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72 Denials Management Jobs

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12.0 - 16.0 years

0 Lacs

vadodara, gujarat

On-site

Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance, state reporting, billing, and business intelligence. With a comprehensive portfolio, including the CareLogic, Credible, and InSync platforms, Qualifacts serves the entire behavioral health, rehabilitative, and human services market. They have a loyal customer base of more than 2,500 customers and were recognized in the 2022 and 2023 Best in KLAS: Software and Services report for having the top ranked Behavioral Health EHR solutions. If you are looking to work in an environment where innovation is purposeful and your ambition supports customers and those they serve, this opportunity might be for you! This position is onsite, requiring 5 days/week in the Vadodara office working the NIGHT SHIFT from 6:30pm-3:30am IST. Remote applicants will not be considered. The Director of Revenue Cycle Management (RCM) will oversee end-to-end revenue cycle operations for Qualifacts" US-based healthcare clients. This role involves expertise in US healthcare RCM processes, including medical billing, coding, insurance claims, accounts receivable (A/R) management, denials management, and compliance. The Director will drive process efficiency, regulatory adherence, implement automation solutions, and lead a high-performing team to achieve revenue and operational goals. Responsibilities include developing and implementing best practices, policies, and workflows to optimize revenue cycle performance, ensuring compliance with US healthcare regulations, driving automation and process improvement initiatives, setting performance metrics, monitoring KPIs, and achieving key revenue cycle objectives. Qualifications for this role include an advanced degree in Business Administration, Healthcare Management, Finance, or related field, a minimum of 12+ years of experience in US healthcare RCM with at least 5+ years in a senior leadership role, proven experience in managing large RCM teams, experience with EHR/RCM systems, and automation tools in RCM processes. The ideal candidate will possess strong problem-solving skills, the ability to analyze revenue cycle data, identify trends, and implement process enhancements, excellent communication and stakeholder management skills, relevant certifications such as CRCR, CPC, or CRCE, and experience in healthcare technology firms, BPO/KPO, or RCM service providers catering to US healthcare clients. Qualifacts is an equal opportunity employer that values diversity and is committed to creating an inclusive environment for all employees.,

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0.0 - 3.0 years

3 - 15 Lacs

Trichy, Tamil Nadu, India

On-site

Preferred Skills, Education, and Experience: Any graduate Good communication skills and fair command of English language Experienced in AR Follow-up and Denials Management Good understanding of the US Healthcare revenue cycle and its intricacies Excellent analytical and comprehension skills Roles and Responsibilities: Review providers claims that have not been paid by the insurance companies Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers Based on the responses/ findings, make the necessary corrections to the claim and re-submit/ refile as the case may be Document actions are taken into claims billing system Meet the established performance standards daily Improve skills on CPT codes and DX Codes. Make collections with a convincing approach.

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0.0 - 3.0 years

3 - 15 Lacs

Hyderabad, Telangana, India

On-site

Preferred Skills, Education, and Experience: Any graduate Good communication skills and fair command of English language Experienced in AR Follow-up and Denials Management Good understanding of the US Healthcare revenue cycle and its intricacies Excellent analytical and comprehension skills Roles and Responsibilities: Review providers claims that have not been paid by the insurance companies Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers Based on the responses/ findings, make the necessary corrections to the claim and re-submit/ refile as the case may be Document actions are taken into claims billing system Meet the established performance standards daily Improve skills on CPT codes and DX Codes. Make collections with a convincing approach.

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0.0 - 3.0 years

3 - 15 Lacs

Bengaluru, Karnataka, India

On-site

Preferred Skills, Education, and Experience: Any graduate Good communication skills and fair command of English language Experienced in AR Follow-up and Denials Management Good understanding of the US Healthcare revenue cycle and its intricacies Excellent analytical and comprehension skills Roles and Responsibilities: Review providers claims that have not been paid by the insurance companies Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers Based on the responses/ findings, make the necessary corrections to the claim and re-submit/ refile as the case may be Document actions are taken into claims billing system Meet the established performance standards daily Improve skills on CPT codes and DX Codes. Make collections with a convincing approach.

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1.0 - 5.0 years

0 Lacs

noida, uttar pradesh

On-site

As a Medical Biller at Furtherance Flora Solutions, you will play a crucial role in processing medical billing, managing insurance claims, handling denials, and appeals. Your expertise in medical terminology and familiarity with Medicare policies will be essential in ensuring accurate and timely billing processes. Your daily responsibilities will involve effective communication with insurance companies and healthcare providers to resolve any billing discrepancies. Your attention to detail, excellent organizational skills, and ability to work in a dynamic healthcare environment will be key to your success in this role. To excel in this position, you should have a minimum of 1-2 years of prior experience in medical billing. Proficiency in medical terminology, experience in managing insurance claims and denials, along with strong communication skills are prerequisites for this role. Join our team of highly experienced professionals at Furtherance Flora Solutions and contribute to providing quality work with 100% efficiency and transparency within agreed turnaround times.,

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0.0 - 4.0 years

0 Lacs

chennai, tamil nadu

On-site

As a member of the EBO Accounts Receivable team in India, you will be responsible for initiating calls to request the status of claims in the queue. Your main tasks will involve taking appropriate actions on claims to ensure timely resolution, accurate follow-up when necessary, and documenting all actions taken in the claims billing summary notes. Additionally, you will prioritize pending claims for calling from the aging basket and make physical calls following international norms and applicable rules for confidentiality and HIPAA compliance. You will also be tasked with working on denials, rejections, LOA's to accounts, and making necessary corrections to claims. To qualify for this role, you must hold a Graduate Degree. While not mandatory, good communication skills would be a nice-to-have for this position. Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package, reflecting our commitment to fostering a diverse and supportive workplace. If you are interested in joining Guidehouse and require accommodations during the application process, please reach out to Guidehouse Recruiting at RecruitingAccommodation@guidehouse.com. Rest assured that any information you provide will be kept confidential and used only as needed to facilitate the required reasonable accommodations.,

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0.0 - 1.0 years

2 - 3 Lacs

Noida

Work from Office

• Should have excellent communication skills • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow up where required. . Must be willing to Work from Office • Abilities to absorb client business rules. Required Candidate profile Education: Any Graduate Note: Work from office only Working Time: 5.30PM to 2:30AM Working Days: Monday to Friday Transport : Free Cab 2ways Email: manijob7@gmail.com Call / Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Noida, Chennai, Bengaluru

Work from Office

Designation : AR Callers / Senior AR Callers Exp: 1 Y to 5 y Required Skills: Expertise in Physician Billing (CMS-1500) Strong understanding of CMS-1500 claim forms and related processes Strong in Denial Management Good communication skills Required Candidate profile Notice Period: Immediate joiners or candidates with a max 7 day notice period are highly preferred Shift : Day Shift Job Location: Bangalore Email:manijob7@gmail.com Call / Whatsapp 9989051577

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1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

The opportunity offers you the chance to work with a client-focused organization rather than one that is technology-focused. You will be eligible for attractive bonus packages in addition to highly competitive compensation. The work environment is described as challenging, vibrant, and growing, providing individuals with the opportunity to develop new skill sets. You should possess 1-5 years of experience in Medical Billing to be considered for this position. Your responsibilities will include having experience in the end-to-end process of medical/healthcare billing in the U.S. It is essential to have good knowledge in denials management, with capturing and action taken experience being mandatory. The working hours are in the general shift from 9am to 6pm, with lunch provided. You will be working 5 days a week with every alternate Saturday off.,

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1.0 - 5.0 years

2 - 5 Lacs

Chennai, Bengaluru

Work from Office

Designation: AR Caller / Senior AR Caller Experience: Minimum 2 years in Hospital billing preferred. Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Chennai, Bengaluru

Work from Office

Designation: AR Caller / Senior AR Caller 1 year to 4 years of experience in AR Calling and should be flexible for night shifts. Experience working with US-based insurance companies and understanding of CPT, ICD-10, and modifiers. Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Noida, Bengaluru

Work from Office

Designation: AR Caller / Senior AR Caller Experience: Minimum 1 years in Hospital billing preferred. We are urgently looking to hire a Hospital Billing experience candidate Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Noida, Chennai, Bengaluru

Work from Office

Designation: AR Caller / Senior AR Caller Experience: Minimum 2 years Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Noida, Chennai, Bengaluru

Work from Office

Designation: AR Caller / Senior AR Caller Experience: Minimum 2 years in Hospital billing preferred. Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Bengaluru

Work from Office

Designation : AR Callers / Senior AR Callers Exp: 1 Y to 5 y Required Skills: Expertise in Physician Billing (CMS-1500) Strong understanding of CMS-1500 claim forms and related processes Strong in Denial Management Good communication skills Required Candidate profile Notice Period: Immediate joiners or candidates with a max 7 day notice period are highly preferred Shift : Day Shift Job Location: Bangalore Email:manijob7@gmail.com Call / Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Noida, Chennai, Bengaluru

Work from Office

Experience: 1-4 years in AR calling (US healthcare) Exp in denial management and handling AR calls Exp with healthcare billing software Ensure accurate & timely follow up where required. Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Noida & Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Noida, Bengaluru

Work from Office

Designation: AR Caller / Senior AR Caller Experience: Minimum 2 years in Hospital billing preferred. Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

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0.0 - 1.0 years

2 - 2 Lacs

Noida

Work from Office

• Should have excellent communication skills • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow up where required. . Must be willing to Work from Office • Abilities to absorb client business rules. Required Candidate profile Education: Any Graduate Note: Work from office only Working Time: 5.30PM to 2:30AM Working Days: Monday to Friday Transport : Free Cab 2ways Email: manijob7@gmail.com Call / Whatsapp 9989051577

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16.0 - 22.0 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) *: Bachelor Degree Degree Preferred: Required Field(s) of Study (BQ): Computer Science, Data Analytics, Accounting Preferred Field(s) of Study: Minimum Year(s) of Experience (BQ) *: US 10 years of experience Certification(s) Preferred: Preferred Knowledge/Skills *: Demonstrates proven success in roles and extensive abilities to lead client-facing consulting teams, including the following areas: Identifying and addressing client needs: build, maintain, and utilize networks of client relationships; Managing resource requirements, project workflow, budgets and status updates; Managing and conducting quantitative and qualitative analyses of large and complex dat;a Examining feasibility of activities from short and long term perspective; Communicating effectively in written and oral formats to various situations and audiences; and, Leveraging MS Excel, PowerPoint, Word, Project, Visio to communicate effectively in written and oral formats to various situations and audiences. US Hospital and/or Medical Group Accounts Receivable Management US Hospital and/or Medical Group Performance Reporting and KPI Improvement US Healthcare Revenue Cycle Performance Management Reporting US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Denials Management (technical and clinical) US Healthcare Underpayment/Payment Variance Management Ability to lead client-facing consulting teams Strong Client relationship skills Ability to analyze complex data Resource management Project workflow management Strong working knowledge of MS office tools Strong stakeholder management skills Thorough understanding of state and federal regulations Epic Resolute, HB and PB Patient Accounting Cerner RevElate Patient Accounting Meditech Patient Accounting Experience Level: 16 to 22 years. Shift timings: Flexible to work in night shifts (US Time zone) Preferred Qualification: Bachelors degree in finance or Any Graduate PMS Experience: Epic HB & PB experience is Mandatory

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1.0 - 5.0 years

0 Lacs

maharashtra

On-site

Job Description We are seeking for skilled and dedicated AR Caller to join our esteemed healthcare team @ PUNE. You will be responsible for making calls to insurance companies to follow-up on pending claims If you have a deep understanding of end-to-end US Healthcare billing insurance industry, possess excellent communication skills with logical reasoning abilities and have AR Calling experience between 1 and 2 years, we are looking forward for your application About Us: Acrev Solutions is a leading Healthcare billing organization committed to providing exceptional RCM services. Our team of dedicated professionals works tirelessly to ensure a seamless billing process, and we are now looking for more experienced AR Callers to further strengthen our revenue cycle management operations. Job Requirements & Responsibilities- To be considered for this position, applicants need to meet the following qualification criteria: Excellent verbal and written communication skills (English) to interact effectively with patients, insurance companies, and internal teams Work in fixed continuous night shifts (US Shifts) Fast learner with the ability to collaborate effectively with team members and supervisors, adapt well to different situations for meeting operational goals Should be able to work on MS office Excel & Word Any Graduate/Undergraduate Thorough understanding of insurance verification, claim submission, AR Follow-up and denials management Initiate timely and accurate follow-ups with insurance companies Collaborate with our billing team to ensure accurate and compliant claim documentation and submission Maintain detailed records of all interactions, follow-ups, and billing activities, and generate reports to monitor performance and trends Familiarity with CPT, ICD-10 codes, and HCPCS Level II codes Proficiency in billing software and EHRs (Preferred) Strong problem-solving abilities Ability to multitask, prioritize work, and meet deadlines in a dynamic and fast-paced environment Attention to detail to ensure accurate claim handling Collaborative mindset to work effectively with other team members and departments Education: Any Graduate/Undergraduate Ability to commute self to Hinjewadi, Phase2; Pune, Maharashtra Shifts: Fixed US Night Shift Job Types: Full-time, Experienced How to Apply: Email your resume to hiring@acrevsolutions.com,

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3.0 - 7.0 years

0 Lacs

delhi

On-site

Company Description OnSure Health LLC is a healthcare solutions company specializing in Revenue Cycle Management, Coding, AR & Denials Management, Front Staffing Solutions, Scribing, IT Consulting, and Bad Debt Collections. We are dedicated to optimizing healthcare practice operations and enhancing financial outcomes. Our comprehensive services are designed to streamline processes and ensure regulatory compliance for healthcare providers. Role Description This is a full-time on-site role for a Senior AR Executive located in New Delhi. The Senior AR Executive will be responsible for managing accounts receivable processes, handling denials, and ensuring timely collection of revenue. The role involves working closely with the coding and billing teams, analyzing financial data, and implementing strategies to optimize revenue cycles. Additional responsibilities include maintaining compliance with healthcare regulations, overseeing bad debt collections, and providing support for revenue-related queries. Qualifications Experience in Accounts Receivable Management, Denials Management, and Bad Debt Collections Knowledgeable in Healthcare Revenue Cycle Management and Coding Strong analytical skills and attention to detail Ability to work collaboratively with cross-functional teams Excellent communication and problem-solving skills Proficiency in IT solutions related to healthcare operations Bachelor's degree in Healthcare Administration, or a related field Experience in the healthcare industry is advantageous Ability to maintain regulatory compliance and stay updated with industry standards,

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0.0 - 1.0 years

2 - 2 Lacs

Noida

Work from Office

• Should have excellent communication skills • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow up where required. . Must be willing to Work from Office • Abilities to absorb client business rules. Required Candidate profile Education: Any Graduate Note: Work from office only Working Time: 5.30PM to 2:30AM Working Days: Monday to Friday Transport : Free Cab 2ways Email: manijob7@gmail.com Call / Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Noida, Bengaluru

Work from Office

Designation: AR Caller / Senior AR Caller Experience: Minimum 2 years in Hospital billing preferred. Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Noida, Bengaluru

Work from Office

Designation: AR Caller / Senior AR Caller Experience: Minimum 1 years Strong understanding of UB04 claim forms and related processes A brief understanding on the entire Medical Billing Cycle. Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

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0.0 - 1.0 years

2 - 2 Lacs

Noida

Work from Office

• Should have excellent communication skills • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow up where required. . Must be willing to Work from Office • Abilities to absorb client business rules. Required Candidate profile Education: Any Graduate Note: Work from office only Working Time: 5.30PM to 2:30AM Working Days: Monday to Friday Transport : Free Cab 2ways Email: manijob7@gmail.com Call / Whatsapp 9989051577

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