1890 Denial Management Jobs - Page 15

"Greetings from Logix health" We are looking for Middle Management Operation in PR End - End Denial Management Roles and responsibilities, We are looking for a highly experienced END - END Denial Management to lead and manage Accounts Receivable (AR) operations in a US Healthcare RCM process. The ideal candidate will have strong leadership skills, a deep understanding of denial management and payer follow-up processes, and a proven track record in driving performance across large teams. Key Responsibilities: Lead End - End Denial Management (50-150 FTEs) focused on insurance claim follow-up, denial resolution, and collections. Monitor team KPIs: AR aging, claim resolution, call quality, productivity & first-pass resolution. Ensure SLA adherence and client satisfaction through timely escalations and issue resolution. Implement QA and CI initiatives to improve accuracy, efficiency, and team productivity. Collaborate with internal stakeholders (billing, coding, training) to reduce denials and rework. Handle team performance reviews, coaching, training, and succession planning. Present operational updates and dashboards to leadership and clients. Ensure compliance with HIPAA and client-specific RCM protocols. Desired Candidate Profile: 1220 years of experience in US Healthcare RCM, especially in AR calling Minimum 5 years in a team management role, handling 50+ FTEs Strong knowledge of US insurance (Medicare, Medicaid, Commercial), denial codes, and appeals Experience in ED & E&M specialties preferred Hands-on experience with RCM platforms (e.g., EPIC, Athena, eClinicalWorks) Excellent communication, team management, and stakeholder handling skills Certifications in medical billing/coding (CPC, CCS) or Lean Six Sigma preferred Education: UG: Any Graduate Any Specialization PG: Post Graduation Not Required (preferred if relevant) If your Interested, please share your profile @ fjabbar@logixhealth.com or bhachandrasekar@logixhealth.com or 9847758250/ 9148557763

"Greetings from Logix health" We are looking for Middle Management Operation Manager in Provider Reimbursement ( End - End Denial Management ) Roles and responsibilities, We are looking for a highly experienced END - END Denial Management to lead and manage Accounts Receivable (AR) operations in a US Healthcare RCM process. The ideal candidate will have strong leadership skills, a deep understanding of denial management and payer follow-up processes, and a proven track record in driving performance across large teams. Key Responsibilities: Lead End - End Denial Management (50-150 FTEs) focused on insurance claim follow-up, denial resolution, and collections. Monitor team KPIs: AR aging, claim resolution, call quality, productivity & first-pass resolution. Ensure SLA adherence and client satisfaction through timely escalations and issue resolution. Implement QA and CI initiatives to improve accuracy, efficiency, and team productivity. Collaborate with internal stakeholders (billing, coding, training) to reduce denials and rework. Handle team performance reviews, coaching, training, and succession planning. Present operational updates and dashboards to leadership and clients. Ensure compliance with HIPAA and client-specific RCM protocols. Desired Candidate Profile: 1220 years of experience in US Healthcare RCM, especially in AR calling Minimum 5 years in a team management role, handling 50+ FTEs Strong knowledge of US insurance (Medicare, Medicaid, Commercial), denial codes, and appeals Experience in ED & E&M specialties preferred Hands-on experience with RCM platforms (e.g., EPIC, Athena, eClinicalWorks) Excellent communication, team management, and stakeholder handling skills Certifications in medical billing/coding (CPC, CCS) or Lean Six Sigma preferred Education: UG: Any Graduate Any Specialization PG: Post Graduation Not Required (preferred if relevant) If your Interested, please share your profile @ fjabbar@logixhealth.com or bhachandrasekar@logixhealth.com or 9847758250/ 9148557763

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11am to 6pm ) Everyday Contact person VIBHA HR (9043585877) Interview time (11am to 6pm ) Bring 2 updated resumes Refer (HR Name - VIBHA HR) Mail Id : vibha@novigoservices.com Call / WhatsApp (9043585877) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- Vibha HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)

Responsibilities: * Manage accounts receivable calls: resolve issues, negotiate payments & denials. * Contribute to revenue cycle management at hospital/physician Billing.

Walk-In Drive at ACN Healthcare Bangalore We at ACN Healthcare are excited to invite experienced professionals to our Walk-In Drive for opportunities in the US Healthcare Revenue Cycle Management (RCM) space. Join a growing team committed to operational excellence and professional development in the healthcare BPO industry. Location: ACN Healthcare, Indiqube Lexington Tower (6th Floor), Tavarekere Main Road, Chikka Audugodi, S.C. Palya, Bangalore 560029 Dates: Monday to Friday Interview Time: 5:00 PM 8:00 PM Open Positions: • AR Caller • Senior AR Caller Experience Required: 6 months to 3 years in Physician Billing Process Key Skills: Comprehensive understanding of US Healthcare & RCM Hands-on experience in denial management, insurance follow-up & claim resolution Familiarity with tools like EPIC (preferred) Strong communication and analytical abilities What to Bring: • An updated copy of your resume • A positive mindset and a desire to grow in the healthcare domain Contact: Navya (HR) +91 97048 12230

Greetings from Global Healthcare Billing Partners...! Exp Required: 1 - 4 Years of exp in AR Analyst Job Location: Velachery & Vepery - Chennai. Shift: Day/Night Job description: Should have 1 - 4 years Experience in AR Analyst. Good Knowledge of RCM and Denial management. Worked in Hospital Billing Follow up on the claims for collection of payments. Analyze medical claims and resolve issues. Willingness to work in Any Shift. (Day / Night) In these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Mode of interview: Virtual - MS Teams Interested candidates can contact or share your updated resume to this WhatsApp Number 8925808592. Regards, Harini S HR Department

Greetings from Vee HealthTek....! We are hiring for AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) / Physician or Hospital billing Designation: AR Caller/Senior AR Caller Location - Bengaluru , Salem Qualification: PUC and Any graduate can apply Online interviews Please contact HR , Arun - 8050524977 (Available on WhatsApp) Please share your updated CV with arunkumar.n@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200 worth food coupon every month * Incentives based on performance

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Callers with minimum 6 months of experience into Medical Billing Domain from both Hospital Billing and Physician Billing. Job Title: AR Caller Experience: 0.6 Years to 6 Years Work Mode : WFO Location: Velachery/Vepery Notice Period : Immediate Joiners Shift: Night Key Responsibilities: Follow up on unpaid or denied claims with insurance companies. Resolve billing discrepancies and ensure accurate payment processing. Maintain up-to-date records of communications and account statuses. Verify insurance details and submit claims per payer guidelines. Address patient and provider inquiries in a professional manner Mode of interview: Virtual - MS Teams Interested candidates can share your updated Resume/CV to this WhatsApp Number 8925808592 Regards Harini S HR Department

Job Summary: We are seeking a detail-oriented and experienced Medical Coder / Biller QA professional to join our growing RCM team in GM Analytics Solutions . The ideal candidate should possess a strong background in hospital professional billing and coding, along with an in-depth understanding of insurance workflows and denial management. This role demands accuracy, analytical thinking, and strong compliance awareness in line with healthcare industry standards. Key Responsibilities: Perform accurate coding and billing of hospital professional services, ensuring compliance with CPT, ICD-10, and HCPCS coding standards. Review and resolve coding denials for Inpatient (IP) and Outpatient (OP) claims, with special emphasis on E/M coding . Conduct Quality Assurance (QA) checks on coded and billed claims before submission. Collaborate with cross-functional teams for accurate claims processing and timely resolution of rejections. Prepare and analyze reports using Microsoft Excel for internal audits, performance tracking, and continuous improvement. Maintain up-to-date knowledge of payer policies, HMO , PPO , Medicare , and Medicaid requirements. Ensure strict adherence to HIPAA and other regulatory compliance guidelines. Required Qualifications: Certification: CPC (Certified Professional Coder) Mandatory Experience: Minimum 2+ years of experience in hospital professional billing Minimum 2+ years of medical coding experience , particularly in denials and E/M coding Technical Skills: Proficiency in Microsoft Excel data handling, formulas, reporting Insurance Knowledge: Familiarity with various insurance types such as HMO , PPO , Medicare , and Medicaid Desired Competencies: Strong attention to detail and commitment to coding accuracy Solid understanding of medical terminology, billing rules, and industry updates Excellent communication and documentation skills Ability to manage multiple tasks in a deadline-driven environment Note: This is a Work-from-Office position only. Candidates must be open to working from our physical office location. Apply Now to be a part of our fast-growing, quality-focused healthcare team. Contact - Shivi HR - 7428699980

Experience working AR Experience leading teams and leading team leads (leading leaders) Understanding of California / IPA payer landscape Experience with contracts Experience calling payers / establishing relationships with payer stakeholders

Greetings From Prochant India Pvt Ltd Job Title: AR Caller/Senior AR Caller (US Healthcare) Location: Chennai Experience: 1 to 3 years Shift: Night Shift (US Shift) Employment Type: Full-Time About Prochant: Prochant is a leading US-based healthcare revenue cycle management company. We specialize in end-to-end RCM services for home medical equipment, pharmacy, and healthcare providers. We are growing and hiring talented individuals to join our AR Calling team. Job Description: As an AR Caller at Prochant, you will be responsible for calling insurance companies in the US to follow up on outstanding claims, ensure timely resolution, and support the billing process. This role requires strong communication skills and a focus on results and accuracy. Roles and Responsibilities: • Call US insurance companies to follow up on pending or denied claims • Review patient claims and update the system with accurate information • Resolve issues related to denied claims and ensure timely payments • Coordinate with the internal team for claim escalations and resubmissions • Meet daily productivity and quality benchmarks Requirements: • 1 year to 3 years of experience in AR calling or US medical billing • Strong communication skills (verbal and written) • Knowledge of RCM process, denial management, and CPT/ICD codes preferred • Willingness to work in night shifts (US timing) • Basic computer and system navigation skills Benefits: Salary & Appraisal -Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Up front Leave Credit Accelerated career path for exceptional performers. Only 5 days working (Monday to Friday) Mode Of Interview: Virtual 2-way cab for female candidates Contact Person: Harini P Contact Number: 8870459635 Mail: harinip@prochant.com

Greetings from Invensis Technologies Pvt Ltd!!!!! Huge Openings For AR / Sr. AR Callers No of Requirement: 05 Nos Position: AR Callers (5 Nos) Experience: 3-6 Years of AR Calling Experience. Education: Any Graduate with experience in the Healthcare Industry. Skills: Excellent verbal communication skills Shift Timings: US Shift - 5.30 PM to 2.30 AM (Flexible to work in night shifts) Location: Willing to Travel / relocate to J P Nagar, Bangalore. Office is in J P Nagar. Roles and Responsibilities: Should be able to handle US Healthcare Billing Accounts Receivable. To make sure that all the deliverables adhere to the quality standards. Need to work on Denials, Rejections and making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Experience: Min of 3+ year experience in US Healthcare ( Freshers Kindly Ignore) Should have good Verbal and Written communication skills. Should have strong knowledge in Healthcare industry. Should be proficient in calling the insurance companies. Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Interested candidates can share their resume to HR : Karan WhatsApp : 7975093652 Mail ID : karan.hr@invensis.net CONTACT: Karan(7975093652) Regards, Human Resource Invensis Technologies Pvt. Ltd.

Should have minimum 1 yr experience in AR calling - Denial Management Hospital billing experience is required WFO , night shifts, cab provided Contact 8977711182 Required Candidate profile MUST have the experience of fetching claim status over the call from Health insurance companies.

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 : 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, Darini HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432490 | WhatsApp 9591269435 darini@blackwhite.in | www.blackwhite.in ************** Please refer your Friends***************

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, Niveditha HR Senior Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 080-67432447/Whatsapp @9901039852| niveditha.b@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS ******

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 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, 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 FRIENDS / FAMILY******

Job Title: Team Lead Accounts Receivable (AR) US Healthcare Company Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner for first-rate Medical Billing Solutions. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of what's possible. As we continue to grow, we seek a talented candidate to join our team and contribute to our exciting projects. Position Overview: The Accounts Receivable (AR) Team Lead is pivotal in the Finance & Accounts department, overseeing and managing the organizations account receivable department that deals with the revenue cycle management (RCM) processes of a US Healthcare Company. This position entails ensuring accuracy, compliance, and efficiency in financial reporting and operations. The Accounts Receivable (AR) Team Lead will handle a team of accounting professionals, drive financial performance, and support the strategic financial goals of the organization. Responsibilities: Ensure timely submission of insurance claims, following up on rejected or denied claims to ensure they are resolved and resubmitted. Monitor and reduce claim denial rates by analyzing trends, identifying issues, and implementing corrective actions. Oversee the entire revenue cycle process, from the point of patient intake to payment collection. Ensure that all payments from insurance companies and patients are accurately posted to the appropriate accounts. Monitor outstanding balances and ensure timely collections from both patients and insurance companies. Lead and manage the AR team, which includes billing specialists, collection agents, and other personnel. Prepare and present financial reports, including aging reports, cash flow analysis, and AR metrics to management. Continuously analyze AR processes to identify areas for improvement, such as reducing the time it takes to collect payments or lowering denial rates. Ensure the timely collection of payments to improve the organization's cash flow and overall financial health. Qualifications: Candidate must have a Bachelor's degree in any field. Candidates should possess a minimum of 5 years of experience in the Account Receivable Department of Revenue Cycle Management (RCM) within a US healthcare organization, with at least 3 years in a leadership or senior position role. Excellent problem-solving and communication skills. Advanced computer skills in MS Office, accounting software, and databases. Diversity, Equality, and Inclusion Diversity, equality, and inclusion are fundamental to our success at HUMS. We actively promote diversity across all aspects of our organization, including but not limited to gender, race, ethnicity, sexual orientation, religion, disability, and age. We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow, contribute, and succeed. Benefits: Competitive salary (including EPF and PS) Health insurance Four days work-week (Monday Thursday) Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly. We look forward to hearing from you! In case of any queries, please feel to reach out us at recruitment@hupcfl.com Note: Available to take calls between 4:45 PM to 3:45 AM IST only from Monday through Thursday.

Responsibilities: Manage insurance verifications Ensure timely payments from customers Maintain accurate records & reports Meet revenue targets through effective AR management Make outbound calls for overdue payments

Responsibilities: * Analyze denials and resolve issues promptly. * Ensure accurate medical coding compliance. * Manage charges and accounts receivable (AR) process. * Collaborate with healthcare providers on claim submissions.

As an Associate Director-RCM, you will be responsible for providing leadership and strategic direction to a team of operations (Span of -650) across multiple Lines of Business (LOBs) including Follow-Up, Billing, and Cash Posting. Your role will involve leading and managing teams involved in billing, coding, collections, and AR follow-up. You will be required to develop and execute Revenue Cycle Management (RCM) strategies aimed at enhancing financial performance and operational efficiency. Additionally, you will support the Director/VP of RCM in strategic planning and process improvement initiatives. You will be tasked with overseeing the Revenue Cycle by monitoring and analyzing key performance indicators (KPIs) such as days in Accounts Receivable (A/R), denial rates, cash collections, net collection rate, among others. It will be crucial for you to ensure accuracy and timeliness in billing, coding, and claims submission. You will also play a key role in improving denial management processes and facilitating appeals or resolutions as needed. In addition to your leadership and strategic responsibilities, you will be required to implement audit and quality assurance programs to uphold compliance standards and ensure quality in coding, billing, and collections processes. This position is based in NCR (Noida and Gurugram), and the work timings are from 5:30 pm to 2:30 am.,

Hiring for Accounts Receivable Executive (XiFin) experience!!! Call : Elizabeth - 7028889320 Job Description Desired Skills 1+ Years of experience in US Medical RCM {Revenue Cycle Management} Willingness to work in US shifts. Immediate Joiners are preffered. Looking for experience in XiFin Software! Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Job Category: Revenue Cycle Mangement Job Type: Full Time Job Location: Pune Con. 7028889320 Email: Elizabeth.Pillay@in.credencerm.com

Preferred Knowledge/Skills *: Job Description Summary Insurance Follow-Up: Contact insurance companies via phone, email, or online portals to follow up on outstanding claims. Identify and resolve issues causing payment delays, such as claim denials or underpayments. Verify claim status, appeal denied claims, and resubmit claims when necessary. Documentation and Reporting: Maintain accurate and detailed documentation of all communications and actions taken. Update account information and billing systems with payment details and follow-up notes. Generate reports on accounts receivable status, aging trends, and collection efforts. Compliance and Regulations: Adhere to HIPAA regulations and guidelines to ensure patient confidentiality and data security. Stay informed about insurance policies, billing guidelines, and industry changes affecting reimbursement. Team Collaboration: Collaborate with internal departments, including billing, coding, and collections teams, to resolve payment issues. Participate in meetings and discussions to improve revenue cycle processes and workflow. PMS Experience: Epic HB or PB experience is Mandatory Requirements: Proven experience (1-2 years) in healthcare revenue cycle management, specifically in accounts receivable follow-up and collections. Strong understanding of medical billing processes, insurance claims, and reimbursement methodologies. Excellent communication skills with the ability to effectively interact with insurance companies, patients, and internal stakeholders. Proficiency in using billing software, electronic health records (EHR), and Microsoft Office applications. Attention to detail and ability to prioritize tasks to meet deadlines. Knowledge of medical coding (ICD-10, CPT) is a plus. Experience Level: 1 to 2 years. Shift timings: Flexible to work in night shifts (US Time zone) Preferred Qualification: Bachelors degree in finance or Any Graduate

Job Description An AR Caller is responsible for following up on outstanding claims with insurance companies to ensure timely reimbursement. The role involves analyzing denied or unpaid claims, initiating telephonic communication with payers, and resolving issues to improve cash flow and reduce accounts receivable days. Role & responsibilities Make outbound calls to insurance companies (payers) to resolve claim issues and follow up on pending payments. Review and analyze unpaid or denied claims. Ensure timely follow-up on pending claims and document activities in billing software (e.g., Athena, Kareo, eClinicalWorks). Understand various payer guidelines and healthcare terminologies (ICD-10, CPT, modifiers). Take appropriate actions to resolve claim rejections, denials, and underpayments. Work on assigned accounts and complete the target within the specified time. Communicate effectively with team leads and escalate unresolved issues as needed. Maintain strict confidentiality of patient and client information. Preferred candidate profile Min 6 months - 5 Years exp Candidates with excellent communication CMS 1500 / UB04 experience Immediate joiners Perks and Benefits Fixed week off - ( Saturday / Sunday) Two way cab facility at free of cost Medical insurance Location - Ambattur / DLF, Chennai. Contact Vimal HR - 9791911321 vimal.palani@accesshealthcare.com

JD for Senior AR Caller : OPENINGS FOR AR callers / Senior AR Callers Immediate Joining !!! Notice Period (15 Days) Maximum Mode of Interview: In-person/ virtual Availability: Work from office Eligibility: Candidates holding 1 to 5 Years of Experience into Medical Billing Domain as AR Caller can only apply for this position. Industry - Medical Billing Domain - US healthcare Shift Timing - 6:30 PM - 3:30 AM Working Days - 5 days (Fixed weekend Off) Process - AR Calling(Denial Management) Job Description: Calling Insurance Company on behalf of Doctors / Physician for claim status. Follow-up with Insurance Company to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverable adhere to quality standards. Benefits: Salary & Appraisal - Best in Industry Monthly Performance Incentives up to Rs. 17000/- Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Medical Insurance Coverage Referral Bonus Upfront Leave Credit Only 5 days working (Monday - Friday) Two way drop cab facility for female employees Contact Details: Priyadharsini M Email id: pi0124357@prochant.com Contact No : 7418002928

Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse. For more information, please look on to About | Guidehouse If this role excites you, please share your resume to mb@guidehouse.com Mode of Interview - Face to Face (Note : Screened & Shorlisted candidate will receive the call letter to attend the In Person Interview from Guidehouse TA Team ) Responsibilities Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket to make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity, and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Do you have this: 1+ Years of experience in AR Calling Denial Management (Mandatory) Expert in listening and resolving problems Expert to work in a team Proficient in delivering high quality result Ability to work accurately and parry detail attention Capable of grasping new concepts quickly Good communication skills (written and verbal) Willing to work in flexible shift including night. Excellent communication Qualification Graduation and above ( mandatory , no backlogs )