299 Charge Entry Jobs - Page 8

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

Educational Bachelor of Engineering,BTech,BCA,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities As a ‘Product Analyst’ your role is pivotal to delivering feature user stories within a scrum team and continuously building a backlog for the scrum team. Work with the Product Manager to map out the user stories for a capability/feature, become the SME of the capability and develop products to meet the needs of customers and industry. Additional Responsibilities: Competencies Navigating between multiple stakeholders to derive consensus. Demonstrate ability to understand customer pain points, market gap analysis, opportunity analysis. Critical thinking, analysis, and problem-solving skills to address core business problems. Support user testing and ensure product meets implementation needs. Track progress and perform demo to relevant internal stakeholders and external product users. Strong reporting abilities by keeping track of multiple topics/ open questions. Strong acumen in MS office related tools – PowerPoint, Excel Experience working with JIRA, Confluence, Visio Aspiring to work in a fast paced and agile environment Has a proactive can-do attitude. Technical and Professional : Hands on experience working with Payer/ Provider/ PBM organizations Multiple stakeholders (internal/ customer/ vendors) Communicating and understanding architecture design decisions and impacts to features/user stories. Experience in legacy and web-based systems interfaces, Application Programmable Interfaces (APIs) Create and own detailed use cases, supporting functional requirements, user stories and acceptance criteria(s) Sound knowledge and experience on Agile. Experience and desire to work in a Global delivery environment. Preferred Skills: Domain-Healthcare-Healthcare - ALL Technology-Analytics - Functional-Business Analyst

Hi Applicants!! Greetings from Flatworld Healthcare Services. Hiring for Charge Entry !! Designation : Senior Analyst -Charge entry Experience : 1 to 4 years Location : Bangalore Notice period : Immediate to 15 days Education: Graduation Not Required Shift : Day Shift For further information contact , HR Danuja @ 9035473862 Danuja.s@finnastra.com Role & responsibilities Role & responsibilities : Enter patient demographics, insurance details , and provider charges into the billing software. Review superbills, encounter forms , or Electronic Medical Records (EMRs) to ensure all necessary information is captured. Apply correct CPT, ICD-10, and HCPCS codes as per documentation. Verify charge codes , modifiers , and billing rules based on payer-specific guidelines. Identify and correct errors or inconsistencies before submitting claims. Work closely with coders and clinical staff to clarify missing or ambiguous documentation. Maintain turnaround time (TAT) and accuracy benchmarks as per company standards. Ensure compliance with HIPAA and other regulatory requirements. Participate in audits, quality checks, and training as needed. Collaborate with the AR team to resolve claim issues related to charge entry errors. Preferred candidate profile : Strong understanding of CPT, ICD-10, and HCPCS coding . Familiarity with payer guidelines and medical billing rules . High accuracy and attention to detail . Proficient in using medical billing software/EMR systems (e.g., Epic, eClinicalWorks, Kareo). Good communication and coordination skills . Ability to work in a fast-paced, deadline-driven environment. Basic knowledge of insurance types (Medicare, Medicaid, commercial plans). Thanks, Danuja.S HR Recruiter Ph: 9035473862 Email: Danuja.s@finnastra.com

Job Title: Senior Executive Experience: 4 to 6 years Shift Timings: 4:30 PM to 1:30 AM IST (US Shift) Mode of Work: Work From Office Work Location: Chennai - Valasaravakkam Transportation: Cab Provided (Only for Female Employees) Interested candidates contact Magendran @ 9940644714 (if Call went unanswered kindly whats app) Preferred Skills: Ensure the patient demographic details are updated appropriately. Verification of the patient data mentioned in the medical claims. Enter charges in the software. Minimum 2-3 years of experience in Patient Demographics Entry and Charge Entry. Strong knowledge of medical billing concepts. Role & responsibilities: Perform posting charges Perform completion of claims to payers Submit billing data to the appropriate insurance providers Process claims Perks and Benefits Salary & Appraisal - Best in Industry Complementary Meal Pass Travel Allowance Health insurance Paid time off Quarterly Rewards & Recognition Program

Looking for an experienced End-to-End RCM Manager (US Healthcare) skilled in Credentialing, Payment Posting, Charge Entry, Authorization, Eligibility Verification, Medical Billing, and knowledge of Adaptive Behavior Assessment. Responsible for managing the entire revenue cycle, ensuring compliance, optimizing revenue flow, and leading the RCM team effectively. Roles & Responsibilities Revenue Cycle Management: Manage and optimize the entire RCM process. Credentialing: Oversee provider credentialing, revalidations, and insurance enrollments. Payment Posting & Charge Entry: Ensure accurate and timely payment postings and charge entries. Authorization & Eligibility Verification: Manage insurance eligibility checks and authorization processes. Medical Billing & Claims: Supervise billing, reduce denials, and enhance collections. Adaptive Behavior Assessment: Knowledge of ABAS or similar tools; ensure proper documentation and billing. Team Leadership: Train, mentor, and enhance team productivity. Reporting & Analysis: Generate reports, analyze data, and improve revenue generation. Client & Stakeholder Communication: Address queries, resolve issues, and provide updates. Continuous Improvement: Stay updated with industry changes and implement process improvements. Please share CV at annu.misra@rsystems.com

Greetings for Global Healthcare Billing Private Limited Immediate Hiring: Charge Entry & Payment Posting Company: Global Healthcare Billing Private Limited Experience Required: 1 to 4 Years Location: Chennai - Velachery Role: Charge Entry & Payment Posting (Medical Billing) Contact HR: Bhavana 89258 08595 If you're experienced in medical billing and looking for a new opportunity, reach out today!

Inside Sales Executive Hybrid (Onsite / Remote) | Software Sales We are hiring an Inside Sales Executive to promote and sell software solutions specifically designed for Chartered Accountants. Key Responsibilities: Conduct demos of software products via phone and remote tools (Anydesk Zoom). Understand the product features and match them with client requirements. Engage and follow up with leads from the database and convert them into paying clients. Target client base includes CA firms and professionals. Required Skills: Excellent communication & convincing skills. Experience in telesales or software sales (preferred). Ability to understand and explain software products clearly. Comfortable with demo tools like Zoom or Anydesk.

Sales Engineer - Control Valves (MIL - KSB Ltd.) Key Responsibilities: Lead generation in the control valves sector Handle technical and commercial discussions Conduct product presentations and demos Convert leads into successful deals

1) Preparing and submitting billing data and medical claims to insurance companies 2) Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts 3) Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur 4) Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifying in court cases, when necessary 5) Ensuring each patients medical information is accurate and up-to-date 6) Preparing bills and invoices and document amounts due to medical procedures and services 7) Good expertise in AR Aging 8) Doing charge and Payment Posting 9) All the End to End process of Medical Billing Please share your updated CV with the Acknowledgement Role & responsibilities Benefits 5 Days Working Medical + Accident Insurance On-site Yoga, Gym, Sports, and Bhagwat Geeta Session Excellent Work-life balance Annual one-day Trip All festival Celebration US Shift (Timings is 5:30 PM to 3:00 AM)

U.S Health Insurance for Medical Billing, Demo & Charge Entry Process. Review and audit claims, Rebilling. The candidate will be responsible for reviewing and auditing medical claims, handling charge entries. Required Candidate profile Seeking experts in U.S. medical billing & charge entry with ECW, Radiology exp. Must know ICD-10, CPT, claims. Immediate joiners preferred. Send CV: recruitment1.hipl@gmail.com

Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!! We are currently hiring for Demo Entry with minimum 1Year of experience into Medical Billing Domain. Preferred only Male Candidates Basic Requirements: Experience: 1 Years to 5 Years Specialties : Demo/Charge Entry Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Shift: Day /Night Location: Vellore Key Responsibilities: Enter charge data into billing systems with accuracy and efficiency. Must be having work experience in Demo and IV. Review and verify charge information for completeness and accuracy. Resolve discrepancies and issues related to charge entries. Collaborate with other departments to ensure proper billing practices and resolve any billing issues. Maintain up-to-date knowledge of billing codes and procedures. Generate and review reports related to charge entry and billing. Ensure compliance with relevant regulations and company policies. Interested candidate contact or share your updated resume to 9150064772 [Whatsapp] Regards Global HR Team 9150064772

We are hiring MEDICAL BILLING (CHARGE / PAYMENT POSTING) for one of the MNC for Chennai location. Salary : 25k to 50k Working Days : 5 Days Shift : Any One side Cab & Meals WFO Only Must have Minimum 2 Yrs of exp. in the same domain CP/PP Required Candidate profile •Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. •Review and verify the accuracy of charge data. Call : 9643-58-3769

Job Responsibilities: Claim Verification: Verify and review healthcare claims to ensure accuracy and completeness. Learn to identify common billing errors and discrepancies in claim submissions. Initiate Follow-up Calls: Make outbound calls to insurance companies to inquire about the status of claims. Gain exposure to professional communication and develop rapport with insurance representatives. Research Denials and Underpayments: Investigate reasons for claim denials and underpayments. Work closely with senior AR Callers to understand denial codes and resolution strategies. Assist in Appeal Preparation: Support in the preparation of appeal packets for denied or underpaid claims. Learn the documentation and submission process for appeals. Claim Corrections: Understand the basics of correcting errors on claims and resubmitting them. Collaborate with team members to rectify common billing mistakes. Documentation and Reporting: Maintain accurate records of communication and actions taken in the claims billing system. Assist in generating basic reports related to claim status and follow-up activities. Training and Skill Development: Actively participate in training programs provided by the company. Continuously enhance knowledge of medical billing and coding practices.

SUTHERLAND Hiring Immediate Joiners - 28- Jun-2025 (Saturday) WALK IN TIME: 11:00:AM - 4:00PM. LOCATION: DivyaSree TechRidge, Block P2, (North Wing) 7th Floor, Manikonda, Hyderabad 500089, Positions: Ar caller Pre - Autharization Charge Entry Payment Posting QA- (AR, Charge Entry, Payment Posting) CONTACT PERSON: ARAVIND -7286960006 AKSHAYA JM - 8072294017 Aishwarya- 9030711720 MEGA RCM Hiring WALK-IN DRIVE Sutherland is seeking a skilled and experienced RCM Specialist to join our dynamic healthcare team. If you have a strong understanding of Physician Billing, CMS 1500, and Denial Management, this is the perfect opportunity to advance your career with a global leader in business process transformation. AR Calling - For Provider Minimum 12 Months work experience required Looking for Immediate joiners Physician billing, CMS 1500 End to end Denial Experience/ Modifiers/ CPT Codes Night shift/ Fixed week off Mandate WFO, no hybrid Transport radius should be 25KM Payment Posting - Provider Minimum 12 months - 3 years of experience Looking for Immediate joiners Fixed Week off / Day Shift Mandate WFO, no hybrid Transport radius should be 25KM Charge Entry - Provider Minimum 12 months - 3 years of experience Looking for Immediate joiners CTC 3 LPA - 4.8 LPA Mandate WFO, no hybrid Fixed Week off / Day Shift Transport radius should be 25KM Pre Authorization - Provider Minimum 12 months - 3 years of experience Looking for Immediate joiners CTC 3 LPA - 4.8 LPA Mandate WFO, no hybrid Fixed Week off / Day Shift Transport radius should be 25KM QA - NON-VOICE Minimum 12 months - 3 years of experience Looking for Immediate joiners Mandate WFO, no hybrid Prior experience on Modmed and Practice Teck should be an added advantage Fixed Week off / Day Shift Transport radius should be 25KM QA Voice - AR Follow-up Flexible NIGHT SHIFTS Looking for Immediate joiners Mandate WFO, no hybrid Prior experience on Modmed and Practice Teck should be an added advantage Minimum 2 years' work experience Transport radius should be 25KM QA Non-Voice - Billing (Charges & Rejection) Fixed Week off / Day Shift Looking for Immediate joiners Mandate WFO, no hybrid Prior experience on Modmed and Practice Teck should be an added advantage Minimum 2 years' work experience Transport radius should be 25KM Join Sutherland and be part of an innovative team driving excellence in healthcare revenue cycle management "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com"

We are looking for a highly skilled and experienced AR Associate to join our team at Omega Healthcare Management Services Pvt. Ltd., located in [location to be specified]. Roles and Responsibility Manage and process accounts receivable transactions with high accuracy and attention to detail. Develop and implement effective strategies to improve cash flow and reduce outstanding balances. Collaborate with cross-functional teams to resolve billing discrepancies and ensure timely payments. Analyze and report on key performance indicators, such as delinquency rates and credit utilization. Identify and mitigate potential risks associated with accounts receivable, including bad debt and denials. Provide exceptional customer service by responding promptly to customer inquiries and resolving issues professionally. Job Strong knowledge of accounting principles, financial regulations, and industry standards. Excellent analytical, problem-solving, and communication skills. Ability to work effectively in a fast-paced environment with multiple priorities and deadlines. Proficiency in CRM software and Microsoft Office applications. Strong attention to detail and ability to maintain accurate records. Experience working in a BPO or IT-enabled services environment is preferred.

Looking for a skilled AR Associate to join our team at Omega Healthcare Management Services Pvt. Ltd., with 1-4 years of experience in the field. Roles and Responsibility Manage accounts receivable processes, including invoicing and payment collection. Analyze and resolve billing discrepancies and denials. Develop and implement effective strategies to improve cash flow. Collaborate with internal teams to ensure seamless communication and coordination. Identify and mitigate potential risks and issues impacting revenue recognition. Maintain accurate and up-to-date records of all transactions and interactions. Job Strong knowledge of accounting principles and practices. Excellent analytical and problem-solving skills. Ability to work effectively in a fast-paced environment and meet deadlines. Effective communication and interpersonal skills. Proficiency in CRM software and Microsoft Office applications. Strong attention to detail and organizational skills.

Looking for a skilled AR Associate to join our team at Omega Healthcare Management Services Pvt. Ltd., with 1-4 years of experience in the field. Roles and Responsibility Manage accounts receivable, including processing invoices, payments, and reconciliations. Analyze financial data to identify trends and areas for improvement in accounts receivable management. Develop and implement process improvements to increase efficiency and reduce errors in accounts receivable. Collaborate with cross-functional teams to resolve billing and payment issues. Maintain accurate and up-to-date records of accounts receivable transactions. Identify and mitigate risks associated with accounts receivable, such as bad debt or denials. Job Strong knowledge of accounting principles and practices related to accounts receivable. Experience with CRM software and IT-enabled services is desirable. Excellent analytical and problem-solving skills are required. Ability to work effectively in a fast-paced environment and meet deadlines. Strong communication and interpersonal skills are essential. Familiarity with BPO industry standards and regulations is an asset.

Dear Candidate, Greetings from Global Healthcare Billing Partners Pvt Ltd! We are pleased to inform you about Opening with the Global Healthcare for the profile of CHARGE ENTRY &PAYMENT POSTING Experience : 0.6Year - 4 Years Qualification : Any Graduate Essential Requirement :- Associate should have worked Experience in Charge Entry & Payment Posting with good knowledge of medical billing process. Location: Velachery Shift: Day Contact Name : MALINI HR Contact Details - 9003239650 / 8925808598 NOTE : (only Medical billing experience are eligible) Regards GLOBAL MALINI HR 90032 39650

We are currently seeking talented individuals for multiple openings in Payment Posting, Denial Specialist, and Demo & Charge Entry roles. Payment Posting Specialist (End-to-End Process) - 10 positions available Denial Specialist (End-to-End Process) - 10 positions available Demo & Charge Entry Specialist - 10 positions available We are looking for candidates who can join immediately.

Support Senior Analysts: Assist senior business analysts in gathering, analyzing, and documenting functional requirements for projects and products. Prepare Basic Documentation: Create preliminary SRS, flow diagrams, functional diagrams, mock-ups, and wireframes under the guidance of senior analysts. Assist in Client Interactions: Support in conducting client calls, understanding customer requirements, and ensuring smooth communication between technical and business teams. Research and Competitor Analysis: Conduct basic competitor research, summarize findings, and prepare reports for internal stakeholders. Learn Agile Practices: Collaborate with the team to understand and implement Agile methodologies effectively. Content Preparation: Contribute to preparing user guides, tutorials, and other product documentation with supervision. Product Knowledge: Gain hands-on experience with the SaaS product (Callyzer) to assist in product demos and client onboarding processes. Collaboration and Coordination: Work closely with the development, design, and quality assurance teams to track project progress and meet deadlines. Tool Familiarization: Learn and utilize tools like Figma for wireframing, Google Docs, and Microsoft Office to prepare deliverables. Requirements: Minimum 1 years of relevant experience is required. Excellent Google Docs and Microsoft skills. (PowerPoint, Word, Excel) Knowledge of wireframing softwares like Figma, Sketch, Adobe XD, etc. Ability to multitask, prioritize, manage time well and meet deadlines. Excellent written and verbal Communication skills Why Join Webs Optimization Software Solution Incorporated since 2013 5 days working An ever-growing team of 80+ highly talented professionals. Flexible Working Hours Medical Insurance Healthy Career Growth, Opportunity to work with the latest technologies & frameworks. Positive Atmosphere and Culture combined with Personal Growth Job Satisfaction & Stability with sa uitable leave policy Fun Company Activities

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position : - Team Leader Salary: Based on Performance Overall exp min 7+ yrs Exp : Min 3 years Required in TL role End to end RCM process Knowledge ( AR Analyst ,Charge , Payment ) Gender: Male Joining: Immediate Joiner / Maximum 10 days Work from office only Direct Walkins Only Interview time ( 10 Am to 5 Pm ) Mail Id : vibha@novigoservices.com Call / Whatsapp ( 9003026989) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32

Job Purpose Supports the development, improvements and deployment of Quality Management systems and tools.Implements employees' trainings. Configures and updates the Quality Management System Supports to define training plan and implement on time Communicates programs, standards and procedures to the quality team and other plant employees Assembles cost control and statistical data in support of quality objectives, as needed Participates in the elaboration of Group tools and policies to measure performance Reports regularly regarding the system performance and new developments You are meant for this job if: Bachelor's degree or equivalent (preferably with a specialization in Quality) 0 to 2 years of experience Good knowledge of Management Systems Skills Additional Skills

About the Role As a Billing Operations Manager , you will be responsible for leading and organizing a team to meet key performance metrics in charges, claims submissions, payments, refunds, denials, and AR follow-ups . Key responsibilities include: Managers with real time experience and who has started their career from Charges/Payment Posting and then entered into AR Process and end to end process are only preferred. At least 3+ years as a Manager on papers and handled entire RCM team of AR, Denials, Charge posters, payment posters, etc. Please note: Only candidates who meet the specified requirements will be considered. Irrelevant profiles will not be entertained. Candidates only from Chennai location are preferred. Maintaining fee schedule documents and other master data tables. Developing and integrating systems data to generate operational, managerial, and executive reports, including revenue projections, cash forecasts, and denial metrics. Creating and maintaining workflow documentation to define roles, responsibilities, and team objectives. Ensuring clear and actionable communication with clients, leadership teams, and the offshore billing team. Providing billing and coding feedback to the team while identifying trends, inefficiencies, and process improvements. Staying updated on regulatory and reimbursement changes and ensuring compliance with industry standards. Handling other responsibilities as assigned to drive operational excellence. What You'll Do Problem-Solving & Analysis Identify challenges and implement effective solutions. Team Coordination Align team actions to maximize efficiency and performance. Time Management Balance priorities effectively while managing both individual and team schedules. Communication Maintain consistent communication with supervisors, clients, and internal teams. Writing & Documentation Strong written and verbal communication skills to document processes and report insights. Client-Centric Approach Maintain a strong focus on serving client needs with accuracy and efficiency. Leadership Take ownership of team performance and drive business objectives. Technical Proficiency Hands-on experience with Microsoft Word, Excel, EHR systems, and clearinghouse software . Qualifications 15+ years of experience in medical billing with expertise in payer-mix trends. 3+ years of management experience , preferably in outpatient facility coding. Familiarity with Electronic Health Records (EHR) systems . Proven real time experience from demographics, charges, payment posting and AR, denials roles. If you're looking for an opportunity to lead a high-performing team and make an impact in the healthcare billing industry, wed love to hear from you! Willing to work on flexible shift timings - preferably 3 PM to 12 AM Preferably Immediate joiners are required. Work Location : ACP Billing Services Pvt Ltd - NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark : Next to ICICI Bank Madhavaram Branch. Share your CV to hr@acpbillingservices.com / only Whatsapp 9841820311

Job Description Oversee the entire revenue cycle process, including patient registration, insurance eligibility & Benefits verification, charge capture, coding, billing, and payment collection/posting (Must have good hands-on Basic Claims Adjudication, AR & Denial Management/Appeals Process). Manage a team of accounts receivable and billing professionals, including hiring, training, and performance evaluations. Ensure that all coding and billing practices are compliant with government regulations and industry standards, including HIPAA and CMS guidelines. Monitor and analyze revenue cycle metrics to identify areas of improvement and implement process improvements to optimize revenue cycle performance. Work with internal and external stakeholders, including healthcare providers, insurance companies, and patients, to resolve billing and payment-related issues. Work with team on the identified roadblocks / potential problems for processes/procedures and implement possible solutions to avoid any delivery impact. Collaborate with clinical staff, billing staff, and other stakeholders to improve the revenue cycle management process. Monitor key performance indicators and adjust processes as needed to meet goals. Conduct regular training and education sessions to keep staff up to date on changes in regulations and best practices. Key Skills Essential 10+ years experience overseeing the end-to-end Revenue Cycle Management (US Healthcare). Should have strong domain knowledge with ability to handle a team size of up to 50 people across multiple functions like Eligibility Verification, Prior Authorization, AR, Denial Management, Billing and preferably payment posting. Excellent written and verbal communication skills, with demonstrated ability to communicate effectively with executive leadership and all levels of the organization. Proficient in MS Office applications, especially in MS Excel. Should have exposure in complete medical billing cycle understanding each process. Should be a team player and collaborate in solving any issues that might possibly arise in day-to-day transactions. Should have a very good knowledge & Control on Production/Quality & Attrition Management

Job description- Dear Candidate At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You will lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. Role: Medical Billing / Cash posting EX / Sr Ex / SME Location: Pune Viman Nagar ( Night Shifts ) WFO Experience: 1 to 7 Yrs. (No Opening for Freshers) CTC: 3 to 8 LPA Key Skills US Healthcare - Mandatory Charge Posting - Mandatory Payment Posting - Mandatory Provider Side - Mandatory Excellent Comm Skill - Mandatory Blended Process - Both Voice and non voice Process Preferred About Profile Review and analyze charge capture data for accuracy and completeness. Identify and correct charge errors and discrepancies. Collaborate with clinical and coding staff to resolve charge-related issues. Monitor and review billing processes to ensure compliance with payer guidelines. Identify billing errors and make necessary corrections to avoid claim denials. Ensure timely and accurate submission of claims to payers. Manage the resolution of denied claims by identifying root causes and correcting errors. Resubmit corrected claims to payers for reimbursement. Track and report on claim correction activities and outcomes. Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies. Stay updated on changes in billing regulations and payer requirements. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Nice to Have Bachelors degree in business or accounting major is preferred. 1-7 years experience in U.S Healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance. U.S Healthcare Experience is must. *iMP Note Very Good to Excellent comm skill is Mandatory. - Payer experience, Please dont apply - Working in Backend or Claim Adjudication process please dont apply, - Working in Voice Process or outbound calls are Preferred - Good to Excellect Comm Skill Required Recruitment Drive Details Date: 21st July 2025 (Saturday) Reporting Time: 1:00 PM Point of Contact: Shreya Sinha +91-9708168419 (*WhatsApp Text Only) shreya.singh@medtronic.com Important Notes: Carry 1 hard copies of your resume and a government ID proof. Write "Shreya" at the top of your resume. Application Process to get the Gate Pass Drive Link: https://forms.office.com/e/sQfbueBrLu Please refrain from coming to the office for your interview until you have gained experience in the Voice Process. This experience is essential for the role and will help ensure a smoother interview process. Please note, this is part of a mass email. If you have already applied, kindly do not apply again. Share your Resume Regards, Shreya Sinha Sourcing Specialist shreya.singh@medtronic.com +91-9708168419 (WhatsApp Only)