5 Ar Experience Jobs

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, visit:

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: Sec-21 GGN 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. 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, visit:

Triple Role Triple is leading the way in remote work solutions, helping small and medium-sized businesses in North America build highly efficient remote teams for Administration, Customer Service, Accounting, Operations, and back-office roles. Our focus has always been on our Clients, People, and Planet, ensuring our operations contribute positively across these key areas. Distinguished by its rigorous standards, Triple excels in: Selectively recruiting the top 1% of industry professionals Delivering in-depth training to ensure peak performance Offering superior account management for seamless operations Embrace unparalleled professionalism and efficiency with Triplewhere we redefine the essence of remote hiring. Summary The Accounts Receivable (AR) Specialist in US Healthcare is responsible for managing and resolving insurance and patient payment collections to ensure timely revenue realization. This role involves claim follow-up, denial management, appeal submissions, and maintaining accurate records in compliance with payer regulations and healthcare policies. The AR Specialist collaborates with billing, coding, and customer service teams to optimize cash flow and reduce aged AR. Responsibilities Claims Follow-Up: Proactively follow up with insurance companies (Medicare, Medicaid, Commercial) via phone, portal, or email for unpaid or underpaid claims. Analyze Explanation of Benefits (EOBs)/Electronic Remittance Advices (ERAs) for claim status. Denial Management & Appeals Review and identify reasons for claim denials and underpayments. Prepare and submit accurate appeals and corrected claims within payer deadlines. Payment Posting Coordination Work with the payment posting team to resolve misapplied payments, overpayments, and unposted remittances. Flag refunds or adjustments as needed. Aging Report Analysis Review aging reports and prioritize high-dollar or timely filing claims. Document all actions taken and maintain notes in billing software. Compliance & Quality Ensure all follow-up activities comply with HIPAA and payer-specific guidelines. Meet daily/weekly productivity and quality benchmarks (e.g., # of claims worked, resolution rate). Communication & Coordination Coordinate with clients, internal teams (billing, coding), and insurance representatives to resolve issues efficiently. Escalate complex issues to the team lead or AR manager as necessary. Qualifications Bachelors degree. 25 years of AR experience in US medical billing/RCM industry is a must Knowledge of payer guidelines (Medicare, Medicaid, BCBS, UHC, etc.). Hands-on experience with billing software (e.g., Kareo, AdvancedMD, Athenahealth, eClinicalWorks, NextGen, etc.). Proficiency in MS Excel and claim tracking tools. Strong understanding of the US healthcare revenue cycle and AR lifecycle. Excellent analytical and problem-solving skills. Effective verbal and written communication skills. Ability to work independently and manage time effectively. Knowledge of CPT, ICD-10, and HCPCS codes is an added advantage. Schedule (US Shifts Only) Eastern Time - 6:30 p.m. - 3:30 a.m. IST , Monday - Friday Logistical Requirements Quiet and brightly illuminated work environment Laptop with Minimum 8GB RAM, I5 8th gen processor 720P Webcam and Headset A reliable ISP with a minimum speed of 100 Mbps Smartphone Show more Show less

As an Accounts Receivable (AR) Specialist in NetSuite, your primary responsibilities will include processing customer invoices in a timely manner, monitoring and following up on outstanding receivables, handling customer queries and resolving disputes promptly, generating AR aging reports, and supporting month-end closing activities. You will also be expected to maintain accurate AR records in NetSuite, assist with audits, and collaborate with sales and customer service teams to ensure billing accuracy. To excel in this role, you should possess a Bachelor's degree in Accounting, Finance, or a related field, along with at least 2 years of AR experience (5+ years for senior positions), preferably using NetSuite ERP. A strong understanding of accounting principles and AR processes is essential, as well as proficiency in MS Excel. Good communication and interpersonal skills are important, along with being detail-oriented and having strong organizational skills. While not mandatory, experience working with US customers would be considered a plus. This position is available in Hyderabad, Bengaluru, Chennai, Kolkata, and Noida, and will require working from the office (WFO). If you meet the qualifications and are ready to take on the challenges of managing accounts receivable efficiently and effectively, we encourage you to apply for this role.,

As an Enrollment and Data Management Specialist, your primary responsibilities will include managing EDI/ERA enrollment processes for providers, ensuring timely enrollment for electronic claim submission, and handling enrollment, re-enrollment, and re-validation procedures for providers and locations. You will also be responsible for processing, data entry, and maintaining enrollment, assessment, and dis-enrollment documentation, as well as monitoring and maintaining accurate enrollment records. Additionally, you will verify enrollment status, update membership records, research and resolve enrollment system discrepancies, process membership terminations, and manage other enrollment events. To be successful in this role, you should have a graduate degree and 1-2 years of Accounts Receivable (AR) experience, as well as 1-2 years of Revenue Cycle Management (RCM) experience. Your attention to detail, strong data management skills, and ability to handle enrollment processes efficiently will be crucial in ensuring the smooth functioning of our enrollment systems.,