Medical Coder

3 weeks ago

Hyderabad, India PractoPulse Healthcare Services Private Limited Full time

MEDICAL CODER / MEDICAL BILLER

Job Description

We are looking for a detail-oriented and proactive Eligibility Executive to manage insurance verification and benefits validation for patients in the revenue cycle process. The ideal candidate will have experience working with U.S. healthcare insurance systems, payer portals, and EHR platforms to ensure accurate eligibility checks and timely updates for claims processing.

Key Responsibilities

  1. Verify patient insurance coverage and benefits through payer portals, IVR, or direct calls to insurance companies.
  2. Update and confirm insurance details in the practice management system or EHR platforms accurately and in a timely manner.
  3. Identify policy limitations, deductibles, co-pays, and co-insurance information and document clearly for billing teams.
  4. Coordinate with patients and internal teams (billing, front desk, scheduling) to clarify eligibility-related concerns.
  5. Perform eligibility checks for scheduled appointments, procedures, and recurring services.
  6. Handle real-time and batch eligibility verifications for various insurance types including commercial, Medicaid, Medicare, and TPA.
  7. Escalate discrepancies or inactive coverage to the concerned team and assist in resolving issues before claim submission.
  8. Maintain up-to-date knowledge of payer guidelines and insurance plan policies.
  9. Ensure strict adherence to HIPAA guidelines and maintain confidentiality of patient data.
  10. Meet assigned productivity and accuracy targets while following internal SOPs and compliance standards.

1Preferred Skills & Tools

  • Experience with EHR/PM systems like eCW, NextGen, Athena, CMD
  • Familiarity with major U.S. insurance carriers and payer portals
  • Strong verbal and written communication skills
  • Basic knowledge of medical billing and coding is a plus
  • Ability to work in a fast-paced, detail-focused environment

Qualifications

ANY LIFE SCIENCE DEGREE

BSc, MSc, B.Pharm, M.Pharm, BPT

NOTE

CPC certification preferable

Shift & Work Details:

  • Shift Timing: Night Shift 9:00 PM to 7:00 AM
  • Work Days: (Monday to Friday)
  • Gender: Male candidates only (due to night shift operational requirements)

  • Medical Coder

    2 weeks ago

    Hyderabad, Telangana, India SVS Medical Coding Academy Full time

    Position:Medical Coder We are hiring Medical coder Immediate joiner NOTE : For fresher 2-3 Months training will be available* CPC Training for Non certified Experienced / Working Coders. Basic computer skills Salary Based On The Performance. Eligibility: Any Life Science, Paramedical, Medical Graduates and Post Graduates (Pharmacy, Physiotherapy,...

  • Medical Coder

    2 weeks ago

    Hyderabad, India IDEAL MEDICAL CODING ACADEMY Full time

    **We are hiring Medical coder** Immediate joiner *For fresher 45 days training will be available CPC Training for Non certified Experienced / Working Coders. **Salary**: 12000to15000 Contact No: +91-XXXXXXXXXX **Salary**: ₹12,000.00 - ₹15,000.00 per month Schedule: - Flexible shift Ability to commute/relocate: - Hyderabad, Telangana: Reliably...

  • Medical Coder

    3 weeks ago

    Hyderabad, India Credense Medical Billing Full time

    We are seeking an experienced Medical Coder with a strong background in Cardiology coding to join our growing team. The ideal candidate will possess deep knowledge of cardiovascular procedures and diagnostic codes, ensuring accurate and compliant coding to optimize reimbursement and maintain regulatory standards.Key Responsibilities: Accurately assign...

  • Medical Coder

    2 weeks ago

    Hyderabad, Telangana, India Credense Medical Billing Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    We are seeking an experienced Medical Coder with a strong background in Cardiology coding to join our growing team. The ideal candidate will possess deep knowledge of cardiovascular procedures and diagnostic codes, ensuring accurate and compliant coding to optimize reimbursement and maintain regulatory standards.Key Responsibilities:Accurately assign...

  • Medical Coder

    1 week ago

    Bengaluru, Chennai, Hyderabad, India Bizopp Management Consultants Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Looking for any Certified/Non-Certified Medical coderHHC Coder/QARadiology Coder/QA/SMEIPDRG Coder/QA/SMEHCC Coder/QA/SMEBoth Work From Home and Work From Office is available.Preferably Immediate Joinees or 30 days Required Candidate profileLooking for any Certified/Non-Certified Medical coderHHC Coder/QARadiology Coder/QA/SMEIPDRG Coder/QA/SMEHCC...

  • Medical Coder

    4 days ago

    Bengaluru, Chennai, Hyderabad, India Bizopp Management Consultants Full time ₹ 3,20,000 - ₹ 5,50,000 per year

    Looking for any Certified/Non-Certified Medical coderIPDRG Coder/QAEM Coder/QASurgery Coder/QA/SMEBoth Work From Home and Work From Office is available.Preferably Immediate Joinees or 30 days Required Candidate profileLooking for Certified/Non Certified Medical coder with any specialty like IPDRG Coder/QAEM Coder/QA/SMESurgery Coder/QA/SME

  • Medical Coder

    2 weeks ago

    Bengaluru, Chennai, Hyderabad, India Bizopp Management Consultants Full time ₹ 5,00,000 - ₹ 8,00,000 per year

    Looking for any Certified/Non-Certified Medical coderAnesthesia/HHC Coder/QARadiology Coder/QA/SMEEM Coder/QA/SMEED Coder/QA/SMEBoth Work From Home and Work From Office is available.Preferably Immediate Joinees or 30 days Required Candidate profileLooking for Certified/Non Certified Medical coder with any specialty like Anesthesia/HHC Coder/QARadiology...

  • Medical Coder

    2 weeks ago

    Bengaluru, Chennai, Hyderabad, India Bizopp Management Consultants Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    Looking for any Certified/Non-Certified Medical coderRadiology/HHC Coder/QASurgery Coder/QA/SMEEM Coder/QA/SMEED Coder/QA/SMEBoth Work From Home and Work From Office is available.Preferably Immediate Joinees or 30 days Required Candidate profileLooking for Certified/Non Certified Medical coder with any specialty like Radiology/HHC Coder/QASurgery...

  • Medical Coder

    2 weeks ago

    Bengaluru, Chennai, Hyderabad, India Bizopp Management Consultants Full time ₹ 3,20,000 - ₹ 5,50,000 per year

    Looking for any Certified/Non-Certified Medical coderAnesthesia/HHC Coder/QAIVR Coder/QA/SMEIPDRG Coder/QA/SMEHCC Coder/QA/SMEBoth Work From Home and Work From Office is available.Preferably Immediate Joinees or 30 days Required Candidate profileLooking for Certified/Non Certified Medical coder with any specialty like Surgery CODER/SR.CODER/QAIVR...

  • Medical Coder

    2 weeks ago

    Bengaluru, Chennai, Hyderabad, India Bizopp Management Consultants Full time ₹ 4,00,000 - ₹ 8,00,000 per year

    Looking for any Certified/Non-Certified Medical coderRadiology/HHC Coder/QASurgery Coder/QA/SMEEM Coder/QA/SMEED Coder/QA/SMEBoth Work From Home and Work From Office is available.Preferably Immediate Joinees or 30 days Required Candidate profileLooking for Certified/Non Certified Medical coder with any specialty like Radiology Coder/QASurgery Coder/QA/SMEEM...