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Location - Bangalore, India — Hybrid
Shift - Flexible Hours | Overlap with Late Evening IST Preferred
Experience - Minimum 4 years
Employment Type - Full-time
ABOUT COMBINEHEALTH
CombineHealth builds AI employees for healthcare revenue cycle management — automating coding, billing, claims, and denial management for U.S. healthcare providers. Our platform combines agentic AI with deep RCM expertise to help clients cut denials, speed up reimbursement, and reduce manual effort. We work with hospitals, physician groups, and health systems across the U.S., integrated with major EHRs like Epic, Cerner, and Athenahealth.
ABOUT THE ROLE
We're hiring a Medical Biller to work alongside our AI billing systems (including Mark, our AI Medical Biller) on U.S. healthcare claims. You'll be validating AI-generated claims, catching edge cases the model misses, handling exceptions that require human judgment, and feeding corrections back into the system to improve accuracy. This role requires flexibility to work U.S. shift hours to stay in sync with client operations and payer response windows.
WHAT YOU'LL DO
- Review and validate claims processed by our AI billing platform before submission
- Perform eligibility verification, charge entry, and claims submission for U.S. payers (Medicare, Medicaid, commercial insurance)
- Identify and correct billing errors, coding mismatches, and claim discrepancies flagged by the AI or found through manual audit
- Work claim denials and rejections, determine root cause, and route to the right resolution path
- Document exception patterns and edge cases to help improve the AI model's accuracy over time
- Ensure compliance with HIPAA and U.S. payer billing regulations
- Collaborate with coding, A/R, and appeals teams (human and AI) to keep the revenue cycle moving
- Work within EHR/PM systems such as Epic, Athenahealth, NextGen, and others depending on client
WHAT YOU NEED
- Minimum 4 years of hands-on U.S. medical billing experience, ideally across multiple specialties or payer types
- CPB (Certified Professional Biller) or equivalent certification
- Working knowledge of CPT, ICD-10, HCPCS, and modifier usage as it applies to billing
- Experience with claims submission software / clearinghouses and at least one major EHR or PM system
- Strong grasp of denial codes, appeals process, and payer-specific billing rules
- Comfort working with or alongside AI-driven tools — you'll be reviewing machine output daily, not just doing manual entry
- Sharp attention to detail; you're the last line of defense before a claim goes out wrong
- Willingness and ability to consistently work U.S. shift hours, including night shifts as applicable
NICE TO HAVE
- Experience in an RCM outsourcing or healthcare AI company
- Exposure to emergency department, anesthesia, or specialty billing
WHY THIS ROLE IS DIFFERENT
You won't be doing volume billing. You'll be working at the point where AI output meets real payer rules, which means the job rewards judgment and pattern-recognition more than speed of entry.
To Apply
Send your details by submitting in the below link :
https://forms.gle/MfwmV9zYn5iZfpsp8
- Supervising day-to-day operations in the Supply Chain Department.
- Scaling-up and managing procurement, virtual warehouse and distribution processes
- Following procurement and supply chain processes as per guidelines
- Strategizing and implementing efficient processes to ensure 100% order fulfilment on time.
- Ensuring promptness, accuracy in procurements and maintaining records of goods ordered, received and returned.
- Evaluating potential vendors, negotiating and getting them registered as per set process. Maintaining good relationships with vendors / suppliers
- Regularly doing market research ensuring generic medicines range is enhanced from time to time. Maintaining accurate medicine master data base.
- Maintaining updated records of purchased products, delivery information and invoices.
- Liaising with new vendors and negotiate for the best deals whenever required
- Ensuring that the products and supplies are of high quality and as per set standards.
- Monitoring stock levels and place orders as needed
- Working with internal team members ensuring speed and accuracy and performing other duties.
- Staying informed on the latest industry techniques and methods.
- Preparing training material and conducting regular training to all team members of Supply Chain Management.
- Preparing regular reporting and ensuring timely update to management
What you need to have:
- Pharmacy Knowledge – Ethical, Generic and FMCG items
- Customer Service Obsession
- Excellent leadership and interpersonal skills. Good understanding of management practices and techniques.
- Process orientation / Accurate and precise attention to detail
- Market Orientation / Vendor Knowledge
- Ability to negotiate
- Ability to prioritize and manage time efficiently
- Ability to work well with staff / other teams and manage stressful situation
- Compute Knowledge
- Working discipline
1. Read and understand prescriptions provided by Doctors to Patients.
2. Understanding the varied range of medicines.
3. Completes pharmacy operational requirements by organizing and directing technicians workflow; verifying their preparation and labeling.
4. Cross-check the issuing medicines with the bill with regard to patient name, item name, quantity, expiry and acknowledge the bill Customer Service.
5. Handle cash in billing counter as and when required.
6.To prepare bills in computer and collect the cash Cold Chain Management
7. It should be flexible and multi-tasking.
Note:
Only female candidates required.
Qualification:
Bpharma and Mpharma
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