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1894 Denial Management Jobs - Page 49

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1.0 - 4.0 years

0 - 3 Lacs

Bengaluru

Work from Office

Job Summary - A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients to achieve better results, which ultimately allows them to provide better patient care. Minimum Degree Required (BQ) *: Bachelors Degree Degree Preferred: Bachelor’s Degree Required Field(s) of Study (BQ): Computer Science, Data Analytics, Accounting Preferred Field(s) of Study: Minimum Year(s) of Experience (BQ) *: US 1 year of experience Certification(s) Preferred: Required Knowledge/Skills (BQ): Preferred Qualification: Bachelor’s degree in finance or Any Graduate 1-4 years of progressive experience in healthcare revenue cycle management, with a focus on accounts receivable and claims resolution. Strong knowledge of medical billing processes, insurance reimbursement methodologies, and revenue cycle operations. Experience with healthcare billing software (e.g., Epic, Cerner, Meditech) and proficiency in Microsoft Office applications. Excellent leadership, communication, and interpersonal skills with the ability to mentor and motivate team members. Analytical mindset with the ability to interpret financial data, identify trends, and make data-driven decisions. Proven track record of achieving AR performance targets and improving revenue cycle efficiency. Experience Level: 1 to 4 years Shift timings: Flexible to work in night shifts (US Time zone) Preferred Knowledge/Skills *: Accounts Receivable Management: Oversee the accounts receivable process, including insurance and patient follow-up, to minimize outstanding balances. Monitor and analyze aging reports to prioritize and address delinquent accounts promptly. Implement strategies to improve collections and reduce accounts receivable days. Insurance and Payer Relations: Lead efforts in resolving complex insurance claim issues, including claim denials and underpayments. Establish and maintain relationships with insurance company representatives to facilitate prompt payment and claims processing. Stay updated on insurance policies, reimbursement regulations, and industry trends affecting revenue cycle operations. Patient Communication and Customer Service: Assist with escalated patient inquiries and complaints related to billing and insurance matters. Educate patients on insurance benefits, coverage details, and financial responsibilities. Collaborate with patient advocacy groups and financial counselors to ensure compassionate and effective patient interactions. Process Improvement and Training: Identify opportunities for process improvements within the revenue cycle management workflow. Develop training materials and conduct sessions to enhance the skills and knowledge of AR team members. Implement best practices to streamline AR operations and maximize efficiency. Reporting and Analysis: Generate and present regular reports on accounts receivable performance metrics, trends, and outcomes. Utilize data analytics to identify root causes of revenue cycle issues and implement corrective actions. PMS Experience: Epic HB & PB experience is Mandatory Compliance and Regulatory Adherence: Ensure compliance with HIPAA regulations, billing guidelines, and healthcare industry standards. Collaborate with compliance officers to implement and maintain effective internal controls.

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1.0 - 5.0 years

0 - 3 Lacs

Hyderabad, Pune, Chennai

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We are hiring dynamic AR Callers with experience in Denial Management to work in the US Healthcare RCM domain. The candidate will be responsible for analyzing and resolving insurance claim denials to ensure accurate and timely reimbursement.

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1.0 - 5.0 years

2 - 5 Lacs

Bengaluru

Work from Office

Dear Applicant, Excellent opportunity ! Position / Title : Executive - AR / Senior Executive - AR Responsibility Areas Role Description Overview: Should handle US Healthcare Physician Billing Accounts Receivable. Sound knowledge in US Healthcare Concept. Should have 2 and more Years of AR calling (Voice Process) Experience. Excellent Knowledge on Denial Management. Should have Knowledge on Epic Software. Should have Knowledge on CMS1500 claim form. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Interested candidate please share your resume below mail id or share the resume on Whatsapp. Contact HR : Aashish D Mail Id : Aashish.Dandapani@omegahms.com Contact : 9606511662 Regards, Team HR

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1.0 - 6.0 years

2 - 5 Lacs

Bengaluru, Vellore

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Role & responsibilities - (Hospital Claims - UB04***) AR follow-up specialists to monitor the status of submitted claims & identify those that are pending, denied, or partially paid. Addressing Denials: To investigate the reasons for denials and take action to correct errors or resubmit claims with additional information or documentation. Documentation and Reporting : AR follow-up involves documenting all actions taken to resolve outstanding balances and preparing reports to track progress and identify areas for improvement Preferred candidate profile Experience in Handling Hospital Claims (UB04) is Mandatory Reach us @ 9080590400 ( POC - Mr Chandramouli)

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1.0 - 3.0 years

3 - 5 Lacs

Chennai

Work from Office

Position : AR Caller Hospital Billing (HB) Department : Revenue Cycle Management (RCM) Experience : 1 to 3 Years Location : [Specify Location] Work Mode : [On-site / Hybrid / Remote] Shift : Night Shift (US Shift) Job Summary : We are looking for experienced AR Callers with a background in Hospital Billing (HB) to join our growing RCM team. The ideal candidates will be responsible for resolving insurance denials, pending claims, and ensuring accurate follow-up on unpaid claims to drive revenue recovery. Key Responsibilities : Perform outbound calls to insurance companies (payers) to resolve outstanding accounts receivable. Analyze and understand Explanation of Benefits (EOBs), Claim Denials, and take appropriate action. Follow up with payers on claims for timely resolution and reimbursement. Identify and document claim issues, rejections, or denials accurately. Meet daily and weekly productivity and quality benchmarks. Update the billing system with claim status and action taken. Collaborate with the internal team to escalate complex issues and share payer updates. Required Skills & Qualifications : 1–3 years of hands-on experience in Hospital Billing AR follow-up (US healthcare). Good knowledge of US healthcare RCM cycle, insurance guidelines, CPT/ICD codes (basic level). Experience in working with different payers (Medicare, Medicaid, Commercial). Strong verbal communication and interpersonal skills. Proficient in using billing software and MS Office tools. Willingness to work in night shifts (US time zones). Please reach out us @9280098218 or irajendran@med-metrix.com

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2.0 - 5.0 years

4 - 6 Lacs

Vadodara

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Designation AR Specialist II Responsibilities: Serve as an AR Specialist on AR/Denial management strategies and best practices. Lead the resolution of high-level and escalated denial issues. Conduct root cause analysis to identify systemic issues contributing to denials. Develop and implement proactive measures to prevent future denials. Establish and maintain relationships with payer representatives to facilitate effective communication and negotiation. Train and mentor junior associates on advanced denial management techniques and payer communication strategies. Collaborate with cross-functional teams to implement process improvements and optimize revenue cycle performance. Monitor AR/Denial trends and provide regular reports and updates to leadership. Requirements: 2+ years of progressive experience in AR/Denial Management- Revenue Cycle Management, US Healthcare. In-depth knowledge of healthcare billing regulations and payer policies. Excellent communication, negotiation and relationship-building skills. Advanced proficiency in data analysis and reporting tools. Ability to drive change and implement process improvements effectively. Bachelor's degree in healthcare administration, finance, or related field. Location: - Vadodara, Gujarat- Work from Office only Time: - Night/US Shift Kindly apply to the below kink or visit our website https://www.qualifacts.com/ https://qualifacts.wd5.myworkdayjobs.com/Qualifacts_External_Careers/job/Vadodara/RCMS-AR-Specialist-II_R-101706

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1.0 - 5.0 years

1 - 4 Lacs

Chennai

Work from Office

Greetings from Vee Healthtek....! We are hiring 100+ AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Under Payment / Over Payment Designation : AR Caller/Senior AR Caller Location -Chennai Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Bhagyashree V - 9741406191(Available on Whats App) Please share your updated CV with Sakthivel.r@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon every month * Incentives based on performance

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0.0 - 2.0 years

1 - 3 Lacs

Pune

Work from Office

Job Summary Join our dynamic team as a PE-Ins Claims specialist where youll leverage your customer service skills and domain knowledge to enhance our claims processing efficiency. This hybrid role offers a unique opportunity to work in a rotational shift environment providing comprehensive support in the Property & Casualty Insurance sector. Your contributions will directly impact our service quality and customer satisfaction. Responsibilities Assist in processing insurance claims efficiently to ensure timely resolution and customer satisfaction. Collaborate with team members to analyze and verify claim information for accuracy and completeness. Utilize customer service skills to address inquiries and provide clear information to clients regarding their claims. Support the team in maintaining accurate records of claims and related documentation. Contribute to the development of process improvements to enhance claims processing efficiency. Participate in training sessions to stay updated on industry trends and company policies. Work closely with the Property & Casualty Insurance domain to understand specific claim requirements. Engage in rotational shifts to provide consistent support and coverage for claim processing. Communicate effectively with clients and stakeholders to ensure a smooth claims experience. Apply domain knowledge to identify potential issues and escalate them appropriately. Provide feedback to management on customer service improvements and claim processing enhancements. Ensure compliance with company policies and industry regulations in all claim handling activities. Foster a collaborative work environment to achieve team goals and improve service delivery. Qualifications Demonstrate strong customer service skills with a focus on client satisfaction. Possess basic understanding of the Property & Casualty Insurance domain. Exhibit excellent communication and interpersonal skills. Show ability to work effectively in a hybrid work model and rotational shifts. Display attention to detail and accuracy in claim processing. Have a proactive approach to problem-solving and process improvement. Certifications Required Customer Service Certification Property & Casualty Insurance Certification

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1.0 - 4.0 years

1 - 5 Lacs

Hyderabad, Chennai, Mumbai (All Areas)

Work from Office

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 40K Take home Locations :- Hyderabad , Chennai , Gurgaon , Bangalore &Mumbai. 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 Interested candidates can share your updated resume to shivani.axisservices@gmail.com HR Shivani - 9030323106 (share resume via WhatsApp ) Refer your friend's / Colleagues

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3.0 - 8.0 years

4 - 9 Lacs

Uttar Pradesh

Work from Office

Job Description Create the future of e-health together with us by becoming a Sr. Associate Credentialing As one of the Best in KLAS RCM organizations in the industry we offer a full scope of RCM services as well as BPO services, our organization gives our team members the training and solutions to learn and grow across variety of technologies and processes. As an innovator and leader in the e -health services we offer unparalleled growth opportunities in the industry. What you can expect from us: A safe digital application and a structured and streamlined onboarding process. An extensive group health and accidental insurance program. Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office. Subsidized meal facility. Fun at Work: tons of engagement activities and entertaining games for everyone to participate . Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion. Best HR practices along with an open-door policy to ensure a very employee friendly environment. A recession proof and secured workplace for our entire workforce. Ample scope of reward and recognition along with perks like marriage gift hampers and gifts for birth of a child. What you can do for us: Should have working experience in US Healthcare -Credentialing Process-Payer and Provider Processes. Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements. Oversee day-to-day operational credentialing and privileging activities. Collaborating with the Credentialing Manager to ensure proper functioning of activities, policies, and procedures. Acting as a resource and subject matter expert, resolving issues, Coordinating with Credentialing contacts regarding the credentialing process. Verifying primary source data, such as provider education, board certifications, license, and other eligibilities / documents. Ensuring timely credentialing and re-credentialing of network providers and working with Internal/External Team to ensure credentialing files completed within time frame and compliance. Calling Payers for Enrollment application status and take necessary action . Profile Qualifications: Minimum of 1 year of experience as Credentialing in US RCM industry. Should have knowledge in CAQH modules, provider enrollment . Overall, should be expertise with CAQH . Candidate should be a graduate. Basic knowledge about Internet Concepts, Windows, Microsoft ,Adobe products. Should possess strong documentation and presentation skills. Should be flexible to work in shifts, based on business need. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.

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0.0 - 1.0 years

1 - 5 Lacs

Bengaluru

Work from Office

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressureNA Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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3.0 - 5.0 years

2 - 6 Lacs

Bengaluru

Work from Office

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English - Intermediate About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataYou will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to manage multiple stakeholdersAbility to perform under pressureAgility for quick learningPrioritization of workloadProblem-solving skills Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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3.0 - 5.0 years

2 - 6 Lacs

Bengaluru

Work from Office

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.As a Travel Claims Adjuster, you will be responsible for investigating, evaluating, and processing travel insurance claims. Your role will involve assessing the validity of claims, ensuring timely and accurate resolution, and providing outstanding customer service throughout the process.- Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. What are we looking for Claims ProcessingDetail orientationNegotiation skillsAbility to work well in a teamAdaptable and flexibleAgility for quick learning- Bachelors degree in Business, Insurance, or related field preferred. Proven experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite. Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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1.0 - 3.0 years

0 - 3 Lacs

Chennai

Work from Office

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

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0.0 - 1.0 years

1 - 1 Lacs

Vellore

Work from Office

Responsibilities: Initiate telephone calls to insurance companies requesting status of claims for the outstanding balances on patient accounts and taking appropriate actions. Good Communication Skill. Must be willing to work in Night Shifts.

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0.0 - 5.0 years

2 - 6 Lacs

Navi Mumbai

Work from Office

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.25 LPA TO 5.50 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Walk-ins directly.

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2.0 - 5.0 years

2 - 4 Lacs

Bengaluru

Hybrid

• Accurately and timely submission of medical claims to insurance companies. • Regular follow-up on unpaid or underpaid claims. • Prompt investigation and resolution of claim denials.

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1.0 - 3.0 years

2 - 5 Lacs

Chennai

Work from Office

Role & responsibilities 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. Preferred candidate profile ound 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 Recruiter: Sathishkumar.U Phone :9789356008 Email: Sathishkumar.Unnikrishnan@omegahms.com

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2.0 - 5.0 years

2 - 5 Lacs

Chennai

Work from Office

Job Description: We are looking for experienced professionals to join our Qatar Process Provider End team for the role of Resubmission Officer (Outpatient) . The ideal candidate will have a strong understanding of healthcare revenue cycle management, particularly in resubmissions related to outpatient claims. Prior experience in a similar role and familiarity with Qatar-specific guidelines will be highly advantageous. Role & responsibilities Handle outpatient resubmissions for Qatar-based healthcare providers. Review claim rejections and denials and take corrective actions. Coordinate with internal departments to gather required documentation and clarification. Ensure accuracy and compliance with the latest insurance and resubmission guidelines. Maintain detailed documentation for all processed claims and resubmissions. Meet daily/weekly productivity and quality targets. Preferred candidate profile Experience: 25 years in medical billing/resubmission, specifically handling outpatient claims. Domain Expertise: Strong knowledge of resubmission workflow in the Qatar healthcare system (Provider end). Skills: Attention to detail, analytical thinking, effective communication, and working knowledge of claim management Education: Graduate in any discipline. Healthcare-related certifications are a Shift: Day shift (based on Qatar timings)

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1.0 - 5.0 years

1 - 5 Lacs

Bengaluru

Work from Office

Job description The above job is for an AR Calling voice process, - work-from-office location in Bangalore. Candidates with experience in non-voice processes, claim adjudication, claim processing, or working on the payer side, as well as freshers, should please ignore this job posting. Role & responsibilities : - Minimum of 6 months of experience in handling accounts receivable, with a focus on denial management in the voice process. - Should have experience in handling US Healthcare Medical Billing. - Calling the insurance carrier & documenting the actions taken in claims billing summary notes. Preferred candidate profile : Should have min 6 months of experience into AR Calling , Denial management - Voice process ( Provider side) Interested call on 8762650131 or WhatsApp the resume on the same number. How to Apply: Contact Person: Venkatesh R (HR) Phone Number: 8762650131 (Call or WhatsApp) Email: Venkatesh.ramesh@omegahms.com Linked in : https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ This opportunity is a work-from-office (WFO) position based in Bangalore. Regards Venkatesh R https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ HR TEAMRole & responsibilities

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1.0 - 3.0 years

1 - 4 Lacs

Bengaluru

Work from Office

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization with Surgery/Orthopedic Experience Good understanding of the medical terminology and progress notes How to Apply: Contact Person: Venkatesh R (HR) Phone Number: 8762650131 (Call or WhatsApp) Email: Venkatesh.ramesh@omegahms.com Linked in : https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ This opportunity is a work-from-office (WFO) position based in Bangalore. Regards Venkatesh R https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ HR TEAM

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1.0 - 5.0 years

2 - 5 Lacs

Hyderabad, Ahmedabad, Mumbai (All Areas)

Work from Office

Roles and Responsibilities 1. Follow up on claims with insurance for denials (CMS 1500 exp mandatory) 2. Ensure accurate, timely follow-ups 3. Immediate Joiners preferred 4. Salary up to 45K plus allowances

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1.0 - 5.0 years

2 - 4 Lacs

Hyderabad, Chennai, Tiruchirapalli

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

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1.0 - 4.0 years

1 - 4 Lacs

Hyderabad, Chennai, Tiruchirapalli

Work from Office

Greetings from Vee Healthtek....! We're Hiring: AR Callers & Senior AR Callers Join our dynamic team at Vee Healthtek and be a part of our growing success in the Denials Management (Voice) process. Position: AR Caller / Senior AR Caller Experience: 1 to 4 Years (Relevant AR Calling experience required) Process: AR Calling Denials Management (Voice Process) Location: Trichy | Chennai | Hyderabad Qualification: PUC / Any Graduate Interview Mode: Virtual (Remote Interview Process) Perks & Benefits: Fixed Weekends Off Saturdays & Sundays 2-Way Cab Facility for safer, hassle-free travel Night Shift Allowance Monthly Food Coupons worth 900 Attractive Incentives based on performance Interested Candidates Can Reach Out To: HR Contact: Vilashini Phone: +91 89258 66801 Email: vilasini.v@veehealthtek.com Kickstart your next career move with Vee Healthtek! Apply now and take your AR Calling career to the next level.

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2.0 - 5.0 years

3 - 5 Lacs

Noida

Work from Office

Overview: We are seeking an experienced and detail-oriented Accounts Receivable Associate (AR Caller) to join our dynamic team. The successful candidate will be responsible for handling and resolving claims, managing account receivables, and ensuring prompt collections in line with US healthcare policies and regulations. Responsibilities: Claims Management : Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management : Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication : Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies. Account Follow-up : Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up. Documentation : Maintain accurate records of communications, actions taken, and status updates on patient accounts using company software systems. Compliance : Ensure adherence to HIPAA guidelines and US healthcare regulations during all interactions and processes. Reporting : Prepare and submit daily/weekly/monthly reports to management on claims status, denials, and collections achieved. Requirements: - Proven experience (2-5 Years) working in accounts receivable within the US healthcare industry. - Knowledge of insurance claim submission and reimbursement processes (Medicare, Medicaid, commercial insurance). - Experience with electronic medical records (EMR) and billing systems (e.g., Epic, Cerner, Meditech). - Excellent analytical and problem-solving skills. - Ability to prioritize and manage multiple tasks in a fast-paced environment. - Proficient in Microsoft Office Suite (Excel, Word, Outlook). - Strong interpersonal and communication skills, both verbal and written. **Benefits:** - Both side Cab Facility. - Professional development and training opportunities. - Collaborative and supportive work environment. Share your resume @ guddan@rsystems.com Whatsapp - 7011037919

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