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1.0 - 2.0 years
3 - 5 Lacs
Pune, Mumbai (All Areas)
Work from Office
Roles and Responsibilities Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM). Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences. Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes. Analyze data trends and develop strategies to improve denial rates and reduce write-offs. Ensure compliance with regulatory requirements and industry standards for RCM best practices. Desired Candidate Profile 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles. Excellent communication skills for effective collaboration with customers/patients over phone calls. Intersted Candidate can call on HR Chanchal (9251688424)
Posted 1 week ago
1.0 - 5.0 years
3 - 5 Lacs
Noida, Pune
Hybrid
* Pursuing Graduate / Graduate / 12th + 3 Yrs Diploma. * MUST have 1+ Yrs Exp in AR Follow up ( US Health Care - Medical Billing ). * Excellent in English Communication Skills. * Should be open for US Shift. Send CV to : Career@AblyConGlobal.com
Posted 1 week ago
1.0 - 2.0 years
3 - 5 Lacs
Pune, Mumbai (All Areas)
Work from Office
Roles and Responsibilities Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM). Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences. Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes. Analyze data trends and develop strategies to improve denial rates and reduce write-offs. Ensure compliance with regulatory requirements and industry standards for RCM best practices. Desired Candidate Profile 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles. Excellent communication skills for effective collaboration with customers/patients over phone calls. Intersted Candidate can call on HR Chanchal (9251688424)
Posted 2 weeks ago
0.0 - 5.0 years
1 - 4 Lacs
Mumbai
Work from Office
We are seeking an experienced AR Caller to join our team remotely. The ideal candidate will be responsible for managing Accounts Receivable follow-ups with insurance companies in the US healthcare domain. Your primary task will be to follow up on outstanding claims, resolve billing issues, and ensure timely reimbursement. Key Responsibilities: Follow up with insurance companies on unpaid or underpaid claims. Analyze and understand denial reasons and initiate corrective actions. Communicate effectively with insurance representatives. Maintain accurate documentation of claims and follow-ups. Meet daily/weekly productivity and quality targets. Ensure compliance with HIPAA regulations and internal policies.
Posted 2 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Noida, Gurugram
Work from Office
Please mention Kanchan at the top of your resume, and when you reach to office, please ask for Kanchan. Please email me your resume before you come for the interview to kmaurya378@r1rcm.com Please apply only if you have experience in US Healthcare, AR Follow-up 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 Responsibilities: • Follow up with the payer to check on claim status. • Identify the denial reason and work on the resolution. • Save the 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 a good Cash Collection/Resolution Rate. • should have calling skills, probing skills, and denial understanding . Shift timing 06:00 PM to 03:00 PM 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: The candidate should be good at Denial Management. • Candidate should know Medicare, Medicaid & ICD & CPT codes used on Denials. • Ability to interact positively with team members, peer group, and seniors.
Posted 2 weeks ago
1.0 - 6.0 years
1 - 6 Lacs
Noida, Gurugram
Work from Office
Please mention Veerashri at the top of your resume and when you will reach to office, please ask for Veerashri, please email me your resume before you come for the interview to vvijayzagade67@r1rcm.com Please apply only if you have experience into US Healthcare , AR Follow-up 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 Responsibilities: • Follow 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 . Shift timing 06:00 PM to 03:00 PM 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
Posted 3 weeks ago
1 - 2 years
5 - 6 Lacs
Pune, Mumbai (All Areas)
Work from Office
Roles and Responsibilities Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM). Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences. Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes. Analyze data trends and develop strategies to improve denial rates and reduce write-offs. Ensure compliance with regulatory requirements and industry standards for RCM best practices. Desired Candidate Profile 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles. Excellent communication skills for effective collaboration with customers/patients over phone calls. Intersted Candidate can call on HR Chanchal (9251688424)
Posted 1 month ago
1 - 6 years
2 - 4 Lacs
Noida
Work from Office
Hiring for Pacific Global Inc. an Access Healthcare Services company only from US healthcare background. Location: Noida (WFO) Requirements: • Minimum 8 months of experience in AR calling. • Strong understanding of US healthcare revenue cycle management. • Excellent verbal and written communication skills. • Problem-solving skills and attention to detail. • Ability to work in a fast-paced environment and meet deadlines. Perks and Benefits: • Working Days: 5 days a week (Saturday-Sunday fixed off). • Transportation: Company-provided transportation for both sides. • Meals: Subsidized meal facility available. • Competitive salary and performance-based incentives. Contact Person- HR Drishty Phone: 9311447632 Email: drishty.singh@pacificbpo.com
Posted 1 month ago
1 - 6 years
2 - 5 Lacs
Noida
Work from Office
Hiring for Pacific Global Inc. an Access Healthcare Services company only from US healthcare background. Location: Noida (WFO) Requirements: • Minimum 8 months of experience in AR calling. • Strong understanding of US healthcare revenue cycle management. • Excellent verbal and written communication skills. • Problem-solving skills and attention to detail. • Ability to work in a fast-paced environment and meet deadlines. Perks and Benefits: • Working Days: 5 days a week (Saturday-Sunday fixed off). • Transportation: Company-provided transportation for both sides. • Meals: Subsidized meal facility available. • Competitive salary and performance-based incentives. Contact Person- Sahil Phone: 9910660109 Email: sahil.saiju@pacificbpo.com
Posted 2 months ago
1 - 2 years
5 - 6 Lacs
Pune, Mumbai (All Areas)
Work from Office
Roles and Responsibilities Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM). Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences. Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes. Analyze data trends and develop strategies to improve denial rates and reduce write-offs. Ensure compliance with regulatory requirements and industry standards for RCM best practices. Desired Candidate Profile 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles. Excellent communication skills for effective collaboration with customers/patients over phone calls. Intersted Candidate can call on HR Siddhant (9251688427)
Posted 2 months ago
15 - 18 years
30 - 35 Lacs
Gurgaon, Noida
Work from Office
Position Title: Associate Director (9I) Function: Follow-Up Location: NCR (Noida sec 135 / Gurugram Sec 21/ Gurugram Sec – 48) Shift Timings: 18:00 to 03:00 Hrs. Responsibilities: Lead a team of operations (Span of ~650) for multiple LOB’s (Follow-Up, Billing & Cash Posting). In this role you are required to identify Process Improvement opportunities Support the Automation initiatives from a co-ordination & post implementation standpoint Manage portfolio of improvement / reengineering projects for the backend services Responsible for P&L management. Driving employee engagement and associated scores. Work closely with Quality, training, Onshore counter parts in driving results Mentor and lead improvement projects. Generate business impact through Improvement initiatives. Establish and monitor key performance indicators (KPIs) to measure success and ensure efficiency. Collaborate with department heads to drive performance improvements and achieve targets. Streamline operations to reduce costs, improve productivity, and enhance customer satisfaction. Identify cost-saving opportunities without compromising quality or service delivery. Address and resolve challenges efficiently while minimizing disruptions. Pre- Requisite: 10-15 years of experience in end-to-end RCM including AR follow up, billing, cash posting, credit in Acute / Hospital Billing. 10 years of people management experience is preferred. Should have excellent RCM domain knowledge. Skills Required: Strategic thinking and problem-solving skills. High attention to detail and organizational abilities. Ability to thrive in a fast-paced, dynamic environment. To learn more, visit: www.r1rcm.com
Posted 2 months ago
1 - 4 years
1 - 4 Lacs
Mumbai, Hyderabad
Work from Office
We Are Hiring || AR Callers ( RCM US Healthcare ) || Experience :- Min 1 year of exp in AR Calling (US Health Care) into Denial Management Package :- Up to 45K Take home Locations :- Hyderabad , Mumbai. Qualification :- Inter & Above. Perks and Benefits: 1. 2 way cab 2. Incentives and Allowances Notice Period :- Preferred Immediate Joiners WFO Interested candidates can share your updated resume to HR ASHWINI 9059181376(share resume via WhatsApp ) Refer your friend's / Colleagues
Posted 2 months ago
1 - 6 years
2 - 6 Lacs
Hyderabad
Work from Office
AR Callers / Sr. AR Callers - US Healthcare RCM at Avontix Global Pvt Ltd, HYDERABAD Should have experience in US Healthcare AR Calling WORK FROM OFFICE contact Numbers : 8179627292 Required Candidate profile Transportation Allowance: Rs. 6600 / month ( 300 per day) + Night Shift Allowance: Rs. 1500 / month Daily DINNER WILL BE PROVIDED TO NIGHT SHIFT EMPLOYEES & OFFICE Shift: Night Shift (5:30pm - 2.30am)
Posted 2 months ago
1 - 6 years
2 - 6 Lacs
Gurgaon, Noida
Work from Office
Job Category: AR Follow up Job Type: Full Time Job Location: Gurgaon / Noida 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 Responsibilities: Follow 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: A minimum of 6 months experience in AR Follow-up / Denial Management Undergraduates / Graduates with 1 - 6 years of AR Follow-up experience 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. Company Profile (for recruiting purposes only) Short paragraph describing the company If interested , please send your job application to aaryika@r1rcm.com along with the below details: Total Experience : Current Organization : Current Annual CTC : Expected CTC : Notice Period :
Posted 2 months ago
1 - 2 years
5 - 6 Lacs
Pune, Mumbai (All Areas)
Work from Office
Roles and Responsibilities Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM). Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences. Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes. Analyze data trends and develop strategies to improve denial rates and reduce write-offs. Ensure compliance with regulatory requirements and industry standards for RCM best practices. Desired Candidate Profile 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles. Excellent communication skills for effective collaboration with customers/patients over phone calls. Intersted Candidate can call on HR Siddhant (9251688427)
Posted 2 months ago
1 - 4 years
0 - 2 Lacs
Noida
Work from Office
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 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 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 #'s, 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 Required Qualifications: Graduate 12+ months and above experience in healthcare accounts receivable required (Denial Management) Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers) In-depth working knowledge of the various applications associated with the workflows Solid knowledge and use of the American English language skills with neutral accent Proficient in MS Office software; particularly Excel and Outlook Proven ability to communicate effectively with all internal and external clients Proven ability to use good judgment and critical thinking skills; ability to identify and resolve problems Proven efficient and accurate keyboard/typing skills Proven solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership.
Posted 3 months ago
6 - 10 years
6 - 10 Lacs
Mumbai
Work from Office
Job Responsibilities: Make outbound calls to insurance companies to follow up on pending claims. Understand and analyze claim denials and take corrective action. Ensure timely resolution of claims to maximize revenue. Work on denials and appeals as per company protocols. Update and document claim status in the billing system. Meet productivity and quality targets in AR calling.
Posted 3 months ago
1 - 4 years
1 - 4 Lacs
Chennai, Hyderabad, Noida
Work from Office
Huge Openings for AR Callers Locations :- Hyderabad, Chennai, Mumbai, Noida & Gurgaon Eligibility :- Min 1+ years of experience into Physician Billing Or Hospital Billing AR Calling Package :- As per market standards + incentives & allowances. Immediate Joiners Preferred, WFO Night Shifts Two way cab Hiring AR Analyst - NON RCM (VOICE -US Healthcare ) - Freshers & Experience Package - Upto - 2.95 lpa (Experience) Location - Noida & Gurugram Working days - 5 days working Week offs - Saturday & Sunday week off Transport - 2 way cab (under 40kms) Shift - Night shift -> Experienced : 2,95,000 LPA Experienced : Min 1.3 Experience is needed in any international voice or semi voice process or other domain. Education - Graduation mandate Relieving Letter mandate Interview Timings : 10PM - 3PM Walk In Interviews Only Interested candidates can share your updated resume to HR Ashwini : 9059181376 (share resume via WhatsApp ) MAIL ID : ashwini.axisservices@gmail.com Refer your friend's / Colleague
Posted 3 months ago
15 - 20 years
30 - 40 Lacs
Chennai, 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 sto 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 : Associate Director (Backend Operations) Reports to (level of category) : Senior Director Mode of Work: Work from office Shift Timing : 6 pm to 3 am Job Location : Hyderabad/ Chennai Driving Company Values & Vision: As Part of the Senior Leadership team need to make sure complete span is aligned with the end goals and values of the organization. Leadership/Coaching: Provides overall leadership to teams and day-to-day leadership to all DR and Non DRs but which in the span. Coach teams to be able to identify inquiries which are beyond scope of authority and take appropriate actions. Inspire all DRs to focus on adherence to policies and processes, Fosters a positive work environment. Develops and maintains productive working relationship with Sr. Manager & Ops Managers, setting a positive example for their working relationships with their teams Career Development/Performance & Dialogue: Set goals and standards of performance for DRs and their team members which are linked to business goals; use appropriate measurement methods to monitor progress; take suitable accountability for successful completion of assignments or tasks. Provide on-going dialogue to DRs about their performance. Coaches and helps establish individual development. Continuous Improvement: Identifies and Strategies & approves process changes to improve customer experience. Maintain in-depth knowledge of client needs. Promotes and maintains a positive, professional image of R1 RCM. Knowledge Leadership – Candidate is expected to provide knowledge leadership by displaying a high degree of domain expertise in end to end RCM functions. As an AD, Candidate is Responsible for: The Candidate will be responsible for a span in the range of 800 FTEs. The span can vary depending upon process complexity and stage of business P&L Management by keeping close watch on LLR Client relationship management Upselling capabilities and performance to add further business & scope of work Identify and lead projects of high impact within the business Manage delivery of client’s expectations outlined in the scope of work SOW. Manage Day to Day Operations by applying appropriate contractual provisions (scope of work), following quality & compliance guidelines, and leveraging expert resources. Ability to oversee and manage a team that will handle Backend service delivery for multiple clients/sites/facility. This role is to ensure that the Middle management are managing their teams and meets all KRAs & SLAs. Understand Operations and Corporate Compliance, Policies and Procedures and best practices. Respond to all telephonic and email inquiries for clients & onsite team in a clear, concise and timely manner. Other duties as outlined by leadership Qualification: Bachelor’s Degree. To learn more, visit: www.r1rcm.com
Posted 3 months ago
1 - 4 years
3 - 5 Lacs
Hyderabad
Work from Office
Role & responsibilities Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint 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 have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. 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. Please share your CV at : bma@r1rcm.com Name: Bavishya Contact: 9632482925
Posted 3 months ago
1 - 6 years
2 - 4 Lacs
Chennai, Pune, Noida
Work from Office
Hiring AR Caller/Sr.Caller • Educational : Any Degree • Experience: 1 + years in AR Calling and Denial Management • Salary : Good in industry • Job Location : Chennai, Noida, Bangalore, Pune, Hyderabad Contact – Sangeetha S- 6379093874 (What's app)
Posted 3 months ago
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