4 Appeals Process Jobs

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1.0 - 3.0 years

0 Lacs

gurugram, haryana, india

On-site

Position: Quality Analyst AR (US Healthcare RCM) Location: Onsite Sector 18, Gurugram Shift: Night Shift (US Hours) Company: Neolytix About Neolytix Neolytix is a trusted provider of business solutions for healthcare organizations across the United States. We specialize in revenue cycle management (RCM), compliance, and business support, helping our clients drive growth, operational efficiency, and financial health. With a 4.7? rating on Google and 4.2? on Glassdoor, we take pride in fostering a workplace that values transparency, learning, and results. Position Overview We are looking for a detail-oriented Quality Analyst AR (Accounts Receivable) to join our RCM team. This role focuses on a...

Posted 1 month ago

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1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

As an AR caller or Senior AR caller at Shiash Info Solutions, you will be responsible for managing accounts receivable in the US healthcare domain. Your role will involve handling billing for physicians and hospitals in the Chennai office (Work From Office). We are looking for candidates with 1 to 3.5 years of experience in this field, and immediate joiners are preferred. To excel in this role, you must have a minimum of 1 year of experience as an AR caller. Your responsibilities will include understanding medical billing processes, communicating effectively, and negotiating with clients. Attention to detail is crucial, especially in handling denials, revenue cycle management, and the end-to...

Posted 1 month ago

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2.0 - 3.0 years

4 - 5 Lacs

Kochi, Ernakulam, Thrissur

Work from Office

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...

Posted 3 months ago

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2.0 - 6.0 years

0 Lacs

karnataka

On-site

As an AR Caller at our office in Bangalore, you will have the exciting opportunity to utilize your expertise in eClinicalWorks (ECW) software and contribute to the growth of your career in medical billing and revenue cycle management. Your primary responsibility will be to make outbound calls to insurance companies, verify claims, and effectively resolve outstanding balances. Additionally, you will handle denials and rejections, ensuring timely corrections and resubmissions through the use of eClinicalWorks (ECW) software. It will be crucial for you to follow up on unpaid claims, escalate issues when necessary, and ensure prompt collections while maintaining accurate records of claim status,...

Posted 3 months ago

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