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1.0 - 4.0 years

3 - 5 Lacs

Navi Mumbai, Pune, Mumbai (All Areas)

Work from Office

JOB TITLE: PAYMENT POSTING, AR CALLER LOCATION: PUNE MAX SLAB: 45K NEED IMMEDIATE JOINERS CALL OR WHATSAPP: MADHU HR 9629690325 [ RELEIVING NOT MANDATORY]

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1.0 - 3.0 years

5 - 8 Lacs

Nagpur

Work from Office

Education: Graduation Mandatory Role & responsibilities: Looking for Assistant Manager (US Healthcare) with good experience at provider side & MediClaims. Should have good team management experience Good communication skills Good experience in healthcare Shift details: US Shifts

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1.0 - 6.0 years

4 - 7 Lacs

Gurugram, Delhi / NCR

Work from Office

Hiring for AR caller profile for One of the leading MNC's. Required 12 months of experience in AR follow-up for US healthcare. Salary Up-to 45K In-hand Saturday Sunday Fix Off Both side Cabs To Apply, Call or WhatsApp CV on ANISHA - 9354076916 Required Candidate profile 1. Minimum 12 months of experience in AR Calling. 2. Excellent communication skills, both verbal and written. 3. Familiarity with medical billing and Denial Management. Perks and benefits Both side Cabs, Meals and Medical Insurance.

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1.0 - 5.0 years

0 - 3 Lacs

Salem

Work from Office

Greetings from Vee HealthTek...! We are hiring for Credit Balance Experience: 1 Yrs. to 4 Yrs. (Relevant Medical Billing experience) Process - US Healthcare (Non-Voice) Designation : Processor / Senior Processor Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Sakthivel R Contact Number - 8667411241 (What's App) Mail Id - sakthivel.r@veehealthtek.com

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5.0 - 10.0 years

7 - 9 Lacs

Nagpur, Hyderabad, Pune

Work from Office

Key Responsibilities: Hands-on management of end-to-end Revenue Cycle Management activities with both commercial and federal payors. Mentor and guide associates on QA guidelines, software navigation, new product features, and quality administration. Develop and implement employee schedules to align with forecasted operational demands. Conduct weekly staff meetings to motivate teams, review performance, and address concerns. Monitor and ensure achievement of daily targets, KPIs (Quality, SLA), and overall client metrics. Identify process improvement areas, drive efficiency, and implement customer-impacting projects. Collaborate with Quality, Training, and other stakeholders for seamless delivery as per SOW requirements. Conduct performance reviews, KRA delivery tracking, and feedback mechanisms. Set up, monitor, and improve internal processes related to transactional quality, training, and target achievement. Develop metrics and reporting systems to monitor quality performance and highlight areas of improvement. Take ownership of escalation management, including root cause analysis and preventive action planning. Lead and supervise a team of process analysts, ensuring motivation and productivity. Required Skills and Experience: Proven experience in Denial Management and AR follow-up. Strong knowledge of RCM processes and guidelines. Prior experience in managing or training freshers in accordance with client-set guidelines. Excellent communication and organizational skills. Proficient in Windows OS and application troubleshooting. Demonstrated ability to work independently and with minimum supervision. Strong analytical skills and a proactive approach to problem-solving. Experience with developing and leading process improvement initiatives. Capable of aligning team performance with client and internal goals. Knowledge of quality frameworks and tools for performance monitoring. Preferred Qualifications: Bachelors Degree or equivalent in a relevant field. Minimum 5-8 years of relevant work experience, with at least 2-4 years in a leadership or mentoring role. Familiarity with client metrics and delivery expectations in BPO or healthcare support environments.

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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 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 Communication SkillsTeamwork & CollaborationProblem-Solving & Critical ThinkingAdaptability & Willingness to LearnTime Management & Organization 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

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2.0 - 5.0 years

2 - 4 Lacs

Hyderabad

Work from Office

Charge entry and Payment Posting Knowledge about ICD 10 and CPT codes Knowledge about Insurances, Denials, Rejections Posting payments and adjustments from ERAs and EOBs Applying refunds on identified overpayments

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1.0 - 4.0 years

1 - 4 Lacs

Noida

Work from Office

Job description Hiring for leading MNC company Interview Mode: Face-to-Face Interview Location: Noida Exp Req: 1.6 to 4 Yrs Qualification: Any Graduate Key skills: AR Caller, AR Follow-up, RCM (Revenue Cycle management), Medical Billing, Denial Management, Work mode: WFO 5 days working Weekends fixed off Both sides Cabs available Salary: up-to 5 LPA Interview Date: Noida: 30/7/2025 (Wednesday) Interested candidates call or WhatsApp on this number: 8700871235. Share your Cv on this email: amanaxisconsulting@gmail.com.

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1.0 - 6.0 years

1 - 3 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

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1.0 - 6.0 years

5 - 5 Lacs

Pune

Work from Office

Hiring: Payment Posting (Provider Side) Location : Pune 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 Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Chanchal - 9251688424

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1.0 - 4.0 years

1 - 3 Lacs

Chennai

Work from Office

Greetings from eNoah iSolution! Hiring - AR Analyst ! (Denials) Job Location: Chennai (Taramani) Shift : Night Shift Salary: up to 24k Notice Period : Immediate Joiner Job Requirements: Good Experience in Denials. Typing Speed. Direct Walk-in details: Mention 'Sakthivel' on your resume. Interview Time and Venue: Monday to Friday ( 11 am to 5 pm ) eNoah iSolution- Elnet Software City, 1st floor , Rajiv Gandhi Salai, Tharamani, Chennai, Tamil Nadu 600113 (Opposite to Thiruvanmiyur railway station) Interested Candidates come for Direct Walk-in or share your Updated CV to 9176419993. Regards, Sakthivel S -HR

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1.0 - 6.0 years

2 - 5 Lacs

Bengaluru

Work from Office

We are looking for a skilled AR Caller to join our team at Prodat IT Solutions, responsible for medical billing and ensuring timely payments. The ideal candidate will have 1-6 years of experience in the field. Roles and Responsibility Manage and resolve outstanding accounts receivable issues. Conduct thorough reviews of patient records and billing information. Develop and implement effective strategies to improve cash flow. Collaborate with internal teams to ensure accurate and efficient billing processes. Identify and address denials by investigating root causes and resubmitting claims as necessary. Maintain accurate and up-to-date records of all interactions with patients and insurance companies. Job Requirements Strong knowledge of medical billing principles and practices. Excellent communication and problem-solving skills. Ability to work effectively in a fast-paced environment and meet deadlines. Proficiency in using computer software applications and technology. Strong analytical and organizational skills with attention to detail. Ability to maintain confidentiality and handle sensitive information with discretion.

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10.0 - 20.0 years

17 - 21 Lacs

Bengaluru

Work from Office

The Billing Head will be responsible for overseeing the billing operations of Manipal Hospitals, ensuring efficient and accurate billing processes. This role involves managing a team of billing professionals, developing billing policies and procedures, and ensuring compliance with healthcare regulations. The Billing Head will also collaborate with various departments to improve billing practices, reduce discrepancies, and enhance revenue cycle management. Key responsibilities include analyzing billing data, identifying areas for improvement, and implementing strategies to optimize revenue collection. Roles and Responsibilities About the Role: - Lead the billing and revenue cycle management for Manipal Hospitals. - Oversee the development and implementation of billing policies and procedures. - Ensure compliance with healthcare regulations and industry standards. About the Team: - Work alongside a team of billing specialists, financial analysts, and support staff. - Collaborate with various departments, including finance, administration, and clinical teams. - Foster a culture of continuous improvement and high performance within the team. You are Responsible for: - Managing end-to-end billing processes, from charge capture to claim submission. - Analyzing billing data to improve revenue cycle efficiency and reduce denials. - Training and mentoring team members to enhance their skills and knowledge. To succeed in this role – you should have the following: - Proven experience in healthcare billing and revenue cycle management. - Strong analytical and problem-solving skills, with attention to detail. - Excellent communication and leadership abilities to effectively manage a diverse team.

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1.0 - 2.0 years

1 - 4 Lacs

Navi Mumbai, Maharashtra, India

On-site

START YOUR CAREER AS FRESHERS INTO AR MEDICAL BILLING???? !!Hiring for Medical Billing! !???????? Telephonic interviews Location : AIROLI & SAKINAKA Salary: 13.2k +5k incentives (Freshers) ???? Upto 15k-17k+5k incentives (Min 6 Months Bpo/Non Bpo Domestic Exp) ???? Hsc/Graduate freshers can apply Experience into BPO can apply Night shifts With cab facility.... Sat and Sun fixed off???? ??CONTACT?? HR SHUBHADA 7710015943 Great Opportunity For international Medical biling Experience

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1.0 - 5.0 years

0 - 3 Lacs

Tiruchirapalli

Work from Office

Greetings from Vee HealthTek...! We are hiring for Charge Entry and Demo Entry Experience: 1 Yrs. to 4 Yrs. (Relevant Medical Billing experience) Process - US Healthcare (Non-Voice) Designation : Processor / Senior Processor Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Sakthivel R Contact Number - 8667411241 (What's App) Mail Id - sakthivel.r@veehealthtek.com

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1.0 - 3.0 years

1 - 3 Lacs

Hyderabad

Work from Office

Job Summary Join our dynamic team as a PE-Ins Claims specialist where you will leverage your expertise in the Life and Annuity domain to enhance our claims processing efficiency. With 1 to 3 years of experience you will play a crucial role in ensuring accurate and timely claims management. This is an office-based role with night shifts offering an opportunity to make a significant impact in the insurance industry. Responsibilities Analyze and process insurance claims in the Life and Annuity domain to ensure accuracy and compliance with company policies. Collaborate with cross-functional teams to streamline claims processing and improve overall efficiency. Utilize domain knowledge to identify discrepancies and resolve issues in claims documentation. Maintain detailed records of claims activities and ensure all data is accurately entered into the system. Provide exceptional customer service by addressing inquiries and resolving claims-related concerns promptly. Assist in the development and implementation of claims processing procedures to enhance workflow. Monitor claims trends and provide insights to management for strategic decision-making. Ensure adherence to regulatory requirements and company standards in all claims processing activities. Participate in training sessions to stay updated on industry trends and best practices. Support team members in achieving departmental goals and objectives through effective collaboration. Contribute to continuous improvement initiatives by providing feedback and suggestions for process enhancements. Prepare reports and presentations on claims performance metrics for management review. Engage in professional development opportunities to enhance skills and knowledge in the Life and Annuity domain. Qualifications Possess strong analytical skills with a keen attention to detail in claims processing. Demonstrate proficiency in Life and Annuity domain knowledge with a focus on claims management. Exhibit excellent communication and interpersonal skills for effective collaboration. Show adaptability to work night shifts and manage time efficiently in a fast-paced environment. Display a proactive approach to problem-solving and decision-making in claims handling. Have a customer-centric mindset with a commitment to delivering high-quality service. Be familiar with insurance regulations and compliance standards relevant to the Life and Annuity domain. Certifications Required Certification in Life and Annuity Claims Management or equivalent is preferred.

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1.0 - 3.0 years

1 - 3 Lacs

Hyderabad

Work from Office

Job Summary Join our dynamic team as a PE-Ins Claims specialist where you will leverage your expertise in the Life and Annuity domain to process and manage insurance claims efficiently. With a focus on accuracy and customer satisfaction you will play a crucial role in ensuring smooth operations and contributing to the companys success. This position requires working from the office during night shifts providing an opportunity to collaborate closely with team members and enhance your skills in a supporti Responsibilities Process insurance claims with precision and ensure compliance with company policies and regulations. Analyze claim documents and assess the validity of claims based on Life and Annuity domain knowledge. Collaborate with cross-functional teams to resolve complex claim issues and provide timely resolutions. Maintain accurate records of all claims processed and update the system with relevant information. Communicate effectively with clients to gather necessary information and provide updates on claim status. Identify potential areas of improvement in claim processing and suggest actionable solutions. Ensure high levels of customer satisfaction by addressing inquiries and resolving issues promptly. Monitor claim trends and provide insights to management for strategic decision-making. Adhere to company guidelines and industry standards while handling sensitive client information. Participate in training sessions to stay updated on industry changes and enhance domain expertise. Support team members by sharing knowledge and best practices in claim management. Contribute to the development of efficient workflows and processes to optimize claim handling. Utilize technical skills to streamline claim processing and improve overall efficiency. Qualifications Possess strong Life and Annuity domain knowledge with a focus on insurance claims. Demonstrate excellent analytical skills to evaluate and process claims accurately. Exhibit effective communication skills to interact with clients and team members. Show proficiency in using claim management software and related tools. Have a keen eye for detail to ensure accuracy in claim documentation. Display a proactive approach to identifying and solving claim-related issues. Certifications Required Certified Insurance Claims Professional (CICP) or equivalent certification preferred.

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1.0 - 3.0 years

1 - 3 Lacs

Hyderabad

Work from Office

Job Summary Join our dynamic team as a PE-Ins Claims specialist where you will leverage your expertise in the Life and Annuity domain to enhance our claims processing efficiency. With 1 to 3 years of experience you will work from our office during night shifts contributing to the seamless operation of our insurance services. Your role will be pivotal in ensuring accurate and timely claims management directly impacting customer satisfaction and company success. Responsibilities Analyze and process insurance claims within the Life and Annuity domain to ensure accuracy and compliance with company policies. Collaborate with team members to identify and resolve discrepancies in claims documentation enhancing overall process efficiency. Utilize domain knowledge to assess claims and determine appropriate resolutions minimizing risk and maximizing customer satisfaction. Maintain detailed records of claims activities ensuring transparency and accountability in all transactions. Communicate effectively with internal and external stakeholders to facilitate smooth claims processing and address any inquiries. Implement best practices in claims management to streamline operations and reduce processing times. Provide insights and recommendations for process improvements based on data analysis and industry trends. Ensure adherence to regulatory requirements and company standards in all claims-related activities. Support the development and implementation of new claims processing tools and technologies. Participate in training sessions and workshops to stay updated on industry developments and enhance professional skills. Contribute to team meetings and discussions sharing knowledge and experiences to foster a collaborative work environment. Monitor and report on claims processing metrics identifying areas for improvement and implementing corrective actions. Assist in the preparation of reports and presentations for management review highlighting key performance indicators and achievements. Qualifications Demonstrate strong analytical skills with a focus on accuracy and attention to detail. Exhibit excellent communication and interpersonal skills to effectively interact with stakeholders. Possess a solid understanding of Life and Annuity insurance products and processes. Show proficiency in claims management software and related technologies. Display the ability to work independently and as part of a team in a fast-paced environment. Have a proactive approach to problem-solving and decision-making. Demonstrate a commitment to continuous learning and professional development. Certifications Required Certified Insurance Claims Specialist (CICS) or equivalent certification in Life and Annuity domain.

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1.0 - 5.0 years

3 - 5 Lacs

Hyderabad

Work from Office

Designation : AR caller RCM, US healthcare Department : Operations Location : Hyderabad Report to : Team Leader, Operations. Work Set-up: Work from Office WORK BRIEF: To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The goal of the Sr. Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. CORE RESPONSIBILITIES File claims using all appropriate forms and attachments. Research account denials and file written appeals, when necessary. Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim. Research account information to determine the necessary attachments or supporting documentation to send with each claim. Document in detail all efforts in CUBS system and any other computer system necessary. Verify patient information and benefits. Essential Knowledge: Basic knowledge of using MS office basic applications like Word, PowerPoint, Excel, Notes, etc. Essential Skills: Min 2 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work in night shifts from office Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus MINIMUM QUALIFICATION: Graduate with minimum 2 Years of AR calling experience in US Healthcare market Pursuing Candidates – NOT Accepted for this role Note : Kindly mention HR- Nawaz khan on top of CV at the time of Walk-in. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or priyanka.narayanamoorthy@firstsource.com

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1.0 - 5.0 years

2 - 5 Lacs

Chennai

Work from Office

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! Job Openings AR Caller & AR Analyst (Hospital Billing - US Healthcare BPO) Experience: 1 to 6 years Location: Velachery, Chennai Notice Period: Immediate to 15 Days Open Positions: 1. AR Caller Hospital Billing (Night Shift) 2. AR Analyst Hospital Billing (Day Shift) Job Requirements: Experience in US Healthcare - Hospital Billing (RCM Process) Hands-on experience in AR Calling / AR Analysis Strong communication and analytical skills Willing to work in respective shifts (Night/Day) Work Location: Velachery, Chennai Notice Period: Immediate Joiners Preferred / Max 15 Days Interested candidate contact or share your updated resume to 8925808597 [Whatsapp] Regards, Kayal HR 8925808597

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0.0 - 2.0 years

1 - 4 Lacs

Noida

Work from Office

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: Eligibility Criteria: Any graduation Proficient computer skills. Excellent communication skills, both verbal and written Ability to maintain the confidentiality of information Willingness to work continuously in night shifts Key Responsibilities: To be an effective participant in classroom training and clear the training assessments To be able to review patient demographic entry, charge entry, and payment posting transitions on the revenue cycle software To perform precall analysis and check status by calling the payer or using IVR or web portal services To maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference To consistently meet the targets set To comply to all the HR and compliance policies

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1.0 - 6.0 years

1 - 4 Lacs

Bengaluru

Work from Office

We are looking for a skilled Payment Posting and Charge Entry - Rcm Executive to join our team at Prodat IT Solutions, with 1-6 years of experience in the field. Roles and Responsibility Manage payment posting and charge entry processes for accurate and timely payments. Coordinate with clients and internal teams to resolve payment-related issues. Develop and implement process improvements to increase efficiency and reduce errors. Analyze data to identify trends and areas for improvement in payment posting and charge entry. Collaborate with cross-functional teams to achieve business objectives. Ensure compliance with company policies and procedures. Job Requirements Strong knowledge of payment posting and charge entry processes. Experience working with RCM systems is required. Excellent analytical and problem-solving skills. Ability to work effectively in a team environment. Strong communication and interpersonal skills. Familiarity with industry standards and regulations.

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0.0 - 1.0 years

1 - 4 Lacs

Bengaluru

Work from Office

Looking for a motivated AR Associate to join our team in Bangalore. The ideal candidate will have 0-1 years of experience and be able to work effectively in a fast-paced environment. Roles and Responsibility Manage accounts receivable processes, including invoicing and payment follow-up. Analyze and resolve billing discrepancies and denials. Develop and implement effective collection strategies to minimize bad debt. Collaborate with internal teams to ensure accurate and timely billing. Identify and address areas for process improvement. Maintain accurate records of all interactions with clients. Job Strong understanding of accounting principles and practices. Excellent communication and problem-solving skills. Ability to work in a team environment and meet deadlines. Proficient in using CRM software and other relevant tools. Strong analytical and organizational skills. Ability to maintain confidentiality and handle sensitive information. Omega Healthcare Management Services Private Limited is a leading healthcare management services company committed to providing high-quality patient care and support. We are dedicated to delivering exceptional service and building long-term relationships with our clients and partners.

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1.0 - 6.0 years

2 - 5 Lacs

Gurgaon/ Gurugram

Work from Office

HIRING FOR US HEALTHCARE, GRAD CANDS WITH 1 YEAR EXP WITH KNOWLEDGE OF CLAIMS, CASH POSTING, AR FOLLOW UPS, DENIAL MANAGEMENT, INSURANCE CAN APPLY SAL UPTO 46K INHAND VOICE GGN CALL/WHATSAPP SAHIB 8448577782 KOMAL 9811399344 MANKIRAT 9811395705 Required Candidate profile FINE TO WORK IN 24x7 Shifts LOOKING FOR CANDS HAVING GOOD COMMS SKILLS, CABS AND SHIFTS AS PER THE COMPANY REFRENCES ARE HIGHLY VALUABLE, SHARE YOUR PROFILE - hr@head-hunters.in Perks and benefits SHIFTS, CABS, INCENTIVES AS PER THE COMPANY REQ.

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3.0 - 8.0 years

7 - 10 Lacs

Mumbai

Work from Office

Role & responsibilities Work experience of 5+ years and experience in the AR / PP / Billing functions of a US Healthcare Setup of at least 3+ years Experience in managing teams, Experienced in setting & measuring team targets, basic people management & leadership skills Conduct process quality monitoring and identify improvement areas Review coding review requests; quantify and report preventable issues Review denial adjustments for accuracy; communicate findings to relevant teams Manage high-risk, aged, or excessive incomplete action account balance Allocate and review team work assignments and worklists Encourage continuous improvement, process optimization, and automation Engage and motivate team for performance and innovation

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