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2.0 years
0 Lacs
Pune, Maharashtra, India
On-site
Company Profile: Credence Global Solutions is a diversified technology-driven financial transformation company with deep expertise and focus on Receivables Management, Healthcare RCM, Technology Platforms and Contact Center verticals. Credence services leading telecommunication, healthcare and media companies in the United States. Healthcare providers serviced by Credence include medical transport providers, emergency physicians, health infusion service providers, and diagnostic laboratories. In the telecommunication vertical, Credence serves four of the top five providers in the United States. Our Group Companies: Credence Resource Management, LLC - Focusses on providing Receivables Management and voice based BPO services, is the flagship company of the Credence Group. Innoval Global Solutions, LLC & Medstat Inc - Provide RCM services to healthcare providers. iValuate Global Technologies - Provides Technology platforms that enhance productivity and compliance for creditors and healthcare providers. Responsibilities: Job Roles & Responsibilities: Develop and administer single or multiple client’s business with deployment of resources ranging between 100 to 200 FTE’s. Design and execute internal business processes to meet client SLA / work standards. Ensure full compliance with all company, departmental, legal, and regulatory requirements. Demonstrate effective verbal and written communication with clients, management and across functions. Develop and execute innovative strategies to improve and secure business delivery. Solid skills of persuasion and negotiation, paired with an innate ability to develop trust, confidence and consensus. Ensure that the assigned portfolio meets client and internal company performance benchmarks. Actively develop the management capabilities and business acumen of direct reportees, and drives the development of team members, ensuring full and well-rounded team competency. Innovate and drive dialer, skip tracing, performance improvement plan and strategies. Host monthly business reviews. Employee development, engagement and retention. Technical Skills Set: Candidate Requirements: At least 2 years of experience as an AM-Operations. 5 years of experience in the BPO business. Prior third party/first party collections experience. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work night shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification – Any Graduate. Verbal and written communication skills.
Posted 1 month ago
1.0 - 4.0 years
0 Lacs
Pune, Maharashtra, India
On-site
Credence Global Solutions is a diversified technology-driven financial transformation company with deep expertise and focus on Receivables Management, Health care RCM, Technology Platforms and Contact Center verticals. Credence services leading telecommunication, health care and media companies in the United States. Health care providers serviced by Credence include medical transport providers, emergency physicians, health infusion service providers, and diagnostic laboratories. In the telecommunication vertical, Credence serves four of the top five providers in the United States. Our Group Companies: v Credence Resource Management, LLC - Focuses on providing Receivables Management and voice based BPO services, is the flagship company of the Credence Group. v Innoval Global Solutions, LLC & Medstat Inc - Provide RCM services to health care providers. v iValuate Global Technologies - Provides Technology platforms that enhance productivity and compliance for creditors and health care providers. Our mantra is Excellence Beyond Belief. Challenges, growth opportunities, and a passion for the Job enables us to repeatedly deliver excellence to our clients. Our team is encouraged to continually explore their talents and pursue their interests giving them the authority to gain the knowledge and skills to truly be the master of their domain. We strive to bring on the best and brightest, as well as to invest in their training and education, making them a seamless extension of our team. Headquartered in Dallas, Texas, we have delivery offices in San Jose, California; Natchez, Mississippi; Mesa, Arizona and Pune, India. Visit www.credencegs.com to know more about the company. Responsibilities Has worked on Xifin- AR Caller Ø Excellent Knowledge in Denials · Ø Can perform HIPAA compliant auto and manual posting requirements · Ø Executes daily payment posting batch reconciliation · Ø Understanding of posting offsets, forward balance, and refund processing / posting · Familiar with denial and remarks codes to perform posting and assignment of AR appropriately · Ø Familiar with secondary billing process while perform cash posting · Ø Clear understanding on: · 1. ERA & EOB · 2. ERA codes · 3. Insurance types · 4. Balance billing · 5. Co-ordination of Benefits · Ø Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices · Ø Good verbal and written communication and presentation skills · Ø Ability to execute and accomplish tasks consistently within deadlines · Ø Basic knowledge of MS Office · Ø Experience working on imagine systems and Advanced MD would be an added advantage Qualifications Ø Exp1 - 4 Years of experience in a Medical RCM {Revenue Cycle Management} Ø Willingness to work in US shifts Ø Minimum 1 year experience in AR 1. Candidate should have good knowledge of denials 2. Require good understanding of place of service Contact- Isha Agarwal- 9225502386
Posted 1 month ago
0 years
0 Lacs
Pune, Maharashtra, India
On-site
Company Profile:. Credence Global Solutions is a diversified technology-driven financial transformation company with deep expertise and focus on Receivables Management, Health care RCM, Technology Platforms and Contact Center verticals. Credence services leading telecommunication, health care and media companies in the United States. Health care providers serviced by Credence include medical transport providers, emergency physicians, health infusion service providers, and diagnostic laboratories. In the telecommunication vertical, Credence serves four of the top five providers in the United States. Our Group Companies Credence Resource Management, LLC Focuses on providing Receivables Management and voice based BPO services, is the flagship company of the Credence Group. Innoval Global Solutions, LLC & Medstat Inc Provide RCM services to health care providers. iValuate Global Technologies Provides Technology platforms that enhance productivity and compliance for creditors and health care providers. Our mantra is Excellence Beyond Belief. Challenges, growth opportunities, and a passion for the Job enables us to repeatedly deliver excellence to our clients. Our team is encouraged to continually explore their talents and pursue their interests giving them the authority to gain the knowledge and skills to truly be the master of their domain. We strive to bring on the best and brightest, as well as to invest in their training and education, making them a seamless extension of our team. Headquartered in Dallas, Texas, we have delivery offices in San Jose, California; Natchez, Mississippi; Mesa, Arizona and Pune, India. Job Role:. Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective clients. Develop the Operations strategy for the organisation, keeping in mind the business requirements. Manage onshore centers for Patient collections and Insurance billing. Coordinate with the other department for smooth functioning of the process. Should have experience in project transition. Should have handle entire functions of Healthcare RCM Process, AR & Denial Management (voice & Non voice). Exposure on Client Relationship Management. Should have experience in expanding operations and work on prospect clients, RFPs, SOP's and DOU's etc. Analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing team. Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external). Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees. Staff development including training, coaching and competence assessment. Motivate and lead high performance management team. (ref:iimjobs.com) Show more Show less
Posted 2 months ago
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