1890 Denial Management Jobs - Page 10

About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Amulya G HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432435/Whatsapp @6366979339 amulya.g@blackwhite.in | www.blackwhite.in

Mysuru, Karnataka, 570017 Onsite Mon-Frid: 5:30pm-2:30am IST AR Specialist–Resolve physician claim denials, follow up 2-7 yrs physician AR denials, medical billing req. Walk-In Interviews M - F 10 am - 4 pm. https://strivanthealth.com/careers

Job Title: Accounts Receivable Analyst (US Healthcare Process)Non Voice Process Immediate Joiners Preferred Job Location: Chennai/Banglore / Work from Office (Morning Shift) Experience Required: 1 to 4 Years in US Healthcare / AR Analyst / RCM Process CTC Offered: 3LPA 6 LPA + Incentives + Shift Allowance Job Description: We are hiring energetic and goal-driven AR Callers to join our dynamic US healthcare team. As an AR Caller, you will be responsible for calling insurance companies (in the US) to follow up on pending claims. Key Skills Required : The Accounts Receivable Analyst is responsible for managing and analyzing the companys receivables to ensure timely collection of payments and accurate financial reporting. This role involves reviewing customer accounts, tracking outstanding invoices, reconciling discrepancies, and supporting internal teams with billing and collection processes. The AR Analyst plays a critical role in optimizing cash flow, minimizing credit risk, and maintaining positive client relationships. Shift Timings: Morning Shift (9 to 5) | Monday to Friday Perks & Benefits: Attractive Incentives Performance Bonus Health Insurance Career Growth & Internal Promotions Qualifications: Any Graduate / Diploma (Medical/Non-Medical) Prior experience in AR Analyst /Non Voice Process preferred How to Apply: Contact HR: Rupasri A [8072644169] (Send the CV in Whatsapp) Mention AR Caller Current Location in the subject line

You are required to have 1-2 years of experience in US healthcare RCM to fill the role of a Spravato/Mental Health Biller & Caller. Your main responsibilities will include processing and submitting Spravato/Mental Health claims, verifying insurance eligibility, obtaining prior authorizations, following up on denied/rejected claims, and resolving outstanding AR. It is essential to possess strong communication skills as you will be interacting with insurance companies, providers, and patients to ensure timely reimbursement. Your skills should include experience in medical billing & coding (CPT, HCPCS, ICD-10), a solid understanding of denial management & claim follow-up, familiarity with insurance portals, EHRs & clearinghouses, as well as excellent communication & analytical abilities. If you join us, you can expect a competitive salary & incentives, the opportunity to work with global clients, and growth prospects in US healthcare RCM. If you are interested in this position, you can apply now or contact us for more details at hr@finnastra.com.,

You are invited to join as an AR Caller or Sr. AR Caller specializing in US Healthcare at our office located in Gurgaon on MG Road. With 2 to 4 years of experience in Revenue Cycle Management within the US Medical Billing sector, you will play a vital role in communicating with insurance companies in the USA to manage outstanding accounts receivables on behalf of doctors and physicians. Your responsibilities will include demonstrating a strong grasp of HIPPA regulations, CPT codes, ICD9/10, Appeals, and denial management. The ideal candidate for this position should possess a minimum of 2 years of experience as an AR Caller, along with exposure to denial management processes. To excel in this role, you must have excellent English communication skills, both verbal and written. Additionally, proficiency in computer usage, strong interpersonal skills, the ability to work well under pressure, quick decision-making skills, and a willingness to learn are essential traits we are looking for. Eligible candidates should be at least 18 years old, hold a graduate degree, have fluent English communication skills, be comfortable with night shifts, and able to work from the office. Immediate joining is required, and the role offers excellent growth opportunities with fixed US night shifts and a 5-day workweek, ensuring a good work-life balance with weekends off. If you meet these requirements and are looking to be a part of a dynamic team in the US Healthcare sector, we encourage you to apply and explore this exciting opportunity with us.,

Job Description As an AR Analyst at iSource, your primary responsibility will be to identify specific issues with claims and ask targeted questions to gather necessary information from clients. You will be required to document all actions and notes in the client's revenue cycle platform, following client-specific standards. Additionally, you will perform aging analysis to understand the days in Accounts Receivable (A/R) and identify top reasons for claim denials. Providing detailed reports to clients as needed to help them understand and address denial trends will also be part of your role. It is essential to maintain high ethical standards in all activities, ensuring that actions are always in the best interest of the client and the organization. The ideal candidate for this position should have 2 to 4 years of experience as an AR Analyst or Caller, with a strong understanding of revenue cycle management and denial management concepts. You should possess the ability to generate aging reports and analyze them effectively, as well as quickly learn and adhere to client-specific business rules. A graduate degree in any field is required to be considered for this role. In return, iSource offers perks and benefits that include a two-way cab service and dinner arrangements for employees. If you are passionate about healthcare BPO/KPO services and are looking to contribute to a dynamic organization that values employee happiness and customer satisfaction, we encourage you to apply for this position. Contact information: Avinash Ragupathi Phone: +916382604605 Email: avinash.r@isourceindia.com,

Minimum 1 Year of experience in AR Calling Looking for Immediate joiner or Notice period 15 Days Accepted Salary - Best in Industry Two way cab Mode of interview - Virtual / Walk in Work Location - Chennai Regards, Muthu Hr 9361304375 / 9342780488

Job Summary Join our dynamic team as a PE-Ins Claims specialist where you will leverage your expertise in the Life and Annuity domain to enhance our claims processing efficiency. With 1 to 3 years of experience you will play a crucial role in ensuring accurate and timely claims management. This is an office-based role with night shifts offering an opportunity to make a significant impact in the insurance industry. Responsibilities Analyze and process insurance claims in the Life and Annuity domain to ensure accuracy and compliance with company policies. Collaborate with cross-functional teams to streamline claims processing and improve overall efficiency. Utilize domain knowledge to identify discrepancies and resolve issues in claims documentation. Maintain detailed records of claims activities and ensure all data is accurately entered into the system. Provide exceptional customer service by addressing inquiries and resolving claims-related concerns promptly. Assist in the development and implementation of claims processing procedures to enhance workflow. Monitor claims trends and provide insights to management for strategic decision-making. Ensure adherence to regulatory requirements and company standards in all claims processing activities. Participate in training sessions to stay updated on industry trends and best practices. Support team members in achieving departmental goals and objectives through effective collaboration. Contribute to continuous improvement initiatives by providing feedback and suggestions for process enhancements. Prepare reports and presentations on claims performance metrics for management review. Engage in professional development opportunities to enhance skills and knowledge in the Life and Annuity domain. Qualifications Possess strong analytical skills with a keen attention to detail in claims processing. Demonstrate proficiency in Life and Annuity domain knowledge with a focus on claims management. Exhibit excellent communication and interpersonal skills for effective collaboration. Show adaptability to work night shifts and manage time efficiently in a fast-paced environment. Display a proactive approach to problem-solving and decision-making in claims handling. Have a customer-centric mindset with a commitment to delivering high-quality service. Be familiar with insurance regulations and compliance standards relevant to the Life and Annuity domain. Certifications Required Certification in Life and Annuity Claims Management or equivalent is preferred.

Job Summary Join our dynamic team as a PE-Ins Claims specialist where you will leverage your expertise in the Life and Annuity domain to process and manage insurance claims efficiently. With a focus on accuracy and customer satisfaction you will play a crucial role in ensuring smooth operations and contributing to the companys success. This position requires working from the office during night shifts providing an opportunity to collaborate closely with team members and enhance your skills in a supporti Responsibilities Process insurance claims with precision and ensure compliance with company policies and regulations. Analyze claim documents and assess the validity of claims based on Life and Annuity domain knowledge. Collaborate with cross-functional teams to resolve complex claim issues and provide timely resolutions. Maintain accurate records of all claims processed and update the system with relevant information. Communicate effectively with clients to gather necessary information and provide updates on claim status. Identify potential areas of improvement in claim processing and suggest actionable solutions. Ensure high levels of customer satisfaction by addressing inquiries and resolving issues promptly. Monitor claim trends and provide insights to management for strategic decision-making. Adhere to company guidelines and industry standards while handling sensitive client information. Participate in training sessions to stay updated on industry changes and enhance domain expertise. Support team members by sharing knowledge and best practices in claim management. Contribute to the development of efficient workflows and processes to optimize claim handling. Utilize technical skills to streamline claim processing and improve overall efficiency. Qualifications Possess strong Life and Annuity domain knowledge with a focus on insurance claims. Demonstrate excellent analytical skills to evaluate and process claims accurately. Exhibit effective communication skills to interact with clients and team members. Show proficiency in using claim management software and related tools. Have a keen eye for detail to ensure accuracy in claim documentation. Display a proactive approach to identifying and solving claim-related issues. Certifications Required Certified Insurance Claims Professional (CICP) or equivalent certification preferred.

We are Hiring Candidates who are experienced in AR Calling specialized in Hospital Billing (International Voice only) for Medical Billing in US Healthcare Industry. Role & responsibilities Reviews the work order. Follow-up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in-case of rejections. Ensure deliverables adhere to quality standards. *Candidates with excellent communication and strong knowledge in Denial Management can apply.* ONLY HOSPITAL BILLING REQUIRED ONLY IMMEDIATE JOINERS PREFERRED. Ability to work in night shift - US shift Cab provided (both pick up and drop) 5 days work (Weekend fixed OFF) Job location : Chennai Candidates from Anywhere in Tamilnadu can apply. Share your updated resume and photograph. Contact: Elakkia HR - 6379410644 (Share resume and Photo through whatsapp) Mail id: elakkia.kanniya@accesshealthcare.com

WE ARE HIRING FOR AR /SR AR CALLERS / WALK-IN (THURSDAY 24/7/2025) Job Title: AR Caller (US Healthcare Process) Voice Process Immediate Joiners Preferred Job Location: Chennai / Work from Office (Night Shift) Experience Required: 1 to 4 Years in US Healthcare / AR Calling / RCM Process CTC Offered: 3LPA 6 LPA + Incentives + Shift Allowance Key responsibilities : Excellent hands on experience handling Commercial insurance companies Exposure in Denial Management Good Communication Skills Requirement : * Experience : Minimum 1 year Experience into medical billing - AR Calling * Immediate Joiners are Required.. Interested people can reach HR VINODHINI (7904391931) only whatsapp

Med-Metrix - AR caller HB (Hospital Billing) walk-in interview Interview date: July (22nd To 24th) 2025 Walk-in time: 3:30 PM to 6 PM Interview Address : 7th Floor, Millenia Business Park II, 4A Campus,143, Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Contact Person : Subash Contact Number : 9791854171 Mail : spalani@med-metrix.com Preferred candidate profile : AR Caller (1 to 3) Years - (US Health care) Hospital Billing (HB) With minimum 1+ year's of Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers) Experienced on medical billing/ AR Calling. Background in calling insurance (Payer) to verify claim status and payment dispute. Must be amenable to work night shifts. Note : Please mention Subash at the top of the resume while stepping in for interview ! Perks and benefits : CAB Facility (Two way) Incentives Salary good in the Industry Captive Organization

Designation : AR caller RCM, US healthcare Department : Operations Location : Hyderabad Report to : Team Leader, Operations. Work Set-up: Work from Office WORK BRIEF: To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The goal of the Sr. Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. CORE RESPONSIBILITIES File claims using all appropriate forms and attachments. Research account denials and file written appeals, when necessary. Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim. Research account information to determine the necessary attachments or supporting documentation to send with each claim. Document in detail all efforts in CUBS system and any other computer system necessary. Verify patient information and benefits. Essential Knowledge: Basic knowledge of using MS office basic applications like Word, PowerPoint, Excel, Notes, etc. Essential Skills: Min 2 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work in night shifts from office Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus MINIMUM QUALIFICATION: Graduate with minimum 2 Years of AR calling experience in US Healthcare market Pursuing Candidates – NOT Accepted for this role Note : Kindly mention HR- Nawaz khan on top of CV at the time of Walk-in. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or priyanka.narayanamoorthy@firstsource.com

Med-Metrix - AR caller PB&HB walk-in interview. Interview date : July (22nd to 24th) 2025 Walk-in time : 4 PM to 6 PM Preferred candidate profile : AR Caller (1 to 3) Years - (US Health care) Physician Billing (PB) Hospital Billing(HB) With minimum 1+ year's of Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers) Experienced on medical billing/ AR Calling. Background in calling insurance (Payer) to verify claim status and payment dispute. Must be amenable to work night shifts. Contact Person : Indhumathi HR ( irajendran@med-metrix.com , 9280098218) Perks and benefits CAB Facility (Two way) Salary good in the Industry Interview Address :7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! Job Openings AR Caller & AR Analyst (Hospital Billing - US Healthcare BPO) Experience: 1 to 6 years Location: Velachery, Chennai Notice Period: Immediate to 15 Days Open Positions: 1. AR Caller Hospital Billing (Night Shift) 2. AR Analyst Hospital Billing (Day Shift) Job Requirements: Experience in US Healthcare - Hospital Billing (RCM Process) Hands-on experience in AR Calling / AR Analysis Strong communication and analytical skills Willing to work in respective shifts (Night/Day) Work Location: Velachery, Chennai Notice Period: Immediate Joiners Preferred / Max 15 Days Interested candidate contact or share your updated resume to 8925808597 [Whatsapp] Regards, Kayal HR 8925808597

About Client Hiring for one of the most prestigious multinational corporations Job Title : Certified Multi Specialty Denial Coders Qualification : Any Graduate and Above Relevant Experience : 1 to 3 Years Must Have Skills : 1. Certification in medical coding (CPC, CCS, or equivalent). 2. Hands-on experience with denial analysis across multiple specialties like cardiology, orthopedics, neurology, etc. 3. Strong knowledge of modifiers, coding edits, and payer-specific requirements. 4. Good communication skills and detail-oriented approach. Good Have Skills : Certification in medical coding (CPC, CCS, or equivalent). Roles and Responsibilities : 1. Review and analyze denied claims across multiple specialties. 2. Identify root causes for denials and take corrective coding actions. 3. Collaborate with the denial management and billing teams to ensure timely resubmission of claims. 4. Maintain coding accuracy and adherence to payer-specific guidelines. 5. Utilize coding systems such as ICD-10-CM, CPT, and HCPCS effectively. 6. Provide feedback and input for denial prevention strategies. 7. Ensure coding compliance as per regulatory and client standards. Location : Bangalore, Chennai CTC Range : 3 5.4 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in *******DO REFER YOUR FRIENDS / FAMILY*******

We are looking for a highly skilled and experienced PDI Associate to join our team at Ekya Schools. The ideal candidate will have 2-5 years of experience in the field. Roles and Responsibility Collaborate with cross-functional teams to design and implement effective learning solutions. Develop and maintain high-quality educational content and materials. Provide training and support to teachers and staff on new technologies and methodologies. Evaluate student progress and provide feedback to improve outcomes. Participate in professional development opportunities to stay current with best practices. Foster positive relationships with students, parents, and community members. Job Requirements Strong understanding of IT Services & Consulting industry trends and technologies. Excellent communication and interpersonal skills. Ability to work effectively in a fast-paced environment and prioritize tasks. Strong problem-solving and analytical skills. Experience with project management tools and techniques. Familiarity with educational software and technology platforms. A graduate degree is required for this position. About Company Ekya Schools is a leading provider of innovative education solutions, committed to delivering high-quality education experiences to students. We focus on creating engaging and interactive learning environments that promote student growth and development.

Duties & Responsibilities : Provide leadership and focus to the project teams while being responsible for the productivity, quality and overall performance of the projects. Lead team leaders, SME s, trainers to efficiently deliver client expectations. Guide team to reduce AR ageing and optimize collections. Monitoring and managing workflow and daily targets to assure timely delivery of agreed SLA s. Tracking and maintaining metrics for a variety of data including collections report, Operations report, etc. Work with Team Leader or Team coaches to resolve any personnel problems or conflicts that may arise in the team. Learn and implement new client systems. Co-ordinate and organize training for new joiners as well as for existing members of the team based on the project requirement. Conduct regular conference calls with clients and identify ways & means to improve client satisfaction. Disclaimer: GeBBS never charges fees or accepts payments for job applications. Any such requests should be reported immediately to reporthr@gebbs.com.

We are looking for a skilled Payment Posting and Charge Entry - Rcm Executive to join our team at Prodat IT Solutions, with 1-6 years of experience in the field. Roles and Responsibility Manage payment posting and charge entry processes for accurate and timely payments. Coordinate with clients and internal teams to resolve payment-related issues. Develop and implement process improvements to increase efficiency and reduce errors. Analyze data to identify trends and areas for improvement in payment posting and charge entry. Collaborate with cross-functional teams to achieve business objectives. Ensure compliance with company policies and procedures. Job Requirements Strong knowledge of payment posting and charge entry processes. Experience working with RCM systems is required. Excellent analytical and problem-solving skills. Ability to work effectively in a team environment. Strong communication and interpersonal skills. Familiarity with industry standards and regulations.

Desired Candidate profile Excellent problem-solving, leadership and interpersonal communication skills Mandatory: Minimum 4+ years of experience in US Healthcare Medical Billing Must have 2 years experience in Team Handling Strong understanding of physician billing, denial management, payer guidelines and AR cycles Proficiency in practice management systems. Preferred experience in Trizetto, Waystar, Jopari NextGen. Immediate joiners will be preferred Flexible with shift timings Benefits

Job description GM Analytics Solutions, based at Gurgaon with exclusive tie up with US Healthcare company is currently seeking a experienced professional for the position of Manager of Revenue Cycle Management., proficient in US healthcare willing to work in Night shift. This position will be responsible for all staff and operations of core healthcare related revenue cycle functions including billing, posting, AR, collections, coding and credentialing for multiple providers and provider groups. Candidates should be highly motivated to face challenges of a rapidly growing organization and committed to service excellence. . Responsibilities include but are not limited to: Upholds teaches and enforces GM Analytics Solutions Core Values. Manages the staff and operations of the RCM department Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office. Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization of current processes and/or procedures. Develops and maintains strong relationships with US based team. Effectively manages relationships and business processes of all clients and owners. Develops, implements and effectively manages policies, processes and procedures that result in maintaining key performance indicators at or above/below goal levels, as set by the Director of RCM. Provides education and policy updates for staff on a regular and as needed basis. Establishes and conducts performance reporting for all clients. Works collaboratively with leaders of all departments to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the billing staff throughout account life cycle. Provides regular revenue management reports to management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability as soon as they are identified. Ensures compliance with government and commercial billing and medical record regulations and standards (USA) while maximizing reimbursement for patient claims. Manages operational expenses in accordance with the budget. Directs and oversees the development of operating and capital budget for the department. Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs. Holds responsibility for implementation and standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of systems for billing and accounts receivable management. Requirements and Qualifications: 10+ years of experience in US healthcare Revenue Cycle Management with at least 5 years in an Executive Leadership role MBA degree from a reputed university required Expert level proficiency in core healthcare revenue cycle functions including billing, posting AR, collections, coding and credentialing. Certifications in medical billing/coding preferred Proven ability to lead and manage multiple projects and drive the team to results. Excellent interpersonal, oral, and written communication skills Ownership driven and results oriented Strong Microsoft Office skills, specifically Excel and PowerPoint. Have a flair for numbers, work well with people, aggressively anticipate impacts of workload/issues to team deadlines and have a positive work attitude including willing to work some long hours. Competency Requirements: Must possess the following knowledge, skills, and abilities to perform this job successfully: Strong presentation skills with internal and external customers. Experience to handle large teams Communicate effectively and clearly. An analytical mind. Ability to stick to time constraints and meet deadlines. Negotiation skills and the ability to develop strong working relationships. Solutions-minded, compliance-minded and results-oriented. Excellent organization and planning skills with the ability to define, analyze and resolve issues quickly and accurately. Ability to juggle multiple priorities successfully. High-energy, the hands-on employee who thrives in a fast-paced work environment. Flexible, adaptable and can adjust to a rapidly changing and growing environment. Ability to develop both tactical and strategic solutions to business challenges. This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.

Job description GM Analytics Solutions, based at Gurgaon with exclusive tie up with US Healthcare company is currently seeking a experienced professional for the position of Manager of Revenue Cycle Management., proficient in US healthcare willing to work in Night shift. This position will be responsible for all staff and operations of core healthcare related revenue cycle functions including billing, posting, AR, collections, coding and credentialing for multiple providers and provider groups. Candidates should be highly motivated to face challenges of a rapidly growing organization and committed to service excellence. . Responsibilities include but are not limited to: Upholds teaches and enforces GM Analytics Solutions Core Values. Manages the staff and operations of the RCM department Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office. Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization of current processes and/or procedures. Develops and maintains strong relationships with US based team. Effectively manages relationships and business processes of all clients and owners. Develops, implements and effectively manages policies, processes and procedures that result in maintaining key performance indicators at or above/below goal levels, as set by the Director of RCM. Provides education and policy updates for staff on a regular and as needed basis. Establishes and conducts performance reporting for all clients. Works collaboratively with leaders of all departments to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the billing staff throughout account life cycle. Provides regular revenue management reports to management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability as soon as they are identified. Ensures compliance with government and commercial billing and medical record regulations and standards (USA) while maximizing reimbursement for patient claims. Manages operational expenses in accordance with the budget. Directs and oversees the development of operating and capital budget for the department. Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs. Holds responsibility for implementation and standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of systems for billing and accounts receivable management. Requirements and Qualifications: 10+ years of experience in US healthcare Revenue Cycle Management with at least 5 years in an Executive Leadership role MBA degree from a reputed university required Expert level proficiency in core healthcare revenue cycle functions including billing, posting AR, collections, coding and credentialing. Certifications in medical billing/coding preferred Proven ability to lead and manage multiple projects and drive the team to results. Excellent interpersonal, oral, and written communication skills Ownership driven and results oriented Strong Microsoft Office skills, specifically Excel and PowerPoint. Have a flair for numbers, work well with people, aggressively anticipate impacts of workload/issues to team deadlines and have a positive work attitude including willing to work some long hours. Competency Requirements: Must possess the following knowledge, skills, and abilities to perform this job successfully: Strong presentation skills with internal and external customers. Experience to handle large teams Communicate effectively and clearly. An analytical mind. Ability to stick to time constraints and meet deadlines. Negotiation skills and the ability to develop strong working relationships. Solutions-minded, compliance-minded and results-oriented. Excellent organization and planning skills with the ability to define, analyze and resolve issues quickly and accurately. Ability to juggle multiple priorities successfully. High-energy, the hands-on employee who thrives in a fast-paced work environment. Flexible, adaptable and can adjust to a rapidly changing and growing environment. Ability to develop both tactical and strategic solutions to business challenges. This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.

Hiring for AR Calling - Chennai Walk-in Location: A1 Block, Ground floor, Gateway Office Parks, 16, GST Road, Perungalathur, Chennai - 600 063, Tamil Nadu. Contact us: Manikandan - 9551070726 -manikandan.ravi1@sutherlandglobal.com Sandhiya - 7550106180 - sandhiya.haridass@Sutherlandglobal.com Job Role 1. Reviewing and analyzing claim form 1500 to ensure accurate billing information. 2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. 3. Familiarity with payer websites to verify claim status, eligibility, and coverage details. 4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. 5. Proficiency in using CPT range and modifiers for precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 2 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland. 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. Note: "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 motivated and detail-oriented Process Executive - AR to join our team in Navi Mumbai. The ideal candidate should have 0-1 years of experience. Roles and Responsibility Manage accounts receivable processes with high accuracy and efficiency. Handle customer inquiries and resolve issues promptly. Ensure compliance with company policies and procedures. Collaborate with internal teams to achieve business objectives. Analyze data and provide insights to improve process performance. Develop and implement process improvements to boost productivity. Job Strong understanding of CRM/IT enabled services/BPO industry. Excellent communication and problem-solving skills. Ability to work in a fast-paced environment with multiple priorities. Proficiency in using computer applications and software. Strong analytical and organizational skills. Ability to maintain confidentiality and handle sensitive information. Experience working with Omega Healthcare Management Services Private Limited is preferred. Omega Healthcare Management Services Pvt. Ltd. is a leading healthcare management services provider committed to delivering exceptional patient care and services. We offer a dynamic and supportive work environment, opportunities for growth and development, and a competitive compensation package.

Looking to onboard a highly motivated and detail-oriented AR Associate with 0-1 years of experience to join our team in Coimbatore. The ideal candidate will have excellent communication skills and the ability to work effectively in a fast-paced environment. Roles and Responsibility Manage accounts receivable, including processing payments and resolving billing issues. Coordinate with clients to ensure timely payment and maintain accurate records. Identify and address denials by investigating root causes and resubmitting claims. Collaborate with internal teams to resolve account-related issues and improve processes. Analyze data to identify trends and areas for improvement in the accounts receivable process. Develop and implement strategies to reduce outstanding accounts and improve cash flow. Job Strong understanding of accounting principles and practices. Excellent communication and interpersonal skills. Ability to work in a team environment and meet deadlines. Proficiency in CRM software and Microsoft Office applications. Strong analytical and problem-solving skills. Ability to adapt to changing priorities and workflows. Experience working in an IT-enabled services or BPO industry is preferred. Company nameOmega Healthcare Management Services Pvt. Ltd. IndustryCRM/IT Enabled Services/BPO. JD