US Medical Billing Process jobs in Mumbai, Maharashtra
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- Allied HANRSakinaka, Mumbai, Maharashtra
- Strong understanding of payer processes and medical necessity.
- Clinical Review: Examine medical records, physician notes, and treatment plans to validate…
- View all Allied HANR jobs - Sakinaka, Mumbai, Maharashtra jobs
- Salary Search: US Healthcare billing RCM Auth L1 Appeals! salaries
- K.J. Somaiya Hospital and Research CentreSion, Mumbai, Maharashtra
- Understanding of medical terminology, hospital billing and MOU terms.
- Strong knowledge of TPA, MJPJAY, corporate billing and cashless / reimbursement processes.
- View all K.J. Somaiya Hospital and Research Centre jobs - Sion, Mumbai, Maharashtra jobs
- Salary Search: Incharge – TPA salaries
- AccusolutionByculla, Mumbai, Maharashtra
- Training and Development: Participate in ongoing training to learn medical billing codes, industry standards, and software tools used in the billing process.
- Aarti NSakinaka, Mumbai, Maharashtra
- Terminology: Robust understanding of medical billing terminology, including CPT codes, ICD-10 diagnostic codes, and HCFA regulations..
- K.J. Somaiya Hospital and Research CentreSion, Mumbai, Maharashtra
- Maintain daily collection and billing reports.
- Knowledge of TPA, insurance and cashless billing.
- Good command of MS Excel and hospital billing software.
- Allied HANRSakinaka, Mumbai, Maharashtra
- Insurance Verification: Check patient coverage using payer websites, automated phone menus (IVR), or direct phone calls to insurance providers.
- T3Cogno Private LimitedSeepz, Mumbai, Maharashtra
- Shift: 6:32 PM to 3:30 AM (Night Shift).
- Cab: Two-way cab facility.
- View all T3Cogno Private Limited jobs - Seepz, Mumbai, Maharashtra jobs
- Salary Search: US Healthcare - Pharmacy Billing salaries
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- Allied HANRSakinaka, Mumbai, Maharashtra
- Experience: Minimum of 3–5 years of dedicated experience in healthcare revenue cycle operations, medical billing, or insurance denial management.
- AccessHealthcareMumbai, Maharashtra
- Good knowledge of medical coding and billing systems, regulatory requirements, auditing concepts, and principles.
- 1 to 8 years of experience in Medical Coding.
- Flamingo InfiniteAndheri H.O, Mumbai, Maharashtra
- Should have hands-on experience in building, transitioning and managing RCM processes.
- Startup mindset: willing to roll up sleeves, build processes and teams,…
- Ajmera GroupMumbai District, Maharashtra
- Monitor vendor performance, billing, compliance, and service quality..
- *Handle emergency situations including fire, theft, accidents, medical emergencies, and…
- Aarti NMumbai District, Maharashtra
- Determine if upcoming medical procedures, surgeries, or therapies require prior authorization.
- Knowledge Base: Strong understanding of medical billing…
- Aarti NMumbai District, Maharashtra
- Determine if upcoming medical procedures, surgeries, or therapies require prior authorization.
- Knowledge Base: Strong understanding of medical billing…
- Navkar Business ServicesLower Parel, Mumbai, Maharashtra
- Follow up skills to avoid delay in process.
- Utility Billings and follow ups.
- Perform day to day Invoices/Payable transactions, including verifying & recording…
- View all Navkar Business Services jobs - Lower Parel, Mumbai, Maharashtra jobs - Accounts Payable Clerk jobs in Lower Parel, Mumbai, Maharashtra
- Salary Search: Account Payable ( Night Shift) at Lower Parel salaries in Lower Parel, Mumbai, Maharashtra
- See popular questions & answers about Navkar Business Services
- Surana Hospital & Research CentreSanpada, Navi Mumbai, Maharashtra
- Financial Management: Monitor budgets, handle billing processes, and track operational expenses.
- Resource & Stock Management: Monitor inventory levels and…
- Eclat Health SolutionsMumbai, Maharashtra
- Handle end-to-end Prior Authorization processes for medical services.
- The candidate will be responsible for obtaining prior authorizations from insurance…
US Healthcare billing RCM Auth L1 Appeals!
Allied HANR
Sakinaka, Mumbai, Maharashtra
₹25,000 - ₹32,000 an hour
-
Full-time
US Healthcare billing RCM Auth L1 Appeals!
Allied HANR
•
Sakinaka, Mumbai, Maharashtra
•
₹25,000 - ₹32,000 an hour
Job details
Pay
₹25,000 - ₹32,000 an hour
Job type
Full-time
Benefits
Pulled from the full job description
Provident Fund
Flexible schedule
Full job description
We’re looking for talented professionals to join our team in an Authorization (Auth) L1 Appeals role.
Role: Auth L1 Appeals
Experience: [1-2 years]
Location: Sakinaka, Mumbai
Employment: [Full-time / Contract]
What we’re looking for:
- Experience in healthcare authorization and appeals
- Strong understanding of payer processes and medical necessity
- Ability to review, analyze, and resolve authorization/appeal cases
- Strong attention to detail and documentation skills
- Excellent communication and problem-solving abilities
Key Responsibilities
- Clinical Review: Examine medical records, physician notes, and treatment plans to validate medical necessity.
- Criteria Application: Use standard medical guidelines like InterQual, MCG, or CMS regulations (NCD/LCD) to assess level-of-care and authorization denials.
- Appeal Submission: Draft and submit structured, evidence-based appeal arguments to overturn prior authorization and claims denials.
- Peer-to-Peer Coordination: Coordinate and schedule peer-to-peer reviews between attending physicians and payer medical directors.
- Regulatory Compliance
Pay: ₹25,000.00 - ₹32,000.00 per hour
Benefits:
- Flexible schedule
- Provident Fund
Work Location: In person
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