75 Medicare Jobs

Dear Candidate, Greetings from AGS Health.! Job Title: AR CALLER Eligibility: Candidate holding 1-2 years of experience into Medical Billing (Denial Management) can only apply for this position. Working Days - 5 Days (Fixed weekend off) Location: Chennai Interested candidates can WhatsApp their updated resume to 9384898239 Sai Subhiksha HR-Talent Acquisition AGS Health

Hiring: AR Caller/Senior AR Caller Experience in Physician Billing or Hospital Billing Location: Chennai, Bangalore, Pune & Trichy Experience: 1 to 4 Years Salary:Up to 40,000 per month Relieving letter is not mandatory Contact: Suvetha D-9043426511 Required Candidate profile Strong understanding of denial management Work with multiple denial types and take appropriate actions for claim Handle appeals and denial management processes.

Firstsource HIRING for Claims Adjudication !! HR SPOC: Aiswarya HR / 8072289336 Job Title: CSA & Senior CSA Grade: H1/H2 Job Category: Associate Function/Department : Operations Reporting to: Team Lead Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims needs to be completed adhering to required TAT and quality SLA. Key Results : Production, Quality Shift and Schedule adherence Process Knowledge Minimum Eligibility: Preferred educational qualifications: Graduation (Any discipline - 3 years) without arrears. Preferred work experience: Minimum 1 year of experience in Claims processing Skills and Competencies: Good Communication Skills Listening & Comprehension About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, and India. Our rightshore delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our clientele includes Fortune 500 and FTSE 100 companies 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 Aiswarya.Mmm@firstsource.com.

HEALTHCARE AR PROCESS Thane Location Blended process DOJ - 3rd week of May 24*7 rotational shifts 2 rotational week offs Hsc/Graduate with minimum 6 months experience as AR - Medical billing (mandatory) Required Candidate profile Salary - 25k in hand (based on qualification and/or experience) HR-amcat-ops Follow updated Thane IBU transport boundaries

Primary Responsibilities: The coder will evaluate medical records to verify the plan of care for chronic medical conditions The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Full-time: Yes Work from office: Yes Travelling Onsite / Offsite: No Required Qualifications: Any graduate experience Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards Good knowledge in Anatomy, Physiology & Medical terminology At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

We are looking for a highly skilled and tech-savvy customer support specialist who can provide exceptional support to our U.S.-based healthcare clients. The ideal candidate must have strong knowledge of electronic medical records (EMRs), U.S. healthcare policies, and regulations, along with outstanding problem-solving skills in IT and technology-related issues. A clear American English accent is required to ensure seamless communication with customers. Key Responsibilities: Provide level 1 and level 2 technical and customer support for healthcare clients using our AI and blockchain solutions. Troubleshoot and resolve issues related to EMR/EHR systems, medical billing software, and other healthcare technologies. Assist clients with IT-related challenges, including software integrations, cloud-based solutions, and data security concerns. Educate customers on healthcare compliance requirements, such as HIPAA, Medicare, Medicaid, and telehealth policies. Work closely with internal teams (IT, product development, and sales) to escalate and resolve complex technical issues. Maintain accurate records of customer interactions and issue resolutions in a CRM system. Ensure high customer satisfaction by providing clear, concise, and professional communication. Required Qualifications: 3+ years of experience in customer support for healthcare IT solutions or electronic medical records (EMR) systems. Strong understanding of U.S. healthcare regulations, HIPAA compliance, and medical billing practices. Excellent troubleshooting skills in IT, software applications, and system integrations. Fluent in English with a clear American accent (must be comfortable speaking with U.S. clients). Experience using CRM software, ticketing systems, and remote support tools. Strong interpersonal skills and the ability to explain technical concepts to non-technical users

We are looking for a highly skilled and tech-savvy customer support specialist who can provide exceptional support to our U.S.-based healthcare clients. The ideal candidate must have strong knowledge of electronic medical records (EMRs), U.S. healthcare policies, and regulations, along with outstanding problem-solving skills in IT and technology-related issues. A clear American English accent is required to ensure seamless communication with customers. Key Responsibilities: Provide level 1 and level 2 technical and customer support for healthcare clients using our AI and blockchain solutions. Troubleshoot and resolve issues related to EMR/EHR systems, medical billing software, and other healthcare technologies. Assist clients with IT-related challenges, including software integrations, cloud-based solutions, and data security concerns. Educate customers on healthcare compliance requirements, such as HIPAA, Medicare, Medicaid, and telehealth policies. Work closely with internal teams (IT, product development, and sales) to escalate and resolve complex technical issues. Maintain accurate records of customer interactions and issue resolutions in a CRM system. Ensure high customer satisfaction by providing clear, concise, and professional communication. Required Qualifications: 3+ years of experience in customer support for healthcare IT solutions or electronic medical records (EMR) systems. Strong understanding of U.S. healthcare regulations, HIPAA compliance, and medical billing practices. Excellent troubleshooting skills in IT, software applications, and system integrations. Fluent in English with a clear American accent (must be comfortable speaking with U.S. clients). Experience using CRM software, ticketing systems, and remote support tools. Strong interpersonal skills and the ability to explain technical concepts to non-technical users

Role & responsibilities Hiring for US Healthcare Enrollment- SPE / SME Company : Cognizant Location - Chennai / Coimbatore Timings: Night shift-US Night shift - (5:30pm - 3:30am) Notice Period: Immediate to 15 days WFH US Night shift SPE : 2 - 4 year in Healthcare & Enrollment CTC - Up to 5 lpa (SPE) upto 6.4 Lpa (SME) Years of exp: 2yrs to 4yrs (SPE) 2yrs to 7yrs (SME) Skills : Healthcare Enrollment with Excellent Communication Interested candidates contact HR Jawahar@8828153744 | jawahar@careerguideline.com

Hiring for Enrollment ( Us Healthcare ) Process : Non voice Location - Coimbatore / Chennai Timings - US Night shift ( 5:30pm to 3:30 am ) Mode - Work From Home Notice Period - Immediate to 15 Days SPE - Upto 5 Lpa SME - Upto 6.4 Lpa SPE 2+yr exp in Enrollment ( Us Healthcare ) SME 4+yr exp in Enrollment ( Us Healthcare ) Interested Candidates contact HR Dinesh@ 9353611283 dinesh@careerguideline.com

Provider Credentialing (US healthcare medical billing) 1. Collect all the data and documents required for filing credentialing applications from the physicians 2. Store the documents centrally on our secure document management systems 3. Understand the top payers to which the practice sends claim and initiate contact with the payers 4. Apply the payer-specific formats after a due audit 5. Timely follow-up with the Payer to track application status 6. Obtain the enrolment number from the Payer and communicate the state of the application to the physician 7. Periodic updates of the document library for credentialing purposes. Required Candidate profile Desired Candidate Profile: 1. Should have worked as a Credentialing Analyst for at least 3-year medical billing service providers 2. Good Knowledge in Provider credentialing (Doctor side). 3. Good knowledge in clearing house setup - Electronic Data Interchange setup (EDI) - Electronic Remittance Advice Setup (ERA) - Establish Insurance Portals (EFT) 4. Experience in Insurance calling. 5. Good knowledge in filling insurance enrollment applications. 6. Good experience in CAQH, PECOS application. 7. Experience in Medicare, Medicaid, Commercial insurance enrollment. 8. Positive attitude to solve problems 9. Knowledge of generating aging report 10. Strong communication skills with a neutral accent Note: Minimum of 8 to 12 years of Provider Credentialing experience must. Location: Coimbatore (Onsite job) Preference will be given to candidates who can start immediately or with short notice. Candidates who are freshers or have experience in other domains are kindly requested not to apply for this position.

Job Summary We are seeking a dedicated Product Specialist with 3 to 6 years of experience to join our team. The ideal candidate will have expertise in .NET and ANSI SQL along with a strong background in Medicare and Medicaid Claims. This hybrid role offers the flexibility of working both remotely and on-site with no travel required. The position is a day shift role perfect for those who thrive in a dynamic and collaborative environment. Responsibilities Develop and maintain software applications using .NET technologies to ensure high performance and responsiveness. Utilize ANSI SQL to manage and manipulate databases effectively ensuring data integrity and security. Analyze Medicare and Medicaid Claims data to identify trends anomalies and opportunities for process improvement. Collaborate with cross-functional teams to gather and define product requirements ensuring alignment with business objectives. Provide technical support and troubleshooting for application issues ensuring timely resolution and minimal disruption. Conduct code reviews and provide constructive feedback to ensure code quality and adherence to best practices. Participate in the full software development lifecycle from concept and design to testing and deployment. Create and maintain comprehensive documentation for developed applications and processes. Stay updated with the latest industry trends and technologies to ensure the continuous improvement of our products. Work closely with stakeholders to understand their needs and translate them into technical solutions. Ensure compliance with regulatory requirements related to Medicare and Medicaid Claims. Mentor junior team members providing guidance and support to help them grow their technical skills. Contribute to the overall success of the team by actively participating in meetings brainstorming sessions and collaborative projects. Qualifications Must have strong experience with .NET technologies to develop robust and scalable applications. Must have proficiency in ANSI SQL for effective database management and manipulation. Must have in-depth knowledge of Medicare and Medicaid Claims to analyze and improve processes. Nice to have experience in a hybrid work model demonstrating flexibility and adaptability. Nice to have excellent problem-solving skills to troubleshoot and resolve technical issues. Nice to have strong communication skills to collaborate effectively with cross-functional teams. Nice to have experience in mentoring junior team members to foster a collaborative learning environment. Certifications Required Certified .NET Developer ANSI SQL Certification

Dear Aspirants, We are hiring for experienced IP DRG professionals to join our team at our Mohali location . Eligibility Criteria: Any graduate Mandatory certification in CIC / CCS Medical Coding Minimum 1 year of experience in IP DRG (Mandatory) Strong Communication Skills In-depth knowledge if In-Patient process Flexible to work in rotational shifts, including night shifts Looking for long term commitment If you meet the above requirement and are interested in this opportunity, please share your updated resume with us at: avinash.jeniga@cotiviti.com We look forward to hearing from you! Best regards, Cotiviti Talent Acquisition Team

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

We Are Hiring ! AR Callers || Hyderabad || upto 4.6lpa || Experience Required: Minimum 1+ years in AR Calling Package :- Upto 4.6 LPA with take-home of 34000 + Shift Allowance Of per day 400 Qualification: Degree Mandate Notice Period : 0 to 40 Days Location : Hyderabad Work from Office 2 Way Cab Share your updated resume to HR Swetha- 9059181703 Referrals are welcome Job description 1.We Are Hiring -AR Calling||US Healthcare ||RCM|| Physician Billing ||Hospital Billing|| Eligibility :- Min 1+ years of experience into AR Calling in denial management into physician and hospital billing. Locations :- Hyderabad , Chennai ,Noida, Banglore & Mumbai. Qualification :- Any Graduate. Package-Physician billing Upto 40k. & Hospital billing-43k. Immediate Joiners Preferred . Relieving letter from anyone company is Mandate. WFO If Interested Kindly share your updated resume to nsweta.axis@gmail.com HR Swetha- 9059181703 Refer your friend's / Colleagues

SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions.

Cognizant is hiring Encounter Submission Specialist (US Healthcare) for Hyderabad location. Job Title: Team Manager Experience - 8 - 11 Years Job Location: Hyderabad (relocation benefits available for other location candidates) Mode of Work - Work from Office Shifts - Mid Shift - (1 PM IST to 11 PM IST) Candidates with 8 - 11 years of experience particularly from Encounter submission background US Healthcare Knowledge. E.g. Encounter, EDI, HIPAA, 837 Layout, insights into Medicare and Medicaid , Markets etc. Facets/QNXT or any other healthcare adjudication system knowledge will be an added advantage. SQL Server - SSIS or SSRS plus any Microsoft cloud technologies will be an added advantage. Analytical and Query Writing Skills (SQL) - Joint query, structured query, creating tables, running reports in SQL etc SQL Procedure and Packages, Debugging skills. Knowledge on any reporting tools or software e.g. Tableau or Power BI etc. Should be good at communication skills Interested, kindly share your updated resume to the below email pragya.shrivastav@cognizant.com

Cognizant is hiring Encounter Submission Specialist (US Healthcare) for Hyderabad location. Job Title: Team Leader Experience - 5 - 8 Years Job Location: Hyderabad (relocation benefits available for other location candidates) Mode of Work - Work from Office Shifts - Mid Shift - (1 PM IST to 11 PM IST) Candidates with 5 - 8 years of experience particularly from Encounter submission background US Healthcare Knowledge. E.g. Encounter, EDI, HIPAA, 837 Layout, insights into Medicare and Medicaid , Markets etc. Facets/QNXT or any other healthcare adjudication system knowledge will be an added advantage. SQL Server - SSIS or SSRS plus any Microsoft cloud technologies will be an added advantage. Analytical and Query Writing Skills (SQL) - Joint query, structured query, creating tables, running reports in SQL etc SQL Procedure and Packages, Debugging skills. Knowledge on any reporting tools or software e.g. Tableau or Power BI etc. Should be good at communication skills Interested, kindly share your updated resume to the below email pragya.shrivastav@cognizant.com

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims Investigate and address claim rejections or underpayments Review and submit appeals for denied claims Maintain accurate documentation and reporting on claim statuses Collaborate with billing teams to improve revenue cycle processes Stay updated on payer rules, regulations, and changes in billing practices Qualifications : 1+ years of experience in US healthcare billing and RCM processes Familiarity with EOBs, denials, and insurance payer policies Excellent communication and negotiation skills Proficiency in medical billing software and MS Office Hiring for freshers salary 10.7k to 25k ( Depends on last drawn salary) Location- Mumbai *FOR EXPERIENCE CANDIDATES IN MEDICAL BILLING (Voice Process)* Salary upto 50k open for right candidate/ decent hike on last drawn/ Home Pickup and Home Drop facility provided. If travelling not taken then 4000 allowance provided. Us shift/ 5:30pm-2:30am Monday-Friday working / Saturday & Sunday Fixed Off. Location :- Navi Mumbai, Mumbai, Hyderbad, Banglore, Pune, Andheri, Turbhe Extra Perks: - Incentives - up to 5500 Overtime - per hour 150rs & If working on Saturday - Double Salary Preferred : Certification in Medical Billing and Coding or equivalent Experience with Medicare/Medicaid billing Location: Pune / Navi Mumbai / Bangalore / Andheri / Ghansoli / Airoli /Hyderabad Job Type : Full-time Contact Details. SR.HR Shreya - 9136512502

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : 07-Jun-2025 (Saturday) Walk in Timings :11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Desired Candidate Profile: Candidate must possess good communication skills. Only Immediate Joiners can apply & Candidate must be confortable with Gurgaon Location. Provident Fund (PF) Deduction is mandatory from the organization worked. B.Tech/B.E/LLB/B.SC Biotech aren't eligible for the Interview. Candidates not having Healthcare experience shouldnt have more than 24 Months Exp. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. 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.

The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership. Eligibility: Graduate with Minimum 1- 4 Years experience in Hospital Billing-Denial Management (RCM/AR Domain) & EPIC platform experience is an added advantage! Primary Responsibilities: Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle Ensure all workflow items are completed within the set turn-around-time within quality expectations Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and leading to process improvements Perform other duties as assigned Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Role & responsibilities Must be a Graduate (10+2+3) Minimum 1-4 Years experience in Healthcare accounts receivable with (Denial Management) -Hospital Billing UB04 Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers) In-depth working knowledge of the various applications associated with the workflows Must possess proven experience in Hospital Billing-UB04 If you are passionate about healthcare and meet the required criteria, we encourage you to attend and share this opportunity with your friends or colleagues who might be interested. Knowledge / Skills / Abilities: Solid knowledge and use of the American English language skills with neutral accent Ability to communicate effectively with all internal and external clients Ability to use good judgment and critical thinking skills; ability to identify and resolve problems Proficient in MS Office software; particularly Excel and Outlook Efficient and accurate keyboard/typing skills Solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information Interview Venue: Optum (UnitedHealth Group) aVance; Phoenix Infocity Private Ltd, SEZ 3rd floor, Site-5; Building No. H06A HITEC City 2, Hyderabad-500081 Date: 10-June-2025 Time: 11:00 AM Point Of Contact: Lakshmi Deshapaka Email: deshapaka_vijayalakshmi1@optum.com Things to Carry: Updated resume Government-issued photo ID (e.g., Aadhaar, Passport, or Driver's License) Passport-size photographs (2) Looking forward to seeing you and your referrals at the drive! Please Note: Dress Code: Business Formals Entry will be allowed only after showing the physical copy of this interview invite Kindly Ignore if you have appeared for a walk-in drive with us in the last 30 Days & not open to night shifts If you have no experience in Hospital Billing-UB04

* Minimum of 2 years of experience in inpatient coding Hospital Billing * Knowledge of ICD-10-CM/PCS coding guidelines, medical terminology, anatomy, and physiology. * Specialty: Multispecialty Must be Knowing Denial Management Required Candidate profile * Expertise in Hospital Billing (UB04) * Strong understanding of UB04 claim forms and related processes * Good communication skills * Open for Night Shift or rotational shift

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 10 am to 6 pm ) Everyday contact person VIBHA HR ( 9043585877 ) Interview time (10 am to 6 pm) Bring 2 updated resumes Refer( HR Name VIBHA ) Mail Id : vibha@novigoservices.com Call / Whatsapp (9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- VIBHA HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - Payment - AR Analyst Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

Job Summary We are seeking a Sr. Software Engineer with 12 to 15 years of experience in .NET + Entity Framework + Azure. The ideal candidate will have domain expertise in Medicare & Medicaid Claims Claims and Payer. This hybrid role requires a proactive individual who can contribute to our projects during day shifts. No travel is required. Responsibilities Develop and maintain software applications using .NET + Entity Framework + Azure to ensure high performance and reliability. Collaborate with cross-functional teams to design implement and test software solutions that meet business requirements. Provide technical guidance and mentorship to junior developers to foster a collaborative and productive work environment. Oversee the entire software development lifecycle from requirement analysis to deployment and maintenance. Ensure that all software solutions comply with industry standards and best practices particularly in the domain of Medicare & Medicaid Claims Claims and Payer. Troubleshoot and resolve complex technical issues to minimize downtime and ensure seamless user experience. Conduct code reviews to ensure code quality performance and security standards are met. Implement and maintain CI/CD pipelines to streamline the development and deployment process. Stay updated with the latest industry trends and technologies to continuously improve software solutions. Work closely with product managers and stakeholders to gather and understand requirements and translate them into technical specifications. Develop and execute unit tests to ensure code quality and functionality. Document software designs code and processes to ensure maintainability and knowledge sharing. Participate in agile development processes including sprint planning daily stand-ups and retrospectives. Qualifications Possess strong expertise in Azure and .Net Framework with a proven track record of successful project delivery. Have in-depth knowledge and experience in Medicare & Medicaid Claims Claims and Payer domains. Demonstrate excellent problem-solving skills and the ability to troubleshoot complex technical issues. Exhibit strong communication and collaboration skills to work effectively with cross-functional teams. Show proficiency in implementing and maintaining CI/CD pipelines. Have experience in conducting code reviews and ensuring adherence to coding standards. Display a proactive attitude towards learning and adopting new technologies and industry trends. Hold a Bachelors degree in Computer Science Engineering or a related field. Possess strong analytical skills and attention to detail. Demonstrate the ability to work independently and manage multiple tasks simultaneously. Show a commitment to delivering high-quality software solutions that meet business needs. Have experience in agile development methodologies. Exhibit strong documentation skills to ensure maintainability and knowledge sharing.

Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations Associate Qualifications: Bachelor of Pharmacy Years of Experience: 1 to 3 years 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.In Pharmacy Benefits Management, you will be responsible for 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? Adaptable and flexible Ability to perform under pressure Problem-solving skills Results orientation Prioritization of workload Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualifications Bachelor of Pharmacy