14 Claim Submission Jobs

Job Description Director of Revenue Cycle Management (RCM) Location: Remote Reports To: CEO / VP of RCM (U.S.-based) Team Oversight: 2540 offshore billers, AR callers, credentialing specialists, and auditors (India-based team) Role Overview The Director of RCM will provide strategic leadership and operational oversight for our offshore billing operations, ensuring end-to-end revenue cycle performance for U.S. healthcare provider clients. This leader will be responsible for building robust processes, maintaining payer compliance, driving collections, minimizing denials, and mentoring offshore teams to deliver world-class results. Key Responsibilities Strategic Leadership Define and execute th...

Job summary The End-to-End RCM Manager is responsible for the overall strategy and daily management of all revenue cycle functions. They lead a team to ensure accurate and timely processing of claims, maximize revenue capture, and maintain compliance with US healthcare regulations. The manager monitors key performance indicators (KPIs), drives continuous process improvement, and serves as a primary point of contact for clients or other internal departments on RCM performance. Key responsibilities Team leadership and management: Supervise, coach, and mentor RCM teams across multiple functions, such as medical coding, billing, and accounts receivable (AR). Conduct regular performance reviews a...

Job Purpose To act as a key team member of the Corporate Audit Services (CAS). Ensure contribution in planning, scoping & execution given areas of business/function reviews covering Process controls, IT controls, Compliance & Finance linkage. Frame the audit observations citing process gaps, simplification & value addition. Discuss the audit observations & obtain preliminary audit responses under the supervision of National Leads. Additionally, contribute to team activities such as Documentation, knowledge sharing & keeping updated with organizational development. Duties and Responsibilities 1.Planning Contribute to CAS AOP process. CAS presents new theme every year for AOP. AOP includes mis...

Job Description: You will be responsible for EDI/ERA Enrollment, ensuring providers are enrolled for electronic claim submission. This includes handling enrollment, re-enrollment, and re-validation processes for providers and locations. Additionally, you will manage data by processing, entering, and maintaining enrollment, assessment, and dis-enrollment documentation. You will also monitor, compile, and maintain accurate enrollment records, verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events. Key Responsibilities: - Ensure providers are enrolled for electronic...

Role Overview: As an Accounts Receivable Caller at QODORO, you will work collaboratively with the highly versatile, cross-functional Medical and Dental billing team to provide collective and qualitative billing services to clients. Your primary responsibility will be calling insurance companies in the US and following up on outstanding Accounts Receivable. You will need to have a good knowledge of healthcare concepts, denial management, and understand client requirements to ensure deliverables meet quality standards. Additionally, you will be required to have target-oriented mindset and excellent communication skills to provide customer service to patients and insurance companies. Key Respon...

Job Description Director of Revenue Cycle Management (RCM) Location: Remote Reports To: CEO / VP of RCM (U.S.-based) Team Oversight: 2540 offshore billers, AR callers, credentialing specialists, and auditors (India-based team) Role Overview The Director of RCM will provide strategic leadership and operational oversight for our offshore billing operations, ensuring end-to-end revenue cycle performance for U.S. healthcare provider clients. This leader will be responsible for building robust processes, maintaining payer compliance, driving collections, minimizing denials, and mentoring offshore teams to deliver world-class results. Key Responsibilities Strategic Leadership Define and execute th...

As a Senior AR Caller, you will be responsible for managing the Accounts Receivable (AR) process for U.S. healthcare providers. Your primary role will involve following up with insurance companies to resolve outstanding claims, ensuring timely reimbursements, and contributing to the overall efficiency of the revenue cycle process. Your key responsibilities will include following up with U.S. insurance companies on outstanding accounts receivable, asking appropriate questions to address specific claim issues, and accurately documenting responses. You will be required to record all actions taken and update notes in the client's revenue cycle management platform. Ensuring that quality and produ...

1. Shift Timings: US dayshift (Indian evening/night shift). 2. Qualifications and skillsets needed: a) Preferred Bachelors’ degree. b) At least prior 3+ years of experience in Accounts Receivable in Revenue Cycle Management. c) Strong understanding of insurance policies, claim processing, and reimbursement procedures. d) Basic knowledge of coding systems (CPT, ICD-10) and payer-specific requirements. e) Proficiency in healthcare management software, billing systems, and Microsoft Office applications (especially Excel). f) Acquaintance with payer portals, electronic remittance advice (ERA), and insurance claims processing. g) Strong analytical and problem-solving skills with the ability to ha...

Job Description Job Description: Responsible formanaging the entire billing cycle for both inpatient and outpatient services, including data entry, medical coding, claim submission, and follow-up on payments. Qualifications: Any Bachelor's Degree, Generate and manage accurate invoices for IP services Resolve discrepancies in billing and manage client inquiries Coordinate with the IP & OP department to ensure accurate tracking of billable activities Minimum of 2 years of experience in Hospital Billing Excellent communication and patient care skills Apply now to become a vital part of our Billing team!

You will play a crucial role in our team as a Pharmacy Billing Specialist at Meteorroids, a company specializing in Pharmacy Billing, Medical Billing, and Institutional Billing. Your primary responsibility will be managing the end-to-end billing cycle, ensuring compliance with healthcare regulations, and meeting insurance requirements. Your attention to detail and experience in infusion services will be essential in maximizing our revenue and supporting operational efficiency. Your key responsibilities will include handling Prior Authorizations, managing Ordering & Inventory, providing Infusion Administration Support, overseeing Billing & Collections, and contributing to Accounting & Financi...

As a Credentialing Specialist, you will play a crucial role in our healthcare operations team by managing end-to-end credentialing and re-credentialing processes. Your primary responsibility will be ensuring the efficiency of the revenue cycle by handling tasks such as maintaining accurate provider data, tracking expirables, and collaborating with billing teams. You will be responsible for interacting with insurance companies and regulatory bodies to follow up on application statuses and resolve any issues that may arise. Additionally, you will work closely with the RCM team to support eligibility, pre-authorization, and claim submission tasks. Your attention to detail and organizational ski...

Job Description We are seeking for skilled and dedicated AR Caller to join our esteemed healthcare team @ PUNE. You will be responsible for making calls to insurance companies to follow-up on pending claims If you have a deep understanding of end-to-end US Healthcare billing insurance industry, possess excellent communication skills with logical reasoning abilities and have AR Calling experience between 1 and 2 years, we are looking forward for your application About Us: Acrev Solutions is a leading Healthcare billing organization committed to providing exceptional RCM services. Our team of dedicated professionals works tirelessly to ensure a seamless billing process, and we are now looking ...

o Leadership & Team Management: o Supervise and guide a team of RCM specialists to ensure smooth workflow and operational efficiency. o Set performance benchmarks, monitor key metrics, and provide coaching and training to enhance team productivity. o Conduct regular team meetings to address challenges, discuss process improvements, and ensure adherence to policies. Revenue Cycle Operations & Optimization: o Oversee claim submissions, payment posting, denial management, and accounts receivable follow-ups. o Ensure timely resolution of claim denials and rejections to maximize reimbursement. o Implement best practices to enhance revenue collection and minimize outstanding balances. o Collaborat...

Greetings from Savista!!! We are hiring experienced AR callers for Dental AR. Roles & Responsibilities: Calling Insurance companies on behalf of dentists/dental clinics and following up on outstanding accounts receivable. Prioritize the pending claims for calling from the aging bucket as per the strategy defined. Analyze and execute corrective actions to the claims company (payers) for payment of outstanding claims. Review claims as per status from insurance and take appropriate next action defined by the client SOPs. Review provider claims that have not been billed, in process, pending additional information, paid, and /or denied by Insurance companies. Abide with laws governing process and...