1894 Denial Management Jobs - Page 45

Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!! Hiring for AR Callers @ Vepery & Velachery Location. JOB DETAILS : Experience : 1+ Years of experience in AR Calling Work Mode : Office Salary : Best in Market RESPONSIBILITIES : Should have knowledge Denials, Correspondence, & call insurance companies for claim status, resolve the claims and need to work Unpaid claims report. E-mailing the productivity report to the TL at the end of the day. Update the follow up notes in the patient account Mainly focus on the quality/quantity in all accounts worked. Set the follow up tickler and forward the calling backlog to the day team. Work on the In-bound patient calls in emergency. Review the appeals and forward to client. Ensure that the appeal packet is utilized by the AR properly. Generate Insurance Collection summary report grouping by Insurance and sub-grouping. Generate excel add-in report to identify if secondary payer is billed or balance moved to patient. Update the appeal packet periodically. COMPETENCIES / SKILL SET : 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare provider. Willingness to work continuously in night shift. Team Work Willingness to learn Perform under pressure Excellent communication and listening skills Initiative Regularity & Punctuality Good time management and leave management Adaptability and Flexibility Ethics Good Knowledge of MS Office Word, Excel, and PowerPoint Constantly strive to meet the productivity, quality, and attendance SLA. Willingness to be a team player and show initiative where needed. QUALIFICATIONS & WORK EXPERIENCE : Any Graduate or Post Graduate with minimum 1 year experience in AR Domain. Good Knowledge of MS Office Word, Excel, and PowerPoint Interested candidate contact to 9952075752 - POOJA HR Regards POOJA HR Global HR Team 99520 75752

AR Caller / Senior AR Caller Preferred knowledge in CMS 1500 or UB04 Experience in either Physician Billing (PB) or Hospital Billing (HB) Strong in Denial Management Good communication skills

Urgent Opening for AR Caller/SR AR Caller -Medical Billing-Voice Process Job Loc:Chennai, Trichy, Bangalore, Pune Exp:1yr-5yrs Salary:40k Max Skills:Any Billing ,Denials NP:Imm IF INTERESTED CALL/WATSAPP: 9356775532 REGARDS; Keerthana HR

Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!! Hiring for AR Callers @ Vepery & Velachery Location. JOB DETAILS : Experience : 1+ Years of experience in AR Calling Work Mode : Office Salary : Best in Market RESPONSIBILITIES : Should have knowledge Denials, Correspondence, & call insurance companies for claim status, resolve the claims and need to work Unpaid claims report. E-mailing the productivity report to the TL at the end of the day. Update the follow up notes in the patient account Mainly focus on the quality/quantity in all accounts worked. Set the follow up tickler and forward the calling backlog to the day team. Work on the In-bound patient calls in emergency. Review the appeals and forward to client. Ensure that the appeal packet is utilized by the AR properly. Generate Insurance Collection summary report grouping by Insurance and sub-grouping. Generate excel add-in report to identify if secondary payer is billed or balance moved to patient. Update the appeal packet periodically. COMPETENCIES / SKILL SET : 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare provider. Willingness to work continuously in night shift. Team Work Willingness to learn Perform under pressure Excellent communication and listening skills Initiative Regularity & Punctuality Good time management and leave management Adaptability and Flexibility Ethics Good Knowledge of MS Office Word, Excel, and PowerPoint Constantly strive to meet the productivity, quality, and attendance SLA. Willingness to be a team player and show initiative where needed. QUALIFICATIONS & WORK EXPERIENCE : Any Graduate or Post Graduate with minimum 1 year experience in AR Domain. Good Knowledge of MS Office Word, Excel, and PowerPoint Interested candidate contact to 9003239650 / 8925808598 - MALINI HR Regards MALINI HR Global HR Team

Hi All, We infinx healthcare hiring Quality Analyst for our AR department, interested candidates can apply via jeeviya.s@infinx.com.Please find the JD below. JD: Minimum 4 yrs experience in denial management is must. 1yr experience in quality department is mandate Notice period accepted, immediate joining is an added advantage. Night Shift - work from office - Hyderabad. Regards, HR Team.

Hiring: AR Caller (US Healthcare RCM) Location: Pune & Mumbai (Work from Office) CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Graduate Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

Dear Candidates Greetings From Q ways Technologies We are hiring for AR Caller & Senior AR Callers - Epic & Athena Process: Medical Billing Designation: AR Caller , Senior AR Caller Salary: As per standards Location: Chennai & Coimbatore Free Pick up and Drop Interview Mode: Virtual & Direct Should have good domain knowledge Experience in end to end RCM would be preferred more Should be flexible towards jobs and the requirements Should be a good team player Must Have exp in Epic or Athena Software Interested candidate can ping me in Whatsapp or can call directly Pls watsapp to the below given numbers. Number: 7397746782- Maria (Ping me in Watsapp) Regards HR Team Qway Technologies RR Tower 3, 3rd Floor Guindy Industrial Estate Chennai

Qualifications: Must have a strong background in US Healthcare Revenue Cycle Management (RCM) with expertise in auditing Demo & Charges, Payment Posting, Denial/AR Management, including process audits. Minimum 5 years of experience in a team management role. Roles and Responsibilities: Manage a team of 15-20 Quality Experts to ensure quality outcomes aligned with SLAs. Conduct audits, prepare reports, and perform detailed analysis to uphold quality standards. Collaborate with cross-functional teams (Operations, Training, etc.) to address process gaps and implement action plans. Drive client and internal calibrations to align quality metrics with expectations. Monitor and present process and business performance dashboards to internal and external stakeholders, including senior management. Perform end-to-end business diagnostics to identify risks, gaps, and areas for improvement. Plan resource allocation and execute the QA framework effectively. Facilitate ideation sessions to foster innovation and process enhancements. Coach and guide the team to achieve deliverables, including PKTs, audits, and regular team engagements. Key Skills: Expertise in auditing key RCM processes (Demo & Charges, Payment Posting, Denial/AR Management). Strong coaching, feedback, and mentoring capabilities. Analytical skills to identify process gaps and propose actionable improvements. Advanced report management and data interpretation abilities. Proficiency in numerical and statistical analysis. Note: Candidates without experience in the US Healthcare Medical Billing domain are requested not to apply for this position.

Dear Candidate, Greetings from Global Healthcare Billing Partners Pvt Ltd! We are pleased to inform you about Opening with the Global Healthcare for the profile of CHARGE ENTRY &PAYMENT POSTING!!! Experience : 1Years - 6 Years Qualification : Any Graduate Notice: Immediate Joiner. Essential Requirement :- Associate should have worked Experience in Charge entry & Payment Posting with good knowledge of medical billing process. Location: Velachery Shift: Day Mode of interview: Direct walk-in [Interview Call Letter is MANDATORY so please Reach out before coming directly.] Interview timing (11.30am-3pm) Contact Name : KAYAL HR Contact Details - 8925808597 (Call or Whatsapp) NOTE : (only Medical billing experience with 1Yrs are eligible) Regards KAYAL HR GLOBAL

We are Hiring for AR callers with Cerner software experience from 1 to 3 years of experience. Immediate joiners preferred.

Hi Connection, We have openings for US Voice Process Skill: AR Caller/ SR AR Caller Experience: 1+ years Location : Chennai, Bangalore; Pune Night shift only Immediately joiner only Reliving letter is not Mandatory If any one interested reach out me Nagamani HR - 8074384512

Greetings from Collar JobsKart Pvt Ltd!!!! Key responsibilities : Excellent hands on experience handling Commercial insurance companies Exposure in Denial Management. Good Communication Skills. Requirement : * Experience : Minimum 1 Yr Experience into medical billing - Voice Process. * Immediate Joiners are Required....IN CHENNAI & BANGLORE!!!! Interested Reach HR vinodhini ( 7904391931) only Whatsapp Dont apply if already you have applied for Omega!!!!

Job Position- RCM Manager Experience- 9+ years Job Location- Pune Support a Team of Go-Getters Our professional billing experts help organizations ensure accurate billing and coding, and partner with them at every step of the revenue cycle. Dedicated account managers deliver a comprehensive approach for improving the financial health of any practice. Job Summary: Manages an RCM team who are responsible for all related medical billing activities for the purpose of maximizing accounts receivable collections for clients. In addition to performing similar work, the Manager will oversee and ensure group productivity and performance in accordance with financial goals to ensure the health of the client's Accounts Receivable. Supports RCM Management by efficiently and effectively providing oversight and review of the team, processes and workload. What you will contribute: • Strong customer service skills for client satisfaction, health of client AR and management of RCM team o answering client inquiries; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally o acts as primary point of contact for team members and provides guidance on work matters • Track clients AR productivity and health (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis as needed to ensure the client and company expectations are met • Analyze reports to determine when, how and why decrease in clients AR; includes denials, unbilled, credit issues, holds; determine corrective actions and communicate with client and staff to resolve. Follow up to ensure actions are taken that achieve the results needed and/or determine other resolution needed • Responsible for staff productivity for follow-up of all unpaid, denied, and underpaid and overpaid claims. This includes but is not limited to contacting insurance companies for claim status, reviewing all insurance claims and patient documentation, reviewing and ensuring appropriate coding, handling correspondence, and making appropriate decisions for follow-up action. Must be effective at handling several accounts simultaneously and ensuring maximum accounts receivable and expedient collection turnaround for clients. • Meets with Client representatives to review billing progress, status of accounts and review and resolve any issues presented by clients. • Ensures that staff and/or vendor, as applicable, enters all charges into the medical billing system accurately and correctly for reimbursement. This includes but is not limited to: ensuring correct CPT codes, modifiers, and ICD codes, authorizations for services, patient demographics, and health insurance data. • Responsible for staff who enter all patient, insurance, and third-party payments into the medical billing system. This includes a thorough knowledge and understanding of medical EOBs, patient deductibles and co pays, insurance or third-party correspondence, contractual payments and adjustments. • Interact with clients and their patients, engage in proactive resolution of issues and t imely response to questions and concerns. • Deliver timely required reports to the RCM Management; initiates and communicates the resolution of • Meet regularly with staff; in-person and as a group to confirm the status of client accounts and build/sustain staff engagement to drive business results and improvements • Remain current with companys policies and procedures regarding AR activity such as, reviewing month end reports to ensure the AR and cash collections are meeting agreed upon benchmarks, identifying trends, reviewing denial reports • Review work performed by outside vendors for accuracy and production. Determine changes/improvement needed and works promptly and appropriate with applicable individuals to bring about such changes/improvement • Achieve goals set forth by management and compliance requirements • Follows, enforces and models adherence to all policies, procedures and processes

Roles and Responsibilities Manage accounts receivable (AR) processes, including invoicing, billing, and collections. Assist with medical billing and revenue cycle management (RCM) activities. Utilize non-voice process skills to efficiently manage AR functions. Collaborate with internal teams to resolve customer queries related to AR. Perform denial management tasks such as investigating and resolving denied claims. Desired Candidate Profile 1-4 years of experience in AR Analyst role in Healthcare Industry Strong understanding of medical billing principles and practices. Proficiency in managing denials through investigation and resolution. We are Hiring for AR Analyst (Non-Voice) need immediate joiners in Chennai location ( Chennai-01) Intrested candidate Reach HR Vinodhini(7904391931) only whatsapp

We Are Hiring || AR Callers || Upto 4.6LPA || 2-WAY CAB || HYD Experience Required: Minimum 1+ years in AR Calling Package: Upto 4.6 LPA ( Hike depends upon last CTC and TakeHome ) + Incentives Qualification: Degree Mandatory Notice Period: 0 to 30 Days (Serving Notice) Location: Hyderabad Work from Office 2 Way Cab(within 30km radius) Shift Timings: Night Shifts Monday - Friday (WORKING DAYS) - Saturday - Sunday (WEEK OFF) Need Candidates with Good Communication Skills Interested candidates can Call Or Send Resume to HR LAVANYA - 9063062913 Can also Drop your Resume to Email Id : lavanya05.axisservices@gmail.com

Roles and Responsibilities: For Payment Posting: Posting insurance and patient payments into the billing software accurately. For AR Calling: Calling insurance companies in the US to follow up on unpaid or underpaid claims. Over time allowance Gratuity

Experience: 1+years Salary: Industry norms Location: Nagpur (IT Park) Looking for immediate joiners Interested candidate can share their CV at darshanad@ascent-group.com or Contact at 9175446998

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 have a wonderful job opportunity for AR Callers to move to AR Analyst. Should have experience in denial Management/Physician Billing.AR Voice Process looking for AR Analyst. AR Voice to Non Voice AR Operations day shift.Preferably Immediate Joinee Required Candidate profile Should have experience in denial Management/Physician Billing.AR Voice Process looking for AR Analyst. AR Voice to Non Voice AR Operations day shift. Preferably Immediate Joinees. Perks and benefits plus performance incentives

Greetings from Sagility! We are hiring for the position of Team Lead AR Calling & Denials Management . Job Overview: We are looking for a skilled and experienced Team Lead with over 5 years of hands-on expertise in AR Calling and Denials Management in the hospital billing domain. The ideal candidate should possess a deep understanding of the healthcare claims process, strong leadership qualities, excellent communication skills, and a proactive mindset focused on process improvement and service quality. Note: Only candidates currently working as Team Leads (TL on paper) will be considered. Candidates must be comfortable working night shifts and work from office (WFO) . Key Responsibilities: Lead the AR Calling & Denials Management process while ensuring compliance with healthcare billing standards. Represent the team in client meetings, providing actionable inputs and aligning with client requirements. Analyze workflows and identify opportunities for process optimization and increased efficiency. Monitor service quality, ensuring all SLAs and performance standards are consistently met. Train, coach, and mentor team members and new hires on process improvements and technical skills. Conduct regular quality audits and provide constructive feedback to improve team performance. Resolve complex claims and denials issues, offering subject matter expertise where required. Ensure team adherence to operational procedures and assist with continuous process enhancements. Collaborate cross-functionally to align team operations with organizational goals. Drive continuous improvement initiatives and implement best practices in AR & Denials processes. Required Skills & Qualifications: Proven experience as a Team Lead in AR Calling & Denials , specifically in hospital billing . Strong background in quality audits and continuous process improvement within the healthcare BPO space. Exceptional communication, leadership, and conflict-resolution skills. Proficiency in CRM systems, healthcare billing software, and other relevant technology platforms. Ability to analyze performance data and make data-driven decisions. In-depth understanding of healthcare claims, billing cycles, and denial codes. Strong problem-solving capabilities and ability to lead teams through complex claim scenarios. Collaborative approach with a focus on achieving operational excellence. Work Type: Full-Time Work Mode: Onsite (Work from Office) Location: Hyderabad Shift: Night Shift Why Join Sagility? Be part of a dynamic and growing healthcare solutions team. Enhance and grow your leadership skills in a supportive environment. Contribute to impactful work that drives real change in healthcare processes. If you meet the above qualifications and are ready to take your career to the next level, we encourage you to apply! Send your updated CV to: Rani Ramchandani Rani.ramchandani@sagilityhealth.com

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Medical Coding Healthcare CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 HIPAA Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Accounts Receivable Process Improvement MIS Medical Billing Vendor Management Accounting Financial Analysis Outsourcing CRM BPO Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs\ Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Accounts Receivable BPO Process Improvement MIS Medical Billing Vendor Management Accounting Financial Analysis Outsourcing CRM Education Qualification No data available CERTIFICATION No data available Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports