3255 Denial Management Jobs - Page 11

Overview The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website Responsibilities Performs follow-up with market locations to research and resolve payer enrollment issues Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment iss...

Dear Candidates Greetings From Qway Technologies We are hiring for AR Calling Process: Medical Billing (AR) Designation: AR Caller , Senior AR Caller Salary: As per Market standards Location: Mysore/Mysuru Free Pick up and Drop facility will be provided for both Male & Female employees Should have good domain knowledge Experience in end to end RCM would be preferred Should be a good team player Interested candidate can ping me in Watsapp or can call directly Kindly Watsapp to the below mentioned number. Number: 8073983877 - Yogendra Regards HR Team Qway Technologies KSSIDC, PLOT NUM SPL-55, Hebbal Industrial Estate, Hebbal, Mysuru, Karnataka 570016.

HCLTech || Walk-in Drive for AR Callers || 16th Sep'25 - Ambattur Location Experience: 1 to 4 Years Shift: US Shift Timings Work Location: ELCOT Shollingnallur , Chennai. Time and Venue 16th September , 10.30 AM - 2.30 PM HCLTech, No. 8, M T H Road, AMB 6, Ambattur Industrial Estate, Ambattur, Chennai - 600058, Tamil Nadu, India POC: Jefferson/ Yuvapriya JOB SUMMARY This position is responsible for providing customer service support and collections via phone calls. Should have experience in RCM/DME for minimum of 1 year Outbound calls to insurance companies, end customers and perform eligibility verification, obtain prior authorization, requesting missing or incomplete payer information, Upd...

Job Title: Accounts Receivable (AR)/EV Caller -Medical Billing Job Type: Full-Time Job Summary: We are looking for an Accounts Receivable (AR)/EV Caller to join our dynamic medical billing team. The ideal candidate will be responsible for handling the follow-up on unpaid claims, resolving billing discrepancies, and working directly with insurance companies to ensure timely payment. This role requires strong communication skills, attention to detail, and knowledge of medical billing practices. Key Responsibilities: Follow up on outstanding insurance claims and unpaid accounts. Communicate with insurance companies to resolve claims issues, including denials and underpayments. Ensure accurate a...

HCLTech || Walk-in Drive for AR Callers || 18th & 19th Sep'25 - Sholinganallur Location Experience: 1 to 4 Years Shift: US Shift Timings Time and Venue: 18th & 19th Sep'25 , 10.30 AM - 2.30 PM HCL Tech, SEZ Tower 4, 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119 POC: Jefferson/Suriyapriya JOB SUMMARY This position is responsible for providing customer service support and collections via phone calls. Should have experience in RCM/DME for minimum of 1 year Outbound calls to insurance companies, end customers and perform eligibility verification, obtain prior authorization, requesting missing or incomplete payer information, Update patient information an...

HCLTech || Walk-in Drive for AR Callers || 16th Sep'25 - Ambattur Location Experience: 1 to 4 Years Shift: US Shift Timings Time and Venue 16th September , 10.30 AM - 2.30 PM Venue: HCLTech, No. 8, M T H Road, AMB 6, Ambattur Industrial Estate, Ambattur, Chennai - 600058, Tamil Nadu, India. POC: Jefferson/Suriyapriya JOB SUMMARY This position is responsible for providing customer service support and collections via phone calls. Should have experience in RCM/DME for minimum of 1 year Outbound calls to insurance companies, end customers and perform eligibility verification, obtain prior authorization, requesting missing or incomplete payer information, Update patient information and other call...

In this Role you will be Responsible For Review and process insurance claims. Validate Member, Provider and other Claims information. Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. Coordination of Claim Benefits based on the Policy & Procedure. Maintain productivity goals, quality standards and aging timeframes. Scrutinizing Medical Claim Documents and settlements. Organizing and completing tasks per assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelin...

Job Summary We are looking for an experienced RCM AR Specialist with 2-4 years of experience in denial management, billing, AR follow-up, and payment posting. Experience with RCM cycle and familiarity with RCM software such as ECW, Athena, Core 360, and Epic is required. Preferred experience in Radiology, Orthopedics, Home Health, Hospice, Cardiology, Family Medicine, and Wound Care specialties. Key Responsibilities Manage denial resolutions and claim rejections effectively. Follow up on outstanding AR balances and ensure timely payment collection. Post payments accurately and resolve billing discrepancies. Ensure compliance with RCM processes and software tools. Qualifications 2-4 years of ...

Dear Applicant, Excellent opportunity ! Position / Title : Executive - AR / Senior Executive - AR Responsibility Areas Role Description Overview: Should handle US Healthcare Physician Billing Accounts Receivable. Sound knowledge in US Healthcare Concept. Excellent Knowledge on Denial Management Should have experience working on CMS1500 claim form. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Interested candidate please share your resume below mail id or share the resume on Whatsapp. Contact HR : Surisha T Mail Id :surisha.talakala@omegahms.com Contact : 7995894527 Regards, Team HR

Dear Applicant, Excellent opportunity ! Position / Title : Executive - AR / Senior Executive - AR Responsibility Areas Role Description Overview: The User is accountable to manage day to day activities of Denials/Claims Processing/ AR follow-up/ Rejections with respect to Hospital Billing. Responsible for contacting insurance companies and patients to follow up on outstanding medical claims. Navigates complex billing and coding processes to ensure accurate reimbursement for healthcare services. Responsibility Areas: Should handle US Healthcare Hospitals/Facility Accounts Receivable. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Call...

Job Description Should have strong knowledge in RCM and denial management. Candidate must be familiar with CMS1500 form. Should have knowledge on terms like CPTs, Modifiers, ICD codes Should have knowledge on insurance guidelines especially Medicare and Non-Medicare. Good Knowledge on Denial Scenarios Calling agents on claims resolutions and handling the denials for a closure. Ensure 100% follow up on pending claims Ensure deliverables adhere to quality standards Handling daily denials Handling more complex/aged inventory Follow the basic rules as provided on the SOP Education/ Experience Requirements Any Undergraduate/Graduation Degree and above Problem solving skills Strong verbal and writ...

Job Title - AR caller Freshers and experienced both can apply Fixed Night Shift Graduates Excellent English Communication is a must 5 Working days

Dear Applicant, Excellent opportunity ! Position / Title : Executive - AR / Senior Executive - AR Responsibility Areas Role Description Overview: Should handle US Healthcare Physician Billing Accounts Receivable. Sound knowledge in US Healthcare Concept. Excellent Knowledge on Denial Management Should have experience working on CMS1500 claim form. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Interested candidate please share your resume below mail id or share the resume on Whatsapp. Contact HR : Gowthami A Mail Id :Gowthami.Allada@omegahms.com Contact : 7013192755 Regards, Team HR

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims E...

Dear Applicant, Excellent opportunity ! Position / Title : Executive - AR / Senior Executive - AR / QCA-AR Responsibility Areas Role Description Overview: The User is accountable to manage day to day activities of Denials/Claims Processing/ AR follow-up/ Rejections with respect to Hospital Billing. Responsible for contacting insurance companies and patients to follow up on outstanding medical claims. Navigates complex billing and coding processes to ensure accurate reimbursement for healthcare services. Responsibility Areas: Should handle US Healthcare Hospitals/Facility Accounts Receivable. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to cla...

Senior Accounts Receivable Callers (Senior AR Callers) - Chennai Grow your career as an AR caller with Medical Billing Wholesalers, one of the fastest growing offshore medical billing companies. At MBW, normal is truly boring. We offer you a competitive compensation package along with the opportunity to learn on the job, develop knowledge on the process, and grow your career. Do you have excellent spoken English skills and some experience as an account receivables caller? Apply now! Job Description Review the claim allocated and check status by calling the payer or through IVR /Web Portal Ask a series of relevant questions depending on the issue with the claim and record the responses Prepar...

We have vacancy for Ar caller- Work from office. Experience Ar caller - US voice process US Shift- Night shifts Experience :1-3 years AR calling Speciality : Hospital Billing Salary :40000 Max TH Qualification: undergraduate/graduate Work location : Thoraipakkam Chennai Two way Cab provided Preference : Immediate joiners Telephonic interview Please call Durga 9884244311 for mor info Regards Durga 9884244311

We are hiring for Leading ITES Company for AR Caller - Healthcare Profile Location: Hyderabad Salary: Upto 32k in hand Role & responsibilities: Responsibilities: Minimum 1 year experience in AR Calling in medical billing field Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Good Knowledge of RCM and Denial management. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates ...

As an Assistant Operations Manager at R1, you will be responsible for establishing and ensuring compliance with departmental policies and procedures, managing people to drive retention, analyzing data to identify process gaps, preparing reports, and overseeing performance management. You will also be the first level of escalation, working in all shifts on a rotational basis, and focusing on cost efficiency with regards to processes, resource utilization, and overall constant cost management. Your role will involve operating utilizing aggressive operating metrics. Key Responsibilities: - Establish and assure compliance with departmental policies and procedures - Manage people and drive retent...

Accounts Receivable Specialist U.S. Healthcare RCM (Onsite Night Shift) Location: Kondapur, Hyderabad Shift: 6.30 PM3.30 AM IST (U.S. Time Zone) Start Date: Immediate Important Note Before Applying This role requires a minimum of 2 years of hands-on experience in U.S. Healthcare Accounts Receivable (AR) and Revenue Cycle Management (RCM). We respectfully request that freshers or candidates without relevant U.S. healthcare AR/RCM experience do not apply. Our hiring team values your time and oursthis role is specifically designed for experienced professionals ready to make an impact. About Staffingly, Inc. At Staffingly, Inc., we support U.S. healthcare providers with end-to-end RCM services—p...

**Designation: AR caller with Denials** *Salary: 40k max* *Location: Chennai/Trichy* *Experience: 1 to 4 yrs *Mode of interview : virtual* *Relieving letter is mandatory* PF account is mandatory* *No ex employees* *Only immediate joiners* *PF is Must* *Voice Process* *Interested Share your Resume here-Papitha-7092036199*

Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!! Hiring for TEAM LEADER (Charge Entry) @ Velachery JOB DETAILS : Experience : 6+ Years of experience in Charge Entry Work Mode : Office Shift : Day Salary : Best in Market Location : Velachery RESPONSIBILITIES : Should be able to drive the team towards meeting the required quality & efficiency. Be an expert in work allocation and client communication. COMPETENCIES / SKILL SET : 6+Years of experience in Charge Entry denial management for US healthcare provider. Team Management Client Management Willingness to learn Excellent communication and Presentation skills Good Knowledge of MS Office Word, Excel, and PowerPoint QUALIFICATIONS...

Role & responsibilities Identify, analyze, and manage all issues about claims edits and rejects Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. Active participation in weekly calls; top edits and rejects review call with the onshore team Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and pro...

Role Objective Identifying revenue gain opportunity or denial prevention opportunities by reviewing the open AR claims/denied claims Essential Duties and Responsibilities Denied Claim Reviews/Account level reviews Identifying themes/trends through data reviews Coordinating with requirement stakeholders on the issues/themes/trends identifies Publishing assigned reports/tasks Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Identifying automation/process efficiencies Maintain a strong focus on identifying the root cause of denials while creating sustainable solutions to prevent future denials. Able to interact independently with counterparts i...

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. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost ma...