1890 Denial Management Jobs - Page 26

Verify documents received from internal teams and Ensure timely updation of account details Share account details with insurance companies as per the agreed TAT Proactively address issues arising from account detail errors Coordinate with Medi Assist branches to get necessary documents required for account updation Follow up with internal teams to ensure data collection and issue resolution. Manage grievances and follow-up with internal stakeholders. Report daily on updated and pending account details updation Identify and implement process improvements for efficient account detail updation. Knowledge and Skill Requirement: Knowledge of Excel formulas Soft-spoken yet firm in interactions Keen eye for detecting errors and inconsistencies in data Meticulous in verifying and validating documents and information Strong follow-up skills to ensure timely completion of tasks and collection of data.

AR Callers & Senior AR Callers Locations: Chennai | Hyderabad | Bangalore | Mumbai | Pune Do you have 1+ year of experience in AR Calling? We want to hear from you! Salary 40kmax Reach out to Anushya at 8122771407 (Call or WhatsApp)

Job Title: Senior Manager – AR Operations Location: Mumbai / Navi Mumbai Shift: Night Mode: Work from Office Statement of the Job: The role involves managing and guiding a team of AR associates responsible for analyzing receivables due from healthcare insurance companies and initiating necessary follow-up actions to ensure reimbursement. The work includes a combination of voice and non-voice follow-up, along with undertaking appropriate denial and appeal management protocols. Duties of the Job: Lead teams to efficiently meet client expectations and guide them in reducing AR aging and optimizing collections. Manage day-to-day activities of the team, including but not limited to: Monitoring and managing workflow or daily targets to ensure timely delivery of agreed SLAs. Tracking and maintaining metrics for various data, including collections reports and operations reports. Develop processes to improve productivity and quality within the team. Participate in new pilot projects and work towards a smooth transition of knowledge to the team. Collaborate with the team to resolve any personnel issues or conflicts that may arise. Learn and implement new client systems; coordinate and organize training for new joiners and existing team members based on project requirements. Conduct regular conference calls with clients to identify ways to improve client satisfaction. Identify training gaps within the team and develop a plan with the department trainer for retraining sessions, ensuring successful implementation. Manage client relationships effectively. Eligibility: Minimum of 11 years of experience in AR US Healthcare, with the designation of Manager or above. Willingness to work night shifts. Experience in AR Follow-up and Denial Management US Healthcare RCM. Availability to join within 30 days

Roles & Responsibilities Utilize strong communication skills to effectively handle billing queries and concerns. Collaborate with internal teams to resolve complex medical billing discrepancies. Maintain accurate records of all interactions with insurance companies and other stakeholders. Implement and execute robust denial management strategies, including root cause analysis and appeals, to minimize claim rejections and write-offs. Manage AR calls to resolve outstanding accounts receivable issues with healthcare providers. Perform consistent AR Follow-up activities, proactively pursuing unpaid or underpaid claims with insurance companies to ensure timely reimbursement . Work closely with insurance companies to confirm patient eligibility and benefits, ensuring accurate claim submissions and minimizing delays. Preferred candidate profile 1-5 years of experience in AR calling, denial management, denials follow up, eligibility and benefits verification, or a related field (medical billing). Strong knowledge of US healthcare regulations, eligibility and benefits verification processes, and revenue cycle management principles. Excellent voice processing skills with the ability to communicate clearly over phone calls. Proficiency in AR, denials follow up, denial handling, denials, RCM (Revenue Cycle Management), and eligibility verification processes. Interested candidates may send their resume to 9063520022

Minimum 1+ Years of experience in AR Caller (Voice) Knowledge of Physician Billing / Hospital Billing and Denial Management Responsible for calling Insurance companies (in the US) on behalf of Physicians/Clinics/Hospitals and follow up on outstanding Accounts Receivables. Should be able to convince the insurance company (payers) for payment of their outstanding claims. Sound knowledge in U. S. Healthcare Domain (provider side) and methods for improvement on the same. Should have basic knowledge of the entire Revenue Cycle Management (RCM) Follow up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims have been processed. Good knowledge in appeals and letters documentation Analyze claims in-case of rejections Ensure deliverables adhere to quality standards Adherence to HIPAA guidelines Contact: Vimala HR - 9629126908 Call / WhatsApp

Hiring AR Callers ;Take home upto 41k;work from office; Hyderabad, Mumbai Experience :- Minimum 1+ years in AR Calling *Package :- Upto 41K Take-home* Qualification: Inter & Above Notice Period : Preferred Immediate Joiners, Relieving is not Mandate Location : Mumbai, Hyderabad Work from Office Two way cab facility 5 Days Working - Monday to Friday Saturday & Sunday - Fixed Off Interested candidates can Call Or Send Resume to Deepika:7842137942 Referrals are welcome.

Introduction Gear Inc. is seeking a Team Lead (TL) for a BPO (Business Process Outsourcing) company. Ideal candidates are able to adapt and are well-known for fast-moving and last-moment change. Responsibility Manage, inspire, and mentor a group of Process Support Associates (PSA). Hold regular team meetings, evaluate performance, and offer helpful criticism. Manage escalations and challenging situations while advising and supporting PSAs. Make sure that all PSA tasks are completed smoothly and effectively. Keep up with periodic updates and make sure the team follows them. Conduct briefings & process updates to the team to improve their abilities. Handle clients requests and escalations, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution. Should make themselves approachable for PSAs. Report any issues or challenges to the reporting manager immediately when needed. Responsible for checking the roster adherence of PSAs and managing shrinkages of the floor. Assisting team members in identifying trends and establishing teams goals. Ensure team members are achieving daily productivity and desired service levels as per the KPIs; correct action plan to be shared in case of any deviation. Prepare reports and analyze data to improve processes, ensure resources are properly allocated based on the volume trend analysis, and maximize the teams efficiency. Key skills and experience Education: Bachelors degree preferred. Experience: Total experience more than 3 yrs .1+ years in Medical Billing, Insurance Claims, or a related field & 2+ years in TL role Skills: Excellent verbal and written communication skills in English, with the ability to express ideas clearly and concisely. Problem-solving and critical-thinking abilities. Strong team management and leadership abilities. Ability to handle client conversations and multitask. Ability to perform under pressure. Adaptability to fast-paced environments and shift work. Decisiveness and attention to detail. Language Requirement: English: Fluent or Business Proficient (C1 and up). ",

We Are Hiring || AR Callers ( RCM US Healthcare ) || PB & HB || Experience :- Min 1 year of experience in AR Calling (US Health Care) into Denial Handling Package :- Up to 41K Take home Locations :- Hyderabad , Mumbai , Chennai & Bangalore . Bangalore : Hiring for Hospital Billing - 40k take home Qualification :- Inter & Above. Perks and Benefits: 1. 2 way cab 2. Incentives and Allowances Notice Period :- Preferred Immediate Joiners WFO ======================================================== Hiring || Pre Auth Voice Process ( RCM US Healthcare ) || Experience Min 1 year in Pre Auth Voice Process Max :- Up to 40K Take-home, Qualification :- Inter & Above Location :- Chennai , Mumbai Perks and Benefits: 1. 2 way cab 2. Incentives and Allowances Notice Period :- Preferred Immediate Joiners WFO Interested candidates can share your updated resume to shivani.axisservices@gmail.com HR Shivani - 9030323106 (share resume via WhatsApp ) Refer your friend's / Colleagues

Roles and responsibilities To understand insurance scenarios and analyze the claims that have to result in payment either from insurance or the patient, if required, need to follow up by calling. Analyze and resolve outstanding obligations in a fair and timely manner. Identifies root causes of insurance denials, sends appeals to payers, and resolves the payment bottleneck. Referring to the client guidelines and adhering Must follow the HIPAA Compliance Key Deliverables Individual is performing efficiently and in line with the SLAs Maintain the quality standards as per SLAs Every assignment being completed within the timelines and being responsive to communicate any dependency that could impact the deliverables Team player Constantly upgrade technical knowledge with recent developments in the industry Ensure HIPAA compliances are followed effectively.

Role & responsibilities 1.Excellent communication skills. 2.Strong understanding of Revenue Cycle Management (RCM), including general billing and the lifecycle of medical billing. 3. Should have proficient in handling denials. 4. Should have Hands-on experience with US insurance web portals. 5. Experience with Allscripts is a added advantage. 6. Familiarity with the rejections and appeal process is advantageous. 7. Prior experience in Emergency Department (ED) specialty is a added advantage.

We are seeking an experienced and highly motivated professional to join our team as a Revenue Cycle Services Manager , focusing on Inpatient Rehabilitation Facility (IRF) and Long-Term Acute Care Hospitals (LTACHs) billing. The ideal candidate will bring strong domain knowledge, leadership ability, and a track record of driving results through effective revenue cycle operations. Excellent communication, stakeholder coordination, and compliance management are essential. Role & responsibilities Manage full scope of RCM operations, including billing, denials, collections, AR management, and reporting. Collaborate with clients to define goals, resolve escalations, and improve service delivery. Track and report productivity metrics, TAT, AR aging, and denial trends on a regular basis. Lead and coach large teams (including TLs and AR specialists), ensuring alignment with SLA and performance targets. Conduct weekly/monthly/quarterly client business reviews (WBR/MBR/QBR) with actionable insights. Drive hiring decisions, attrition control, team development, and succession planning. Operational Oversight & Client Service: Oversee and coordinate with offshore billing partners for IRF & LTACH claims submission and follow-up. Monitor Discharge Not Billed (DNB) queues and collaborate with clients for timely resolution. Review payer contracts and escalate discrepancies in payments, rates, and allowances. Ensure AR and denial follow-ups are timely and accurate, adhering to payer and industry guidelines. Track and resolve issues in interface eligibility, claims submission, and remittance advice processes. Coordinate daily client communications and respond to inquiries with high professionalism. Claims & Billing Quality Control: Ensure claims are scrubbed and billed accurately by the billing partner. Address clearinghouse rejections and escalate unresolved issues. Review billing logs, rejection trends, and cash logs for accuracy and reconciliation. Access portals (Medicare, Medicaid, payer-specific) to review EOBs, RTPs, COBs, and claim statuses. Review credit balances and bad debts, including Medicare reporting. Process Improvement & Governance: Participate in regular RCM review meetings and escalate negative performance trends. Coordinate RCM meetings with clients and internal stakeholders. Support clearinghouse enrollments and lockbox access as needed. Ensure compliance with client SLAs, industry regulations, and internal policies. Baseline Competencies: Attention to Productivity and Quality Strong Customer Service Orientation Critical Thinking and Problem Solving Effective Communication Skills (Written and Verbal) Job Competencies: Proficient in Microsoft Office Suite (Word, Excel, Outlook) Sound knowledge of healthcare claims processing, AR follow-up, and collections Strong understanding of IRF & LTACH billing workflows and payer guidelines Comfortable with EMR systems, clearinghouses, and portal-based workflows Preferred candidate profile IRF & LTACH domain expertise Medical Billing Certification (AHIMA/AAPC or equivalent) Experience working with US healthcare clients or offshore delivery models Exposure to metric-based performance tracking and reporting

We are hiring enthusiastic Female candidates for the positions of AR Trainee, AR Associate, and Sr. AR Associate for our voice-based and back office process. Candidates will be responsible for managing Accounts Receivable activities, ensuring timely follow-up and resolution. Schedule your interview with 8122080023 / amirtha@aramhiring.com Location: Airoli & Sakinaka, Mumbai Work Timings: Rotational Shifts Designations & Eligibility: 1. AR Associate Trainee: Qualification: HSC or Graduate (Freshers Welcome) Salary: - 10,700 Net (Initial 3 Months) - 13,200 Net (Post 3 Months) - 14,500 Net (Post 6 Months) + Incentives up to 5,000/month 2. AR Associate: Experience: Minimum 6 months of Domestic BPO Salary: Up to 17,000 Net + Incentives up to 5,000/month 3. Sr. AR Associate Non-Domain: Experience: Minimum 6 months of International BPO Salary: Up to 23,000 Net + Incentives up to 5,000/month 4. Sr. AR Associate Domain: Experience: Minimum 1+ year of AR Domain Salary: Up to 33,000 Net Other Benefits: - Attractive Incentives up to 5,000/month - Transport Provided within Defined Boundaries - Fixed Shifts with Saturday & Sunday Off for eligible roles Share your resume to 8122080023/ amirtha@aramhiring.com Apply Now and Build Your Career in the Healthcare Domain!

Experience in physician billing. Working on Denials Management. Worked on CMS1500 Form (Physician billing form) Responsible for achieving the defined TAT on deliverable with the agreed Quality

* Review AR claims, understand the denial reason, call the payers if required resolve the issue. *Research and interpret from the available data in billing software, EOB, MR, authorization & understand the reasons for denial/underpayment/no response. Required Candidate profile * All kinds of Denials * Strong Technical Knowledge * Authorization * Phyician Billing/Hospital billing * Commercial/Federal Payers * AR CALLER Share your CVs & for further info Call - 9384813917

HIRING US Healthcare Openings for experienced in RCM QA at Advantum Health, Hitech City, Hyderabad. Minimum 6 years of experience in RCM domain in US Health, preferably in Quality Auditor/Expert capacity in Accounts Receivables. Expertise in medical billing end to end RCM Strong knowledge on various denials and remark codes and able to take immediate action to resolve them and follow up on the claims for collection of payment Monitor and analyze RCM process errors Audit error corrections both short- and long-term Quantify error rates and their trends individually, by team, by client, and by client pool Analyze the errors to build training materials and tests Conduct refresher training on the basis of the errors identified Perform weekly analysis aiming at improving SLA Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to the operation/management team Identify and highlight potential risk areas and recommend preventive action Maintaining a robust monitoring system to ensure key program metrics are adhered to and the required level of quality is maintained across the board Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) Ph: 9100337774, 7382307530, 8247410763, 9059683624 One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address : Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Hiring For " AR Caller/ Senior AR Experience: 1+ yrs in AR calling Skills: physician billing OR Hospital billing Location: Chennai / Bangalore / Trichy / Hyderabad/ Mumbai Interview mode - Virtual Interested call /WhatsApp Sangeetha - 6379093874 Required Candidate profile AR caller experience is mandatory

Greetings From Prochant !!! Opening For Associate Director operations RCM 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 18+ years of experience in RCM process Minimum 10 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 8248165076 or share your updated CV to Abdulwahab@prochant.com

EXPERIENCE : 1TO5 YEARS IN AR CALLING(DENIAL MANAGEMENT) SALARY: 47 CTC, YEARLY FOUR APPRAISAL,INCENTIVES LOCATION : CHENNAI , BANGALORE, MUMBAI, PUNE, TRICHY NO NEED RELIEVING LETTER,6 MONTHS GAP ACCEPTABLE SHARE CV TO ARUNA - 9385437168/6374451871

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 Sathiya 9677147672

Desired profile: Should have 10+ years experience Should have handled denials Should have experience in US Healthcare AR Knowledgeable in planning and managing AR aging reports Should have experience in preparing KPI reports and interacting clients Should have experience end to end RCM (Charges, Payment posting, AR) Should have vast team management experience Shift: Night Shift Shift Timings: 5.30pm to 3.30am Whatspp profile to 9059683624 emailid: jobs@advantumhealth.com Follow us on our socials for all updates Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india

Role & responsibilities Strong communication skills Strong knowledge in denial management Initiating pre calling Analysis Willing to Work In Night shift No WFH, only work from office Two way cab Available Interested candidates apply and contact to the below mentioned number Papitha HR 8438030891

HIRING US Healthcare Medical Records Openings for experienced in any US Healthcare Process at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in any US Healthcare Voice process. Salary upto 50k Per Month based on experience. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Job Description Assigned Facilities : The Medical Records Specialist has a set of facilities to manage. Bi-Weekly Work Schedule : The Medical Records Specialist needs to work on these facilities every two weeks. Facility Touchpoints : Each facility needs to be visited or worked on every 10 days to ensure the necessary documents (therapy evaluations and re-certifications) are signed by the physician. Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 10pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/17%C2%B026'50.0%22N+78%C2%B022'30.9%22E/@17.44721,78.3726691,636m/data=!3m2!1e3!4b1!4m4!3m3!8m2!3d17.44721!4d78.375244?entry=ttu&g_ep=EgoyMDI1MDEwOC4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook and Instagram for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Job Title : AR Caller Skills: voice Process Exp : 1 to 4 yrs Salary : Max 40 K Shift : US Shift / Night Shift Loc: Chennai, Bangalore, Trichy, Pune, Mumbai, Hyderabad Interview Mode : Online Interested candidates contact us: Priya HR 7010527243

Job Title : AR Caller Skills: voice Process Exp : 1 to 4 yrs Salary : Max 40 K Shift : US Shift / Night Shift Loc: Chennai, Bangalore, Trichy, Pune, Mumbai, Hyderabad Interview Mode : Online Interested candidates contact us: Geetha S 9344502340

HIRING US Healthcare Openings for experienced in AR Calling at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in AR Calling (US HealthCare) Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 10pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 52k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624