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3.0 - 5.0 years
3 - 6 Lacs
Chennai
Work from Office
Job Title: AR Caller Location: Chennai Shift: Night Shift Experience Required: 3-5 Years Responsibilities:- Claim Follow-Up: Review and follow up on unpaid or denied claims with insurance companies, providers, and patients to secure timely payments. Customer Communication: Conduct professional follow-up calls and emails to resolve outstanding balances, answer inquiries, and clarify billing issues. Documentation: Maintain accurate and up-to-date records of all communications, payment arrangements, and claim statuses in the billing system. Dispute Resolution: Investigate and resolve discrepancies related to payments, denials, and adjustments, collaborating with relevant departments as necessary. Reporting: Generate and review reports on accounts receivable aging, collections progress, and trends to provide insights for management. Compliance: Ensure adherence to healthcare regulations, billing guidelines, and company policies related to accounts receivable. Collaboration: Work closely with the billing and coding teams to ensure accurate processing of claims and timely resolution of issues. Please note that Provana is operational 5 days a week and works from the office.
Posted 1 month ago
1.0 - 5.0 years
3 - 5 Lacs
Chennai
Work from Office
AR Caller / Senior AR Caller (US Healthcare Voice Process) Job Role: AR/Senior AR Caller Experience: 1 to 5 years Salary: Up to 40K per month Location:CHENNAI Work Mode: Work From Office Interview Mode: Online Joiners Required: Immediate joiners
Posted 1 month ago
1.0 - 5.0 years
3 - 5 Lacs
Chennai
Work from Office
AR Caller/Senior AR Caller (US Healthcare Voice Process) Job Role: AR / Senior AR Caller Experience: 1 to 5 years Salary: Up to 40K per month Location: CHENNAI Work Mode: Work From Office Interview Mode: Online Joiners Required: Immediate joiners Required Candidate profile Required Skills: Minimum 1 year of experience in AR calling (voice process). Experience in handling at least 10 types of denials. Prior experience in Any billing is a must. Good communication skills
Posted 1 month ago
1.0 - 4.0 years
2 - 4 Lacs
Bengaluru
Work from Office
WE ARE HIRING!!!! AR CALLERS (Hospital Billing) Experience: 1- 4 yrs Location: Bengaluru salary: Max upto 40k Shift: Night shift Interview mode: Virtual TOW WAY CAB Required Candidate profile VOICE PROCESS AND END TO END DENIALS EXPERIENCE IS MANDATORY Contact: SUBHIKSHA, HR - 9626256724
Posted 1 month ago
1.0 - 5.0 years
2 - 5 Lacs
Bengaluru
Work from Office
Exp: Freshers Job Title: Client Services Support Specialist - Trainee Excellent verbal and written communication skills Strong comprehension and understanding skills Capable of multitasking while demonstrating empathy and a solution-oriented approach Required Candidate profile Proficient in typing and comfortable with keyboard navigationEducation Criteria: PUC / 10+3 Diploma / Any Graduate Shift Timings: (Night Shift) Email: manijob7@gmail.com Call or Whatsapp 9989051577
Posted 1 month ago
1.0 - 5.0 years
2 - 5 Lacs
Bengaluru
Work from Office
Experience: 1-4 years in AR calling (US healthcare) Exp in denial management and handling AR calls Exp with healthcare billing software Ensure accurate & timely follow up where required. Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Noida & Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577
Posted 1 month ago
1.0 - 5.0 years
2 - 5 Lacs
Bengaluru
Work from Office
Job Description - AR caller Minimum 1 year of experience Must worked in physician billing -CMC1500 Should have knowledge in Denials Immediate - 15 days preferable US Shift Transportation available (Within 20 km) Required Candidate profile Face to Face rounds at Bangalore @ Chennai Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Bangalore Email: manijob7@gmail.com Call / Whatsapp 9989051577
Posted 1 month ago
1.0 - 5.0 years
1 - 4 Lacs
Chennai
Work from Office
Greetings from Global Healthcare Billing Partners !! Hiring AR Analyst-Experienced (US healthcare) @ Global Health care billing partners!!! Exp Required: 6Months - 5Years of exp in AR Analyst JOB LOCATION: Velachery-Chennai. Shift- Night shift Job description: 1. Should have 6 months-5 years Experience in AR Analyst. 2.Good Knowledge of RCM and Denial management. 3. Follow up on the claims for collection of payments. 4. Analyze medical claims and resolve issues. 5.Willingness to work in Any Shift. (Day / Night) In these roles you will be responsible for: -Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. - Analyzing medical insurance claims for quality assurance - Resolving moderately routine questions following pre-established guidelines ACADEMIC AND PROFESSIONAL BACKGROUND Any graduate with good domain knowledge(Graduation must) Minimum 6months experience in AR Analyst Interested candidate contact or share your updated resume to 8925808597[Whatsapp] Regards, KAYAL HR GLOBAL HEALTHCARE
Posted 1 month ago
1.0 - 6.0 years
1 - 5 Lacs
Chennai, Bengaluru, Mumbai (All Areas)
Work from Office
Urgent Opening for AR Caller/SR AR Caller Job Loc:Chennai, Trichy, Bangalore, Pune,Mumbai Exp:1yr-4yrs Salary: upto 40k Max Skills:Any Billing ,Denials NP: Immediate joiner INTERESTED CALL- 9659451176 HR Dhivya
Posted 1 month ago
3.0 - 6.0 years
3 - 6 Lacs
Hyderabad
Work from Office
RCM Analyst is responsible for handling complex and escalated claims within the US Healthcare Revenue Cycle Management (RCM) process. The team ensures efficient resolution of denied or aged claims, identifies root causes of payment delays, and implements corrective actions to improve revenue recovery. Must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership. This role is crucial for improving cash flow, reducing bad debt, and ensuring financial stability for healthcare providers by optimizing the revenue cycle process. This role is crucial for improving cash flow, reducing bad debt, and ensuring financial stability for healthcare providers by optimizing the revenue cycle process. Eligibility: Graduate with Minimum 3 - 6 Years experience in AR Calling (Voice Process) Denial Management-RCM/AR Domain; EPIC platform experience will be an added advantage! Primary Responsibilities: Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR Investigate and resolve denied, aged, or complex medical claims to maximize reimbursement. Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle Ensure all workflow items are completed within the set turn-around-time within quality expectations Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and leading to process improvements Perform other duties as assigned Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Proven experience in Physician Billing -CMS1500. Hospital Billing -UB04 Claims will be an added advantage Responsible for handling complex and escalated claims within the US Healthcare Revenue Cycle Management (RCM) process. Internal Required Qualifications: Should be a Graduate (10+2+3) 3 Years and above experience in healthcare accounts receivable required (Denial Management) Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers) In-depth working knowledge of the various applications associated with the workflows Required Knowledge / Skills / Abilities Qualifications: Solid knowledge and use of the American English language skills with neutral accent Ability to communicate effectively with all internal and external clients Ability to use good judgment and critical thinking skills; ability to identify and resolve problems Experience with revenue cycle software and electronic health record (EHR) systems. Proficiency in Excel, SQL, Power BI, or Tableau for reporting preferred Advance Excel and strong ability to analyze data, identify patterns. Understanding of CPT, ICD-10, HCPCS and payer billing reimbursement methods Proficient in MS Office software; particularly Excel and Outlook Efficient and accurate keyboard/typing skills Solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information Soft skills: Strong leadership, communication, and team management abilities. Excellent analytical, problem-solving, and decision-making skills. Strong understanding of US healthcare RCM processes (Billing, Coding, Denials, AR, Payments, Compliance) Strong knowledge of medical billing, coding (CPT, ICD-10, HCPCS), payer contracts, and reimbursement methodologies. Knowledge of regulatory compliance, including HIPAA and healthcare financial regulations. Knowledge of RCA tools and their effectiveness If you are passionate about healthcare and meet the required criteria, we encourage you to attend and share this opportunity with your friends or colleagues who might be interested. Interview Venue: Optum (UnitedHealth Group) aVance; Phoenix Infocity Private Ltd SEZ Site-5; 3rd Floor- Building No. H06A HITEC City 2, Hyderabad-500081 Date: 01-July-2025 Time: 11:00 AM Point Of Contact: Lakshmi Deshapaka Email: deshapaka_vijayalakshmi1@optum.com Things to Carry: Updated resume Government-issued photo ID (e.g., Aadhaar, Passport, or Driver's License) Passport-size photographs (2) Dress Code - Business Formals Looking forward to seeing you and your referrals at the drive! Please Note: Entry will be allowed only after showing the physical copy of this interview invite Kindly Ignore if you have appeared for a walk-in drive with us in the last 30 Days. If you have no experience in AR Calling (Voice Process)-Denial Management & not open to night shifts!
Posted 1 month ago
1.0 - 3.0 years
0 - 3 Lacs
Chennai
Work from Office
Mega Walk-in Drive for International Voice Process ||Experienced Chennai. Walk-in Date: 2nd Jul 25 Contact Person: Shinaz Designation: Associate Work location: Navalur (ETA) Interview Venue: HCL Technologies, Gate 1, Tower 4, Ground Floor, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119 Shift: Night Shift(US Shift) Open Position: 10 Time: 11am - 2pm JOB SUMMARY Client Support-Voice KEY WORDS Excellent Verbal and Written Communication Skills, Any Customer Support(Voice). SKILLS AND COMPETENCIES Strong verbal and written communication skills Should possess neutral accent and good adoption to US culture. Ability to resolve provider queries in the first point of contact. Focus on delivering a positive customer experience Should be professional, courteous, friendly, and empathetic Should possess active listening skills Good data entry & typing skills Ability to multi task. Capable of handling fast-paced, innovative, and constantly changing environment Should be a team player. Ability to contribute to the process through improvement ideas. FORMAL EDUCATION AND EXPERIENCE Graduation (any stream) 0.6 months - 24 months of process experience in AR Calling & Any International Customer Support .
Posted 1 month ago
0.0 - 1.0 years
1 - 2 Lacs
Chennai
Work from Office
Dear Candidate, At NTT DATA , we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence, and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. Job Details: Job Title: Customer Care Collections Senior Representative (Voice Process) Experience: Freshers Education Qualification: 2022, 2023 & 2024 Graduates are eligible (2025 graduates with all sem marksheet & university-provided consolidated certificates are required to be considered) Skillset: Excellent communication skills and Interest to learn Shift: Night Shift Work Location: Chennai DLF Mode of Work: Work From Office In these roles, you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts receivable. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team Requirements for this role include: Ability to work regularly scheduled shifts from Monday-Friday, ( 8:30 PM to 5:30 AM) or (10:30 PM to 7:30 AM). 10+2+3 Years of Education qualification is a must. 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. 0-6 months of experience in a service-oriented role where you had to correspond in writing or over the phone with customers who spoke English. 0-6 months of experience in a service-oriented role where you had to apply business rules to varying fact situations and make appropriate decisions All the best!!!
Posted 1 month ago
1.0 - 6.0 years
1 - 5 Lacs
Bengaluru
Work from Office
EXP : 1TO 6 YEARS IN AR Analyst ( DENIALS) SALARY : 40 CTC LOCATION : BANAGALORE PHYSICIAN BILLING OR HOSPITAL BILLING INCENTIVES AVAILABLE INTERSTED CAN SHARE CV TO 9356775532 Keerthana
Posted 1 month ago
1.0 - 5.0 years
3 - 4 Lacs
Thane, Pune, Mumbai (All Areas)
Work from Office
Job Opportunity: AR Callers - Mumbai Job Title: AR Callers / Sr.AR Caller Experience: 1-5 years Location: Mumbai/ Pune / Hyderabad / Bangalore / Chennai Salary: Up to 38k (take-home) Billing: Physician Billing Contact : 7448929622-Muthamizh-HR
Posted 1 month ago
1.0 - 5.0 years
3 - 4 Lacs
Thane, Pune, Mumbai (All Areas)
Work from Office
Job Opportunity: AR Callers - Mumbai Job Title: AR Callers / Sr.AR Caller Experience: 1-5 years Location: Mumbai/ Pune / Hyderabad / Bangalore / Chennai Salary: Up to 40k (take-home) Billing: Physician Billing Contact : 6379093874 Sangeetha HR
Posted 1 month ago
3.0 - 6.0 years
3 - 7 Lacs
Gurugram
Work from Office
Role Objective:Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities:Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention.Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal)Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.Ability to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targets.Ability to effectively prioritize individual and team responsibilities.Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
7.0 - 12.0 years
3 - 7 Lacs
Noida, Gurugram
Work from Office
Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Roles & Responsibilities Develop and implement databases, data collection systems, data analytics and other strategies that optimize efficiency and report qualityMaintain integrity, consistency and accuracy of database and reportsIdentify, analyze, and interpret trends or patterns in complex data setsExperience in analyzing data to draw business-relevant conclusions and in data visualization techniques and toolsA track record of following through on commitments.Excellent planning, organizational, and time management skills.Work with management to prioritize business and information needsStrong written and verbal communication skills including Excellent documentation skills.A minimum of 7 years of experience in business analysis or a related field.Processing confidential data and information according to guidelines.Interpersonal and strong communication skillsLeading and managing a team of employees.Setting goals and objectives for the team.Providing guidance and support to team members.Ensuring team members have the necessary resources.Resolving conflicts and fostering a positive work environment. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
3 - 7 Lacs
Hyderabad
Work from Office
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective:Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities:Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention.Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal)Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.Ability to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targets.Ability to effectively prioritize individual and team responsibilities.Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
1.0 - 4.0 years
3 - 6 Lacs
Hyderabad
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.Essential Duties and ResponsibilitiesFollow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months. Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
3 - 7 Lacs
Noida
Work from Office
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention.Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics. Qualifications: Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.Ability to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targets.Ability to effectively prioritize individual and team responsibilities.Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
2 - 6 Lacs
Noida
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. DesignationAssistant Manager Reports to (level of category)DM/Manager - Operations Role Objective Cash Posing is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (Cash Posting), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis No Planned leaves for next 6 months Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors. Subject matter expert in Cash Posing Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and small Company Profile (for recruiting purposes only) Short paragraph describing the company R1 RCM (NYSEAH) is a leading provider of services and technology to healthcare providers.Our mission is to help our healthcare clients strengthen their financial stability and deliver better care at a more affordable cost to the communities they serve, increasing healthcare access for all.Our distinctive operating model that includes people, process, and sophisticated integrated technology helps our customers realize sustainable improvements in their operating margins and improve the satisfaction of their patients, physicians, and staff. Our customers typically are multi-hospital systems, including faith-based or community healthcare systems, academic medical centers and independent ambulatory clinics, and their affiliated physician practice groups. R1 RCM offers a continuum of offerings to service our clients' needs. These offerings includeProvider Business Solutions (PBS), which improves the entire revenue cycle of our provider clients, unlike competing services that address only a portion of the revenue cycle or focus solely on cost reductions; Physician Advisory Services ("PAS"), which works closely with the hospital medical staff, case management, and senior leadership to strengthen compliance, limit denials, improve revenue integrity, and improve efficiency; and Population Health Solutions (PHS), which spans the entire healthcare delivery continuum and enables providers to manage the health of their patient populations by delivering higher-quality care while reducing aggregate cost of care. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
2.0 - 5.0 years
5 - 9 Lacs
Gurugram
Work from Office
R1 RCM India is proud to be a Great Place To Work Certified organization. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities . Designation Lead Associate Reports to (level of category) Individual COA(Performance Management) Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash-posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Able to interact independently with counterparts. Project Management Performance management First level of escalation and able to end to end closure of highlighted issues Work in all shifts on a rotational basis WFO only Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and Powerpoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors. Subject matter expert in AR follow up Good knowledge of SQL/PowerBI/Excel Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
4.0 - 8.0 years
4 - 9 Lacs
Gurugram
Work from Office
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Location: Sec-21 GGN Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
5.0 - 10.0 years
22 - 25 Lacs
Noida, Hyderabad, Chennai
Work from Office
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Medical Coding (Acute)Driving Company Values & VisionAs Part of the Senior Leadership Team, should be able to drive R1 values and vision and ensure that the team is aligned with the end goals and values of the organization.Process Performance MetricsResponsible for meeting and exceeding the performance metrics / goals, work closely with onshore counterparts and senior leadership to define and monitor the scope of metrics, collaborate with other key functional leaders offshore (Quality & Education) and build a conducive work environment. Set measurable goals / metrics, for the team, aligned with the overall business goals & organizational values and have an effective review/feedback process in place.Building TalentThe candidate will be responsible for creating an environment to identify and groom talent / future leaders within the team, work with cross-functional & DRs to develop IDPs.Continuous ImprovementBe able to drive efficiency and meet / exceed the initiative targets, create strategies to build & sustain operational excellence, identify and work on opportunities to bring in additional scope of work.As Operations Delivery Leaders, below (but not limited to) would be key areas of responsibility;Should be able to handle a span ~600 associates spread across locations (NCR, HYD, Bangalore). The span may vary depending upon the business requirementsAble to manage all service lines under Outpatient Coding (should be AHIMA or AAPC certified and have strong domain expertise)Manage day-to-day operations and ensure that deliverables are being met (including quality parameters)Collaborate with Middle Revenue Cycle PMO on transition and ensure that timelines are being metWork closely with senior leadership on cost management (P&L)Client relationship management Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook Location - Hyderabad,Chennai,Noida,Gurugram
Posted 1 month ago
4.0 - 8.0 years
4 - 9 Lacs
Hyderabad
Work from Office
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Location: Hyderabad Reports to (level of category) Senior Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Day-to-day operations People Management (Work Allocation, On job support, Feedback & Team building) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) Reports (Internal and Client performance reports) Work allocation strategy CMS 1500 & UB04 AR experience is mandatory. Span of control - 80 to 100 Thorough knowledge of all AR scenarios and Denials Expertise in both Federal and Commercial payor mix Excellent interpersonal skills Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
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