1890 Denial Management Jobs - Page 16

Role & responsibilities : Claims Processing: Managing and processing insurance claims, including verifying patient information, coding procedures accurately, and submitting claims to insurance companies. Follow-up on Unpaid Claims: Monitoring the status of submitted claims, identifying unpaid or denied claims, and following up with insurance companies to resolve issues and ensure timely payments. Appeals and Disputes : Handling claim denials and rejections by preparing and submitting appeals to insurance companies and resolving billing disputes. AR Aging Management : Managing accounts receivable aging reports and actively working to reduce outstanding balances. Preferred candidate profile: Experience: A minimum of 1-5 years of experience in medical billing and insurance claims processing. Previous experience in a senior or leadership role within a medical billing department is highly desirable. Knowledge: Strong understanding of medical billing procedures, healthcare reimbursement, and insurance claim processes. Proficiency in medical coding (ICD-10, CPT, HCPCS) and knowledge of billing software and electronic health records (EHR) systems. Familiarity with healthcare regulations, including HIPAA, and the ability to maintain compliance.

Should have minimum 1 yr experience in AR calling - Denial Management Physician and 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.

Job Profile Coordinating Develop and execute innovative strategies to improve and secure business delivery Able to establish pilot A/R process and devise strategy to improve collections. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices i.e. Payment Posting, AR Followup/Denial Management, & Patient Billing. Understands the eccentricities of various provider specialties. Actively develop the management capabilities and business acumen of direct reporters, and drives the development of team members, ensuring full and well- rounded team competency Experience of performing annual performance review/appraisals. Proficient in Excel and PowerPoint to create weekly reports, dashboards for both internal management and client . Strong people management skills with fair understanding of required techniques to create win-win situation Strong Employee Retention capabilities. Candidate Requirements Minimum 4 years of Medical Billing Experience is AR Follow and Denial Management Minimum 1 year experience as a Team Leader Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work night shifts. Preferred Qualification - Any Graduate

Hiring AR Caller / Senior AR Caller - Immediate Joiner Exp : 1 to 3 yrs Salary : 35 K Based on skills Location : Trichy Online Interview Relieving letter is not mandatory. Interested Call / Whatsapp your CV : 9976707906 - Saranya, HR Refer your frnz Required Candidate profile Skills : # Minimum 1 year experince in AR Calling voice withd denials. # Ex omega is not eligible

Hiring AR Caller / Senior AR Caller - work from office Exp : 1 to 4 yrs Salary : 40 K based on skills Location : Chennai & Bangalore Online Interview Relieving letter is not mandatory. Interested Call / Whatsapp your CV : 9976707906 - Saranya, HR Required Candidate profile Skills : # Minimum 1 year experience in AR Calling Voice with denials. # Should have experience in 10 to 15 denials # Should have work experience in Either Physician Billing or Hospital Billing

Walk in Drive # Shift: US Shift #Location: Ahmedabad #Salary: Upto 30K CTC Cab Facility Provided( Both side) Fluent English Required 01 to 02 year Experience Required

Hiring: AR Caller/Senior AR Caller Experience in Physician Billing or Hospital Billing Location: Chennai, Bangalore, Pune & Trichy Experience: 1 to 4 Years Salary:Up to 40,000 per month Relieving letter is not mandatory Contact: Suvetha D-9043426511 Required Candidate profile Strong understanding of denial management Work with multiple denial types and take appropriate actions for claim Handle appeals and denial management processes.

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - Operations Manager ( Male candidates Only ) Job description:- Min 8+ years experience in US Healthcare Industry in End to End RCM. At least 3 + years experience as a Manager Operations. (day shift ) Have good Knowledge of entire Medical Billing Processes such as Charge Entry, EDI, Cash Posting, Denial, and AR & MIS. Has Clear understanding of functioning of major Insurance Carriers, Health Care Facilities and Billing offices in USA. Has ability to drive a RCM process from different aspects, Such as Bad Debt Management, Denial Management, AR Management, Credit Balance Management & KPI Tracking, Good Knowledge in Provider credentialing (Doctor Side). Experience in Insurance calling. Initiate process improvement methods and best practices that will improve the performance of the team Proven ability to meet & exceed performance expectations set by upper management. Proven ability to independently manage large teams & advise business leaders of the same. Identifying and implementing ways to build better team effectiveness by encouraging a healthy environment for the team Strong business communication skills including the ability to work with all levels of the organization. contact person Vineetha HR ( 9600082835 ) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

Job Title: AR Caller & Senior AR Caller Company: Vee Healthtek Pvt Ltd Location: Pune Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Card & Two-way Cab Key Responsibilities: • Contact insurance companies to follow up on pending claims and secure timely payments. • Investigate claim denials and work towards quick resolutions. • Understand insurance policies, coverage limitations, and reimbursement processes. • Maintain and update records of follow-up activities and payment statuses. • Collaborate with internal teams to escalate unresolved claims. • Ensure compliance with industry regulations and company policies. Who Can Apply? • AR Caller: 1 year of experience in healthcare AR calling. • Senior AR Caller: Minimum 2+ years of experience in AR calling with expertise in claim resolution. • Strong understanding of US healthcare revenue cycle management. • Excellent communication and analytical skills. • Ability to work night shifts and meet performance targets. If your interested in joining our team, please reach out to Vinith R at 9566699374 or email your resume to vinith.ra@veehealthtek.com. We look forward to welcoming you to Vee Healthtek Pvt Ltd!!!!

Hiring For " AR Caller " Work From Office Skills: physician billing and Hospital billing Experience: 1+ yrs Location: Chennai / Bangalore / Trichy / Hyderabad/ Mumbai Immediate Joiner Interested call /WhatsApp Divya 9659451176

Contact insurance companies in the US to follow up on unpaid or denied medical claims Review patient account information resolve denials or rejections Work on hospital billing claims Analyze denial codes, understand reason for denials Required Candidate profile Document update the system with call outcomes and next steps Ensure adherence to HIPAA guidelines internal quality std Meet daily and weekly targets for call volume resolution Communicate effectively Perks and benefits Perks and Benefits

Build your career with one of India's largest and fastest growing companies in healthcare revenue cycle management . Join a team that values your work and enables you to become a true partner to your clients by investing in your growth, besides empowering you to work directly on KPIs that matter to your clients. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture. Review and apply online below. JOB LOCATION : Noida JOB DESCRIPTION Call to the insurance companies, responsible for the outstanding balances on patient accounts from the aging reports. Manage A/R accounts. Resolve billing issues that have resulted in delay in payment. Establish and maintain excellent working relationship with internal and external clients. Escalate difficult collection situations to management in a timely manner. Call to the clearing houses and EDI departments of insurance companies for any claim transmit disputes. Should have the knowledge of patient insurance eligibility verification. Manage A/R accounts by ensuring accurate and timely follow-up. Review provider claims that have not been paid by insurance companies. Handling patients billing queries and updating their account information. SKILLS AND QUALIFICATIONS REQUIRED 1-5 years of experience in AR Calling / Follow up with US Healthcare (provider side). Flexibility to work in night shift, according to US office timings and holiday calendars. Fast learner with the ability to talk to people effectively, and adapt well to different situations for meeting operational goals. Basic working knowledge of MS Office. * Contact Number - 9910028569/ 9311316017/ 9971170400.

Role & responsibilities 1) Preparing and submitting billing data and medical claims to insurance companies 2) Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts 3) Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur 4) Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifying in court cases, when necessary 5) Ensuring each patients medical information is accurate and up-to-date 6) Preparing bills and invoices and document amounts due to medical procedures and services 7) Good expertise in AR Aging 8) Doing charge and Payment Posting 9) All the End to End process of Medical Billing

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 ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

Job description Greetings From Prochant !!! Opening For Senior Manager / Associate Director operations RCM - TVM Key Responsibilities and Duties: As a Manager you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to Directors and ensure production and quality targets are met as per company requirement, you main responsibilities would include overseeing and optimizing the processes related to the organization's revenue generation. This involves managing the entire revenue cycle, from patient registration and billing to claims processing and collections. Required Skills: Should have minimum 15+ years of experience in RCM process Minimum 5 years in leadership experience Should have experience in End to End RCM process Flexible to work in night shift Overall responsibility for Monitoring all process ( cash, billing, transmission, correspondence, MIS, support, Medicare audit process, AR process, EV/ PA) Responsibilities Supervising RCM team: Leading and guiding a team of RCM specialists, ensuring they adhere to best practices and achieve performance targets. Revenue Optimization: Implementing strategies to improve the revenue cycle efficiency, minimize denials, and increase revenue collection. Data Analysis: Analyzing financial data and performance metrics to identify trends, bottlenecks, and areas for improvement. Process Improvement: Identifying opportunities to streamline revenue cycle processes, reduce costs, and enhance overall operational efficiency. Staff Training: Providing ongoing training and development for RCM staff to stay updated with industry changes and best practices. Reporting: Preparing regular reports on revenue cycle performance and presenting findings to higher management. Collaboration: Working closely with other departments like finance, billing, and clinical teams to ensure seamless coordination and communication. Compliance and Audit: Ensuring adherence to relevant laws, regulations, and internal policies during the revenue cycle process. Technology Integration: Implementing and leveraging RCM software and tools to optimize workflows and enhance revenue cycle performance. 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 Upfront Leave Credit Only 5 days working (Monday to Friday) No of openings : 1 Mode Of Interview : Zoom / Teams Contact Person : Abdul Wahab Interested candidates call / whats app to 9043152774 or share your updated CV to sughanyav@prochant.com

Experience Required: 1 to 4 Years in US Healthcare / AR Calling / 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 : Good Communication Skills (English Verbal & Written) Basic Knowledge of Denial Management, RCM, CPT/ICD codes Understanding of US Healthcare Insurance Terms (Medicare, Medicaid, etc.) Ability to work in Night Shifts (US Timing) Shift Timings: Night Shift (6:30 PM 3:30 AM IST) | Monday to Friday Perks & Benefits: Attractive Incentives 2-Way Cab (Night Shift) Performance Bonus Health Insurance Career Growth & Internal Promotions Qualifications: Any Graduate / Diploma (Medical/Non-Medical) Prior experience in AR Calling / Voice Process preferred How to Apply: Contact HR: Boopathy [9944781780] (Send the CV in Whatsapp) Mention AR Caller Current Location in the subject line

Job Summary Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare solutions without the need for travel. Responsibilities Process claims with a high degree of accuracy ensuring compliance with Medicare and Medicaid regulations. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Maintain up-to-date knowledge of industry standards and regulatory changes. Utilize technical skills to enhance claims processing efficiency. Communicate effectively with stakeholders to ensure clarity and understanding of claims processes. Implement best practices to improve overall claims management. Monitor claims processing metrics to ensure timely and accurate adjudication. Provide feedback and suggestions for process improvements. Support the team in achieving departmental goals and objectives. Ensure all claims are processed within established timelines. Assist in the development of training materials for new team members. Contribute to a positive work environment by fostering collaboration and teamwork. Qualifications Possess strong analytical skills to assess and adjudicate claims accurately. Demonstrate proficiency in claims adjudication processes and tools. Exhibit a solid understanding of Medicare and Medicaid claims requirements. Show excellent communication skills to interact with various stakeholders. Have the ability to work effectively in a hybrid work model. Display a keen attention to detail to ensure compliance and accuracy. Certifications Required N / A

Employment Type: Full-time | Work from Office | Rotational Shifts Location: Vamsiram BSR Tech Park, Near WIPRO Circle, Hyderabad Education: Graduate in any discipline (Freshers not eligible) Experience: Minimum 1 year of experience as an AR Caller in hospital billing is mandatory Language Requirement: Excellent verbal communication skills in English Key Responsibilities: Make outbound calls to insurance companies to follow up on pending claims Analyze and act on denied claims as per client and payer guidelines Maintain detailed and accurate documentation of call outcomes Work closely with team leads and supervisors to ensure timely claim resolution Mention HR RIDDHI AGARWAL on your resume. 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 @firstsource.com email addresses.

Dear Aspirants, We are hiring for the following details, Position : - AR Analyst Should Know denial action take part. They should know at least 5 denial codes with action. If they have experience in a denial management team, we can consider proceeding with them to assign an AR f/u team. Good knowledge of the claim form (HCFA) field used for billing. General medical billing. Modifier usage & CPT codes Claim Appeals submission & Payer Website access knowledge to check claim status. Monday to Friday Interview time ( 10 Am to 6 Pm ) ( Experienced candidates only can apply ) RCM US HealthCare Medical Billing Salary: Based on Performance & Experience Exp: Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only ( Direct Walkins Only ) Contact person - Rekha HR Interview time ( 10 Am to 6 Pm ) Bring 2 updated resumes ( Refer to HR Name Rekha ) Call / Whatsapp ( 9043004654) Refer HR Rekha Locaion : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Rekha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Rekha Call / Whatsapp ( 9043004654)

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position : - Team Leader Salary: Based on Performance Overall exp min 7+ yrs Exp : Min 2 years Required in TL role End to end RCM process Knowledge ( AR Analyst ,Charge , Payment ) Male candidates only Joining: Immediate Joiner / Maximum 10 days Work from office only Direct Walkins Only Interview time (12pm to 6pm ) Mail Id : vibha@novigoservices.com Call / Whatsapp ( 9043585877) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32

Opening for Quality Analyst/AR Analyst/Payment Posting We are looking for a experienced Quality Analyst/AR Analyst/Payment Posting Specialist to join our medical billing team. The ideal candidate will have 1-4 years of experience in medical billing with a strong focus on Quality Analyst/AR Analyst/payment posting Quality Analyst(Day shift): Key Responsibilities: Conduct regular audits of medical billing, and payment posting transactions. Identify discrepancies and ensure compliance with healthcare billing regulations. Monitor team performance metrics such as accuracy, productivity, and adherence to policies. Prepare quality analysis reports and present findings to leads. Provide feedback and coaching to team members based on audit findings. Collaborate with training and operations teams to implement process improvements. Ensure timely documentation and tracking of errors and corrective actions. Participate in calibration sessions to align quality standards across teams. Payment Posting(Day shift): Key Responsibilities: Payment Posting: Accurately post payments from insurance companies and patients into the billing system. Charge Entry: Input charges for medical services and procedures, ensuring accuracy and proper coding. Claims Processing: Verify and process claims, ensuring compliance with insurance and billing guidelines. Reconciliation: Balance daily payment batches, addressing discrepancies promptly. Data Management: Maintain accurate patient billing records, including demographics, insurance details, and payment histories. Reporting: Generate reports on payment posting and charge entry to identify trends and areas for improvement. AR Analyst (Day shift): Key Responsibilities: Should have worked as an AR Analyst for min 1 year max 4 years with medical billing Good knowledge of revenue cycle and denial management concept Positive attitude to solve problems Addressing outstanding account receivables Submitting appeals in a timely manner Perform ageing analysis, understand days in A/R, top reasons for denials and provide reports to clients as needed Qualifications: Minimum 1-4 years of AR Analyst experience. Minimum 1-2 years of Payment posting experience. Proficiency with billing software and EHR systems. Interested candidates please contact Saranya Devi(HR)- 7200153996.

Kozent Tec Pvt. Ltd (formerly known as Genesis Transcriptions Pvt. Ltd) is business associate of Panacea Solutions LLC having presence in US Healthcare documentation business for more than 20 years. We use cutting edge technology to help our US Healthcare Providers. We have diversified into RCM and IT support services in the recent past and have aspiring growth plan. We have been operating from Noida. Job Responsibility Calling Insurance companies to follow on Un-Paid and Denied Claims Denial Management Identifying denial trends and come up with the solution to resolve that denial issue Fighting incorrect denials with insurance rep and sending back claims for reprocessing through calls and web portals Creating and Sending Appeals to Insurance companies Following up on Appeals sent to insurance companies Prior Authorization/ Retro Authorizations Validating underpaid and overpaid claims Knowledge of Out of Network Claim would be an added advantage. Skills and Responsibilities: Excellent in English Communication (Verbal and written). Candidates should have knowledge of computers. Min. 1 year experience on Physician billing is required. Eligibility of Candidates: Immediate joining. Should be Graduate. Should be comfortable with Night Shift. Required Details- Shift timings - US shift - (6.30pm- 3.30am) Free Cab facility both Pick up & drop (females) /Travel allowance (Male) 5 Days working - Fixed shift(Saturday & Sunday Week off) Job location (Noida sector-3) Salary 3lac- 8lac CTC Feel free to call at 9266021789 for the telephonic interview .

Job Description: We are hiring AR Callers (Account Receivable Callers) for a leading US healthcare process. The role involves following up with insurance companies in the US to resolve outstanding claims and ensuring revenue cycle management efficiency. Key Responsibilities: Follow-up with insurance companies for claim status. Analyze and resolve denied and unpaid claims. Understand US healthcare revenue cycle management (RCM). Work on aged accounts, EOB, and ERA. Maintain productivity and quality standards as per process requirements. Skills Required: Excellent English communication skills. Knowledge of US healthcare terms (EOB, Denials, AR follow-ups). Experience in voice-based process (preferably healthcare). Strong analytical and problem-solving skills. Willingness to work in Night Shifts. To Apply: Please Contact us / Walk-in Directly (Monday to Saturday, 9 AM to 6 PM) Free Job Placement Assistance White Horse Manpower Get placed in Fortune 500 companies. Address: #12, Office 156, 3rd Floor, Jumma Masjid Golden Complex, Jumma Masjid Road, Bangalore 560051. Contact Numbers: 8884139292 / 8884572014

Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus. Call/WhatsApp- 9311316017 (HR Manish Singh)

Greetings from Vee Healthtek....! Immediate hiring for AR Caller's Underpayments....... Hiring Experienced AR Caller US Healthcare Location: Chennai (Underpayment) Shift: Night Shift (US Process) Job Description: We are hiring experienced AR Callers to join our growing team in Chennai and Bangalore. If you have solid knowledge of the US healthcare RCM process and are looking for a great work environment with exciting perks we want to hear from you! Responsibilities: Follow up with US insurance companies on outstanding medical claims Analyze and resolve claim denials, rejections, and underpayments Maintain accurate documentation in the billing system Meet daily/weekly productivity and quality targets Collaborate with the team to improve AR performance Requirements: Minimum 1 year of experience in AR Calling (US healthcare) Strong communication and analytical skills Knowledge of denial management and revenue cycle process Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200rs worth food coupon every month * Incentives based on performance Interested candidate can reach Sahithya 8925866803 or sahithya.m@veehealthtek.com