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7.0 - 12.0 years

8 - 10 Lacs

Hyderabad, Navi Mumbai

Work from Office

Qualifications / Eligibility : Graduate in any discipline US Healthcare background with Experience into Revenue Cycle Management preferred with expertise in at least two functions (AR, Eligibility and Benefits Verification, Authorization, Payment Postings, Billing) Trained / Certified Lean Six Sigma Green Belt / Black Belt Minimum 2 years in the team management role Working knowledge of 7 QC tools and FMEA / Risk assessment Roles and Responsibilities: Manage a team of 15-18 Quality Experts Enable business to deliver high quality and faster outcomes and maintain the quality SLAs Adhere to quality framework and ensure timely completion of audits, reports and analysis Identify and lead Lead Lean Six Sigma / Continuous Improvement projects Drive Ideation to invite potential ideas for improvement Help team achieve core deliverables (PKTs, Audits, Team Meetings, etc) Drive internal and client calibrations Manitan and present / discuss process and business performance dashboard with internal and external stakeholders including but not limited to senior management Perform end to end business diagnostic analysis to dissect to identify potential risks, gaps and areas of improvement Work with cross functions (Operation, Training and others) to make action plans and drive the same to achieve better results Plan and coordinate for resource planning and QA framework execution Initiate and execute remediation plans resulting in better business performance Key Skills: Effective Coaching and feedback skills Ability to identify, analyze opportunities in End to End Process, propose improvement actions and execute as required Ability to analyze data / information and derive insights Strong report management skills Skills in numerical and statistical analysis

Posted 4 days ago

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5.0 - 10.0 years

6 - 8 Lacs

Navi Mumbai

Work from Office

Key Responsibilities Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be upto date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor) Should be able to identify upskilling requirement and initiate content creation either for ILT (Instructor Led Training) or E Learning Being the custodian of all knowledge requirements, will be actively participating in all transition activities Will be the client interface for all knowledge related discussions and should be able to gain a consultant position Should be well versed in SOP creation, documentation, preparing process flows Desired Candidate Profile Required Qualifications Graduate/Post-Graduation in any discipline Should have minimum 5 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills TTT ( Train The Trainer ) certification is preferred Understand the concepts for creating E Leaning modules Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com

Posted 4 days ago

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1.0 - 6.0 years

2 - 6 Lacs

Mohali

Work from Office

Hiring Pre authorization & EVBV candidates for mohali Walkin interviews Package: upto 50k per month Night shift allowance & both ways cab facility Min 1 year of exp in RCM domain in evbv & pre auth Contact 9309385868/Prerna.bagul@equavantage.com Office cab/shuttle Shift allowance

Posted 1 week ago

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5.0 - 12.0 years

0 Lacs

nagpur, maharashtra

On-site

We are looking for an experienced Team Lead specializing in Eligibility Verification & Prior Authorization (EVBV/PA) to join our team at Ascent Business Solutions in Hyderabad. As the Team Lead, you will be responsible for leading and managing a high-performing EVBV/PA team, ensuring timely verification and prior authorization processing, monitoring team KPIs and performance, coaching, training, and developing team members, as well as collaborating with clients and internal teams. The ideal candidate should have at least 5 years of relevant experience in EVBV/PA and a minimum of 2 years in a leadership role as a Team Lead or Coach. A strong understanding of US healthcare Revenue Cycle Management (RCM), excellent communication skills, and team management skills are essential for this role. If you have the required experience and skills, and you are an immediate joiner, we encourage you to apply for this exciting opportunity. The salary will be as per company norms, and immediate joiners are preferred. If you know someone who would be a great fit for this position, please feel free to share this post with them. To apply for this position, please send your resume to tarulp@ascent-group.com. Join us at Ascent Business Solutions and be a part of our dynamic team as we continue to grow and excel in the healthcare industry.,

Posted 2 weeks ago

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1.0 - 3.0 years

2 - 5 Lacs

Hyderabad, Mumbai (All Areas)

Work from Office

Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient.Addressing the claims to insurance or Self Pay(Patient Attention) based on eligibility identified.Shift:5:30 PM-2:30 AM/6:30 PM to 3:30 AM

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1.0 - 5.0 years

3 - 5 Lacs

Mumbai

Work from Office

Job seekers, Hiring for multiple positions for MUMBAI location. Open positions *AR Follow Up *Billing *Prior Authorization *EVBV Salary : Upto 5.75 LPA Shift will be US 5 Days working Cab & Meals WFO 1-4yrs Exp in the same is Mandatory Required Candidate profile Follow up with the payer to check on claim status Identify denial reason and work on resolution Should have worked in AR follow up Preferred Athena Software & Cardiovascular billing exp 9335-906-101

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1.0 - 4.0 years

3 - 5 Lacs

Mohali, Hyderabad

Work from Office

We are hiring for "ELIGIBILITY VERIFICATION ROLE" for an MNC for MULTIPLE Location. Salary : Upto 5.50 LPA Shift : Any 5 Days working WORK FROM OFFICE Need Good English Comm. skills Must have good knowledge of RCM. Only Immediate Joiners needed Required Candidate profile Must have 1 to 5 Yrs of exp. in same profile. Verifying patient insurance coverage, ensuring accurate eligibility & benefits information, & supporting seamless claims processing. Call : 9643-5837-69

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1.0 - 4.0 years

1 - 6 Lacs

Thane, Navi Mumbai, Mumbai (All Areas)

Work from Office

Hiring For Reputed BPO N KPO (Work from office) Excellent English Required Telephonic Interviews Voice/ Chat/Blended Process/Collections /Customer service Specialize in-Medical billing/Travel n Ticketing HSC/GRAD Fresher +6 months any bpo exp apply(on paper) 2 week offs,Transpot provided Salary 12K- 55 K + Inc Medical Billing :- upto 50k + Incentives +Travelling allowance SR.HR Shreya :- 9136512502 or mail CV on jobway.resume@gmail.com walk-In :- Jobway Recruitment ( Airoli W) , 1St Floor, Plot No H-132, Above Sai Optic, Opposite To Kotak Bank Atm, Near Bus Depo, Sector-3, Airoli , Navi Mumbai, Maharashtra 400708

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1.0 - 3.0 years

1 - 5 Lacs

Hyderabad, Mumbai (All Areas)

Work from Office

1. AR Caller / Sr. AR Caller (US Healthcare Process) Experience: Min. 1 year in AR Calling (RCM / Denial Management) Location: Hyderabad, Bangalore, Mumbai Mode: Work from Office Shift: Night (US Shift) Salary & Perks: Up to 41,000 Take-Home Shift Allowance up to 2,200 Incentives + Monthly Allowances 1-Way or 2-Way Cab (Based on project) Growth-Oriented Environment Eligibility: 1+ Year in AR Calling (Voice US Healthcare) Education: Intermediate or Graduate (process-based) Relieving Letter: Required for some processes Immediate Joiners Preferred 2. Prior Authorization (US Healthcare – RCM) Experience: Minimum 1 year Location: Chennai, Mumbai Qualification: Inter & Above Package: Up to 40,000 Take-Home Shift: 6:30 PM – 3:30 AM Mode: Work from Office Relieving Letter: Not Mandatory Interview Mode: Virtual 3. EVBV – Eligibility & Benefits Verification Experience: 1+ year Location: Hyderabad Qualification: Degree Mandatory Package: Up to 5.75 LPA Relieving Letter: Mandatory Notice Period: 0–60 Days Mode: Work from Office Interview Mode: Virtual Perks: 2-Way Cab, Incentives, Allowances How to Apply: Fill the Form: https://forms.gle/QKi3U8TUCsci9eSG6 – to receive Latest job updates Send your updated resume via WhatsApp to: HR Nandani – 9705749568 Available: 9:30 AM – 6:30 PM REFER YOUR FRIENDS AND HELP THEM GET PLACED TOO!

Posted 2 weeks ago

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1.0 - 5.0 years

2 - 5 Lacs

Hyderabad, Mumbai (All Areas)

Work from Office

Greetings!! Designation: AR Caller/Eligibility & Benefits Verification(RCM) Openings: 100 Exp:1-5 Yrs Job Loc: Mum/Hyd CTC :Upto 5 Lpa Call: Saloni :9783779123 Priyal : 9772840956 or Apply to: priyalconverse@gmail.com Rgrds, Team Converse

Posted 3 weeks ago

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1.0 - 4.0 years

1 - 4 Lacs

Hyderabad, Mumbai (All Areas)

Work from Office

Hiring for RCM – Eligibility & Beneficiary Verification EVBV. Verify insurance & benefits, address claims, meet TAT/quality targets, analyze accounts, document actions, and coordinate with teams. Cell: 8247045153, Email: a3rcmrecruitment@gmail.com Required Candidate profile Graduate with min 1 yr or UG with 2 yrs exp in EVBV/PA Strong knowledge of insurance eligibility, benefits & claim processing. Familiar with payer portals, IVR systems & billing tools. Perks and benefits Incentives Night shift allowance cab facility

Posted 4 weeks ago

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1.0 - 6.0 years

2 - 7 Lacs

Pune

Work from Office

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Posted 4 weeks ago

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1.0 - 5.0 years

0 - 3 Lacs

Pune, Mumbai (All Areas)

Work from Office

GET THE FUTURE YOU WANT WE ARE HIRING Prior Authorization & EVBV Designation:- Revenue Cycle Representative Eligibility Criteria: Minimum 1 year of experience in Prior Authorization or EVBV from the provider side Good understanding of the medical terminology and progress notes. Immediate joiners are preferred Perks & Benefits: Attractive Incentive Plans 5 days working Home Pickup & Drop Contact Person: Madhumita Poojari - 9987222135 | madhumita.poojari@ikshealth.com Aanchal Mishra - 9833062691 | aanchal.mishra@ikshealth.com Send your CV to careers@ikshealth.com

Posted 1 month ago

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2.0 - 4.0 years

2 - 4 Lacs

Navi Mumbai

Work from Office

Responsible for verifying insurance eligibility and benefits, addressing claims, ensuring quality and TAT, analyzing accounts for resolution, and coordinating with teams for timely claim resolution.

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5.0 - 10.0 years

5 - 10 Lacs

Navi Mumbai, Mumbai (All Areas)

Work from Office

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1.0 - 5.0 years

1 - 6 Lacs

Navi Mumbai, Mumbai (All Areas)

Work from Office

The role involves verifying insurance eligibility and benefits for patients, and coordinating with internal and client teams to ensure timely and accurate claim processing.

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0.0 - 1.0 years

1 - 2 Lacs

Nagpur

Work from Office

Role Description This is a full-time on-site EVBV Executive role located in Nagpur. The EVBV Executive will be responsible for verifying Insurance Benefit and patients eligibility. Roles and Responsibilities: Verification of Insurance Coverage (Via Calls/Portals) Verification of Benefits Coverage (Via Calls/Portals) Fluency in English Communication: Proficient in both written and spoken English, ensuring clear and effective communication in professional settings. Energetic and Proactive: Demonstrates a high level of energy and initiative, consistently engaging in tasks with enthusiasm and a positive attitude. Adaptability to Night Shifts: Comfortable working during US night shifts (5:30 PM to 2:30 AM IST), with a proven ability to maintain productivity and focus during unconventional hours. Desired profile of the candidate * Key Qualifications: Educational Background: Bachelor's degree in any related field is preferred. Communication Skills: Excellent proficiency in English, both written and verbal, to effectively communicate with clients and team members. Technical Skills: Basic knowledge of insurance verification processes and the ability to navigate online portals. Work Ethic: Demonstrated ability to work diligently and efficiently, ensuring accuracy and attention to detail in all tasks. Adaptability: Comfortable working in a night shift environment (5:30 PM to 2:30 AM IST), aligning with US business hours. Team Collaboration: Ability to work collaboratively within a team, supporting colleagues and contributing to collective goals. Additional Attributes: Problem-Solving Skills: Capable of identifying issues and implementing effective solutions promptly. Confidentiality: Understanding of the importance of maintaining patient confidentiality and handling sensitive information responsibly. Professionalism: Exhibits a professional demeanor in all interactions, representing the company positively.

Posted 1 month ago

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4.0 - 7.0 years

7 - 7 Lacs

Navi Mumbai

Work from Office

We have an opportunity for the role of Team Manager in RCM, the details of which are mentioned below: Designation: Team Manager (Auth/EVBV) No. of Openings: Pre-Auth Team Manager - 4 EVBV Team Manager - 4 Experience: 4+ years Location: Navi Mumbai (Airoli) Skills Required: Work experience of 4+ years in the RCM (in functions like Prior Authorization/EVBV) of a US Healthcare Setup Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills Graduate in any stream Responsibilities: Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates Help manage team work life balance through efforts on leave planning and rostering Communicate effectively within & with team members & escalate issues to the management for timely resolution Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent. If interested, please share your updated CV on shivani.tripathi@ikshealth.com

Posted 1 month ago

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