and as part of a team. Attention to detail and a proactive approach to identifying and resolving issues. Excellent problem-solving and analytical skills. Strong communication and teamwork abilities. Preferred Qualifications: Experience with test automation tools (e.g., Selenium, QTP). Experience with performance/load testing tools (e.g., JMeter, LoadRunner). Knowledge of Continuous Integration/Continuous Deployment (CI/CD) pipelines. Familiarity with scripting languages (e.g., Python, JavaScript) for test automation. Experience in testing APIs using tools like Postman or SOAP UI. Experience working in an Agile or Scrum environment. Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9177078628, 7382307530, 9059683624

Desired profile: Should have 10+ years experience Should have handled denials Should have experience in US Healthcare AR Knowledgeable in planning and managing AR aging reports Should have experience in preparing KPI reports and interacting clients Should have experience end to end RCM (Charges, Payment posting, AR) Should have vast team management experience Shift: Night Shift Shift Timings: 5.30pm to 3.30am Whatspp profile to 9059683624 emailid: jobs@advantumhealth.com Follow us on our socials for all updates Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india

Role & responsibilities Strong communication skills Strong knowledge in denial management Initiating pre calling Analysis Willing to Work In Night shift No WFH, only work from office Two way cab Available Interested candidates apply and contact to the below mentioned number Papitha HR 8438030891

Hiring for USA Healthcare Voice Support Job role Employer: Wipro Any Undergrad / Dropout / Graduate - Fresher can apply Not eligible: Grad Pursuing, BTech, BE, BHM, MBA Salary: as per industry standards Rotational Night Shifts, 5 days Working Required Candidate profile Should have Excellent English Communication Only residents of Mumbai/Thane (20KM radius of Airoli) can apply Cab Drop during Night Shift, No Day Time Pick up Wipro, Airoli, Mumbai (WorkfromOffice) Perks and benefits Allowances, Provident Fund, and Insurance benefits

Hiring for USA Healthcare Voice Support Job role Employer: Wipro Any Undergrad / Dropout / Graduate - Fresher can apply Not eligible: Grad Pursuing, BTech, BE, BHM, MBA Salary: as per industry standards Rotational Night Shifts, 5 days Working Required Candidate profile Should have Excellent English Communication Only residents of Kolkata can apply Cab Drop during Night Shift, No Day Time Pick up Job Location: Wipro, Salt Lake City, Kolkata (Work from Office) Perks and benefits Allowances, Provident Fund, and Insurance benefits

HIRING US Healthcare Medical Records Openings for experienced in any US Healthcare Process at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in any US Healthcare Voice process. Salary upto 50k Per Month based on experience. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Job Description Assigned Facilities : The Medical Records Specialist has a set of facilities to manage. Bi-Weekly Work Schedule : The Medical Records Specialist needs to work on these facilities every two weeks. Facility Touchpoints : Each facility needs to be visited or worked on every 10 days to ensure the necessary documents (therapy evaluations and re-certifications) are signed by the physician. Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 10pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/17%C2%B026'50.0%22N+78%C2%B022'30.9%22E/@17.44721,78.3726691,636m/data=!3m2!1e3!4b1!4m4!3m3!8m2!3d17.44721!4d78.375244?entry=ttu&g_ep=EgoyMDI1MDEwOC4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook and Instagram for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Job Title : AR Caller Skills: voice Process Exp : 1 to 4 yrs Salary : Max 40 K Shift : US Shift / Night Shift Loc: Chennai, Bangalore, Trichy, Pune, Mumbai, Hyderabad Interview Mode : Online Interested candidates contact us: Priya HR 7010527243

Hiring AR Prior Authorization - Voice Process Exp: 1 to 4 yrs Salary : 40 K Based on Skills Location : Chennai, Bangalore Work from office Interested Send CV to priyadharshini.chandrasekar@gmail.com Contact: Priya HR 7010527243 Required Candidate profile Skills : # Min 1 year experience in AR Prior Authorization Voice Process # Ready to join immediately # Willing to work Night Shift. Note : # Two Wab Cab Free

Job Role : Payment Posting ( US Health Care) - Work from Office Exp : 1 to 5 yrs Salary: 45 K Based on skills Location : Pune Relieving letter is not Mandatory Online Interview Interested Call / Whatsapp your CV : 9976707906 - Saranya, HR Required Candidate profile Benefit: 1. Shift allowance Rs.5500 Per Month 2. If you Do OT, Per Hour Rs.150 /- 3. If you work on holiday, you will get double salary 4. Saturday&Sunday Off 5. PF & Medical Insurance 6. Two way Cab

Job Title : AR Caller Skills: voice Process Exp : 1 to 4 yrs Salary : Max 40 K Shift : US Shift / Night Shift Loc: Chennai, Bangalore, Trichy, Pune, Mumbai, Hyderabad Interview Mode : Online Interested candidates contact us: Geetha S 9344502340

Roles and Responsibilities: Non-Calling Insurance Company on behalf of Doctors / Physician for claim status. Follow-up with Insurance Company to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverable adhere to quality standards. Prior experience on charge entry and payment posting Requirements: Strong communication and interpersonal skills. Ability to work effectively in a fast-paced environment. Willingness to learn and adapt to new tasks and responsibilities. Process: Voice Process Qualification: Any graduate (UG > Btw 2023 to 2025) Shift Timings: US SHIFTS only Experience: Freshers to 6 Months Contact HR - Harini Maheshkumar - 9080599036 WhatsApp for immediate response. Location: DLF IT Park, Ramapuram, Chennai - Block 1C, 4th Floor Notice Period: Immediate joiners only Interested candidates can directly walk-in for the interview with your updated CV and Original Aadhar card for verification purpose Contact Person: Harini Maheshkumar - 9080599036 WhatsApp for immediate response.

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Prior Authorization and Eligibility and Benefits Verification Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 10pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 52k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/17%C2%B026'50.0%22N+78%C2%B022'30.9%22E/@17.44721,78.3726691,636m/data=!3m2!1e3!4b1!4m4!3m3!8m2!3d17.44721!4d78.375244?entry=ttu&g_ep=EgoyMDI1MDEwOC4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook and Instagram for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Hiring AR Prior Authorization - Voice Process Exp: 1 to 4 yrs Salary : 40 K Based on Skills Location : Chennai Work from office Interview Mode : Online Relieving letter is not mandatory. Interested Call / Whatsapp your CV : 9976707906 - Saranya, HR Required Candidate profile Skills : # Min 1 year experience in AR Prior Authorization Voice Process # Ready to join immediately # Willing to work Night Shift. Note : # Two Wab Cab Free

Location- Ahmedabad Shift - US Shift (Night Shift) Facilities - Cab Facilities Working days -5 days (Saturday and Sunday are fixed off) Experienced - Minimum 6 month Graduation only ( No IT) Excellent English communication a must

HIRING US Healthcare Openings for experienced in AR Calling at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in AR Calling (US HealthCare) Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 10pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 52k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Dear Candidate, Greetings From Vee Healthtek Private Limited....!! Immediate for Freshers for AR Calling (International Voice Process) @Vee Healthtek, Hyderabad Process - US Process (Healthcare) Designation: AR Caller Trainee Salary - 20K CTC + Additional Incentives Location - Gachibowli, Hyderabad Interview Date: Virtual Shift - Night (5:30 PM to 2.30 AM) Qualification: Any graduates can apply ***Note: 2025 pass-out those who completed the final semester exams without any standing arrears or Backlogs can apply.*** Benefits: *Free cab for both pickup and drop from office location to 20km Radius. *Night shift Allowance *Free Food coupons Required Skills: Willing to work in US Shift (Night Shift) Excellent communication in English Excellent oral communication and listening Skills is mandatory. Good to have analytical presentation and communication skills. Any International voice process background will be given high priority for AR Calling. Candidates with 0-1 yr of experience in BPO (Domestic & International) can also attend. Flexibility towards work & ability to adapt organization culture. Interested candidates please reach to 9751009008 / sreenidhi.s@veehealthtek.com (Available in What's App, Text only) Venue: 9th Floor, Vaishnavi's Cynosure, 2-48/5/6, 9C & 9D, Gachibowli Rd, Opp. RTTC, Telecom Nagar Extension, Gachibowli, Hyderabad, Telangana 500032 Regards, Sreenidhi HR 9751009008

Job Title: Assistant Manager Credentialing Company: Capline Services Location: Noida (On-site) Shift: 24/7 Operations (Rotational Shifts) Work Days: Monday to Friday (Saturday and Sunday Off) Experience: Minimum 6 years in US Healthcare Credentialing, with at least 1 year in a supervisory or assistant manager role Salary: 9 LPA 12 LPA (Based on experience and qualifications) About Capline Services Capline Services is a captive unit providing end-to-end support to US healthcare providers. We specialize in credentialing, revenue cycle management, and healthcare staffing. Job Overview We are seeking an experienced Assistant Manager Credentialing to lead and oversee a credentialing team responsible for provider enrollment, re-credentialing, and regulatory compliance across various US healthcare payers. The ideal candidate will have in-depth credentialing expertise, proven leadership capabilities, and a strong understanding of payer guidelines and compliance standards. Key Responsibilities Oversee the end-to-end credentialing lifecycle including initial credentialing, re-credentialing, and enrollments with Medicare, Medicaid, and commercial payers Lead daily team operations, monitor KPIs, and drive performance improvements Maintain and manage credentialing systems such as CAQH, PECOS, NPPES, Availity, and others Ensure strict compliance with NCQA, URAC, CMS, and payer-specific guidelines Collaborate with internal and external stakeholders to resolve escalations and ensure timely application submissions Conduct training sessions, performance evaluations, and support employee development Provide strategic input to optimize workflows and improve operational efficiency Requirements Bachelor’s degree preferred Minimum 6 years of experience in US healthcare credentialing, including at least 2 years in a leadership or assistant managerial role Strong understanding of US healthcare regulations and payer enrollment processes Hands-on experience with credentialing portals and tools Excellent team leadership, communication, and analytical skills Ability to work in rotational shifts in a 24/7 operational environment Why Capline? Fixed weekend offs Leadership role in a growing US healthcare captive Supportive, process-driven, and collaborative work culture Opportunities for long-term career advancement To Apply: Please connect at HR Zakir Husain 9971047487

Exciting opportunity for AR Callers with Laboratory exposure. We Data Marshall is hiring AR Callers with Laboratory experience folks at our Hyderabad office. Total experience: 1 + years Skillset: AR Follow-up, Denial Management, Laboratory -mandatory Work location: Hyderabad Mode of Work: Work from Office. Below provided is the company profile: Data Marshall is a Healthcare Revenue Cycle Management organization that has provided niche services to Providers and Payers for almost 2 decades. Since our inception, we have strived to expand our domain knowledge and expertise across the healthcare claim life cycle, by exploring a gamut of opportunities and avenues. Data Marshalls core specialization stems from the fact that we possess the experience and expertise spanning the entire life cycle of the claim, and the capability to leverage on the experience to enhance specific process deliverables. Data Marshall has endeavoured to stay ahead of the curve, by constantly and continuously innovating and incubating new service offerings to our clients. Our audit services cater to the under-explored and unaddressed segments in the healthcare sector, adding value to the Hospitals and Health Plans in ensuring accurate claims reimbursement and recovery of millions of incorrectly paid dollars. Contact us to assist in the following essential service areas: Provider Revenue Cycle/Revenue Enhancement Services • Audit • Billing • Clinical Documentation Improvement • Coding • Coding Audit • Credit Balance Overpayment Resolution • Correspondence Letter Defense/Resolution • Denials Management • Eligibility Verification • Follow Up • Pre/Post Systems Conversion Reconciliation/Clean Up • Self-Pay Overpayment Resolution • Underpayment Recovery and More Insurance Payer/TPA Based Services • Appeals/Grievances • Claims Adjudication • Data Entry • Member Enrollments • Out of Network Fee Negotiation Support • Provider Contracting • Provider Credentialing Support • Provider Database Management/Data Maintenance • Risk Adjustment Analytics • Utilization Review and more For more information login to http://www.datamarshall.com Job Description Roles and Responsibilities Follow up on submitted claims, monitor unpaid claims, and identify underpaid and unbilled claims, ensuring all necessary corrections and documentation are completed. Analyze claims and manage denials effectively. Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) denials, along with patient history notes, to understand and resolve discrepancies in claims. Identify claims requiring balance transfers to patients and secondary balances, as well as appropriate financial classifications for further resolution. Track and follow up on claims due for future review within the designated time frames. Identify global issues impacting single or multiple patient accounts. Required Experience, Skills, and Qualifications 1 to 2 years of Accounts Receivable experience. Strong knowledge of denial management concepts is essential. Excellent communication skills are required. Flexibility to work night shifts is necessary. Candidates available for immediate joining or those who can serve a notice. Experience in Laboratory AR is an additional benefit. Competency Excellent communication, analytical skills, and logical reasoning. For more details Kindly reach out to: HR Keerthi Contact: 8639447794 Email: keerthi.kasoji@datamarshall.com

WE ARE HIRING - AR CALLER - Mumbai, Hyderabad Experience :- Min 1 year into AR caller Mumbai Location :- Package : Max Upto 40k take home Qualification : inter & above Hyderabad Location :- Package : Max Upto 33k take home Qualification : graduation Shift Timings :- 6:30 PM to 3:30 AM WFO Virtual and Walk-in interviews available WE ARE HIRING - Prior Authorization - Mumbai, Chennai Experience :- Min 1 year into Prior Authorization Mumbai Location :- Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Chennai Location :- Package : Max Upto 40k Qualification : Inter & above Shift Timings :- 6:30 PM to 3:30 AM WFO Virtual and Walk-in interviews available Perks and Benefits 1. 2 way cab 2. Incentives Interested candidates can share your updated resume to HR SAHARIKA - 9951772874(share resume via WhatsApp ) Refer your friend's / Colleagues