Greetings from Legacy Med Pvt Ltd We are the leading Revenue Cycle Management Company We are hiring for AR Callers & Senior AR Callers for Chennai Location Job profile : Making call to the Insurance company Checking on claims for which we don't have EOB Making follow-ups on corrected claims and appeals. Working on denial according to non-denial management. End-to-End Denials PB - CMS 1500/HB - UB04 Preferred candidate profile : A Candidate should have a minimum 1 Year of Strong Experience in Denial Management working with a leading Medical billing company Immediate Joiners Preferred Benefits: Pick up and Drop Transport Allowance Night meal pass ( Sodexo ) Referral Bonus Attendance Bonus Ready To Relocate Interested candidates can call or WhatsApp Vignesh - 8925998452 / Vignesh.munuswamy@legacyhealthllc.com
Role & responsibilities Following up on claims: Contacting insurance companies to inquire about the status of outstanding claims and resolving any issues. Claim verification: Identifying and addressing reasons for claim denials or delays, such as missing information or errors in coding. Patient communication: Contacting patients to discuss their portion of the bill, address inquiries, and arrange payment. Compliance: Maintaining compliance with billing and insurance regulations and reporting any violations. Data management: Updating claim records, tracking progress, and documenting interactions with insurance companies and patients. Documentation: Maintaining accurate and detailed records of all interactions and follow-up efforts related to outstanding accounts. Preferred candidate profile Excellent communication skills: The ability to clearly and effectively communicate with insurance companies, patients, and colleagues. Strong problem-solving skills: The ability to identify and resolve issues related to claim denials or delays. Attention to detail: Accuracy in documenting claim information, tracking follow-up efforts, and maintaining records. Computer proficiency: Ability to navigate billing software and enter data accurately. Familiarity with medical billing and coding: Understanding of insurance regulations, coding procedures, and claim processing. Contact Information: Name: Manju Rayappan Mobile : 7305196084 Email : manjupasini.rayappan@legacyhealthllc.com
Greetings from Legacy Health Pvt Ltd We have an Immediate Opening for QA Director (US Healthcare) Designation: QA Director Department: Medical Billing (AR - Quality) Experience: 12+ years Location: Chennai Job Profile Develop and implement a comprehensive quality assurance strategy aligned with organizational goals and RCM industry best practices. Define and track Key Performance Indicators (KPIs), SLAs, and quality benchmarks for all RCM processes. Oversee internal audits of coding, billing, collections, and other RCM operations. Ensure compliance with HIPAA, CMS guidelines, payer-specific rules, and other applicable regulations. Collaborate with compliance teams to implement corrective actions based on audit findings. Identify trends, root causes, and opportunities for process optimization using data and feedback. Lead Six Sigma or Lean projects to streamline RCM workflows, reduce denials, and improve first-pass resolution rates. Lead and mentor a team of QA managers, auditors, analysts, and trainers. Develop QA training materials and programs for onboarding and continuous staff education. Promote a culture of quality ownership throughout the organization. Work closely with operations, IT, client services, and leadership teams to support cross-functional initiatives. Participate in client meetings and business reviews to provide quality updates and ensure client satisfaction. Provide regular reports on QA metrics, audit outcomes, and improvement initiatives to executive leadership. Use data to guide decisions and drive transparency around quality performance. Qualifications: 12+ years of progressive experience in RCM operations with at least 5 years in a QA leadership role. Strong knowledge of medical billing, AR follow-up, and payer regulations. Familiarity with RCM platforms and QA tools. Excellent communication, leadership, and analytical skills. Experience in offshore/onshore delivery models. Knowledge of automation tools and AI-based QA systems. Prior experience with enterprise healthcare clients or large provider groups. Interested candidates can reach out to Anitha 7094338825 / Swetha - 8925809054 anitha.arumugam@legacyhealthllc.com/Swetha.Sekar@legacyhealthllc.com
Role & responsibilities Identify, analyze, and manage all issues about claims edits and rejects Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. Active participation in weekly calls; top edits and rejects review call with the onshore team Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and professional communication. Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Strong attention to detail and keep a constant eye out for opportunities to improve efficiency. Preferred candidate profile 7+ years of background in claims edits and clearing house rejects aspects of revenue cycle management end-to-end process Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. Ready To Relocate Interested candidates can call or WhatsApp to Swetha - 89258 09052 / swetha.sekar@legacyhealthllc.com