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5.0 - 9.0 years
0 Lacs
ahmedabad, gujarat
On-site
Role Overview: As an AR Specialist in the Revenue Cycle Management (RCM) team at Ambit Global Solution LLP, you will play a crucial role in tracking and resolving outstanding insurance claims to ensure timely reimbursement. Your proactive and detail-oriented approach will be essential in improving cash flow and reducing A/R days, with a particular focus on surgical cases. Your expertise in insurance follow-up, especially in surgery-related claims, will contribute to the efficiency and accuracy of our billing processes. Key Responsibilities: - Take timely action to resubmit, appeal, or escalate insurance claims - Accurately document all activities and follow-up actions in the billing system -...
Posted 15 hours ago
1.0 - 5.0 years
0 - 0 Lacs
punjab
On-site
As an Accounts Receivables Specialist, your role will involve analyzing and resolving unpaid claims, verifying eligibility, interacting with US-based insurance carriers, following up on unpaid submitted claims, reading and interpreting insurance EOBs, reviewing denials, and understanding denial management and appeal processes. It is important to track and follow up on claims within given timelines, with experience in Personal Injury and Workers Comp AR being a plus. Achieving daily targets is a key part of this role. Qualifications Required: - B.com, M.com, Any graduate The company is located in Mohali, 74sector. As an ideal candidate, you should have relevant experience in USA health care m...
Posted 4 days ago
1.0 - 5.0 years
0 - 0 Lacs
punjab
On-site
Role Overview: As an Accounts Receivables Specialist, your main responsibility will be to analyze and resolve unpaid claims. You will interact with US-based insurance carriers, review insurance EOBs, and understand CMS-1500 and UB-04 claim formats. It is crucial to track and follow up on claims within given timelines and have an understanding of denial management and appeal processes. Experience in Personal Injury and Workers Comp AR will be considered a plus. Key Responsibilities: - Analyze and resolve unpaid claims - Interact with US-based insurance carriers - Review insurance EOBs and understand claim formats - Track and follow up on claims within timelines - Understand denial management ...
Posted 4 days ago
1.0 - 6.0 years
3 - 15 Lacs
bengaluru, karnataka, india
On-site
Must Have Skills: Hands-on experience withUB-04 (Facility/Hospital Billing) Strong knowledge ofUS Healthcare RCM Expertise inDenial Management,AR Follow-up, andRejection Handling Confident ininsurance callingand resolving claim issues Familiar withEOBs,payer portals, andclearing houses Key Responsibilities: ManageUS Hospital/Facility Accounts Receivable Process claims, follow up with insurance companies, and resolvedenials, rejections, LOAs Handle outbound calls to insurance providers and accurately document the call outcomes Meet daily and monthlycollections and productivity targets Maintain internal logs and communicate updates via email Escalate complex or unresolved claims to the appropr...
Posted 1 week ago
2.0 - 4.0 years
0 - 3 Lacs
bengaluru
Work from Office
Responsibilities: Post payments, adjustments, and denials from EOBs, ERA, and patient payments into the system. Reconcile daily deposits against bank statements. Identify and resolve credit balances in compliance with payer regulations. Process patient refunds and insurance overpayments timely. Collaborate with billing and AR teams to resolve discrepancies. Maintain accurate records for auditing and compliance. Qualifications: 2 and above years of payment posting experience in healthcare. Knowledge of EOB/ERA interpretation billing workflows. Experience handling credit balances and refunds. Proficiency with billing software and Excel. Flexible working in Shifts
Posted 3 weeks ago
5.0 - 9.0 years
0 Lacs
ahmedabad, gujarat
On-site
Job Description: Ambit Global Solution LLP is a leading provider of medical and dental billing and revenue cycle management services. We offer comprehensive solutions to healthcare organizations, including hospitals, dental groups, and private practices, with the aim of maximizing revenue and reducing operating costs. Our team of dedicated professionals, which includes AAPC-certified coders, leverages cutting-edge technology and a client-centric approach to deliver efficient and transparent services across various specialties. We are currently seeking an AR Specialist for our Revenue Cycle Management (RCM) team. The ideal candidate should have a proactive and detail-oriented approach. The pr...
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
coimbatore, tamil nadu
On-site
About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves g...
Posted 2 months ago
0.0 - 4.0 years
3 - 6 Lacs
Hyderabad, Telangana, India
On-site
Key Responsibilities: Call insurance companies (outbound calls) to follow up on pending or denied claims. Analyze and understand EOBs (Explanation of Benefits) and denial codes . Take appropriate actions such as appeals, re-submissions, or escalations. Meet daily/weekly productivity targets and quality benchmarks (accuracy ?95%). Update internal billing systems with clear and concise notes on claim status. Follow HIPAA guidelines and client-specific protocols during interactions. Coordinate with the team and supervisors for escalations or complex cases. Eligibility Criteria: Education: Any graduate (Life Sciences or Healthcare background preferred). Experience: Freshers with excellent commun...
Posted 2 months ago
1.0 - 6.0 years
2 - 4 Lacs
Bengaluru / Bangalore, Karnataka, India
On-site
Post insurance payments, adjustments, and patient payments from EOBs, EFTs, and checks into the billing system. Reconcile daily deposits with payment Process and apply credit card payments, electronic fund transfers (EFTs), and lockbox payments. Required Candidate profile Experience in US healthcare RCM, including payment posting &reconciliation. Knowledge of payer (Medicare, Medicaid, commercial insurance). Familiarity with denial codes and adjustment categories. Perks and benefits Plus Incentives and Perks Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Educ...
Posted 4 months ago
10.0 - 15.0 years
5 - 10 Lacs
Hyderabad
Work from Office
Role & responsibilities We are looking for 10+ years of training and development experience with minimum of 5+ years of experience in training for RCM (Medical Coding, Account Receivables Process in Healthcare operations) Hands-on experience designing training for medical billing, coding, claims adjudication, or provider support services. In-depth understanding of RCM lifecycle and terminology (ICD, CPT, HCPCS, EOBs, etc.) Strong presentation and facilitation skills Proficiency in Learning Management Solutions (LMS) platforms. Preferred Certified Revenue Cycle Representative (CRCR). Graduate degree in Education, Business, or related field (Masters or professional certifications like CPC, AHI...
Posted 4 months ago
5.0 - 8.0 years
7 - 9 Lacs
ahmedabad
Work from Office
About E-Health Source: E-Health Source is a leading Revenue Cycle Management (RCM) service provider, committed to delivering efficient, accurate, and compliant healthcare solutions for clients across the US. Our team is driven by innovation, process excellence, and customer satisfaction. Job Summary: We are looking for a highly motivated ATL/TL Accounts Receivable (AR) professional with strong leadership capabilities and a deep understanding of the US healthcare RCM process. The ideal candidate will be responsible for leading a team of AR callers, ensuring timely follow-ups, reducing outstanding A/R, and maintaining strong client communication. Role & responsibilities Lead and mentor a team ...
Posted Date not available
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