620 Appeals Jobs - Page 2

Responsibilities: * Manage the end-to-end RCM process for podiatry clients * Oversee AR follow-ups to reduce outstanding claims and improve collections * Ensure proper coding compliance (CPT, ICD-10) * Handle claim denials identify root causes

Job Title: Senior AR Caller / AR Caller Report To: Team Leader Experience: 1 - 5 Years Qualification: PUC / 12th Location: Bangalore / Coimbatore Shift Time: 6:30PM - 3:30 AM - Night shift Mode: Work from office Terms-Fulltime/Part time/Contractual: Full-time Job Summary As an AR caller/Senior AR Caller, you will be responsible for tasks related to medical billing. These include contacting insurance companies, patients, or responsible parties to resolve unpaid or denied medical claims. This role aims to ensure timely payment, maximize revenue, and minimize financial losses for healthcare providers. Key Responsibilities Meet Quality and productivity standards. Contact insurance companies for ...

Nurse Level 1/2A Job Group Healthcare Family Name Complaints, Grievance and Appeals Job Title Nurse Level 1/2A Functional Title Coding Reconsideration Nurse Consultant Exemption Status Non-Exempt Family Summary/Mission Provide comprehensive clinical review of complaints and appeals filed by providers with the use of appropriate resources and guidelines to ensure cost effective delivery of health service Position Summary/Mission Supports identification and review of appropriate case types in compliance with the clinical guidelines Promotes/supports quality effectiveness of Healthcare Services Fundamental Components & Physical Requirements (include but are not limited to) Reviews documentation...

Oversee and manage day-to-day operations to ensure all SLA metrics are metImplement company policies in all areas of the operations establish goals for each team and monitor each team s performance and compared against Key Performance Indicators Recommend measures that will improve team performance and communicate clearly with Associates / Sr Associates client expectations and accountability Coordinate and participate in the completion of all production standards and/or makes recommendations for improvements in overall production, including policies and procedures Recognize performers and recommend development plan for qualified performers Ability to manage a US client independentlyEvolve jo...

Greetings from Bristol Healthcare Services @ Chennai !!! Job description Greetings from Bristol Healthcare Services Pvt Ltd CHENNAI We are hiring multiple positions in our US Medical billing team in Chennai,Tamilnadu Positions: Manager / Asst. Manager Team Leader / Supervisor AR Caller & Patient Caller AR Analyst & Quality Analyst Charge Entry & Payment Poster Credentialing Shifts: Data Day shift AR Night shift AR Analysis Day/Night Shift Important Note: Immediate joiners preferred Applicants, please mention the job title in the email body, e.g., 'Job Title 1 Applying for Manager Please do not apply fresher or other experienced Job Title 1: Manager / Assistant Manager (End to End Data & AR P...

Responsible to reprice the non-par claims as per the Fee schedule and payment methodology. Conduct primary and secondary reviews of medical claims to verify correct reimbursement calculations based on costs, Medicare, or a usual and customary methodology in accordance with self-funded benefit plan language. Use Microsoft Office products to generate letters, explanations, and reports to explain medical reimbursement approaches and communicate this information. Provide input for new process development and continuous improvement. Supplier will share daily production report with stateside manager for review and feedback. Maestro Health will provide all applications and accesses required for cla...

Responsibilities: * Manage AR through calling, denial management & appeals * Post payments & cash credits accurately * Handle denials with RCM expertise * Ensure timely revenue cycle management Night Shift : 7:00 PM to 4:00 AM Food allowance Over time allowance Performance bonus Gratuity Maternity leaves

Work from Office - US Healthcare RCM | AR Executive/ Payment Posting/ Billing/Authorization/Registration/QA Ops - Bangalore & Trichy (RCM) Experienced Healthcare RCM professional with hands-on expertise across multiple functions of the Revenue Cycle process, including Authorization, Payment Posting, Accounts Receivable (AR), Registration, and Quality Analysis . Skilled in managing end-to-end RCM operations for US healthcare clients, ensuring accuracy, compliance, and timely reimbursements. Role & Responsibilities: Billing: Review and process medical claims accurately as per payer requirements; ensure timely submission and reduce claim rejections. Authorization: Verify insurance eligibility, ...

We Are Hiring -AR Calling || US Healthcare || RCM || Physician Billing || Hospital Billing || Eligibility :- Min 1+ years of experience into AR Calling Package :- 42 K + Incentives + 2 way Cab Location :- Navi Mumbai, Hyderabad , Bangalore, Chennai, Coimbattore Immediate Joiners Preferred Relieving letter is not Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 1. AR Callers Denial Management (Physician Billing) Locations: Hyderabad | Mumbai | Chennai | Coimbattore Experience: Minimum 1+ Year in AR Calling (Denial Management) Qualification: Intermediate &...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) - Payment - Charge Candidates can share resume to WhatsApp Also ( 9043004654) Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday contact person Rekha HR ( 9043004654 ) Interview time (11 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Rekha) Call / Whatsapp (9043004654) Mention HR Rekha On the top of Resume Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Rekha Novigo Integrated Se...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

ClinicMind s core values Excellence Learning Teamwork guide everything we build. With 150 in house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best in class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. Position Summary: The PIP Insurance Billing Manager oversees and manages all aspects of the Personal Injury Protection (PIP) billing process. This position is responsible for ensuring timely and accurate submission of PIP claims, managing a team of PIP billers and follow-up specialists, and ensuring compliance with all state-specific insurance laws, payer requiremen...

Mega Walk-In Drive for Experienced AR Callers on 25 Oct'2025 @EqualizeRCM ,Coimbatore Preferred candidate profile Exp : 1-4 Years in AR Calling Must have Good Communication Skills Strong Knowledge in Denial Management Professional Billing or Physician Billing experience is preferred Roles and Responsibilities Manage A/R, Denials and Rejections accounts by ensuring effective and timely follow-up. Understand the client SOP/requirements and specifications of the project. Perform pre-call analysis and check status of the insurance claim by calling the payer or utilizing insurance web portal services for the outstanding balances on patient accounts and take appropriate actions towards claim resol...

Preferred candidate profile Exp : 1-4 Years in AR Calling Must have Good Communication Skills Strong Knowledge in US Healthcare Professional Billing or Physician Billing experience is preferred Roles and Responsibilities Manage A/R, Denials and Rejections accounts by ensuring effective and timely follow-up. Understand the client SOP/requirements and specifications of the project. Perform pre-call analysis and check status of the insurance claim by calling the payer or utilizing insurance web portal services for the outstanding balances on patient accounts and take appropriate actions towards claim resolution. Post adequate documentation on the client software. Assess and resolve enquiries, r...

You will be joining Chambers of Advocate Mithilesh Kumar Pandey as a Counsel / Associate for their Noida office. The office is seeking individuals with 3-5 years of PQE who are dedicated and driven advocates, preferably with prior experience in areas such as Commercial and Civil litigation, banking laws including Insolvency and Bankruptcy Code, 2016, SARFAESI Act, Arbitration and Conciliation Act, 1996, Criminal matters, etc. **Key Responsibilities:** - Handling drafting work such as SLPs, Appeals, Petitions, applications, replies, rejoinders, etc. - Representing clients before various courts and tribunals including Supreme Court, Delhi High Court, District Courts, NCLAT, NCLT, NCDRC, and ar...

Role Overview: As a Senior QA Engineer with 6 to 10 years of experience in manual and automation testing within the Healthcare domain, you will be responsible for ensuring the quality, reliability, and compliance of healthcare applications. Your expertise in Appeals and Grievance Management and knowledge of healthcare compliance standards like HIPAA and CMS regulations will be essential in executing robust testing strategies. Key Responsibilities: - Lead and execute manual and automated testing efforts across healthcare applications. - Design and maintain automation frameworks using tools such as Selenium, Cypress, or Playwright. - Validate business workflows related to Appeals and Grievance...

Firm Description M K TYAGI & CO., Chartered Accountants Malleshwaram, Bangalore , Chartered Accountants Firm offering a comprehensive suite of services in Auditing, Direct & Indirect Taxation, Tax Audits, Assessments, Appeals, Transfer Pricing, International Taxation, RBI/FEMA compliance, and advisory for foreign subsidiaries in India . In addition, the firm extends expertise in Company Law Consulting, Business Advisory, Management Consulting, and specialized support for STPI/SEZ operations, business transformations, and corporate setups in India . The firm also assists clients with Mergers & Acquisitions, Due Diligence Reviews, and Outsourced CFO Services , addressing the diverse and evolvi...