Zelis Hiring IBR Reviewer in Hyderabad | Medical Coding, Medical Billing & Healthcare Claims Career Opportunity
 |
(Zelis Hiring IBR Reviewer in Hyderabad) |
Introduction
Professionals looking for careers in medical coding, healthcare claims review, medical billing, insurance operations, and healthcare reimbursement now have an exciting opportunity with Zelis. The company is currently hiring for the position of IBR Reviewer at its Hyderabad office. This role is ideal for candidates from pharmacy, life sciences, nursing, allied health sciences, and medical coding backgrounds who want to build a career in the rapidly growing healthcare technology sector.
As healthcare organizations increasingly rely on advanced technology, data analytics, and AI-powered solutions to improve payment accuracy and healthcare operations, skilled claims reviewers and coding professionals are becoming highly valuable. The Zelis IBR Reviewer role offers exposure to U.S. healthcare systems, insurance reimbursement processes, and healthcare payment technologies while providing long-term career growth opportunities.
About Zelis
Zelis is a leading healthcare technology company focused on transforming the healthcare financial experience in the United States. The organization provides innovative solutions that help health insurance payers, healthcare providers, and healthcare consumers simplify complex payment processes, improve reimbursement accuracy, and enhance operational efficiency.
Today, Zelis supports more than 750 healthcare payers and numerous provider organizations across the United States. Through advanced technology, automation, artificial intelligence, and payment integrity solutions, the company continues to modernize healthcare financial operations while improving transparency and reducing administrative burden.
Zelis India serves as an important global operations hub, supporting healthcare technology initiatives and providing employees with opportunities to work on international healthcare systems and processes.
Company Details
-
Company Name: Zelis
-
Headquarters: Bedminster, New Jersey, United States
-
Founded: 2016
-
Industry: Healthcare Technology
-
Specialization:
-
Healthcare Payments
-
Payment Integrity
-
Medical Claims Management
-
Healthcare Technology Solutions
-
Revenue Cycle Management
-
Employees: 3,000+ Globally
-
Global Presence: United States, India, and other international locations
Job Overview Summary
Zelis is seeking talented professionals for the position of IBR Reviewer in Hyderabad. The selected candidate will be responsible for reviewing healthcare claims, evaluating reimbursement accuracy, applying coding guidelines, and supporting healthcare payment integrity processes.
This position offers an excellent opportunity for candidates interested in medical coding careers, healthcare claims management, insurance operations, payment integrity, healthcare compliance, and healthcare analytics. Professionals working in this role will gain valuable exposure to U.S. healthcare reimbursement systems and industry-leading healthcare technology platforms.
Vacancy Details
| Particular | Details |
|---|
| Job Title | IBR Reviewer |
| Company | Zelis |
| Location | Hyderabad, India |
| Job Type | Full-Time |
| Work Mode | Hybrid |
| Job ID | JR110810 |
| Application Deadline | 17 August 2026 |
Responsibility Explanation
As an IBR Reviewer, the selected candidate will play a key role in ensuring healthcare payment accuracy and claims review quality.
Healthcare Claims Review
Review insurance claims and verify that submitted healthcare services meet reimbursement requirements.
Medical Coding Evaluation
Apply coding standards and industry guidelines while reviewing healthcare claims and billing information.
Reimbursement Analysis
Assess healthcare reimbursement processes and ensure payment accuracy according to payer policies.
Policy Interpretation
Understand insurance payer guidelines and reimbursement methodologies used within healthcare systems.
NCCI Compliance Review
Apply National Correct Coding Initiative (NCCI) principles during healthcare claim evaluations.
Coding Standards Monitoring
Utilize updates from AHA Coding Clinic and other healthcare coding resources during review activities.
Quality Assurance Activities
Ensure compliance, accuracy, and consistency throughout healthcare claims review processes.
Cross-Functional Collaboration
Work closely with internal healthcare operations teams to resolve claim discrepancies and improve process efficiency.
Healthcare Technology Utilization
Leverage AI-enabled healthcare systems and digital tools to improve productivity and decision-making.
Eligibility Criteria
Candidates possessing any of the following qualifications may apply:
Pharmacy Qualifications
Life Science Qualifications
-
B.Sc Life Sciences
-
M.Sc Life Sciences
Healthcare Qualifications
-
BPT
-
BHMS
-
BAMS
-
MBBS
-
Nursing
Additional Eligible Candidates
-
Medical Coding Certified Professionals
-
Allied Health Science Graduates
-
Healthcare Operations Professionals
Skills Required
Successful candidates should possess a combination of healthcare knowledge, analytical ability, and communication skills.
Technical Skills
-
Medical Insurance Knowledge
-
Healthcare Claims Processing
-
Medical Billing Fundamentals
-
Medical Coding Concepts
-
Reimbursement Methodologies
-
NCCI Coding Guidelines
-
AHA Coding Clinic Awareness
-
Healthcare Compliance Understanding
Analytical Skills
-
Data Review
-
Claims Analysis
-
Problem Solving
-
Critical Thinking
-
Decision Making
Communication Skills
-
Professional Written Communication
-
Verbal Communication
-
Team Collaboration
-
Documentation Skills
Technology Skills
-
Healthcare Software Familiarity
-
AI-Enabled Systems Awareness
-
Digital Workflow Management
-
Computer Proficiency
Preferred Certification
Candidates with the following certification may have an additional advantage:
CPC (Certified Professional Coder)
Although CPC certification is preferred, it is not mandatory for applying to this position.
Salary Estimate
Zelis has not officially disclosed the compensation package for this role. However, based on similar healthcare claims review and medical coding opportunities in Hyderabad, candidates may expect:
Estimated Salary Range
₹4.8 LPA – ₹8.5 LPA
Salary may vary depending on:
-
Educational Qualification
-
Relevant Experience
-
Medical Coding Knowledge
-
Certification Status
-
Interview Performance
-
Internal Compensation Policies
Employee Benefits
Zelis offers several employee-focused benefits and career development opportunities.
Benefits May Include
-
Hybrid Work Environment
-
Competitive Compensation Package
-
Medical Insurance Coverage
-
Financial Wellness Programs
-
Learning & Development Support
-
Career Advancement Opportunities
-
International Healthcare Exposure
-
AI-Powered Work Environment
-
Inclusive Workplace Culture
-
Employee Engagement Programs
Why Join Zelis?
Joining Zelis provides healthcare professionals with an opportunity to build expertise in one of the fastest-growing segments of the healthcare industry. Employees gain exposure to healthcare technology, medical claims analysis, reimbursement systems, and payment integrity operations while contributing to improved healthcare financial outcomes.
Professionals interested in healthcare operations, medical coding, insurance analytics, and healthcare technology can benefit significantly from the learning opportunities and career progression offered by Zelis.
Interview Details
The exact interview process may vary depending on business requirements. However, candidates can typically expect the following stages:
Recruitment Process
-
Application Screening
-
HR Discussion
-
Technical Assessment
-
Medical Coding / Claims Review Evaluation
-
Hiring Manager Interview
-
Final Selection
Interview Focus Areas
-
Medical Billing Concepts
-
Medical Coding Basics
-
Healthcare Claims Processing
-
Insurance Reimbursement
-
NCCI Guidelines
-
Communication Skills
-
Analytical Thinking
Required Documents
Candidates should keep the following documents ready before applying:
-
Updated Resume/CV
-
Educational Certificates
-
Mark Sheets
-
Government Photo ID
-
Passport-size Photograph
-
Medical Coding Certification (if available)
-
Experience Certificates (if applicable)
-
Latest Salary Documents (Experienced Candidates)
-
Address Proof
-
Professional Certifications
How to Apply
Interested and eligible candidates can apply online through the official Zelis Careers portal.
Application Deadline
17 August 2026
Candidates are advised to apply as early as possible before the application deadline.
Frequently Asked Questions (FAQs)
Q1. What is the job role offered by Zelis?
Zelis is hiring for the position of IBR Reviewer.
Q2. Where is the job located?
The position is based in Hyderabad, India.
Q3. Is this a work-from-home job?
The role follows a hybrid work model.
Q4. Are pharmacy graduates eligible?
Yes. B. Pharm, M.Pharm, and Pharm.D graduates are eligible.
Q5. Is CPC certification mandatory?
No. CPC certification is preferred but not mandatory.
Q6. What is the estimated salary for this position?
The estimated salary range is approximately ₹4.8 LPA to ₹8.5 LPA depending on experience and qualifications.
Q7. Can life science graduates apply?
Yes. B.Sc and M.Sc Life Science candidates are eligible.
Q8. What skills are important for this role?
Medical coding, healthcare claims processing, reimbursement analysis, communication skills, and analytical thinking are highly valuable.
Final Conclusion
The Zelis IBR Reviewer opportunity offers a strong career pathway for pharmacy, life science, nursing, medical coding, and healthcare professionals seeking to enter the healthcare technology and insurance operations sector. With exposure to U.S. healthcare systems, medical claims management, reimbursement analysis, and AI-driven healthcare solutions, this role provides excellent professional growth potential. Candidates interested in healthcare operations, medical billing, medical coding, and payment integrity should consider applying before the application deadline.
Disclaimer
Note: Pharma Duniya does not charge any money for job information. Candidates are advised to verify details from the official company website.
Need Help with Your Pharma Career?
Not getting enough interview calls despite applying regularly?
Pharma Duniya provides career support for pharma students and professionals, including:
✅ ATS-Friendly Resume Support
✅ Career Guidance & Domain Selection
✅ Job Application Strategy
✅ Interview Preparation Support
🔗 Pharma Career Support & Resume Service
📲 WhatsApp support is available after form submission.
Recommended Pharma Career Guides
📌 Skycraper CRS Clinical Research Internship 2026 | 6-Month Internship for Pharmacy & Life Sciences Freshers
📌 Sanolet Lifecare Recruitment 2026 | QA, QC & Production Jobs in Ahmedabad for Pharma Professionals
📌 CLINEXEL Hiring Medical Writer – Publications in Navi Mumbai | Pharma & Life Sciences Jobs 2026
📌 Jubilant Biosys Hiring Research Associate & Senior Research Associate in Greater Noida | Pharma Research Jobs 2026
📌 EVERSANA Hiring Medical Affairs Operations Coordinator in Pune | Pharma Operations Jobs 2026
If you want daily verified updates on QA, QC, Pharmacovigilance, Clinical Research, and Pharma Walk-In Interviews:
✅ Join our WhatsApp Group
✅ Join our Telegram Channel
📌 Get verified pharma job alerts, interview tips, resume guidance, and career support directly on your phone.
🌐 Visit daily: www.pharmaduniya.com
Share on WhatsApp
