3438 Us Healthcare Jobs - Page 7

Job Summary Join our dynamic team as a Claims Processing Specialist where you will play a crucial role in ensuring the accuracy and efficiency of claims adjudication. With a focus on Medicare and Medicaid claims you will contribute to the seamless processing of claims enhancing our service delivery. This hybrid role offers the flexibility of working both remotely and on-site during night shifts. Responsibilities Process claims with precision ensuring adherence to Medicare and Medicaid guidelines. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Utilize claims adjudication software to enhance processing efficiency. Provide feedback on process improvements to enhance service delivery. Maintain up-to-date knowledge of industry regulations and compliance standards. Communicate effectively with stakeholders to ensure clarity and resolution of claims issues. Document claims processing activities accurately for audit and reporting purposes. Support the team in achieving departmental goals and objectives. Participate in training sessions to stay informed about the latest claims processing techniques. Ensure confidentiality and security of sensitive claims information. Contribute to a positive work environment by supporting colleagues and fostering teamwork. Adapt to changing priorities and work effectively under pressure. Qualifications Demonstrate proficiency in claims adjudication processes and software. Possess strong analytical skills to identify and resolve claims discrepancies. Exhibit excellent communication skills for effective stakeholder interaction. Show a keen understanding of Medicare and Medicaid claims requirements. Display attention to detail in processing and documenting claims activities. Have the ability to work independently and collaboratively in a hybrid work model. Certifications Required Not required

Job Role: AR Caller / Senior AR Caller Experience: 1 to 5 years Salary: Up to 40,000 per month (based on skills and experience) Work Mode: Work From Office Interview Mode: Online Joiners Required: Immediate joiners preferred CONTACT :6383196883

Davies is looking for an experienced Processing Specialist to join our growing team! As a Processing Specialist, you will assist the claims departments with general clerical functions. Reporting to the Processing Supervisor, you will open and scan mail documents, including attaching scanned documents in the claims system.

Job Description Directs the activities of customer and/or employee training in the operation of company products. Plans course design and support documentation. Ensures training program(s) meets company and customer objectives. Maintains communication with customers to ensure effectiveness of training. Requires understanding of current product use and application. Coordinates the staffing and scheduling of in-house and field training. May have responsibility for training Sales Representatives. Selects, develops, and evaluates personnel to ensure the efficient operation of the function. Roles & Responsibilities The Supervisor, Client Services Instructor is responsible for overseeing a team of instructors who deliver training to clients across a range of formats (virtual, on-site, or hybrid). This role ensures training quality, consistency, and effectiveness while managing scheduling, coaching, and performance management for the instructor team. Key Responsibilities: Team Leadership & Oversight Supervise day-to-day activities of Client Services instructors; monitor performance, engagement, and scheduling. Conduct regular team meetings, training refreshers, and coaching sessions to promote continuous improvement. Provide onboarding and mentoring to new instructors. Training Quality & Delivery Facilitate engaging and effective training sessions. Ensure all training sessions meet quality standards, client expectations, and learning outcomes. Observe training sessions and provide feedback to instructors to enhance delivery. Review client feedback and make adjustments to delivery methods or content as needed. Operational Coordination Manage scheduling of instructor-led sessions across client accounts. Coordinate with client success and operations teams to ensure instructor availability aligns with demand. Track and report training metrics (attendance, engagement, satisfaction scores). Process Improvement Identify gaps in training materials or delivery methods and work with curriculum developers to resolve them. Recommend and implement process improvements to streamline operations and enhance client experience. Client Collaboration Serve as a point of escalation for client concerns related to instructor delivery. Support strategic client conversations regarding training customization, planning, and outcomes. Qualifications: Bachelor s degree in Education, Organizational Development, Business, or related field (or equivalent experience) 3 5 years of experience in training, instruction, or client-facing learning roles 1+ years of supervisory or team lead experience preferred Experience delivering training to external clients a strong plus Excellent communication, facilitation, and coaching skills Strong organizational and time management skills Proficient in learning platforms, video conferencing tools, and scheduling systems Preferred Competencies: Client-centric mindset Leadership and people development Conflict resolution and problem-solving Data-driven approach to performance management Adaptability and comfort in a fast-paced environment

. Analyst Asset Management Hiring Manager Felix Arun Kumar K Primary Skill IT Hardware Asset Management/ITSM/ Service Now CMDB/Inventory Management/MS Office/Power BI/Dashboards/ Reporting Business Carelon Skill Category Generic ABOUT ELEVANCE HEALTH Elevance Health is a leading health company in America dedicated to improving lives and communities and making healthcare simpler. It is the largest managed health care company in the Blue Cross Blue Shield (BCBS) Association serving more than 45 million lives across 14 states. A regular in Fortune 500 list, Elevance Health ranked 20 in 2022. Gail Boudreaux , President and CEO of Elevance Health has been a consistent name in the Fortune list of most powerful women and currently holds 4th rank on this list. ABOUT CARELON Carelon Global Solutions (CGS) is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system. Previously known as Legato Health Technologies, Carelon Global Solutions (hereinafter, CGS) underwent a name change and joined the Carelon family of brands in January 2023, as a fully owned subsidiary of Elevance Health (Previously Anthem Inc.). CGS brings together a global team of like-minded innovators who manage and optimize operational processes for health plans as well as providers . Our brightest minds housed across our global headquarters in Indianapolis as well as Bengaluru, Hyderabad and Gurugram in India, Manila in the Philippines, Limerick in Ireland and San Juan in Puerto Rico bring with them innovative capabilities and an unmatched depth of experience. This global team uniquely positions CGS to enable scalable, next-generation platforms and specialized digital tools that make healthcare operations more practical, effective and efficient. OUR MISSION & VALUES Our Mission: Improving Lives and Communities. Simplifying Healthcare. Expecting More. Our Values: Leadership | Community | Integrity | Agility | Diversity JOB POSITION Carelon Global Solutions India is seeking an experienced and meticulous Asset Management analyst, who will be responsible for end-to-end management of IT Assets from procurement to its disposal. The incumbent will report to IT Asset Manager and must understand Asset Management processes, liaising with multiple stakeholders to understand their requirements and deliver all that is in-house, apart from coordinating with external vendors and consultants to ensure proper maintenance of IT Assets. JOB RESPONSIBILITY Extensive Experience in the following Hardware Asset Management ITSM Service Now CMDB Inventory Management MS Office Power BI Dashboards Reporting Should have working knowledge of SEZ rules and procedures Should have working knowledge of procurements processes Should be excellent in spoken & written communication and good interpersonal skills Should have worked in client facing roles Tracking and analyzing technical and financial data of company hardware assets from requisition to retirement/disposal QUALIFICATION Must have US HealthCare Domain knowledge. Bachelor s degree in computer science or any related field Good to have Foundation certification in ITIL 4 Possess IAITAM Certifications such as CHAMP, CSAM, CITAD, CAMSE and CITAM, but required within one year of accepting the position. EXPERIENCE 2-3 years of experience as IT Asset Management Analyst/Professional Managing IT Asset Life Cycle Keeping Track of IT Assets Usage Manage warranties, renewals and RMA Exposure to SEZ policies and processes Manage inventory of CIs and assets, including dependencies and attributes Managing lifecycle of hardware from their procurement to retirement/disposal Generate and distribute various reports, including compliance reports on current assets, CIs and their status Collaborate with infrastructure teams to determine trends in asset performance Establish and maintain hardware maintenance database Generate Curated Reports and prepare organization for Compliance Audits SKILLS AND COMPETENCIES Strategic thinking with tactical focus Technical proficiency in IT hardware Strategic planning and implementation for asset lifecycle management Analytical skills for data analysis Legal, Compliance & Governance knowledge in SEZ processes Communication and interpersonal skills for stakeholder management Leadership and management skills in project management. Asset Inventory Management: Procurement and Cost optimization Asset Deployment Risk Management Documentation and Reporting Disposal and Repurposing Financial Acumen Knowledge of ITAM Best Practices, IT Governance and Asset Management Good communication skills along with the ability to effectively collaborate with cross functional teams THE CARELON PROMISE Aligning with our brand belief of limitless minds are our biggest asset , we offer a world of limitless opportunities to our associates. It is our strong belief that one is committed to a role when it is not just what the role entails, but also what lies in its periphery that completes the value circle for an associate. This world of limitless opportunities thrives in an environment that fosters growth and well-being, and gives you purpose and the feeling of belonging. LIFE @ CARELON Extensive focus on learning and development An inspiring culture built on innovation, creativity, and freedom Holistic well-being Comprehensive range of rewards and recognitions Competitive health and medical insurance coverage Best-in-class amenities and workspaces Policies designed with associates at the center EQUAL OPPORTUNITY EMPLOYER Reasonable Accommodation Our inclusive culture empowers Carelon to deliver the best results for our customers. We not only celebrate the diversity of our workforce, but we also celebrate the diverse ways we work. If you have a disability and need accommodation such as an interpreter or a different interview format, please ask for the Reasonable Accommodation Request Form. Job Type: Full time

Process Associate (AR Caller) Desired Candidate Profile: Should be having excellent communication skills with Dental billing experience and willing to work in night shift. Minimum 1 Year of experience in AR is Mandatory. Only Experience from US Healthcare Dental Billing Will be Considered preferably or even Medical Billing Experience. Location : Mohali ( TDI Business Center near VR Punjab Mall) Exp : 1 ?? 3 Years Week Off : Saturday & Sunday Salary : Best In The Industry/Night Meals and refreshments Notice Period : One Month Preferable Shift : Night Shift Apply Now

Insurance Verification Associate Desired Candidate Profile: Should be having excellent communication skills with Dental billing experience and willing to work in night shift. Minimum 1 Year of experience in AR is Mandatory. Only Experience from US Healthcare Medical or Dental Billing Will be Considered. Location : Mohali ( TDI Business Center near VR Punjab Mall) Exp : 1 ?? 3 Years Week Off : Saturday & Sunday Salary : Best In The Industry/Night Meals and refreshments Notice Period : One Month Preferable Shift : Night Shift Apply Now

Greetings!! We hiring for top MNC for further queries share your cv or contact Muskaan 8884496984 Priyanshu 8884496981 Shiva 7996772782 Location: Manyata Tech Park, Bengaluru Experience Required: Minimum 6 months in International Voice Process Shift: US Shifts (Night Shift Work from Office) Salary: Up to 6.7 LPA Key Roles & Responsibilities Inbound/Outbound Calling: Handle high-volume inbound and outbound calls for US-based healthcare clients. Provide accurate information on healthcare services, policies, and procedures. Customer Support & Issue Resolution: Address and resolve patient queries, appointment scheduling, prescription clarifications, billing questions, and insurance eligibility issues. Escalate complex cases to the appropriate internal teams and follow up until resolution. Data Management & Documentation: Maintain detailed and accurate call logs in CRM systems. Update patient and client records while ensuring compliance with HIPAA and data privacy standards. Quality & Compliance: Adhere to all quality guidelines, scripts, and standard operating procedures. Participate in regular training sessions to stay uptodate with healthcare regulations and client protocols. Performance Metrics: Meet or exceed individual targets on call quality, adherence, and productivity metrics (e.g., Average Handle Time, First Call Resolution). Provide feedback on process improvements and contribute to team goals. Collaboration & Communication: Work closely with crossfunctional teams including clinical, billing, and technical support to ensure seamless patient experience. Communicate any trends or recurring issues to supervisors for proactive solutions. Soft Skills & Professionalism: Demonstrate empathy, active listening, and clear communication on every call. Uphold a positive, patientcentric approach even under highpressure situations. Why Join Us? Competitive salary with performance-based incentives One-way cab facility for night shifts Comprehensive benefits including health insurance and paid time off Career growth path in a dynamic, supportive environment Thanks and regards, Rivera Manpower Services

Role: AR caller!! NO FRESHERS!! Experience: At least one year of experience in AR calling and end to end denials Location: Chennai and Bengaluru Salary: Upto 40k max Interview mode: virtual Required Candidate profile SHIFT: Night shift Two way cab within 25 km radius It is for US health care voice process CONTACT - Subhiksha (9626256724)

Job description Locations: Chennai| Bangalore Experience: Minimum 12 months in AR Calling Salary: Up to 41,000 per month Shift: Night Shift & Day Shift(US Timings) Qualification: Graduation required Transportation: Provided by the company Key Responsibilities: Handle end-to-end Accounts Receivable (AR) tasks Perform AR follow-ups with insurance companies for pending or denied claims Process cash applications, including payment posting and matching invoices Work on sales order processing, billing, and delivery tracking Analyze and respond to claim denials, rejections, or short payments Maintain accurate records of customer transactions in the system Coordinate via calls and emails with clients/stakeholders as part of a semi-voice international process Candidate Requirements: Minimum 12 months experience in AR Calling Strong communication skills (spoken and written English) Graduation not mandatory Immediate joiners preferred Work Locations: Chennai Bangalore Perks: Transportation provided Performance-based salary hikes Growth opportunities with global clients For more information, contact: Vyshnavi Bogineni +91 9154144802 hrvyshnavi.axisservices@gmail.com

Minimum 1- 4 years of exp in AR Calling Location:Chennai, Bangalore Strong knowledge of denials and RCM Immediate joiners preferred Night shifts only Relieving letter is mandatory Contact: Subitha(HR) - 744 899 5427

Role & responsibilities We Are Hiring || IPDRG Coder || IPDRG QA || IPDRG Trainer || up to 18 LPA CTC || Hyderabad & Chennai || certification is Mandatory 1, IPDRG Coder Min 1yr exp as a IPDRG Coder || up to 13 LPA CTC 2,IPDRG QA Min 6m exp as a QA IPDRG off paper / on paper ( Total ipdrg 5yrs exp ) – up to 16 LPA CTC 3, IPDRG Trainer ; Min 1yr exp as a QA / Trainer - IPDRG off paper / on paper ( Total ipdrg 5yrs exp ) – up to 18 LPA CTC Locations:- Chennai & Hyderabad Work from office Graduation Mandatory Interested candidates can share your updated resume to HR INDHU- 9032857196(share resume via WhatsApp) Refer your friend's / Colleagues Preferred candidate profile Min 1yr exp into coder

Should be from US Healthcare background (Physician Billing) Should have 1+years' experience in Eligibility Verification, Demo & Charge Entry Good communication skills salary: based on exp its negotiable Exp: 1-2 yr Qualification: Any basic graduation Location: Chennai. Interested candidates Call me 8248361225 Muthuvel Hr

We are hiring Team Leader Operations for one of our Client based out of Noida. Below mentioned is the JD. Candidate should be from International Backend Process not email or chat. Preffered Candidates from Property and Casulty, Define Benefits, US Insurance. Candidate with exprience in International Backend and should have Minimum 2 yrs experience as Team Leader on papers with handling a team of 10 to 15. You will be responsible for Manage the day-to-day Planning, operation and problem-solving of a team of 15-20 resources Develop team to ensure delivery of consistently superior quality Ability to independently handle transitioning of new procedures. Drive the team to be client/customer-focused, owns training and development to team. Take ownership on delivering service level components, quality and targets and drive and motivates the team to achieve management goals. Effectively track and analyze the performance of individual team members and provide effective coaching and feedback Compiling all External and Internal reports Act as the communication conduit between team and management. Effectively implement HR and Operations policies, manage floor and drive people to adhere to schedule Problem Resolution, as well as to make recommendations on process development based on analysis and customer and team feedback. Performance feedback session to be provided to agents. Primary focus on CPM/SLA. One to one relation building. Analyze various reports including process dashboards & team performance reports. Motivating associates through effective management, career development & implementation of reporting mechanism. Timely Submission of Operations Review Manage attendance and attendance incentive for the team. Attain SLA through effective management of the daily operations of the team. Conduct audits & share feedback with team members Will be responsible for managing the portfolio of clients. Requirements Graduation is a must. Should be willing to work in 24*7 working environment. Excellent verbal / written communication skills Good with Analytical skills / MS Excel / presentation skills

Experience: Minimum 1+ Year in AR Calling Take-home Salary: Up to 38,000 to 40,000 per month Location: Mumbai/Chennai /Bangalore Work Mode: Work from Office Notice Period: Immediate Joiners Preferred Relieving Letter: Not Mandatory contact- Nandini HR-9750358650

Urgent Opening for AR Caller/SR AR Caller -Medical Billing-Voice Process Job Loc: Chennai, Trichy, Bangalore, Pune Exp:1yr-5yrs Salary: 40k Max Skills: Any Billing ,Denials NP:Imm IF INTERESTED CALL/WATSAPP: 8610746422 REGARDS; Vijayalakshmi

Position: *AR Caller with Denials Management* *Billing: Hospital* Location : *Chennai/Bangalore* *EXP : 1-4 YRS* *SALARY* - 40K *PF is Mandatory* *Voice Process* * Relieving Letter is not mandatory* share your Resume here-Papitha-7092036199

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 Prathiksha @ 9901192053 (call or whatsapp) Email id - prathikshathejobfactory@gmail.com 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 Prathiksha @ 9901192053 (call or whatsapp) Email id - prathikshathejobfactory@gmail.com

Minimum 1- 4 years of exp in AR Calling Salary:Up to 40k Location:Chennai, Bangalore Strong knowledge of denials and RCM Immediate joiners preferred Night shifts only Relieving letter is mandatory Contact: Nandini-HR - 9750358650

Urgent Hiring Payment Posting Executive (US Healthcare) Location: Pune Experience: 1 to 5 Years Salary: Up to 45K Work from Office Online Interview Immediate Joiners Only Relieving letter is not Mandatory. Skills : Must have minimum 1 year experience in Payment Posting US Healthcare Knowledge of EOBs, ERA, and payment reconciliation Other Benefits : 1. Shift Allowance - 5500 RS. Per Month 2. Saturday & Sunday Off 3. Medical Insurance 4. Extra OT per hour Rs.150 /- 5. Two Way Cab Interested Call/WhatsApp your CV to 9976707906 Saranya, HR Note : Do not Apply Fresher & Other Domain Candidates

Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Chanchal 9251688424

Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Sanjana 9251688424

Exciting Opportunity US Healthcare Recruiter at InteliX Systems Were hiring experienced and passionate US Healthcare Recruiters who are ready to grow in a fast-paced, rewarding environment. Location: Hyderabad Shift: 6:30 PM 3:30 AM IST (Night Shift) Responsibilities Source, screen, and recruit qualified healthcare professionals (Nursing, Allied Health, Admin roles) for US-based clients Manage full-cycle recruitment from sourcing to onboarding Conduct interviews, assessments, and reference checks Collaborate with clients to understand their staffing needs Stay updated with US healthcare rules and staffing trends Requirements 4+ years of exclusive US Healthcare recruiting experience OR 7 + years of experience in US Recruitment (Healthcare, IT, or Non-IT), with the recent 4-5 years specializing in US Healthcare roles. Strong communication and interpersonal skills Proficient in sourcing through job boards like Indeed, Vivian, Travel Nurse Source, Allied Travel Careers, DocCafe, Doximity, as well as ATS platforms, LinkedIn, and Facebook. Good negotiation skills for rate discussion and candidate closure Experience in license and certification verification. Knowledge of tax terms (W2, 1099, Full-time) and stipends Perks and benefits Competitive salary + performance-based incentives Drop cab facility for female employees Fast-track career growth in US Healthcare Recruitment Supportive team and professional development Location: InteliX Systems, Hyderabad Apply Now: Send your resume to swathi.kolisetty@intelixsys.com Contact: 6301535020

Job Details: Job Process/Role: Claims Adjudication (US Healthcare) Experience: 1 - 3 Years of Relevant experience in Claims adjudication Skillset: CPT Codes, HIPAA, Co-pay and Co-insurance, Medicaid and Medicare, Denial claims, UB and CMS forms. Shift: Night shift Location: Chennai Mode of Work: Work from the office Notice Period Eligible: Immediate to 30 Days of Notice period is acceptable. Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials. Knowledge in handling authorization, COB, duplicate, pricing, and the corrected claims process. Knowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and exclusions, state variations. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team. Resolving complex situations following pre-established guidelines. Requirements: 1-3 years of experience in processing claims adjudication, and the adjustment process. Experience in professional (HCFA), institutional (UB) claims (optional). Both undergraduates and postgraduates can apply. Good communication (Demonstrate strong reading comprehension and writing skills). Able to work independently, with strong analytical skills. 1. Required schedule availability for this position is Monday-Friday, 5.30 PM/3.30 AM IST (AR SHIFT). The shift timings can be adjusted according to client requirements. 2. Additionally, resources may have to work overtime and on a weekend basis to meet business requirements.

Walk-in Drive For Clinical Doctors at Cotiviti, Mohali Walkin Date : 31st July & 1st August 2025 Walkin Timing: 9:00AM TO 1:00 PM Interview Address: SANDAL SUITES, Assotech Business Cresterra, 22, Noida-Greater Noida Expy, INFOSPACE, Sector 135, Noida, Uttar Pradesh 201301 Eligibility Criteria: Education: BHMS, BAMS, BPT, BUMS, MPT, MBBS Candidates with prior US Healthcare or Clinical exp will be preferred. (Freshers/Candidates with 1-3 Years of exp) Good team player with strong interpersonal skills and high integrity. Should be ready to work in rotational shifts including night shifts. Should be ready to work from office. Job Location: Mohali, Punjab