Maharashtra Medical billing Jobs – 189 Open Jobs Today

TL-Claims HC
Cognizant —Pune, Maharashtra
- Full-time
- Hybrid work
- HIPAA
- Analysis skills
- Mentoring
- Health insurance
Billing Assistant - Govt. Scheme
Symbiosis International University —Pune, Maharashtra
- ₹16,000 - ₹25,000 a month
- Full-time
- Bachelor's degree
- Computer skills
- In-person
- Health insurance
- Paid sick time
Quick apply
3d
RCM Medical Billing Coordinator
Veradigm —Pune, Maharashtra
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Billing Executive
Aakaar Medical Technologies Ltd —Andheri, Mumbai, Maharashtra
- ₹30,000 - ₹50,000 a month
- Full-time
- Inventory management
- Accounting
- In-person
Quick apply
Clinical Care Coordinator
Pinky Promise Private Limited —Mumbai, Maharashtra
- ₹35,000 - ₹40,000 a month
- Full-time
- Laboratory experience
- English
- Front desk
- Paid sick time
Quick apply
Executive – Accounts Receivable
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Medicine
- HIPAA
- Microsoft Office
- Health insurance
Client Partner - Medical Coding – Denial | Mumbai
AccessHealthcare —Mumbai, Maharashtra
- Medical terminology
- Communication skills
Front Desk Executive
Clear Skin Private Limited —Pune, Maharashtra
- ₹20,000 - ₹25,000 a month
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- English
- Health insurance
Quick apply
16h
Account Receivable/ US health care/ Ar caller / Medical billing
MDI NetworX —Viman Nagar, Pune, Maharashtra
- Full-time
- Master's degree
- Bachelor's degree
Billing Executive(Hospital)
WMF's Villoo Poonawalla Memorial Hospital —Hadapsar, Pune, Maharashtra
- ₹20,000 - ₹25,000 a month
- Full-time
- Bachelor's degree
- In-person
- Medical terminology
- Health insurance
- Life insurance
Quick apply
Revenue Cycle Management (RCM)
Ibraniac software —Clark Town, Nagpur, Maharashtra
- ₹15,000 - ₹25,000 a month
- Full-time
- English
- Analysis skills
- Data entry
- Work from home
Quick apply
Payment Posting Executive
PineQ Lab Technology —Nashik, Maharashtra
- ₹15,000 - ₹25,000 a month
- Full-time
- Analysis skills
- Typing
- In-person
- Health insurance
Quick apply
2d
CEO - Hostpital
Hospital at Thane —Thane District, Maharashtra
- ₹20,00,000 - ₹24,00,000 a year
- Full-time
- Medicine
- Management
- Master's degree
- Paid sick time
Quick apply
Billing Operations Analyst III
Avalara —Pune, Maharashtra
- Microsoft Excel
- Salesforce
- Finance
- Health insurance
- Paid time off
3d
Centre Head Operations
Dr. Agarwal's Eye Hospital —Thane District, Maharashtra
- ₹50,000 - ₹1,00,000 a month
- Full-time
- Hospitality
- Marketing
- Master's degree
Quick apply
Home Health Medical Coder
AutomationEdge —Pune, Maharashtra
- Full-time
- Analysis skills
- Home health
- Communication skills
Medical Billing Specialist
Abir Solutions, LLC —Fort, Mumbai, Maharashtra
- ₹25,000 - ₹50,000 a month
- Full-time
- Data entry
- Organisational skills
- Computer skills
- Paid time off
Quick apply
BHMS, BAMS, B.Sc Nursing -Non Clinical
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Andheri, Mumbai, Maharashtra
- ₹3,35,000 - ₹4,30,000 a year
- Full-time
- Nursing
- B.Sc
- Bachelor's degree
- Health insurance
- Paid time off
Quick apply
Freight Cost and Data Integrity Analyst
bp —Pune, Maharashtra
- Full-time
- Hybrid work
- English
- Bachelor's degree
- Business Administration
Center Manager -Diagnostic Center
Lifecare Diagnostics —Lower Parel, Mumbai, Maharashtra
- ₹50,000 - ₹75,000 a month
- Full-time
- Microsoft Word
- Microsoft Office
- Bachelor's degree
Quick apply

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TL-Claims HC

Cognizant -
Pune, Maharashtra

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

HIPAA
Information security
Analysis skills
Mentoring

Full job description

Job Summary
This hybrid role focuses on transactional leadership in health care claims operations for both provider and payer functions ensuring precise HIPAA compliant claims adjudication during night shifts. The team lead guides a small claims team resolves complex claim scenarios improves adjudication quality and supports service goals for global health plan clients.

Responsibilities
Guide a team of claims analysts in day to day claims adjudication activities to ensure timely and accurate processing of health care claims during night shifts in a hybrid work environment.
Oversee adjudication of complex provider and payer claims while applying HIPAA regulations and benefit plan rules to minimize financial leakage and processing errors.
Drive continuous improvement in end to end claims workflows by analyzing trends in rework denials and customer escalations and by implementing targeted process refinements.
Monitor individual and team performance metrics such as turnaround time financial accuracy procedural accuracy and inventory aging while taking corrective actions when thresholds are at risk.
Coordinate closely with quality audit and training partners to address recurring defects in claims adjudication and to update job aids based on policy or regulatory changes.
Provide expert guidance on provider contracting reimbursement methodologies coordination of benefits and subrogation scenarios to ensure consistent application of payer business rules.
Escalate systemic issues in claims platforms or upstream enrollment and billing processes and collaborate with technology and operations stakeholders to design sustainable fixes.
Conduct regular night shift huddles to communicate daily priorities policy updates and client expectations fostering transparent communication across the claims team.
Respond to claim inquiries from internal partners and client representatives by performing root cause analysis and presenting clear data backed resolutions that enhance stakeholder trust.
Review claim samples for HIPAA compliance and privacy controls and ensure that all team procedures align with enterprise information security standards.
Prepare concise operational reports and dashboards summarizing work volumes productivity service level adherence and defect trends for supervisor and client review.
Support knowledge management by documenting complex adjudication scenarios exception handling steps and best practices so new team members can reach proficiency faster.
Align daily work priorities with broader organizational objectives such as cost containment regulatory compliance and member and provider satisfaction with a clear focus on social impact of accurate claims outcomes.

Qualifications
Demonstrate proven experience in health care claims adjudication with substantial exposure to both provider and payer environments across a minimum of four years.
Apply deep understanding of HIPAA regulations including privacy and security requirements to all aspects of claims review and documentation activities.
Exhibit advanced knowledge of benefit plan structures coding concepts coordination of benefits and medical policy interpretation in order to adjudicate complex claims scenarios.
Utilize strong analytical and spreadsheet skills to interpret claims data identify anomaly patterns and recommend practical remediation steps that reduce recurrence.
Communicate clearly and professionally in written and spoken form to interact with cross functional stakeholders and to document decisions in an auditable manner.
Adapt effectively to hybrid work settings and night shift schedules while maintaining reliability accountability and consistent productivity standards.
Leverage prior experience in guiding or mentoring small operational teams to coordinate work allocation provide feedback and uphold a culture of accuracy and compliance.

Apply Now

Refine Your Search

medical billing jobs in maharashtra

TL-Claims HC

Billing Assistant - Govt. Scheme

RCM Medical Billing Coordinator

Billing Executive

Clinical Care Coordinator

Executive – Accounts Receivable

Client Partner - Medical Coding – Denial | Mumbai

Front Desk Executive

Account Receivable/ US health care/ Ar caller / Medical billing

Billing Executive(Hospital)

Revenue Cycle Management (RCM)

Payment Posting Executive

CEO - Hostpital

Billing Operations Analyst III

Centre Head Operations

Home Health Medical Coder

Medical Billing Specialist

BHMS, BAMS, B.Sc Nursing -Non Clinical

Freight Cost and Data Integrity Analyst

Center Manager -Diagnostic Center

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