About The Company: Bharari Digital Solutions (BDS) partners with healthcare and life sciences organizations to deliver impactful, client-centric KPO solutions. With deep domain knowledge and a commitment to excellence, we help our clients streamline workflows, reduce costs, and improve patient outcomes. We have offices at USA (NY), Mumbai & Gadhinglaj, Dist Kolhapur Maharashtra India Visit our Website - https://www.bhararieservices.com/ Location/ Office Premise: Site- Chinchewadi, Mahagaon, Gadhinglaj, Kolhapur Maharashtra Key Requirements:  Excellent reading comprehension and written English.  Strong attention to detail and the ability to process complex information.  Willingness to learn medical terms, anatomy, and healthcare workflows.  Good typing and computer skills (MS Word, Excel, etc.).  Good verbal and written communication skills  Willingness to learn and adapt quick  Team player with a positive and proactive attitude. Show more Show less

About The Company: We are ITeS-Health Tech KPO providing RCM services to US Healthcare Bureaus, and other services to companies from global locations working in the space of Life sciences and Healthcare We have offices at USA (NY), Mumbai &Gadhinglaj, Dist Kolhapur Maharashtra India Website - https://www.bhararieservices.com/ Key Roles: Claim Submission: Accurately prepare and submit medical claims through designated billing software. Ensure timely submission to prevent reimbursement delays and denials. Claim Tracking & Follow-Up: Regularly check the status of submitted claims using appropriate systems. Update internal trackers with the latest claim statuses and follow up on pending or rejected claims. Report Generation: Prepare daily, weekly, and monthly reports related to claims, denials, payments, and team productivity. Assist in data analysis to identify trends and support process improvements. Patient Financial Responsibility (PFR) Calculation: Calculate patient balances after insurance adjudication, including co-pays, deductibles, and coinsurance. Update patient accounts accordingly and generate billing statements as required. Authorization Management: Initiate, track, and follow up on prior authorization requests as per payer and provider guidelines. Maintain proper documentation and communicate authorization statuses to relevant teams. Key Requirements: B.E., B.Tech, B.Sc, M.Sc, BCA, MCA, B.Pharm, D.Pharm, BHMS, BAMS, or any equivalent degree with relevant experience or interest in the Healthcare domain. Basic understanding of the healthcare and insurance billing process (training will be provided) Proficiency in MS Excel and ability to handle basic reports Good verbal and written communication skills Strong attention to detail and accuracy Ability to meet deadlines in a process-driven environment Willingness to learn and adapt quick Team player with a positive and proactive attitude

About The Company -  Bharari Digital Solutions (BDS) partners with healthcare and life sciences organizations to deliver impactful, client-centric KPO solutions. With deep domain knowledge and a commitment to excellence, we help our clients streamline workflows, reduce costs, and improve patient outcomes. We have offices at USA (NY), Mumbai & Gadhinglaj, Dist Kolhapur Maharashtra India Visit our website - https://www.bhararieservices.com/ Project Overview - The specialist plays a pivotal role in supporting high-quality, patient-centered care through accurate review of documentation. They are responsible for reviewing OASIS assessments and Plans of Care to ensure compliance with CMS and CoP guidelines, as well as reimbursement models such as PDGM. Key Roles - Clinical review for accuracy, completeness, and consistency of OASIS documentation across all assessment types and disciplines (SOC, ROC, Recert, Discharge) Compare documentation and identify discrepancies within OASIS documents and between POC and other supporting records; follow up with clinicians for timely resolution. Evaluate the physician-ordered Plan of Care to confirm alignment with OASIS findings, medical necessity, skilled service needs, and homebound status. Key Requirements - Bachelor's degree in Health Sciences (Nursing, BPTh, BAMS, BHMS, BDS) Minimum of two years of experience in clinical documentation. Strong clinical knowledge with sound judgment and accuracy. Proficient in computer use, English communication and time management. Interested candidates can send their CVs to recruitment@bhararieservices.com

Project Overview: We are seeking a detail-oriented and experienced RCM Prior Authorization Specialist to join our dynamic team. The candidate will be responsible for handling the end-to-end prior authorization process, ensuring timely and accurate approvals to support uninterrupted patient care and optimized revenue cycle performance. Key Roles & Responsibilities:  Eligibility Verification: Verify patient insurance eligibility and coverage details through payer portals or clearinghouse tools before initiating authorization requests.  Benefits Verification: Confirm covered services, copay, deductible, and prior authorization requirements based on the patient's insurance benefits.  Authorization Requests: Initiate and submit prior authorization requests for procedures, tests, medications, or specialist referrals as required by payers.