1890 Denial Management Jobs - Page 23

Hiring for AR Calling - Manikonda, Hyderabad Walkin Location: DivyaSree TechRidge, Block P2 (North Wing), 7th Floor, Manikonda, Hyderabad - 500089 Contact us: Aravind - 7013671172 - Aravind.nirudi@Sutherlandglobal.com Place my name at the top of your resume: Aravind HR. 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, Manikonda Lanco hills. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland, Manikonda Lanco hills & with the shift 6:30pm to 3:30am 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 " .

Job highlights 6 months to 4years experience in AR Calling and should be flexible for night shifts. Role & responsibilities An AR (Accounts Receivable) Caller plays a key role in the healthcare revenue cycle, especially in medical billing companies or healthcare provider organizations. Their primary responsibility is to follow up on unpaid medical claims with insurance companies and ensure timely reimbursement. Preferred candidate profile Educational Qualification Graduate or Diploma (any stream); life sciences or commerce background preferred Experience 6months - 5 years of experience in AR calling, specifically in physician billing (professional claims CMS-1500) / hospital billing (UB04). Experience working with US-based insurance companies and understanding of CPT, ICD-10, and modifiers. Preferred Traits Ability to handle high claim volumes. Additional Benefits Fixed week off ( Saturday & Sunday) Two way cab facility at free of cost Location : Chennai Share your CV to below mentioned contact number Vimal HR - 9791911321 vimal.palani@accesshealthcare.com

Company: Med Globe Healthcare Services. ****WE NEED EXCELLENT VERBAL AND WRITTEN SKILLS IN ENGLISH**** We are hiring only for the Kolkata location; those who live in Kolkata can only apply. Designation: "AR Caller" / Account Receivable Analyst / AR Caller / Medical Billing | US - Healthcare - Night Shifts/US Shifts. Mode: WORK FROM HOME - NEWTOWN, KOLKATA, W.B. Account Receivable: Analyst | US - Healthcare | AR - Calling | AR - Follow-Up | Denial Management | Multispecialty Denials | FRESHERS Roles and responsibilities * Build a learning culture. * Manage and handle effectively escalations raised by the clients. * Adhere to organizational policies and procedures. * The candidate should lead by demonstrating the highest standards of ethical behavior. * Reporting your performance to the team head according to the requirements. * Eager to learn new things. * Passionate. * Enthusiastic. * Quick Learner. * Eager to contribute to the organization. Desired Candidate Profile and Requirements - * Dual-monitor computer with a webcam. * Good Internet/Wi-Fi connection. * Candidate should have advanced computer knowledge of MS Excel, MS Word, Google Drive, email writing, etc. * Candidates should be familiar with US medical insurance and claims processing cycles after joining. * The candidate should be flexible with the work and give the productivity per the requirements. Job Requirements: To be considered for this position, applicants need to meet the following qualification criteria: Job Benefits & Perks Health Insurance. 5 days of work. Employee Development Plans. Paid sick days. Office Perks. Salary Hikes Friendly & Healthy Environment. Cooperative Teams. Annual Leave. Increasing employee engagement. Boosting morale, positivity, and enthusiasm. Education UG: Any graduate or undergraduate. We need candidates who are comfortable on the night shift. Week off: Saturday & Sunday off. ****CANDIDATE SHOULD HAVE A FLUENT AND EXCELLENT COMMUNICATION SKILLS IN ENGLISH. **** Shift timings: 06:30 PM to 03:30 AM. WORK FROM HOME. **The candidate should be completely comfortable with the US Voice Process.** This is a B2B, USA-based healthcare process. The candidates will be responsible for contacting the insurance company on behalf of the doctor/hospital to check the status of the claim and reimbursement. Regards, HR Department MED GLOBE HEALTHCARE SERVICES

*Easy selection* Telephonic interview Process - medical billing (claim settlement) *Voice + backend* *Location* - Airoli *Education* - Hsc/graduate fresher Shift timing: 6:30 pm - 3:30 am *AR Associate -15k inhand for non bpo and 17k in hand for bpo* 5k incentives depends attendance and performance *Saturday and Sunday fixed off* Home drop will be given Hr komal 7777089709

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 Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics

Dear US Healthcare Leaders, We are hiring "General Manager AR Operations" for a leading US Medical Billing Company in India. Share your resume to our HR Kaviya (80568 64265 / kaviya@aramhiring.com) to schedule your interview. Please read the below eligibility criteria before sharing your resume: Criteria 1: Role 1: Candidates with 15+ years experience US Healthcare AR/RCM operations (Hospital Billing) along with hands on experience in EPIC software is eligible. Role 2 : Candidates with 15+ years’ experience US Healthcare AR/RCM operations (Dental Billing) is eligible. Criteria 2: Candidate should be on Senior Manager role or above for more than 3 years are eligible. Associate General Manager, Deputy General Managers and General Manager applicants are also encouraged to apply. Job Location: Location: Chennai Designation : General Manager Operations Department : AR/RCM Operations Span of control: Should have handled 300 - 500+ HC Reporting : Reports to Director Operations Qualifications : Any Degree (Pass - Mandatory) Salary : 25 LPA to 33 LPA Notice Period: Preferring Immediate Joiners and aspirants willing to join in 30 days. Roles and Responsibilities of General Manager Operations: Team Management: Managing a large Operations team spread over different locations with multiple clients in portfolio. Drive Long Term Talent Strategy for the organization, including Talent engagement, succession plan at all levels, development, and retention to ensure higher retention rate of employees. Drive/Create an inclusive, transparent, and collaborative culture in the teams. Provide value-based Leadership to team and be a role model in practicing MERIT. Manage and create a structure aligned to create best in class client experience and create long term value. Business Delivery: Design and execute delivery systems to create Best in Class Client Experience Meet/Exceed Client SLAs consistently. Drive Continuous improvement and Transformation plan for clients using Six Sigma and LEAN methodologies. Improve the operational systems, processes and policies in support of the client’s SLAs. Lead and create short and long-term strategy to deliver business outcomes. P&L Ownership - Oversee financial management of the processes and work with respective departments in terms of costing and profitability. Effective and timely coordination and communication with the support functions (SAP, HR, IT, Finance, Employee engagement) Comply with the client and organization’s internal policies and procedures. COMPETENCIES, SKILLS, AND OTHER REQUISITES: Service Delivery Leadership Strategic Thought leadership to grow business. External and Internal Stakeholder Management Problem Solving and Analytical Skills Unflinching integrity and personal work ethics Self-starter who strives for self and team excellence Attention to detail and concern for accuracy. Excellent time management skills and multi-tasking ability Excellent written and spoken English. ASSESSMENT PROCESS Virtual Functional Interview Face to Face interview with Leadership teams Share your resume to our HR Kaviya (80568 64265 / kaviya@aramhiring.com) to schedule your interview. Regards, Aram Hiring Solutions

Primary Responsibilities: Lead a team of 25 – 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management – Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing company’s vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine) At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. #njp #SSCorp External Candidate Application Internal Employee Application

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Quality Analyst Role Objective: The job will be to evaluate the web and voice transactions to make sure they are error free and compliant towards the process & sharing feedbacks with transcribes typed by listening 100% of the patients feedback surveys. Essential Duties and Responsibilities Auditing for Onshore and BSO teams. Will do audits as per the weekly-monthly audit plan and do PKTs of the team members Participate in process & training calls as required Reports sharing to communicate performance effectively and timely with Ops and QA team Will be actively involved in creating audit & sample plan, feedback sharing & training the team members weekly, based on the themes identified. QA will be involved in weekly or biweekly calibration calls Will be actively involved in managing escalations received externally and internally Work closely with the Ops supervisors and quality team to develop agent & team level action plans for Quality improvement. May have to work long shifts whenever needed and to effectively handle challenging situations. Perform all other assigned tasks and responsibilities as assigned. Skill Set Excellent written & verbal communication skills> Strong knowledge of MS Office (MS Excel & Power Point are Mandatory)> Excellent Personal & Interpersonal Skills> Knowledge of Quality Tools Like 5 Why's, Lean & RCA"> Good Knowledge of Denial & Follow Up Pre-requisite Thorough understanding of AR Follow Up and Denials management Should have overall 3+ years of experience in RCM Follow up Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should be expertise/worked in EPIC Host r1rcm.com Facebook

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. r1rcm.com Facebook

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Location: Hyderabad Reports to (level of category) Senior Operations Manager 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. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. r1rcm.com Facebook

R1 is leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation: Assistant Operations Manager/Associate Operations Manager 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 retentionAnalysis data to identify process gaps, prepare reportsPerformance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics. Qualifications: 6-7 Years of overall RCM experience & 2+ Years in People MangementGraduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial ManagementAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. r1rcm.com Facebook

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. r1rcm.com Facebook

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. r1rcm.com Facebook

Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.Essential Duties and ResponsibilitiesFollow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months. Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors r1rcm.com Facebook Location - Chennai,Noida,Bengaluru,Gurugram

Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Role Objective Manage AR, Denials and Appeal follow up operations team. Essential Duties and Responsibilities Should have the ability to manage an operations team of 100+ FTEs. Should have the ability to manage multiple provider/hospital sites. Should have the ability to coordinate and proactively communicate with domestic counterparts and leaders. Should have excellent analytical and decision-making skills. Should have strong communication, interpersonal, and presentation skills. Candidate should be self-driven, with leadership abilities and a results-oriented approach. Should be able to identify and implement strategies for process improvement. Should have experience in inter-departmental and intra-departmental coordination with multiple stakeholders. Should have a thorough understanding of AR follow-up, denials, and appeals processes. Should be able to drive KPIs to achieve business metrics. Should ensure the timely delivery of projects and reports. Should have the ability to prepare presentations for business meetings. Should ensure and drive adherence to company policies and compliance standards. Should manage the performance of supervisors and team members. Should lead initiatives for productivity and quality improvement. Should be able to control absenteeism and attrition within organization-defined goals. Certification N/A Skill Set Domain knowledge on both CM1500 and UB04 claims follow up. Operations Management. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Pre-requisite: Should have overall 7+ years of experience in RCM Operations Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills r1rcm.com Facebook

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Job Responsibilities: Identify, analyze, and manage all issues about claims edits and rejects Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met. Review and analyze top edits and rejects with BSO global team every week. Identify the opportunities for edits and rejects that could be reduced Active participation in weekly calls; top edits and rejects review call with the onshore team Oversee monthly reporting, weekly DNFB, monthly performance deck, Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. Implement and maintain department compliance with new and existing policies and procedures. Ensure timely completion of month-end duties and perform other duties as assigned. Continually evaluate claim processing business and make suggestions for improvement. Knowledgeable in end to end revenue cycle management Reliable and punctual in reporting for work and taking designated breaks. What You Should Have to Qualify 8+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience. 4+ years of management experience leading or supervising billers. Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. 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 professional communication. Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Strong attention to detail and keep a constant eye out for opportunities to improve efficiency. Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions. Have experience with hospital billing and Meditech software will be given preference. Ability to adapt to changing priorities and handle multiple tasks simultaneously. r1rcm.com Facebook

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Experience in Physician Billing (CMS1500) Worked on Denials, Follow ups Strong Knowledge in Denials management process AR Good communication & analytical skills Two-way cab provided for Night Shift

Job Roles & Responsibilities: At least 10 years of Healthcare RCM Experience. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work US shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate or above. Desired Skills: Develop the Operations strategy for the organization, keeping in mind the business requirements. Execute these innovative strategies to improve and secure business delivery. Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective clients ? Manage onshore centers for Patient collections and Insurance billing. Experience in project transition will be a value add. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices and experience of handling entire functions of Healthcare RCM - Payment posting, AR Follow-up, Denial Management & Patient Billing (Voice & Non voice) Should have experience in expanding operations and work on prospect clients, RFPs, SOPs and DOUs etc. Ensure that the portfolio/s meets client and internal company performance benchmarks. Actively develop the management capabilities and business acumen of direct reportees, and drives the development of team members, ensuring full and well- rounded team competency. Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external) Excellent analytical, verbal and written - communication and presentation skills. Proficient in Excel and PowerPoint to create/read/analyze weekly reports, dashboards for both internal management and clients. Strong interpersonal skills to be able to effectively relate with the public, patients, organizations and employees. Staff development including training, coaching and competency assessment.

Job Roles & Responsibilities: 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. Ensure that the portfolio meets client and internal company performance benchmarks. 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. Ability to execute policies, processes and procedures of the organization. Demonstrate leadership skills with experience managing 5-10 Teams. Excellent verbal and written communication and presentation skills. 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 winwin situation. Strong focus on Customer Service. Strong Employee Retention capabilities. Candidate Requirements: Minimum 14+ years of experience into End to End RCM Process and in depth knowledge of metrics and calculations. Either presently working as Associate Director or minimum 2 years as Senior Manager. Handled a team of 150+. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work night shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate.

Hiring for AR Caller / AR calling (US healthcare) Rcm Company - Ascent Business solution experience - 1+ years salary - As per company norms location - Nagpur looking for a immediate joiner Contact number - 8956069774

We're Hiring for Medical Billing Prior Auth Experience: 1 to 5 Years Loc: chennai AR Callers Physician Billing Exp: 1 to 3 years Loc: Chennai , Trichy , Bangalore Intrested 9659451176 / starworth09@gmail.com

Educational Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead and guide your teams towards developing optimized high quality code deliverables, continual knowledge management and adherence to the organizational guidelines and processes. You would be a key contributor to building efficient programs/ systems and if you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you!If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Technical and Professional : Domain experiencePayer core – claims/Membership/provider mgmt. Domain experienceProvider clinical/RCM, Pharmacy benefit management Healthcare Business Analysts - with Agile/Safe-Agile Business analysis experience Medicaid, Medicaid experienced Business Analysts FHIR, HL7 data analyst and interoperability consulting Healthcare digital transformation consultants with skills/experience of cloud data solutions design, Data analysis/analytics, RPA solution design KeywordsClaims, Provider, utilization management experience, Pricing,Agile, BA Preferred Skills: Domain-Healthcare-Healthcare - ALL Technology-Analytics - Functional-Business Analyst

Greetings from CorroHealth!! We have huge openings for experienced AR Callers (1 - 5 Years). Please check the below job details and if you are interested and have good communication skills, please reach out to us. Should have experience in Hospital Billing (HB) Interview Process: Online Position/ Title - AR Caller / Sr. AR Caller Experience: 1- 5 Years relevant experience Salary: Best in Industry Role Description Overview: The AR Caller / Sr. AR Caller - RCM (AR) is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: 1. To review emails for any updates 2. Call Insurance carrier document the notes in software and spreadsheet and take appropriate action 3. Identify issues and escalate the same to the immediate supervisor 4. Update Production logs Desired Profile: 1. Understand the client requirements and specifications of the project 2. Meet the productivity targets of clients within the stipulated time. 3. Ensure that the deliverable to the client adhere to the quality standards. 4. Ensure follow up on pending claims. 5. Prepare and Maintain status reports 6. Should be willing to work in night shifts Salary: Best in Industry Skills Required: Excellent Communication Skills Basic Computer Skills RCM Knowledge Should have experience in Hospital Billing (HB)/PB Exp with healthcare billing software (Epic, Ecw) If Interested Kindly Reach Out : Mariyappan HR - 8148261668. mariyappan.dhanabalan@corrohealth.com

Role & responsibilities Excellent Knowledge in Denials 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 Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Ayesha Shaikh/ 7756051577/ ayesha.shaikh@in.credencerm.com