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0.0 - 1.0 years
3 Lacs
Coimbatore
Work from Office
Processing of Medical Data Entering charges and posting payments in the software Ensure that the deliverables to the client adhere to the quality standards. To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of Payment Posting or Demo & Charge or Correspondence or Charge Entry Understand the client requirements and specifications of the project Ensure targets are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Applying the instructions/updates received from the client when doing the production. Update their production count in SRP and Online score card. Prepare and Maintain reports
Posted 1 month ago
6.0 - 7.0 years
8 - 9 Lacs
Chennai
Work from Office
Arzion RCM is looking for Senior AR Caller to join our dynamic team and embark on a rewarding career journey Tellecaller is responsible for various tasks including planning, execution, and management of related duties They should possess relevant skills and experience to excel in this role Duties include teamwork, problem-solving, and achieving organizational goals Candidates must have strong communication and technical abilities Responsibilities include project management, strategy execution, and performance optimization (More details as per role requirements )
Posted 1 month ago
1.0 - 5.0 years
0 - 3 Lacs
Chennai
Work from Office
Dear Candidate, Greetings from Global Healthcare Billing Partners Pvt Ltd! We are pleased to inform you about Opening with the Global Healthcare for the profile of CHARGE ENTRY &PAYMENT POSTING Experience : 0.6Year - 4 Years Qualification : Any Graduate Essential Requirement :- Associate should have worked Experience in Charge Entry & Payment Posting with good knowledge of medical billing process. Location: Velachery Shift: Day Contact Name : MALINI HR Contact Details - 9003239650 / 8925808598 NOTE : (only Medical billing experience are eligible) Regards GLOBAL MALINI HR 90032 39650
Posted 1 month ago
3.0 - 5.0 years
2 - 4 Lacs
Navi Mumbai
Work from Office
Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Associate Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.The benefits of having a strong core include injury prevention, reduction of back pain, improved lifting mechanics, balance, stability, and posture, as well as improved athletic performance.Group disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Agility for quick learning. Ability to work well in a teamWritten and verbal communication Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 1 month ago
0.0 - 1.0 years
1 - 5 Lacs
Bengaluru
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(Domestic) - Intermediate About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to perform under pressureAbility to work well in a teamAdaptable and flexibleCommitment to qualityAccount Management Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation
Posted 1 month ago
1.0 - 4.0 years
1 - 4 Lacs
Navi Mumbai, Ahmedabad, Chennai
Work from Office
Greetings from Medusind.!!! Hiring for Experienced Payment Posting - @ Chennai Location. (Only Experienced & Immediate Joiners) JOB DETAILS : Experience : 1+ Years of experience in Payment Posting Work Mode : Office COMPETENCIES / SKILL SET : Must Have 1+ Years of experience in Payment Posting in US healthcare. Excellent interpersonal and analytical skills. Adaptability and Flexibility. Good Knowledge in Handling types of Payments like Insurance Payments, Patient Payments, ERA / EOB-based Posting, Manual Posting, Denial Posting . Constantly strive to meet the productivity, quality, and attendance SLA. Willingness to be a team player and show initiative where needed. QUALIFICATIONS & WORK EXPERIENCE : * Any Graduate 1+ year experience in Payment Posting Interested candidates Kindly come Direct Walk-in to the below mentioned location. Medusind Solution 8th Floor, Prestige Centre Court, The Forum Vijaya mall, No.183, NSK Salai, Arcot Road, Vadapalani, Chennai, Tamil Nadu 600026
Posted 1 month ago
1.0 - 3.0 years
3 Lacs
Bengaluru
Work from Office
Processing of Medical Data Entering charges and posting payments in the software Ensure that the deliverables to the client adhere to the quality standards. To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of Payment Posting or Demo Charge or Correspondence or Charge Entry Understand the client requirements and specifications of the project Ensure targets are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Applying the instructions/updates received from the client when doing the production. Update their production count in SRP and Online score card. Prepare and Maintain reports
Posted 1 month ago
0.0 - 1.0 years
1 - 1 Lacs
Surat
Work from Office
Position Overview: We are looking for enthusiastic and detail-oriented candidates to join our team as Insurance Verification Associates . This role involves verifying dental insurance details and ensuring accurate information for seamless patient care
Posted 1 month ago
6.0 - 10.0 years
6 - 9 Lacs
Bengaluru
Work from Office
Job Title Billing RCM Team Lead Summary of Duties : Maintaining the team productivity / Quality which includes charges / Payment posting and Accounts receivables , monitoring the calls and giving solutions for the team’s problems and assisting them in all areas. Must have strong AR knowledge in approaching the AR aging report. Must have internal medicine/ Family practice specialty knowledge. Flexibility to work based on the work schedule Skills / Roles & Responsibilities Tasks includes below but not limited to 1. Medical Terminology knowledge 2. Ability to operate a computer, phone, and basic office equipment 3. Typing skills is must and able to type fast 4. Clear communication skill is mandatory 5. Must be good in excel and reporting 6. Must know how to plan to work on Accounts Aging report 7. Assisting team on their clarifications and used to work on the client deliverables within TAT. 8. Attention to detail and organizational skills evident in the preparation of accurate weekly and monthly reports within tight deadlines to team and to client. 9. Accountable for maintaining the KPI metrics, Team productivity and Quality. 10. Duties include making a work plan every day, running reports, creating spread sheets, resolving issues bought forward by team, and ensure the smooth operations of our billing practice. Educational Qualification Any degree
Posted 1 month ago
5.0 - 10.0 years
5 - 9 Lacs
Navi Mumbai, Mumbai (All Areas)
Hybrid
Role & responsibilities : Assistant Manager in Payment Posting: Posting Payments: Manually or electronically applying payments to the correct customer accounts and invoices. Data Entry: Accurately entering payment information into the accounting system. Reconciliation: Comparing payments to the company's records to ensure accuracy and identify any discrepancies. Discrepancy Resolution: Investigating and resolving any issues or discrepancies related to payments. Record Keeping: Maintaining accurate records of payments, adjustments, and other relevant information. Support to the Manager: Assisting the Manager in managing the payment posting process, including training, workflow, and project management. Compliance: Ensuring that all payment posting activities adhere to company policies and procedures, and any relevant regulations. Communication: Communicating with internal and external parties (e.g., customers, insurance companies) regarding payments and any related issues. Preferred candidate profile -From healthcare & RCM industry. I nterested candidate can share CV on pojha@harriscomputer.com
Posted 1 month ago
1.0 - 4.0 years
2 - 3 Lacs
Coimbatore
Work from Office
We are currently seeking talented individuals for multiple openings in Payment Posting, Denial Specialist, and Demo & Charge Entry roles. Payment Posting Specialist (End-to-End Process) - 10 positions available Denial Specialist (End-to-End Process) - 10 positions available Demo & Charge Entry Specialist - 10 positions available We are looking for candidates who can join immediately.
Posted 1 month ago
0.0 - 5.0 years
1 - 2 Lacs
Jaipur
Work from Office
SUMMARY Job Opening: Retail Staff Location: Jaipur Our client, a UAE-based multinational conglomerate headquartered in Dubai, is seeking freshers to join their retail staff team in Jaipur. This is an excellent opportunity for individuals looking to kickstart their career in the retail industry. Responsibilities: Folding and stacking at basic table. Timely display of received stocks. Upkeep of section. Ensuring a carton-free floor. Maintaining display standards, including signage. Merchandise clearance from the trial room. Ensuring the right product is displayed on the right browser. Providing customers with shopping bags. Requirements Requirements: Minimum qualification of 10th/12th/Graduate. Age between 18-30 years. 6 months contract period. 6 days working (week off between Monday to Thursday, any day). Open for male candidates. If you are enthusiastic, dedicated, and meet the above requirements, we encourage you to apply for this exciting opportunity in the retail industry. Must Have - Minimum qualification of 10th/12th/Graduate. Age between 18-30 years. --- Note: The original job description did not specify any additional requirements. If there are specific requirements, please provide them for inclusion. Benefits Salary- 10600 NTH + Incentives
Posted 1 month ago
1.0 - 3.0 years
6 - 10 Lacs
Ahmedabad
Work from Office
Support Senior Analysts: Assist senior business analysts in gathering, analyzing, and documenting functional requirements for projects and products. Prepare Basic Documentation: Create preliminary SRS, flow diagrams, functional diagrams, mock-ups, and wireframes under the guidance of senior analysts. Assist in Client Interactions: Support in conducting client calls, understanding customer requirements, and ensuring smooth communication between technical and business teams. Research and Competitor Analysis: Conduct basic competitor research, summarize findings, and prepare reports for internal stakeholders. Learn Agile Practices: Collaborate with the team to understand and implement Agile methodologies effectively. Content Preparation: Contribute to preparing user guides, tutorials, and other product documentation with supervision. Product Knowledge: Gain hands-on experience with the SaaS product (Callyzer) to assist in product demos and client onboarding processes. Collaboration and Coordination: Work closely with the development, design, and quality assurance teams to track project progress and meet deadlines. Tool Familiarization: Learn and utilize tools like Figma for wireframing, Google Docs, and Microsoft Office to prepare deliverables. Requirements: Minimum 1 years of relevant experience is required. Excellent Google Docs and Microsoft skills. (PowerPoint, Word, Excel) Knowledge of wireframing softwares like Figma, Sketch, Adobe XD, etc. Ability to multitask, prioritize, manage time well and meet deadlines. Excellent written and verbal Communication skills Why Join Webs Optimization Software Solution Incorporated since 2013 5 days working An ever-growing team of 80+ highly talented professionals. Flexible Working Hours Medical Insurance Healthy Career Growth, Opportunity to work with the latest technologies & frameworks. Positive Atmosphere and Culture combined with Personal Growth Job Satisfaction & Stability with sa uitable leave policy Fun Company Activities
Posted 1 month ago
1.0 - 6.0 years
5 - 5 Lacs
Navi Mumbai, Pune, Mumbai (All Areas)
Work from Office
Hiring: AR Caller (US Healthcare RCM) Location: Pune & Mumbai (Work from Office) CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Graduate Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: (HR Chanchal 9251688424)
Posted 1 month ago
5.0 - 10.0 years
4 - 6 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position : - Team Leader Salary: Based on Performance Overall exp min 7+ yrs Exp : Min 3 years Required in TL role End to end RCM process Knowledge ( AR Analyst ,Charge , Payment ) Gender: Male Joining: Immediate Joiner / Maximum 10 days Work from office only Direct Walkins Only Interview time ( 10 Am to 5 Pm ) Mail Id : vibha@novigoservices.com Call / Whatsapp ( 9003026989) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32
Posted 1 month ago
6.0 - 8.0 years
8 - 11 Lacs
Vellore
Work from Office
Job Summary. We are seeking a meticulous Medical Billing Specialist with expertise in payment posting to join our team. The ideal candidate will be responsible for accurately posting payments, reconciling accounts, and ensuring proper financial management in the billing process.. Key Responsibilities. Payment Posting: Accurately post payments and adjustments to patient accounts and insurance claims, ensuring all transactions are recorded correctly.. Account Reconciliation: Reconcile payment batches with bank deposits and patient accounts to identify and resolve discrepancies.. Claims Management: Monitor and manage unpaid or partially paid claims, working to resolve issues and ensure full payment from insurance companies.. Reporting: Generate and review payment reports, tracking the status of payments and identifying any issues or trends that need addressing.. Communication: Communicate with patients, insurance companies, and internal departments to address payment-related inquiries and resolve any issues.. Documentation: Maintain accurate records of all payment postings and adjustments, ensuring compliance with billing policies and procedures.. Compliance: Ensure adherence to billing regulations and payer requirements, including timely and accurate posting of payments.. Desired Candidate Profile. Should have 2-3 years of experience in medical billing, preferably in the payment posting process.. Ability to learn and adapt to new practice management system Detailed Orientation.. Team managing skill.. Ledger Maintenance, bills,Bill Maintenance.. Large data set of numbers & Quick books, Multiple portals working experience and computer Fluency.. Benefits. Competitive salary and benefits package. Opportunity to lead a team. Chance to make a real impact. Contact us on recruiter@wonderws.com / 9047477375.. Show more Show less
Posted 1 month ago
2.0 - 3.0 years
2 - 3 Lacs
Chennai
Work from Office
Minimum 1 years of work experience in accounts receivables with relevant experience in Dental AR Basic knowledge of payment posting concepts; how to post adjustments, credits etc Basic knowledge claim edits and clearing house rejection resolution Good Typing speed and keyboard skills Good mathematical knowledge of basic concepts such as how to calculate % Good reasoning and analytical skillsTeam playerData analysis skills Good Root Cause Analysis capabilitiesExcel and MS Office skills Excellent Vocal Communication Adaptability to work in different shifts, teams, and roles Calling Insurance companies on behalf of dentists/dental clinics and following up on outstanding accounts receivable Prioritize the pending claims for calling from the aging bucket as per the strategy defined Analyze and execute corrective actions to the claims company (payers) for payment of outstanding claims Review claims as per status from insurance and take appropriate next action defined by the client SOPs Review provider claims that have not been billed, in process, pending additional information, paid, and /or denied by Insurance companies Abide with laws governing process and applicable rules for confidentiality and HIPAA compliance Escalate difficult collection situations to management on time Meeting daily/weekly and monthly quality and production targets set for an individual The AR is responsible for the daily submission of the completed dental appointments for the dental clinic They check for the appropriate X-ray, Narrative, and Perio chart that needs to be attached to the claim basis for the services being billed Calling Insurance companies on behalf of dentists/dental clinics to request the EOBs required to bill the secondary/tertiary claim Cross-reference medical records and billing information to verify accuracy They ensure that eligibility is verified for the payors before billing the claims to the insurance
Posted 1 month ago
1.0 - 3.0 years
1 - 3 Lacs
Noida
Work from Office
We are looking for an experienced Payment Poster to join our Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for accurately posting payments, adjustments, and denials to patient accounts, ensuring compliance with industry regulations and payer policies. The role requires a strong understanding of EOB (Explanation of Benefits), ERA (Electronic Remittance Advice), and reconciliation processes. Key Responsibilities (KRAs): 1. Payment Posting & Reconciliation Accurately post payments, adjustments, and denials from ERAs, EOBs, and checks to patient accounts in the billing system. Maintain high accuracy in posting to minimize errors affecting financial reporting and patient accounts. Perform batch reconciliation to ensure that posted amounts match deposits. Identify and rectify any discrepancies in payment postings and coordinate with the finance team for resolution. 2. Denials & Adjustments Handling Identify and categorize insurance denials while posting payments. Post necessary contractual adjustments based on payer agreements. Flag claims for appeal or escalation when payments are incorrect or denied without valid reasoning. Work closely with the Denials Management team to track trends in underpayments or rejections. 3. ERA & EOB Analysis Process both paper-based and electronic remittance advice (ERA) efficiently. Cross-check payments with EOBs to ensure correct reimbursement and address discrepancies. Communicate with payers for missing payments or discrepancies in posted amounts. 4. Reporting & Reconciliation Maintain daily logs of payments posted and provide reports to the management. Reconcile payments with bank statements and ensure no misallocations. Generate reports on denial trends, payment accuracy, and payer reimbursement patterns. 5. Coordination & Process Improvement Collaborate with the AR team to resolve outstanding issues related to payment discrepancies. Provide feedback on denial patterns to optimize future claim submissions. Ensure compliance with HIPAA regulations and RCM best practices. Contribute to process improvement initiatives to enhance accuracy and efficiency in payment posting. 6. Compliance & Quality Assurance Follow standard operating procedures (SOPs) for payment posting. Ensure HIPAA compliance and maintain confidentiality of patient and financial data. Adhere to company policies and quality standards for revenue cycle processes. Required Skills & Qualifications: Minimum 1 year of experience in Payment Posting in an RCM/BPO/KPO setup. Strong knowledge of insurance payment processing, EOBs, ERAs, and payer adjustments. Experience working on medical billing software such as Athenahealth, eClinicalWorks, Kareo, NextGen, AdvancedMD, or equivalent. Ability to handle large payment batches with high accuracy. Strong analytical and problem-solving skills. Proficiency in MS Excel for reconciliation and reporting. Good communication skills to coordinate with internal teams and external payers. Preferred Qualifications: Exposure to Denials Management and AR follow-up . Experience in multi-specialty RCM services. Work Environment & Benefits: Competitive salary package as per industry standards. Opportunity to work in a fast-growing healthcare outsourcing company. Exposure to advanced RCM processes and industry best practices. Performance-based incentives and career growth opportunities. Important Notes : No Cab or Meal Facility Provided Only immediate joiners with no notice period are eligible. Only male candidates are eligible for the opportunity. Interested candidates can either call or send their updated resumes via Whatsapp at 9289754401
Posted 1 month ago
1.0 - 5.0 years
1 - 3 Lacs
Ahmedabad
Work from Office
Greetings from Medusind.!!! Hiring for Experienced Payment Posting - @ Ahmedabad Location. (Only Experienced & Immediate Joiners) JOB DETAILS : Experience : 1+ Years of experience in Payment Posting Work Mode : Office COMPETENCIES / SKILL SET : Must Have 1+ Years of experience in Payment Posting in US healthcare. Excellent interpersonal and analytical skills. Adaptability and Flexibility. Good Knowledge in Handling types of Payments like Insurance Payments, Patient Payments, ERA / EOB-based Posting, Manual Posting, Denial Posting . Constantly strive to meet the productivity, quality, and attendance SLA. Willingness to be a team player and show initiative where needed. QUALIFICATIONS & WORK EXPERIENCE : * Any Graduate 1+ year experience in Payment Posting Interested candidates Kindly come Direct Walk-in to the below mentioned location. Medusind Solution 7th & 8th Floor, Corporate Rd, Makarba, Ahmedabad, Gujarat 380015 Contact Hr Rohan- 8780807771
Posted 1 month ago
6.0 - 11.0 years
8 - 10 Lacs
Mumbai
Work from Office
Hiring for Assistant manger RCM Us health Care. Owning operational performance benchmarks, from start to end Perform monthly closing activities including month end performance reviews. Work closely with various functions including Quality, Training and WFM to achieve process targets. Leading and providing governance to a team of Team Leaders as per defined span, while driving healthy competition and yet working together for common business goals. Analyzing processes for possible improvements or issues, proactively identifying and proposing solutions. Participating in Client facing meetings and discussions with proactive insights on process and people, aimed at ensuring fruitful client relationship. Ensuring timely reporting and communication with team and other functions, as required from time to time, based on business requirement. Domain / functional expertise areas: Good presentation skills Experience in U.S medical health insurance payer industry Result-driven. Critical Competencies: Analytical Ability Planning Customer orientation Decision-Making Kindly share your updated CV with your application looking for Immediate joiners. please share the relevant resumes to ramya.ramya1@teleperformancedibs.com Best regards Ramya V
Posted 1 month ago
14.0 - 20.0 years
8 - 12 Lacs
Chennai
Work from Office
About the Role As a Billing Operations Manager , you will be responsible for leading and organizing a team to meet key performance metrics in charges, claims submissions, payments, refunds, denials, and AR follow-ups . Key responsibilities include: Managers with real time experience and who has started their career from Charges/Payment Posting and then entered into AR Process and end to end process are only preferred. At least 3+ years as a Manager on papers and handled entire RCM team of AR, Denials, Charge posters, payment posters, etc. Please note: Only candidates who meet the specified requirements will be considered. Irrelevant profiles will not be entertained. Candidates only from Chennai location are preferred. Maintaining fee schedule documents and other master data tables. Developing and integrating systems data to generate operational, managerial, and executive reports, including revenue projections, cash forecasts, and denial metrics. Creating and maintaining workflow documentation to define roles, responsibilities, and team objectives. Ensuring clear and actionable communication with clients, leadership teams, and the offshore billing team. Providing billing and coding feedback to the team while identifying trends, inefficiencies, and process improvements. Staying updated on regulatory and reimbursement changes and ensuring compliance with industry standards. Handling other responsibilities as assigned to drive operational excellence. What You'll Do Problem-Solving & Analysis Identify challenges and implement effective solutions. Team Coordination Align team actions to maximize efficiency and performance. Time Management Balance priorities effectively while managing both individual and team schedules. Communication Maintain consistent communication with supervisors, clients, and internal teams. Writing & Documentation Strong written and verbal communication skills to document processes and report insights. Client-Centric Approach Maintain a strong focus on serving client needs with accuracy and efficiency. Leadership Take ownership of team performance and drive business objectives. Technical Proficiency Hands-on experience with Microsoft Word, Excel, EHR systems, and clearinghouse software . Qualifications 15+ years of experience in medical billing with expertise in payer-mix trends. 3+ years of management experience , preferably in outpatient facility coding. Familiarity with Electronic Health Records (EHR) systems . Proven real time experience from demographics, charges, payment posting and AR, denials roles. If you're looking for an opportunity to lead a high-performing team and make an impact in the healthcare billing industry, wed love to hear from you! Willing to work on flexible shift timings - preferably 3 PM to 12 AM Preferably Immediate joiners are required. Work Location : ACP Billing Services Pvt Ltd - NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark : Next to ICICI Bank Madhavaram Branch. Share your CV to hr@acpbillingservices.com / only Whatsapp 9841820311
Posted 1 month ago
10.0 - 15.0 years
9 - 11 Lacs
Coimbatore
Work from Office
Job Description Oversee the entire revenue cycle process, including patient registration, insurance eligibility & Benefits verification, charge capture, coding, billing, and payment collection/posting (Must have good hands-on Basic Claims Adjudication, AR & Denial Management/Appeals Process). Manage a team of accounts receivable and billing professionals, including hiring, training, and performance evaluations. Ensure that all coding and billing practices are compliant with government regulations and industry standards, including HIPAA and CMS guidelines. Monitor and analyze revenue cycle metrics to identify areas of improvement and implement process improvements to optimize revenue cycle performance. Work with internal and external stakeholders, including healthcare providers, insurance companies, and patients, to resolve billing and payment-related issues. Work with team on the identified roadblocks / potential problems for processes/procedures and implement possible solutions to avoid any delivery impact. Collaborate with clinical staff, billing staff, and other stakeholders to improve the revenue cycle management process. Monitor key performance indicators and adjust processes as needed to meet goals. Conduct regular training and education sessions to keep staff up to date on changes in regulations and best practices. Key Skills Essential 10+ years experience overseeing the end-to-end Revenue Cycle Management (US Healthcare). Should have strong domain knowledge with ability to handle a team size of up to 50 people across multiple functions like Eligibility Verification, Prior Authorization, AR, Denial Management, Billing and preferably payment posting. Excellent written and verbal communication skills, with demonstrated ability to communicate effectively with executive leadership and all levels of the organization. Proficient in MS Office applications, especially in MS Excel. Should have exposure in complete medical billing cycle understanding each process. Should be a team player and collaborate in solving any issues that might possibly arise in day-to-day transactions. Should have a very good knowledge & Control on Production/Quality & Attrition Management
Posted 1 month ago
10.0 - 15.0 years
1 - 1 Lacs
Coimbatore
Work from Office
Manager RCM for Night Shift AVP - for managing Day & Night Shift operations We are looking for a passionate and experienced Manager RCM (Revenue Cycle Management) to lead and manage end-to-end RCM operations for our US-based healthcare clients. The ideal candidate should have deep expertise in A/R, Denial Management, Payment Posting, and Patient Billing, and a strong track record of team leadership, client coordination, and performance management. Key Responsibilities: Develop and implement effective strategies to improve revenue realization and streamline RCM processes. Lead A/R, Denial Management, Payment Posting, and Patient Billing teams. Drive performance metrics (KPI/SLA) to meet or exceed client and internal benchmarks. Understand the billing requirements and nuances of various medical specialties. Monitor and manage team productivity, quality, and process compliance. Prepare and deliver business reviews, operational reports, and dashboards to management and clients. Lead Monthly Business Reviews (MBRs) with clients and internal stakeholders. Coach and mentor team leads and associates to build a high-performing team. Manage staffing, resource planning, and employee engagement activities. Conduct annual performance reviews and contribute to career development plans. Collaborate with support departments such as HR, Training, and Quality to ensure smooth operations. Drive retention efforts and foster a positive work environment. Role & responsibilities Preferred candidate profile Education: Any Graduate (preferred in Commerce, Healthcare, or Management). Experience: Minimum 10-12 + years in US Medical Billing with at least 2 years in a managerial capacity. Strong understanding of RCM processes, US healthcare payer rules, and specialty billing. Excellent eadership and people management skills (should have managed 510+ teams). Strong communication and client-handling skills. Strong problem-solving and decision-making abilities. Willing to work in Night Shift (US Time Zone).
Posted 1 month ago
1.0 - 6.0 years
2 - 7 Lacs
Pune
Work from Office
Job Description- Dear Candidate At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You will lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. Role: Medical Billing / Cash posting Ex / Sr Ex / SME Location: Pune, Viman Nagar (Night Shifts) WFO Experience: 1 to 7 Yrs. (No Opening for Freshers) CTC: 3 to 8 LPA Key Skills US Healthcare - Mandatory Charge Posting - Mandatory Payment Posting - Mandatory Provider Side - Mandatory Excellent Comm Skill - Mandatory Blended Process - Both Voice and Non voice Process Preferred About Profile 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, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Nice to Have Bachelors degree in business or accounting major is preferred. 1-7 years experience in U.S 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. U.S Healthcare Experience is must. *Imp Note -Very Good to Excellent communication skill is Mandatory. - Payer experience, Please don't apply - Working in Backend or Claim Adjudication process please don't apply, - Working in Voice Process or outbound calls are Preferred - Good to Excellent Comm Skill Required Recruitment Drive Details Date: 21st June 2025 (Saturday) Reporting Time: 1:00 PM Important Notes: Carry 1 hard copies of your resume and a government ID proof. Write "Iqra" at the top of your resume. Application Process to get the Gate Pass Kindly fill the Drive form: https://forms.cloud.microsoft/r/Ea6pMmzs3f Please refrain from coming to the office for your interview until you have gained experience in the Voice Process. This experience is essential for the role and will help ensure a smoother interview process. Please note, this is part of a mass email. If you have already applied, kindly do not apply again. Share your Resume Regards, Iqra Ahmed TA Specialist iqra.ahmed@medtronic.com +917669001886 (WhatsApp Only)
Posted 1 month ago
1.0 - 4.0 years
1 - 3 Lacs
Chennai
Remote
Job Description • Work in teams that process medical billing transactions and strive to achieve team goals • Process Payment Posting transactions with an accuracy rate of 99% or more • Absorb all business rules provided by the customer and process transactions with a high standard of accuracy and within the stipulated turnaround time • Actively participate in companys learning and compliance initiatives • Apply your knowledge of medical billing to report performance on customer KPIs • Be in the center of ethical behavior and never on the sidelines Desired Candidate Profile • Should have 1-2 years of experience in medical billing, preferably in payment posting process & charge entry • Ability to learn and adapt to new practice management system • Good Process knowledge • Excellent Typing Skills • Good written & verbal communication Hindi Language is added advantage Contact - Thendral : 9080343507 , Padmaja : 7358440054 Walk in Address Medusind , 8th Floor, Prestige Centre Court, The Forum Vijaya mall, No.183, NSK Salai, Arcot Road, Vadapalani, Chennai, Tamil Nadu 600026 Timing 11.00 to 4.00 pm (Saturday & Sunday Holiday no interview) Contact - Thendral :
Posted 1 month ago
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