3438 Us Healthcare Jobs - Page 5

Role and Responsibilities: Experience in AR follow up / Payor calling Thorough understanding of RCM processes Cash Posting and Accounts Receivables Deep understanding of Unidentified process Create and maintain daily operational scorecards to track and report KPIs Generate and distribute management reports in accurate and timely manner Able to interact with the client effectively Willing to work in night shift / US timings Qualification: 3+ years of industry experience 2+ year Experience in relevant Cash Point function is a must Proficient in MS Excel Solid verbal and written communication skills are required Benefits and Amenities: 5 days working Apart from development, and engagement programs, R1 offers transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance. R1 is a great workplace for women, and we strongly believe in being an equal opportunity organization. We provide maternity and paternity leaves as per the law and provide day-care facility for female employees. *Immediate Joiners preferred.

Overall IT Experience - Must Have 8+ Years exp in total Must Exp - 5+ years of Senior level Applications Developer with relevant experience Must Exp- 3+ TriZetto Facets Development Experience mainly with Claims Domain and EDI Must exp- 4+ years of experience working with SQL Database , Stored Procedures Must have - + years of development and testing experience in C# / .Net programming language 2+ years of REST API/micro services development Must have .NET Full Stack including Angular Cloud Experience, Docker, Kubernetes, Kafka Responsible for design, development, and support activities in core Facets Applications within Claims Domain. Exhibit strong ownership and ability to work in global team environment. Agile - Works with product management to ensure stories are well worded, have appropriate acceptance criteria and are sized appropriately. Create design documents and Implements component design in-line with predefined team architectural patterns. Participate in Detail Design sessions and able to identify/provide feedback on designs provided and implemented by others. Preferred candidate profile Interested candidates, please share cv on samiksha.abhijitkasar@wipro.com & bhavana.s61@wipro.com

Med-Metrix - Credit Balance walk_in interview on July (29th to 31st) 2025 Interview day : July (29th to 31st) 2025 Walk-in time : 3 PM to 6 PM HR SPOC : Indhumathi (HR) Mobile Number : 9280098218 Mail ID : irajendran@med-metrix.com Job Summary The Credit Balance Analyst is responsible for identifying, analyzing, and resolving credit balances on patient accounts. This role ensures accurate refunds, adjustments, and compliance with payer regulations, contributing to clean financial reporting and audit readiness. Key Responsibilities Review and analyze patient accounts with credit balances across multiple payers and systems Investigate root causes of overpayments (e.g., duplicate payments, coordination of benefits, incorrect billing) Initiate refund requests to patients or payers in accordance with internal policies and payer guidelines Collaborate with billing, collections, and payment posting teams to resolve discrepancies Maintain documentation for audit trails and compliance with HIPAA and financial regulations Monitor aging credit balances and prioritize resolution based on risk and value Respond to internal and external refund inquiries professionally and promptly Support month-end reconciliation and reporting activities Required Skills & Qualifications Degree not Mandatory 1 to 3 years of experience in credit balance medical billing Strong understanding of EOBs, remittance advice, and payer refund policies Proficiency in billing software and Excel (pivot tables, VLOOKUP) Attention to detail and analytical mindset Familiarity with HIPAA and healthcare compliance standards Excellent communication and documentation skills Perks & Benefits Captive Organization Incentive Good salary in the industry

Role & responsibilities Greetings from The Job Factory !! Job Summary: We are seeking highly motivated and enthusiastic undergraduate or graduate freshers/ experience to join our team as International Process Associates. The successful candidates will work on international processes, providing exceptional service to our global clients. For more details Call : HR Preethi- 9880952642 (call or whatsapp) Email id - preethir@thejobfactory.co.in Role & Responsibilities: 1. Handle customer inquiries and resolve issues via phone, inbound and Out bound call 2. Provide product information and support to customers 3. Manage and document customer interactions 4. Meet productivity and quality standards 5. Collaborate with internal teams to resolve complex issues Preferred Candidate Profile: 1. Undergraduate or graduate degree in any discipline 2. Excellent communication and interpersonal skills 3. Ability to work in a fast-paced environment and manage multiple priorities 4. Strong analytical and problem-solving skills 5. Willingness to learn and adapt to new processes and technologies What We Offer: 1. Competitive salary and benefits 2. cab facility for commute 3. Opportunities for growth and development in a global company 4. Collaborative and dynamic work environment 5. Training and support to help you succeed in your role 6. Incentives and Allowance's Skills: 1. Good communication skills (written and verbal) 2. Basic computer knowledge and typing skills 3. Ability to work independently and as part of a team 4. Strong attention to detail and organizational skills For more details Call : HR Preethi- 9880952642 (call or whatsapp) Email id - preethir@thejobfactory.co.in

As a PACS administrator you will be working on multiple healthcare applications like PACS software, Nuance Powerscribe reporting application. Minimum of a bachelors degree in computer science, engineering, or related field Having knowledge on US Healthcare, Networking and windows servers. Expertise in software installation, configuration, and maintenance. Problem-solving skills and communication skills to offer support to hospital staff and doctors. Monitor and manage PACS servers As a PACS administrator you will be working on multiple healthcare applications like PACS software, Nuance Powerscribe reporting application. Minimum of a bachelors degree in computer science, engineering, or related field Having knowledge on US Healthcare, Networking and windows servers. Expertise in software installation, configuration, and maintenance. Problem-solving skills and communication skills to offer support to hospital staff and doctors. Monitor and manage PACS servers

Med-Metrix - AR caller PB&HB walk-in interview. Interview date : July (28th to 31st) 2025 Walk-in time : 4 PM to 6 PM Preferred candidate profile : AR Caller (1 to 3) Years - (US Health care) Physician Billing (PB) Hospital Billing(HB) With minimum 1+ year's of Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers) Experienced on medical billing/ AR Calling. Background in calling insurance (Payer) to verify claim status and payment dispute. Must be amenable to work night shifts. Contact Person : Indhumathi HR ( irajendran@med-metrix.com , 9280098218) Perks and benefits CAB Facility (Two way) Salary good in the Industry Interview Address :7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India

We are seeking a highly motivated and experienced Marketing Partnership Manager with a background in the Healthcare/pharmaceutical industry You will work closely with hospitals, doctors' associations, and pharma companies to establish partnerships and organize initiatives that help doctors achieve their financial goals The ideal candidate will have strong relationships with doctors and will be responsible for generating qualified leads through webinars, events, meetings etc The role involves traveling across Mumbai, Pune, Nashik, Ahmedabad, Gandhidham, Bhuj, Gujarat, and other locations as needed, Key Responsibilities Doctor Database Collection: Build and maintain a comprehensive doctor database for outreach and lead funnel, Ensure accurate and up-to-date information for targeted engagement, HNI Doctors Meetings (Round Table): Organize sessions on financial fitness for HNI doctors for internal/external experts, Meetings with Doctors for FinnFit Expert Discussions: Set up one-on-one meetings with doctors to discuss financial planning, Partnerships with Doctors' Associations: Reach out to doctors' associations for partnerships Organize in-person events, webinars, and RTMs in collaboration with these associations, Collaboration with Top Hospitals: Establish partnerships with hospitals (100+ beds) for Financial Fitness initiatives, Set up events or stalls to promote Financial Fitness among doctors, Webinars: Organize and manage webinars focusing on doctorsfinancial education, Ensure good participation and engagement from doctors, Pharma Company Partnerships (Doctors Event): Partner with pharmaceutical companies to host Financial Fitness events for doctors, Collaborate on organizing events that focus on doctors' financial health, Events (Hosting and Participating): Host or participate in Doctors events aimed at educating doctors about financial planning, Requirements What Were Looking For: 2-3 YearsExperience in the healthcare/pharmaceutical industry with strong connections to doctors, Proven track record of organizing events, webinars, or round tables, Strong communication and relationship-building skills, Ability to work independently and manage multiple initiatives, Enthusiasm for educating doctors on Financial Fitness topics, Prior finance knowledge is not necessary

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(International) - Intermediate About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for Ability to perform under pressureAdaptable and flexibleAbility to establish strong client relationshipWritten and verbal communicationPrioritization of workload Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software problems, analyzing system performance, and ensuring that applications run smoothly to support business operations effectively. You will engage with users to understand their challenges and work towards implementing solutions that enhance system functionality and user experience. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Assist in the documentation of processes and procedures to enhance team knowledge.- Engage with stakeholders to gather requirements and provide feedback on system performance. Professional & Technical Skills: - Must To Have Skills: Proficiency in Electronic Medical Records (EMR).- Strong analytical skills to diagnose and resolve software issues.- Experience with troubleshooting and debugging software applications.- Familiarity with system integration and data flow management.- Ability to communicate technical information effectively to non-technical users. Additional Information:- The candidate should have minimum 3 years of experience in Electronic Medical Records (EMR).- This position is based at our Pune office.- A 15 years full time education is required. Qualification 15 years full time education

About The Role Skill required: Com.Bkg- Credit UW - Commercial Credit Underwriting Designation: Banking Advisory Analyst Qualifications: BCom/Master of Business Administration/ICWA(Inter) Years of Experience: 3 to 5 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help clients address quality and productivity issues, keep pace with customer expectations, navigate regulatory and operational pressures and ensure business sustainability by transforming their banking operations into an agile, resilient operating model.The Corporate banking /Wholesale banking team is responsible for helping clients and organizations processes trade finance transactions by providing superior service delivery to trade customers whilst safeguarding the bank from risks associated with this business.Conduct detailed research on the financial history of businesses to determine their Assess the risk parameters of the loan, borrower, and industry including the Financial performance of the borrower and guarantor, assessing the repayment capacity and recommending the future course of action in approving/declining/counter offer of business loans. What are we looking for Written and verbal communicationDetail orientationResults orientationAccounting & Financial Reporting Standards Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shiftsShould be able to review the US financial statements of the borrowers/guarantors, calculate/interpret the financial ratios. Understand and Analyze the company / borrower performance based on financials, cashflow, and other secondary information Understand the type of facilities and exposure of the borrower to asses the Loss Given Default and the Probability of Default. Should have knowledge of financials ratios impact on the overall performance. Ability to summarize borrower, financials, cashflow. Industry performance details in a clear and crisp way Identify the Risk associated with the borrower / company and mention it accordingly in the review along with the possible mitigants with justification. Performing assignments/deals/tasks of moderate complexity Working with limited supervision, Performing tasks with some degree of independent decision making, Ability to take judgment calls Qualification BCom,Master of Business Administration,ICWA(Inter)

Customer Advisor - International Voice Process To schedule an Interview call - +91 7019251229 - SHOAIB Requirements:- - Excellent Communication in English. - Freshers and Experienced are welcome to apply!! - Immediate joiners only. Job Description: As an International Voice Process Associate for a US Health Care domain, you will be responsible for handling customer calls from international clients, providing effective and efficient solutions for a range of inquiries. This role requires excellent communication skills, strong problem-solving abilities, and the ability to maintain a professional and courteous tone at all times. Key Responsibilities: - Handle inbound queries from customers in a professional and friendly manner. Identify and resolve customer complaints by providing timely solutions. Maintain a high level of customer satisfaction by addressing inquiries promptly. Meet individual and team performance metrics, including call handling time, customer satisfaction, and issue resolution. Work collaboratively with cross-functional teams to resolve escalated issues. - Work Location: Bommanahalli, AMR Tech Park - Shifts: Rotational Shift (5 days work /2 days off) - Salary- Upto 4LPA - Immediate Joiners Only!!!! Interested Candidates Can Contact To - 7019251229 - (SHOAIB) or ( shoaib@yourpitch.com)

Role & responsibilities Job Title: AR CALLER (Hospital Billing & Physician Billing) About Us SHAI is a technology-enabled service provider revolutionizing Revenue Cycle Management (RCM) in the US healthcare sector by combining proprietary technology , expertise, and efficient processes . We are committed to excellence and support diverse healthcare organizations in navigating complex financial landscapes. Our end-to-end RCM services optimize revenue, reduce denials, and ensure compliance for medical billing companies, physician groups, and hospitals. With over 30 years of experience, SHAI is known for trust and successful partnerships in the US healthcare sector, embracing technology to drive healthcare financial success. For further information, please visit https://shai.health/index.php Position Overview: The AR Caller is responsible for contacting customers or clients to follow up on overdue invoices and outstanding payments. This role involves communicating effectively with clients to resolve payment issues, maintain accurate records of all communications, and work closely with the accounts receivable team to ensure timely collections. Roles & Responsibilities Experience with UB-04 for Hospital billing and CMS-1500 for Physician Billing. 1 to 5 years of experience in AR calling within the US Healthcare sector is required. Strong knowledge of Revenue Cycle Management (RCM), including denial management, appeals, and AR follow-ups. Follow up with insurance companies to check the status of claims, handle denials, and address underpayments. Consistently meet daily performance standards. Candidate having work experience in Hospital billing will be added advantage. Desired Candidate Profile Excellent communication skills for effective interaction with insurance companies. Willingness to work night shifts aligned with CHT/PST.

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development process to deliver high-quality solutions. You will also engage in problem-solving and decision-making to guide your team effectively, fostering an environment of collaboration and innovation. Roles & Responsibilities:- Expected to be an SME.- Collaborate and manage the team to perform.- Responsible for team decisions.- Engage with multiple teams and contribute on key decisions.- Provide solutions to problems for their immediate team and across multiple teams.- Facilitate knowledge sharing and mentoring within the team to enhance overall performance.- Monitor project progress and ensure alignment with business objectives. Professional & Technical Skills: - Must To Have Skills: Proficiency in Business Requirements Analysis.- Good To Have Skills: Experience with Guidewire BillingCenter BA, Insurance Claims.- Strong analytical skills to assess business needs and translate them into technical requirements.- Ability to communicate effectively with both technical and non-technical stakeholders.- Experience in project management methodologies to ensure timely delivery of projects. Additional Information:- The candidate should have minimum 5 years of experience in Business Requirements Analysis.- This position is based at our Hyderabad office.- A 15 years full time education is required.- Resource need to work in Shift B(12:30pm till 10:00pm) Qualification 15 years full time education

Greetings from Global Healthcare Billing Partners...! Exp Required: 1 - 5 Years of exp in AR Analyst/AR Calling Job Location: Velachery & Vepery - Chennai. Shift: Day/Night Job description: Should have 1 - 5 years Experience in AR Analyst/AR Calling. Good Knowledge of RCM and Denial management. Worked in Hospital Billing Analyze medical claims and resolve issues. Willingness to work in Any Shift. (Day / Night) Mode of interview: Virtual - MS Teams Interested candidates can contact or share your updated resume to this WhatsApp Number 8925808592. Regards, Harini S HR Department

Roles and Responsibilities : Review and process claims from receipt to payment, ensuring accuracy and timeliness. Conduct thorough provider data management, including verification of provider information and eligibility checks. Collaborate with internal stakeholders to resolve claim discrepancies and ensure compliance with regulatory requirements. Maintain accurate records of all interactions with providers, patients, and insurance companies. Job Requirements : 1-4 years of experience in US Healthcare Claims Adjudication or related field. Strong understanding of PDM (Provider Data Management) systems and processes. Proficiency in reviewing medical records, diagnosis codes, and treatment plans for accuracy.

HIRING FOR UK SHIFT / INTERNATIONAL OUTBOUND LEAD GENERATIONPROCESS SHIFT - UK SHIFT (two way cabs) PROCESS - TELECOM TIMING : 1:30 PM TO 10:30 PM LOCATION : Gurugram SALARY INR 40,000 (MAX) WORKING DAYS : MONDAY TO FRIDAY QUALIFICATION : MUST BE 12TH PASS AGE-35 EXPERIENCE- Must have a minimum of 01 Years EXPERIENCE IN INTERNATIONAL BPO in either outbound Lead Generation or Sales in process . candidates from us / uk / canadian / Australian / Newzweland shifts only can apply CONTACT NUMBER : +91-9971950060 SHRIRAM JOBS * No Charges Are Taken From The Candidate

Roles and Responsibilities : Manage AR calls to resolve outstanding accounts receivable issues with patients, insurance companies, and other stakeholders. Handle denials by investigating root causes, appealing denied claims, and reducing write-offs. Collaborate with internal teams such as medical billing, revenue cycle management (RCM), and patient access to ensure seamless communication and resolution of AR issues. Analyze data to identify trends and areas for improvement in the revenue cycle process. Job Requirements : 1-4 years of experience in AR calling or similar role in US healthcare industry. Strong knowledge of medical billing, RCM, denial management, and denial handling processes. Excellent communication skills for effective interaction with patients, insurance companies, and internal stakeholders.

Role & responsibilities Greetings from The Job Factory !! Job Summary: We are seeking highly motivated and enthusiastic undergraduate or graduate freshers/ experience to join our team as International Process Associates. The successful candidates will work on international processes, providing exceptional service to our global clients. For more details Call : HR Shruthi 9008812627 (call or whatsapp) Email id - shruthic@thejobfactory.co.in Role & Responsibilities: 1. Handle customer inquiries and resolve issues via phone, email, or chat 2. Provide product information and support to customers 3. Manage and document customer interactions 4. Meet productivity and quality standards 5. Collaborate with internal teams to resolve complex issues Preferred Candidate Profile: 1. Undergraduate or graduate degree in any discipline 2. Excellent communication and interpersonal skills 3. Ability to work in a fast-paced environment and manage multiple priorities 4. Strong analytical and problem-solving skills 5. Willingness to learn and adapt to new processes and technologies What We Offer: 1. Competitive salary and benefits 2. 2-way cab facility for commute 3. Opportunities for growth and development in a global company 4. Collaborative and dynamic work environment 5. Training and support to help you succeed in your role 6. Incentives and Allowance's Skills: 1. Good communication skills (written and verbal) 2. Basic computer knowledge and typing skills 3. Ability to work independently and as part of a team 4. Strong attention to detail and organizational skills For more details Call : HR Shruthi 9008812627 (call or whatsapp) Email id - shruthic@thejobfactory.co.in Preferred candidate profile

Role & responsibilities Greetings from The Job Factory !! Job Summary: We are seeking highly motivated and enthusiastic undergraduate or graduate freshers/ experience to join our team as International Process Associates. The successful candidates will work on international processes, providing exceptional service to our global clients. For more details Call : HR Shruthi 9008812627 (call or whatsapp) Email id - shruthic@thejobfactory.co.in Role & Responsibilities: 1. Handle customer inquiries and resolve issues via phone, email, or chat 2. Provide product information and support to customers 3. Manage and document customer interactions 4. Meet productivity and quality standards 5. Collaborate with internal teams to resolve complex issues Preferred Candidate Profile: 1. Undergraduate or graduate degree in any discipline 2. Excellent communication and interpersonal skills 3. Ability to work in a fast-paced environment and manage multiple priorities 4. Strong analytical and problem-solving skills 5. Willingness to learn and adapt to new processes and technologies What We Offer: 1. Competitive salary and benefits 2. 2-way cab facility for commute 3. Opportunities for growth and development in a global company 4. Collaborative and dynamic work environment 5. Training and support to help you succeed in your role 6. Incentives and Allowance's Skills: 1. Good communication skills (written and verbal) 2. Basic computer knowledge and typing skills 3. Ability to work independently and as part of a team 4. Strong attention to detail and organizational skills For more details Call : HR Shruthi 9008812627 (call or whatsapp) Email id - shruthic@thejobfactory.co.in Preferred candidate profile

Designation :AR Caller/SR AR Caller Location:Chennai & Bangalore Experience :1 to 4 Notice period :Immediate joiner Work mode : Work from office Interview mode:Online(virtual) Salary :Based on experience max(40k) Contact: 9043426511-Suvetha

Mega Walk-In Drive for Experienced AR Callers on 2nd Aug'2025 @EqualizeRCM ,Coimbatore Preferred candidate profile Exp : 1-4 Years in AR Calling Must have Good Communication Skills Strong Knowledge in Denial Management Professional Billing or Physician Billing experience is preferred Roles and Responsibilities Manage A/R, Denials and Rejections accounts by ensuring effective and timely follow-up. Understand the client SOP/requirements and specifications of the project. Perform pre-call analysis and check status of the insurance claim by calling the payer or utilizing insurance web portal services for the outstanding balances on patient accounts and take appropriate actions towards claim resolution. Post adequate documentation on the client software. Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact. Ensure to meet the productivity goals along with the quality standards. **Cab is provided only for female "pick and drop". **Fixed week offs (Saturday and Sunday) Thanks & Regards, Nithin R HR Trainee Talent Acquisition Mobile : +91-7395861852 Email: nithin.r@equalizercm.com

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience 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 & responsibilitiesObtains 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.Provides insurance company with clinical information necessary to secure prior-authorization or referral.Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries.Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization with Surgery/Orthopedic Experience Good understanding of the medical terminology and progress notes How to Apply:Contact Person: Venkatesh R (HR)Phone Number: 8762650131 (Call or WhatsApp)Email: Venkatesh.ramesh@omegahms.comLinked in : https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ This opportunity is a work-from-office (WFO) position based in Bangalore.RegardsVenkatesh Rhttps://www.linkedin.com/in/venkatesh-reddy-01a5bb112/HR TEAM

Role & responsibilities : Initiate calls for identifying and resolving issues with unpaid or denied claims and ensuring that the organization receives the appropriate reimbursement for services rendered. Preferred candidate profile : 1 - 4 Years of experience in AR calling [Hospital billing] Perks and benefits : Internal Promotions, Two way cab, PF, Medical insurance. Interested candidates can drop your resume to Sathishkumar.Unnikrishnan@omegahms.com // 9789356008[Sathish- HR]. Note: Good communication and Denials knowledge is a must.

Role & responsibilities Manage A/R, Denials and Rejections accounts by ensuring effective and timely follow-up. Understand the client SOP/requirements and specifications of the project. Perform pre-call analysis and check status of the insurance claim by calling the payer or utilizing insurance web portal services for the outstanding balances on patient accounts and take appropriate actions towards claim resolution. Post adequate documentation on the client software. Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact. Ensure to meet the productivity goals along with the quality standards. Preferred candidate profile Exp: 1-4 in AR Calling Must have Good Communication Skills Strong Knowledge in Denial Management Professional Billing or Physician Billing experience is preferred Perks and benefits Cab , Pick and drop is provided Attractive Incentive plans Interested candidates please come for a direct walk-in on 2nd Aug'2025 directly to the below mentioned address, EqualizeRCM KGISL Platina, CHIL SEZ Road, near Chil sez, CHIL SEZ IT Park, Saravanampatti, Coimbatore, Tamil Nadu 641035

Role & responsibilities Manage A/R, Denials and Rejections accounts by ensuring effective and timely follow-up. Understand the client SOP/requirements and specifications of the project. Perform pre-call analysis and check status of the insurance claim by calling the payer or utilizing insurance web portal services for the outstanding balances on patient accounts and take appropriate actions towards claim resolution. Post adequate documentation on the client software. Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact. Preferred candidate profile Exp: 1-4 in AR Calling Must have Good Communication Skills Strong Knowledge in Denial Management Professional Billing or Physician Billing experience is preferred Perks and benefits Cab , Pick and drop is provided Attractive Incentive plans Interested candidates please come for a direct walk-in on 2nd Aug'2025 directly to the below mentioned address,