Job Description: Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always meets industry standards. Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials. Constantly keep track of both electronic and paper claims. Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company. Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices. Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties. Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials. Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient. Monitor aging reports to identify and prioritize accounts that require immediate attention. Take proactive measures to expedite payment collection on aging accounts. Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues. Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices. Qualifying Criteria: Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary: Remuneration will be at par with the best industry standards ; will not be a constraint for the right candidate. Perks & Benefits : Attractive Incentives Plan Travelling Allowance Mediclaim Monthly Rewards Interested Candidate can also share their resumes directly to the recruiters below: Rohit Ghate - 7888025217 rohitghate@first-insight.com Address details: Registered Office Address- Pune: First Insight Software Solutions (I) Pvt. Ltd., 2nd Floor, Server Space, AG Technology Park, Off ITI Road, S. No.127/1A, Plot No.8, Aundh, Pune 411 007 Mumbai: Unit No. 302, 3rd Floor, New Technocity, Plot No. X-4/5A, TTC Industrial Area, Mahape MIDC, Navi Mumbai - 400 710 Nagpur: Unit No. 201, 2nd Floor, Wing - C, VIPL IT Park, Plot No. 28, MIDC IT Park, Gayatri Nagar Road, Parsodi, Nagpur - 440 022
Job Description: Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always meets industry standards. Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials. Constantly keep track of both electronic and paper claims. Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company. Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices. Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties. Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials. Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient. Monitor aging reports to identify and prioritize accounts that require immediate attention. Take proactive measures to expedite payment collection on aging accounts. Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues. Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices. Qualifying Criteria: Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary: Remuneration will be at par with the best industry standards ; will not be a constraint for the right candidate. Perks & Benefits : Attractive Incentives Plan Travelling Allowance Mediclaim Monthly Rewards Interested Candidate can also share their resumes directly to the recruiters below: Shubham Patil - 9623058586 shubhamp@first-insight.com Address details: Registered Office Address- Pune: First Insight Software Solutions (I) Pvt. Ltd., 4th Floor, Gaikwad Avenue, AG Technology Park, Off ITI Road, Aundh, Pune, Maharashtra 411 007. Mumbai: Unit No. 302, 3rd Floor, New Technocity, Plot No. X-4/5A, TTC Industrial Area, Mahape MIDC, Navi Mumbai - 400 710 Nagpur: Unit No. 201, 2nd Floor, Wing - C, VIPL IT Park, Plot No. 28, MIDC IT Park, Gayatri Nagar Road, Parsodi, Nagpur - 440 022
Job Description: Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always meets industry standards. Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials. Constantly keep track of both electronic and paper claims. Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company. Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices. Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties. Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials. Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient. Monitor aging reports to identify and prioritize accounts that require immediate attention. Take proactive measures to expedite payment collection on aging accounts. Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues. Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices. Qualifying Criteria: Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary : Remuneration will be at par with the best industry standards ; will not be a constraint for the right candidate. Perks & Benefits : Attractive Incentives Plan Travelling Allowance Mediclaim Monthly Rewards Interested Candidate can also share their resumes directly to the recruiters below: priyankam@first-insight.com Address details: Registered Office Address- Pune: First Insight Software Solutions (I) Pvt. Ltd., 4th Floor, Gaikwad Avenue, AG Technology Park, Off ITI Road, S. No.127/1A, Plot No.8, Aundh, Pune 411 007 Mumbai : Unit No. 302, 3rd Floor, New Technocity, Plot No. X-4/5A, TTC Industrial Area, Mahape MIDC, Navi Mumbai - 400 710 Nagpur : Unit No. 501, 5th Floor, Wing - C, VIPL IT Park, Plot No. 28, MIDC IT Park, Gayatri Nagar Road, Parsodi, Nagpur - 440 022
Kindly note RCM and US Medical Billing experience is Mandatory. Job Title: Associate/ Sr. Associate - Operations (Accounts Receivable team) Work from Office Location: Pune (Aundh) , Mumbai (Ghansoli) and Nagpur (Gayatri Nagar) About the Company: We are a product-based software development company based in Portland, Oregon, USA. We have been in business for over 30 years and have 2000 eye care professionals using our software. We were the first company to launch a complete EHR / practice and optical management system in the eye care industry in 1994 for optometrists and ophthalmologists. We have over 300 employees in the company. The company is headquartered in Hillsboro OR with offices in India and Canada. First Insight also provides high quality revenue cycle management solutions to healthcare practices all over the United States. To know more, please visit www.first-insight.com. Job Description: Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always meets industry standards. Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials. Constantly keep track of both electronic and paper claims. Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company. Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices. Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties. Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials. Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient. Monitor aging reports to identify and prioritize accounts that require immediate attention. Take proactive measures to expedite payment collection on aging accounts. Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues. Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices. Qualifying Criteria: Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary: Remuneration will be at par with the best industry standards; will not be a constraint for the right candidate. Interested Candidate can directly call to Shubham More(H.R) - 8369218615.
Kindly note RCM and US Medical Billing experience is Mandatory. Job Title: Associate/ Sr. Associate - Operations (Accounts Receivable team) Work from Office Location: Pune (Aundh) , Mumbai (Ghansoli) and Nagpur (Gayatri Nagar) About the Company: We are a product-based software development company based in Portland, Oregon, USA. We have been in business for over 30 years and have 2000 eye care professionals using our software. We were the first company to launch a complete EHR / practice and optical management system in the eye care industry in 1994 for optometrists and ophthalmologists. We have over 300 employees in the company. The company is headquartered in Hillsboro OR with offices in India and Canada. First Insight also provides high quality revenue cycle management solutions to healthcare practices all over the United States. To know more, please visit www.first-insight.com. Job Description: Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always meets industry standards. Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials. Constantly keep track of both electronic and paper claims. Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company. Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices. Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties. Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials. Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient. Monitor aging reports to identify and prioritize accounts that require immediate attention. Take proactive measures to expedite payment collection on aging accounts. Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues. Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices. Qualifying Criteria: Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary: Remuneration will be at par with the best industry standards; will not be a constraint for the right candidate. Interested Candidate can directly call to Shubham More(H.R) - 8369218615.
Kindly note RCM and US Medical Billing experience is Mandatory. Job Title: Associate/ Sr. Associate - Operations (Accounts Receivable team) Work from Office Location: Pune (Aundh) , Mumbai (Ghansoli) and Nagpur (Gayatri Nagar) About the Company: We are a product-based software development company based in Portland, Oregon, USA. We have been in business for over 30 years and have 2000 eye care professionals using our software. We were the first company to launch a complete EHR / practice and optical management system in the eye care industry in 1994 for optometrists and ophthalmologists. We have over 300 employees in the company. The company is headquartered in Hillsboro OR with offices in India and Canada. First Insight also provides high quality revenue cycle management solutions to healthcare practices all over the United States. To know more, please visit www.first-insight.com. Job Description: Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always meets industry standards. Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials. Constantly keep track of both electronic and paper claims. Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company. Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices. Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties. Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials. Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient. Monitor aging reports to identify and prioritize accounts that require immediate attention. Take proactive measures to expedite payment collection on aging accounts. Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues. Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices. Qualifying Criteria: Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary: Remuneration will be at par with the best industry standards; will not be a constraint for the right candidate. Interested Candidate can directly call to Shubham More(H.R) - 8369218615.
Kindly note RCM and US Medical Billing experience is Mandatory. Job Title: Associate/ Sr. Associate - Operations (Accounts Receivable team) Work from Office Location: Pune (Aundh) , Mumbai (Ghansoli) and Nagpur (Gayatri Nagar) About the Company: We are a product-based software development company based in Portland, Oregon, USA. We have been in business for over 30 years and have 2000 eye care professionals using our software. We were the first company to launch a complete EHR / practice and optical management system in the eye care industry in 1994 for optometrists and ophthalmologists. We have over 300 employees in the company. The company is headquartered in Hillsboro OR with offices in India and Canada. First Insight also provides high quality revenue cycle management solutions to healthcare practices all over the United States. To know more, please visit www.first-insight.com. Job Description: Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always meets industry standards. Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials. Constantly keep track of both electronic and paper claims. Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company. Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices. Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties. Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials. Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient. Monitor aging reports to identify and prioritize accounts that require immediate attention. Take proactive measures to expedite payment collection on aging accounts. Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues. Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices. Qualifying Criteria: Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary: Remuneration will be at par with the best industry standards; will not be a constraint for the right candidate. Interested Candidate can directly call to Shubham More(H.R) - 8369218615.
Kindly note RCM and US Medical Billing experience is Mandatory. Job Title: Associate/ Sr. Associate - Operations (Claim Submissions) Location : Pune, Mumbai and Nagpur (Work from Office - Day Shift) Company Profile : First Insight software solution is a product-based software development company based in Sioux Falls, SD, USA. We have been in business for over 30 years and have 2000 eye care professionals using our software. We were the first company to launch a complete EHR / practice and optical management system in the eye care industry in 1994 for optometrists and ophthalmologists. We have over 300 employees in the company. The company is headquartered in Sioux Falls with offices in India and Canada. First Insight also provides high quality revenue cycle management solutions to healthcare practices all over the United States. To know more about First Insight, please visit @www.first-insight.com . We are hiring Claims Submission Associates for our facility in Pune, Mumbai and Nagpur. The details are as under: Job Description and Essentials: Responsible for Submitting all the claims marked ready to be filed daily. • Ensure to scrub each claim on Superbill and CMS-1500 level on each claim before submission. • Must work on Rejections daily and clear off the rejection bucket daily. • Ensure all the Client updates and Insurance guidelines are followed on each superbill before submission. • Review the types of scrubbing related Denials/Rejections from AR database periodically to see how the customer is performing. • Review the Quality Audit sheet daily and complete the reworks within 24 hours TAT. • Discuss with the Leads/Managers about the progress of the clients and areas of improvement identified. • Any conflicting data found must be reported to Leads/Managers on immediate basis. • Maintain the daily production and Quality target set by the management. Salary: Remuneration will be at par with the best industry standards; will not be a constraint for the right candidate. Interested Candidate can directly call to Shubham More(H.R) - 8369218615.
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