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0.0 - 3.0 years
3 - 3 Lacs
Mumbai, Thane, Navi Mumbai
Work from Office
You will be handling the specific part of market which will be assigned by the company. You would have to meet the client at their work space and give corporate Presentation about the product, doing negotiation by communicating with patience and by solving their query. Having Strong interpersonal skill is must for dealing with the clients and need to be self motivated. Skills Required: Contributes to team effort by accomplishing related results as needed. Maintains quality service by establishing and enforcing organization standards. Identifies product improvements or new products by remaining current on industry trends, market activities, and competitors. Maintains relationships with clients by providing support, information, and guidance; researching and recommending new opportunities; recommending profit and service improvements. Sells products by establishing contact and developing relationships with clients. Criteria: Immediate joiner Age - 18 to 25 Location - Mumbai all areas, Mumbai Suburbs, kalyan,Dombivli,Panvel
Posted 1 month ago
0.0 - 3.0 years
3 - 3 Lacs
Mumbai, Thane, Navi Mumbai
Work from Office
We train and develop freshers at different level of BUSINESS giving them an exposure in marketing,management, team handling, client servicing, training & Development, Accounts and Finance. Job Role- * Working for business management and development profile for clients. * Training and developing people in business management and development * Managing clients and providing the best services * Doing B2B campaigns for business management and development * Organizing events, seminars and workshop at corporate level * Maintaining relationship with HNI Clients and customers * Handling a team of 20-25 associate Required Candidate profile *Graduates & post Graduates who aspires to build themselves as leaders in the industry *Dynamic & Hardworking *Ambitious & Positive Thinker * Freshers can Apply * Post Graduate/Graduate Freshers Location-Thane,Mumbai,Navi Mumbai,Mumbai All Areas, Kalyan/Dombivli
Posted 1 month ago
0.0 - 3.0 years
3 - 3 Lacs
Mumbai, Thane, Navi Mumbai
Work from Office
Required Candidate profile Caliber Organisation is a leading client servicing company, catering to esteemed organizations such as UNICEF, IndusInd Bank, Axis Bank, AU Small Finance Bank, and HDFC Bank. We are committed to nurturing talent and providing a platform for career growth. As a Management Trainee, you will undergo comprehensive on-the-job training to gain in-depth knowledge of our organization and industry, with the opportunity to advance to higher positions based on performance. Location- Thane,Navi Mumbai,Mumbai,Dombivli,Panvel,Karjat,mumbai all areas, MUMBAI SUBURBS, kalyan Desired Candidate Profile *Dynamic & Hardworking *Freshers *Excellent Interpersonal and Communication skills *Graduate & Post Graduate Freshers *Freshers willing to get trained in all the areas of management.
Posted 1 month ago
0.0 - 2.0 years
3 - 3 Lacs
Mumbai, Thane, Navi Mumbai
Work from Office
Management freshers into sales marketing PR -Brand awareness/ customer acquisition -Developing team and providiing and providing effective trainiing -mentoring & managing team to achieve desired performance -understanding financial aspects REQUIRED CANDIDATE PROFILE -Creative & positive -well groomed -GOOD ETIQUETTE -willingness to learn -training provided -has a smile & great leadership qualities *Age 18-27 *Freshers can apply *Immediate joiner Locations : thane, navi mumbai, mumbai all areas, MUMBAI SUBURBS, MUMBAI, kalyan, dombivli, panvel,
Posted 1 month ago
1.0 - 3.0 years
2 - 3 Lacs
Noida, Delhi / NCR
Work from Office
Job Summary: We are seeking an experienced and detail-oriented AR Caller/Denials Management Specialist to join our Revenue Cycle Management (RCM) team. The ideal candidate will have a minimum of 1 years of experience in AR Calling, Denials Management, or Medical Billing. The candidate should be proficient in English communication skills, possess strong problem-solving abilities, and be capable of managing all aspects of the AR follow-up and denials process. Key Responsibilities: Accounts Receivable (AR) Follow-up: Contact insurance companies and patients to follow up on unpaid or partially paid claims. Ensure that claims are processed in a timely manner and escalate issues where necessary. Investigate and resolve discrepancies in payments, denials, and adjustments. Denials Management: Review and analyze denied claims to identify root causes. Prepare and submit appeals to insurance companies for claim reprocessing. Work with insurance companies to address and resolve claim rejections and denials. Ensure all denials are appealed or written off in a timely manner. Documentation & Reporting: Accurately document all communication with payers and patients in the system. Maintain a clear record of claims status, denials, and actions taken. Generate and review reports to ensure accurate claim follow-up and appeal submission. Client Interaction: Communicate effectively with clients regarding claim status, denials, and resolution steps. Ensure that clients are kept informed of all updates and progress regarding outstanding claims and denials. Cross-functional Collaboration: Collaborate with other departments (e.g., coding, billing, and customer service) to resolve issues affecting claims. Work closely with the management team to streamline processes and improve AR performance. Qualifications: Minimum 1 years of experience in AR Calling, Denials Management within the healthcare industry. Strong knowledge of the revenue cycle process, including claims, denials, and denials management. Excellent written and verbal communication skills in English. Knowledge of medical terminology and insurance processes. Familiarity with medical billing software and tools. Strong analytical and problem-solving skills with attention to detail. Ability to work independently and as part of a team in a fast-paced environment. Good organizational skills and the ability to manage multiple priorities simultaneously. Preferred Skills: Experience with payer portals and claims submission tools. Familiarity with ICD-10, CPT, and HCPCS coding. Proficiency with MS Office (Excel, Word) and relevant RCM software. No cab or meal facility is available. Only immediate joiners are eligible for the opportunity. How to Apply: Interested candidates can either call or send their updated resume via WhatsApp at 9289754401
Posted 1 month ago
0.0 - 2.0 years
3 - 4 Lacs
Chennai
Work from Office
Responsibilities: • Analyze and evaluate workers's compensation claim payments using client proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state workers compensation fee schedule and/or PPO contract. Research, request and acquire all pertinent medical records, implant manufacturers invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement. Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement. Prepare correct Workers Comp initial bill packet or appeal letter using Client systems tools and submit with all necessary supporting documentation to insurance companies. Other duties as required. Education: Diploma / Bachelors Degree in any discipline. Experience: • Experience working for a US based BPO OR US healthcare insurance industry experience OR a similar experience recommended. • Competent in MS Office Suite and Windows applications. Skills and Prerequisites: • Strong verbal communication skills. • Fast and accurate typing skills while maintaining a conversation. • Multitasking of data entry while conversing with Client contacts and insurance companies. • Ability to professionally and confidently communicate to outside parties via phone, email and fax. • Ability to handle large volumes of work while maintaining attention to detail. • Ability to work in a fast-paced environment. • Work under limited supervision, manage multiple tasks and prioritize assignments within limited time constraints. • Effectively communicate issues/problems and results that impact timelines for project completion. • Ability to interact professionally at multiple levels within the organization. • Timely and regular attendance.
Posted 1 month ago
1.0 - 5.0 years
0 - 2 Lacs
Hyderabad, Pune, Chennai
Work from Office
Ar caller 1-5 yrs Physician & hospital billing chennai,bangalore,pune,hyderabad,noida sugangajendran/22@gmail.com 9789080904 immediate joiner.
Posted 1 month ago
1.0 - 4.0 years
3 - 5 Lacs
Chennai, Coimbatore, Bengaluru
Work from Office
WE ARE HIRING!!! ROLE: AR CALLERS (Us healthcare) ONLY VOICE PROCESS AND END TO END DENIALS EXPERIENCED LOCATION: Bengaluru, Chennai, Trichy, Pune, Hyderabad Experience: 1 - 4 yrs Salary: Upto 40k CONTACT - Sangeetha HR - 6379093874 - WhatsApp Required Candidate profile Interview mode: Virtual Two way cab NO FRESHERS!!!!!! CONTACT - Sangeetha HR - 6379093874
Posted 1 month ago
1.0 - 4.0 years
3 - 5 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Designation :AR Caller/SR AR Caller Location:Chennai, Bangalore, Hyderabad Experience :1 to 4 Notice period :Immediate joiner Work mode : Work from office Interview mode:Online(virtual) Salary :Based on experience max(40k) Contact: 9043426511-Suvetha Required Candidate profile Candidate must have experience in Physician Billing or Hospital Billing Candidate must have experience in voice process Candidate should have knowledge on denials minimum 8 Denials and More
Posted 1 month ago
2.0 - 5.0 years
3 - 5 Lacs
Pune
Work from Office
o Leadership & Team Management: o Supervise and guide a team of RCM specialists to ensure smooth workflow and operational efficiency. o Set performance benchmarks, monitor key metrics, and provide coaching and training to enhance team productivity. o Conduct regular team meetings to address challenges, discuss process improvements, and ensure adherence to policies. Revenue Cycle Operations & Optimization: o Oversee claim submissions, payment posting, denial management, and accounts receivable follow-ups. o Ensure timely resolution of claim denials and rejections to maximize reimbursement. o Implement best practices to enhance revenue collection and minimize outstanding balances. o Collaborate with coding and billing teams to ensure accurate claim submissions. Denial Management & Accounts Receivable (AR) Resolution: o Identify and analyse claim denial trends, working with internal teams to reduce future occurrences. o Develop and implement effective appeal strategies for denied claims. o Monitor aging reports and work on strategies to reduce AR days and improve cash flow. Compliance & Regulatory Adherence: o Ensure compliance with healthcare regulations, payer policies, and industry standards (HIPAA, Medicare, Medicaid, etc.). o Stay updated on changes in reimbursement policies, coding updates, and regulatory requirements. o Implement internal audit processes to maintain billing accuracy and compliance. Experience: Minimum 2+ years required in RCM Team lead Location: Pune Salary depends on the Interview HR Chanchal: 9251688424
Posted 1 month ago
1.0 - 5.0 years
2 - 5 Lacs
Chennai, Tiruchirapalli, Bengaluru
Work from Office
Urgent Opening for AR Caller/SR AR Caller -Medical Billing-Voice Process Job Loc:Chennai, Trichy, Bangalore, Pune Exp:1yr-5yrs Salary:40k Max Skills:Any Billing ,Denials NP:Imm IF INTERESTED CALL/WATSAPP: 9356775532 REGARDS; Keerthana HR
Posted 1 month ago
2.0 - 6.0 years
2 - 6 Lacs
Ahmedabad
Work from Office
1) Preparing and submitting billing data and medical claims to insurance companies 2) Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts 3) Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur 4) Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifying in court cases, when necessary 5) Ensuring each patients medical information is accurate and up-to-date 6) Preparing bills and invoices and document amounts due to medical procedures and services 7) Good expertise in AR Aging 8) Doing charge and Payment Posting 9) All the End to End process of Medical Billing Please share your updated CV with the Acknowledgement Role & responsibilities Benefits 5 Days Working Medical + Accident Insurance On-site Yoga, Gym, Sports, and Bhagwat Geeta Session Excellent Work-life balance Annual one-day Trip All festival Celebration US Shift (Timings is 5:30 PM to 3:00 AM)
Posted 1 month ago
2.0 - 5.0 years
2 - 7 Lacs
Bhavnagar
Work from Office
Role & responsibilities Job Description: EHR/Billing Trainer We seek a highly skilled and motivated EHR/Billing Trainer to join our team. The ideal candidate will primarily be responsible for delivering comprehensive training on EHR (Electronic Health Records) and medical billing processes. Additionally, they will provide implementation training support as needed. This role requires excellent communication skills, adaptability, and willingness to work night shifts. Key Responsibilities: Training Delivery : Conduct detailed and engaging training sessions on EHR systems and medical billing workflows for new hires and existing employees. Customize training programs based on the needs of different teams, ensuring all participants gain a clear understanding of processes and tools. Implementation Support : Assist with the implementation and integration of EHR systems for new clients. Provide on-site or remote support during onboarding, ensuring smooth transitions and user adoption. Content Development : Created and updated training materials, including manuals, presentations, videos, and other resources, aligned with the latest system updates and industry standards. Performance Monitoring : Assess trainee performance through tests, feedback sessions, and on-the-job evaluations to identify areas for improvement. Provide additional support to ensure team members are proficient in using EHR and billing systems. Stakeholder Collaboration : Work closely with IT, billing, and operations teams to address training needs and system improvements. Serve as the primary contact for EHR training-related queries and troubleshooting. Compliance and Standards : Ensure that all training adheres to HIPAA regulations and healthcare industry standards. Keep abreast of changes in medical billing rules and EHR functionalities to update training modules accordingly. Reporting and Documentation : Maintain accurate records of training sessions, participant attendance, and outcomes. Prepare reports on training effectiveness and suggest improvements to management. Qualifications: Experience : Prior experience in EHR training, medical billing, or a similar role is preferred but not required. Communication Skills : Exceptional verbal and written communication skills, with the ability to explain complex concepts effectively. Technical Proficiency : Familiarity with EHR systems, medical billing software, and coding standards (CPT, ICD-10). Adaptability : Willingness to work on a night shift to align with client requirements and team schedules. Interpersonal Skills : Strong ability to engage with diverse audiences and foster a positive learning environment.
Posted 1 month ago
2.0 - 5.0 years
2 - 7 Lacs
Jamnagar
Work from Office
Role & responsibilities Job Description: EHR/Billing Trainer We seek a highly skilled and motivated EHR/Billing Trainer to join our team. The ideal candidate will primarily be responsible for delivering comprehensive training on EHR (Electronic Health Records) and medical billing processes. Additionally, they will provide implementation training support as needed. This role requires excellent communication skills, adaptability, and willingness to work night shifts. Key Responsibilities: Training Delivery : Conduct detailed and engaging training sessions on EHR systems and medical billing workflows for new hires and existing employees. Customize training programs based on the needs of different teams, ensuring all participants gain a clear understanding of processes and tools. Implementation Support : Assist with the implementation and integration of EHR systems for new clients. Provide on-site or remote support during onboarding, ensuring smooth transitions and user adoption. Content Development : Created and updated training materials, including manuals, presentations, videos, and other resources, aligned with the latest system updates and industry standards. Performance Monitoring : Assess trainee performance through tests, feedback sessions, and on-the-job evaluations to identify areas for improvement. Provide additional support to ensure team members are proficient in using EHR and billing systems. Stakeholder Collaboration : Work closely with IT, billing, and operations teams to address training needs and system improvements. Serve as the primary contact for EHR training-related queries and troubleshooting. Compliance and Standards : Ensure that all training adheres to HIPAA regulations and healthcare industry standards. Keep abreast of changes in medical billing rules and EHR functionalities to update training modules accordingly. Reporting and Documentation : Maintain accurate records of training sessions, participant attendance, and outcomes. Prepare reports on training effectiveness and suggest improvements to management. Qualifications: Experience : Prior experience in EHR training, medical billing, or a similar role is preferred but not required. Communication Skills : Exceptional verbal and written communication skills, with the ability to explain complex concepts effectively. Technical Proficiency : Familiarity with EHR systems, medical billing software, and coding standards (CPT, ICD-10). Adaptability : Willingness to work on a night shift to align with client requirements and team schedules. Interpersonal Skills : Strong ability to engage with diverse audiences and foster a positive learning environment.
Posted 1 month ago
2.0 - 5.0 years
2 - 7 Lacs
Ahmedabad
Work from Office
Role & responsibilities Job Description: EHR/Billing Trainer We seek a highly skilled and motivated EHR/Billing Trainer to join our team. The ideal candidate will primarily be responsible for delivering comprehensive training on EHR (Electronic Health Records) and medical billing processes. Additionally, they will provide implementation training support as needed. This role requires excellent communication skills, adaptability, and willingness to work night shifts. Key Responsibilities: Training Delivery : Conduct detailed and engaging training sessions on EHR systems and medical billing workflows for new hires and existing employees. Customize training programs based on the needs of different teams, ensuring all participants gain a clear understanding of processes and tools. Implementation Support : Assist with the implementation and integration of EHR systems for new clients. Provide on-site or remote support during onboarding, ensuring smooth transitions and user adoption. Content Development : Created and updated training materials, including manuals, presentations, videos, and other resources, aligned with the latest system updates and industry standards. Performance Monitoring : Assess trainee performance through tests, feedback sessions, and on-the-job evaluations to identify areas for improvement. Provide additional support to ensure team members are proficient in using EHR and billing systems. Stakeholder Collaboration : Work closely with IT, billing, and operations teams to address training needs and system improvements. Serve as the primary contact for EHR training-related queries and troubleshooting. Compliance and Standards : Ensure that all training adheres to HIPAA regulations and healthcare industry standards. Keep abreast of changes in medical billing rules and EHR functionalities to update training modules accordingly. Reporting and Documentation : Maintain accurate records of training sessions, participant attendance, and outcomes. Prepare reports on training effectiveness and suggest improvements to management. Qualifications: Experience : Prior experience in EHR training, medical billing, or a similar role is preferred but not required. Communication Skills : Exceptional verbal and written communication skills, with the ability to explain complex concepts effectively. Technical Proficiency : Familiarity with EHR systems, medical billing software, and coding standards (CPT, ICD-10). Adaptability : Willingness to work on a night shift to align with client requirements and team schedules. Interpersonal Skills : Strong ability to engage with diverse audiences and foster a positive learning environment.
Posted 1 month ago
3.0 - 8.0 years
3 - 7 Lacs
Mohali, Pune, Bengaluru
Work from Office
Greetings from Vee HealthTek...!!! We are hiring Quality analyst for medical billing in the US Healthcare industry... Experience - 1Year As Quality analyst . Designation - Quality analyst . Authorization, Medical billing Joining: Immediate Work Mode: Work from Office Night shifts Location : , Mohali, Pune, Bengaluru Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon * Incentives based on performance Interested candidate's kindly contact HR: - Name - Bhargav S Contact Number - 9606944375 Mail Id - Bhargav.S@veehealthtek.com
Posted 1 month ago
1.0 - 4.0 years
1 - 4 Lacs
Bengaluru, Trichy
Work from Office
Senior AR Caller (Hospital Billing) Loc: Bangalore & Trichy Exp: 1–4 Years Salary: Up to 40K CTC Work Mode: WFO Interview Mode: Online Immediate or within 1 week Relieving Letter: Not Mandatory Interested candidates contact us: Geetha S 9344502340
Posted 1 month ago
5.0 - 8.0 years
6 - 10 Lacs
Bengaluru
Work from Office
Mandatory Skills: SAP Successfactor RCM-RMK. Experience5-8 Years.
Posted 1 month ago
1.0 - 3.0 years
3 - 6 Lacs
Mumbai
Work from Office
Mandatory Skills: Finacle customization version 7. Experience1-3 Years.
Posted 1 month ago
2.0 - 6.0 years
2 - 4 Lacs
Vadodara
Remote
U.S Health Insurance for Medical Billing, Demo & Charge Entry Process. Review and audit claims, Rebilling. The candidate will be responsible for reviewing and auditing medical claims, handling charge entries. Required Candidate profile Seeking experts in U.S. medical billing & charge entry with ECW, Radiology exp. Must know ICD-10, CPT, claims. Immediate joiners preferred. Send CV: recruitment1.hipl@gmail.com
Posted 1 month ago
11.0 years
17 - 19 Lacs
Pune
Work from Office
A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as a Delivery Lead Billing for Patient Financial Services, India, this role is responsible for ensuring the accuracy and completeness of billing and charges within the revenue cycle. This role involves reviewing, correcting, and processing billing errors, charge discrepancies, and claims denials within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease. This position is an exciting opportunity to work with Medtronics Diabetes business. Medtronic has announced its intention to separate the Diabetes division to promote future growth and innovation within the business and reallocate investments and resources across Medtronic, subject to applicable information and consultation requirements. This separation provides our team with a bold opportunity to unleash our potential, enabling us to operate with greater speed and agility. As a separate entity, we anticipate leveraging increased investments to drive meaningful innovation and enhance our impact on patient care. Responsibilities may include the following and other duties may be assigned: As a Delivery Lead Billing for Patient Financial Services, the role involves the specialist to work closely with various departments to ensure accurate coding, compliance with payer requirements, and maximization of reimbursement on Patient Financial Service accounts receivable metrics. Review and analyze charge capture data for accuracy and completeness. Identify and correct charge errors and discrepancies. Collaborate with clinical and coding staff to resolve charge-related issues. Monitor and review billing processes to ensure compliance with payer guidelines. Identify billing errors and make necessary corrections to avoid claim denials. Ensure timely and accurate submission of claims to payers. Manage the resolution of denied claims by identifying root causes and correcting errors. Resubmit corrected claims to payers for reimbursement. Track and report on claim correction activities and outcomes. Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies. Stay updated on changes in billing regulations and payer requirements. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRA s) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Required Knowledge and Experience: Bachelor s degree in business or accounting major is preferred. 10+ years experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology - CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance. This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).
Posted 1 month ago
2.0 - 4.0 years
5 - 6 Lacs
Hyderabad
Work from Office
The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon s suppliers, invoice our customers and report financial results. Amazon is quickly building the Finance Operations capabilities in the healthcare industry by creating the Healthcare Finance Operations Services. As part of the Amazon Healthcare Global Finance Operations Services team, you will find yourself working with exceptionally talented and people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon Healthcare, this candidate must possess a good passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with Management. As we continue to grow and scale our ability to provide innovative primary care across the country, the teams that support this critical work are growing as well. Amazon Healthcare is seeking to hire Charge Capture Specialists for the Revenue Cycle team. As a member of the Revenue Cycle team, the Charge Capture Specialist is responsible for claim submission, following system coding edits, the daily/weekly reconciliation of billing service tickets, and maintaining spreadsheets. This position involves communicating with our facilities on a regular basis and meeting important deadlines. It requires detail, focus, accuracy, speed, timeliness, and computer competency. It s easier to learn, model, practice, invent for our customers and strengthen our culture when we re in the office together most of the time and surrounded by our colleagues. Thus, Amazon practices a global 5 days Work from office policy Ensuring accurate and timely charge-entry/claim submission; consistent in performance and delivery of daily goals. Maintaining service line agreements and accuracy goals. Working Local Edit Errors system edits that require something to be corrected on the claim prior to submission. Working Missing Encounters encounters where an appointment has been checked out but for which no billing ticket was received. Working Orphaned Orders orders that have been fulfilled but for which no billing ticket has been received. Troubleshooting and escalating routine system related issues when appropriate. Independently identifies areas of operational opportunity. Prioritizes using analysis and investigation, presents recommendations and drive implementation by collaborating with cross functional teams. Reviews and recommends changes to policies and procedures to improve Accounts Receivables processes. Acts as the Voice of the Customer by acting and reporting on observed areas for improvement. Participates in the development of training materials and quality assurance programs. Adheres to charge capture productivity standards as set by leadership. Working on any Adhoc request and driving to completion. Mentoring the team and training the newly onboarded team members at the process level. Ensuring the SOPs are UpToDate. Performing random audits to ensure the quality standards are met. Work towards eradicating the defects in the process and drive innovation for resolution. Drive and support the team towards meeting the goal. Bachelor s degree in a relevant area of expertise such as healthcare, business, or finance Minimum 2 years of employment in primary healthcare or similar healthcare At least 1 year experience with the medical billing process and terminology. Experience working in shared services. environment with productivity targets. Exposure to US healthcare and insurance landscape. Understanding of basic accounting principles and receivables management. Proven ability to adhere to policies and procedures, as defined by leadership. A good attention to detail. 4 + Experience with US healthcare and health insurance industry. SME level understanding of end to end O2C process. Has been part of a team that worked on a Six Sigma belt project / Kaizen / Lean projects
Posted 1 month ago
1.0 - 5.0 years
3 - 6 Lacs
Chennai
Work from Office
*Greetings from Collar JobsKart Pvt Ltd!!!! Key responsibilities : Excellent hands on experience handling Commercial insurance companies Exposure in Denial Management Good Communication Skills Requirement : * Experience : Minimum 1 year Experience into medical billing - AR Calling Authorization and Prior Auth can also apply 40K Salary - Immediate Joiner's Work Location - Chennai Virtual Interview. * Immediate Joiners are Required.. Interested candidates can reach HR Vinodhini @ 7904391931(call & Whatsapp )
Posted 1 month ago
2.0 - 7.0 years
4 - 7 Lacs
Mumbai
Work from Office
Minimum 2 years of experience in RCM domain in US Health, preferably in Quality Auditor/Expert capacity in Accounts Receivables. Expertise in medical billing end to end RCM Strong knowledge on various denials and remark codes and able to take immediate action to resolve them and follow up on the claims for collection of payment Monitor and analyze RCM process errors Audit error corrections both short- and long-term Quantify error rates and their trends individually, by team, by client, and by client pool Analyze the errors to build training materials and tests Create automation solutions to reduce error rates Should be able to resolve billing issues that have resulted in delay in payment Responsible for call/data quality monitoring Provide feedback to agents using the prescribed feedback model Mentoring and coaching agents on process-level issues Monitor adherence to compliance procedures and processes Responsible for reporting program-level quality scores to the process owners Responsible for conducting calibration and performance review calls in terms of quality with clients as well as the internal team Conduct refresher training on the basis of the errors identified Perform weekly analysis aiming at improving SLA Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to the operation/management team Identify and highlight potential risk areas and recommend preventive action Maintaining a robust monitoring system to ensure key program metrics are adhered to and the required level of quality is maintained across the board
Posted 1 month ago
3.0 - 8.0 years
4 - 8 Lacs
Coimbatore
Work from Office
In these roles, you will be responsible for: Coding and abstracting information from provider patient medical records and hospital ancillary records per facility and/or state requirements. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Required Skills for this role include: 3+ years of experience working with CPT and ICD-9 coding principles, governmental regulations, protocols and third party requirements regarding medical billing. Coding certificaion is Mandatory, should have exposure in Radiology/IVR/E/M & ED 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend s basis business requirement. Ability to communicate (oral/written) effectively in English to exchange information with our client
Posted 1 month ago
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