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1.0 - 5.0 years
2 - 6 Lacs
noida, gurugram
Work from Office
Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...
Posted Date not available
3.0 - 6.0 years
3 - 7 Lacs
hyderabad
Work from Office
Reports to (level of category) : Manager - Operations Role Objective AR is the most essential part in the RCM cycle. It is usually the last step. After Denial management (AR), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Should be able to manage a team of 25-30 FTEs FTEs will be directly reporting to AM Will be responsible to resolve queries, account reviews and provide training in case required Drive production and quality to the expected level Responsible to identify production and quality issu...
Posted Date not available
4.0 - 8.0 years
4 - 9 Lacs
gurugram
Work from Office
Designation : Operations Manager Location: Sec-21 GGN Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance ...
Posted Date not available
8.0 - 10.0 years
8 - 12 Lacs
pune
Work from Office
Role Purpose The role incumbent is focused on implementation of roadmaps for business process analysis, data analysis, diagnosis of gaps, business requirements & functional definitions, best practices application, meeting facilitation, and contributes to project planning. Consultants are expected to contribute to solution building for the client & practice. The role holder can handle higher scale and complexity compared to a Consultant profile and is more proactive in client interactions. Do Assumes responsibilities as the main client contact leading engagement w/ 10-20% support from Consulting & Client Partners. Develops, assesses, and validates a clients business strategy, including indust...
Posted Date not available
2.0 - 7.0 years
3 - 4 Lacs
bengaluru
Work from Office
Hiring for Charge Entry Executive and Senior Charge Entry Executive roles - 1. Shift Timings: Preferably US night shift (Indian day shift), might change depending on the client’s requirement. 2. Qualifications and skillsets needed: a) Preferred Bachelor’s degree. b) For Charge Entry executive role - 1-2 years of experience, and for Senior Charge Entry Executive role - At least 3+ years of prior experience in charge entry, medical billing, or revenue cycle management. c) Basic knowledge of CPT, ICD-10 coding, and healthcare billing practices. d) Acquaintance with payer-specific guidelines, insurance verification, and remittance advice (RA). e) Proficiency in practice management software or el...
Posted Date not available
1.0 - 5.0 years
1 - 4 Lacs
chennai
Work from Office
Overview The Provider Enrollment Trainer at Ventra plays a vital role in onboarding new Ventra colleagues specific to the Provider Enrollment function and educating them on processes required to serve our clients. The Trainer is responsible for delivering and assisting with the training programs that will allow colleagues to enroll physicians with payors, and research and resolve enrollment issues. The Trainer will conduct regular training activities for new and existing colleagues to ensure ongoing excellence within Provider Enrollment. Responsibilities Delivers and facilitates structured training and development programs and initiatives in support of the company's Provider Enrollment initi...
Posted Date not available
2.0 - 5.0 years
5 - 8 Lacs
chennai
Work from Office
Overview The Team Lead, Provider Enrollment plays a key leadership role in the Provider Enrollment department, acting as a mentor, subject matter expert, and operational resource for a team of enrollment specialists. This role supports the Supervisor and Manager by overseeing daily workflows, resolving escalated issues, and ensuring enrollment tasks are completed accurately and in a timely manner. The Team Lead works collaboratively across internal teams and with external payers to support efficient provider onboarding and compliance with payer requirements. Responsibilities Lead, mentor, and support a team of Provider Enrollment Specialists in their daily tasks and development. Assist with ...
Posted Date not available
2.0 - 5.0 years
6 - 10 Lacs
hyderabad
Work from Office
Overview The Accounts Receivable (AR) Analytics Specialist is responsible for identifying trends in the Accounts Receivable, monitoring Key Performance Indicators and working closely with Client Management and Operations, to ensure all aspects of the Accounts Receivable are addressed and a smooth revenue cycle process is maintained. Responsibilities Analyze Client Accounts Receivable by identifying trends, ( >120 Day %, Payment Per Procedure, Days in accounts receivable, etc.). Reviews “One Page,” accounts receivables. Puts strategies and projects in place, once trends are identified. Works with all Operations departments to ensure Key Performance Indicators are being met. Communicates openl...
Posted Date not available
1.0 - 5.0 years
2 - 5 Lacs
chennai
Work from Office
Overview As a US Healthcare Provider Enrollment Quality Assurance Specialist, you will be responsible for ensuring the accuracy, completeness, and compliance of provider enrollment processes within a healthcare organization. You will play a critical role in maintaining high standards of quality and efficiency in provider enrollment activities to support the organization's revenue cycle management. Responsibilities Quality Assurance Oversight: Conduct thorough reviews and audits of provider enrollment applications, documents, and data to ensure accuracy, completeness, and compliance with regulatory requirements, payer policies, and organizational standards. Documentation Verification: Validat...
Posted Date not available
4.0 - 8.0 years
4 - 9 Lacs
hyderabad
Work from Office
Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB0...
Posted Date not available
1.0 - 4.0 years
2 - 5 Lacs
noida, gurugram
Work from Office
Role Objective: Payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The cash/payment posting staff posts these payments immediately into the respective patient accounts, against that claim to reconcile them. Essential Duties and Responsibilities: Need to work on payment posting and denial batches. Must work on ERA discrepancies. Need to do bank reconciliation. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both ...
Posted Date not available
2.0 - 5.0 years
5 - 9 Lacs
gurugram
Work from Office
Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash-posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Able to interact independently with counterparts. Project Management Performance management First level of escalation and able to end to end closure of highlighted issues Work in all sh...
Posted Date not available
2.0 - 5.0 years
3 - 7 Lacs
hyderabad
Work from Office
Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have ...
Posted Date not available
1.0 - 3.0 years
0 - 0 Lacs
chennai
Work from Office
Job Purpose The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems Duties and Responsibilities Utilize payer web portals to obtain patients current insurance information and update the information in the client system Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account Once updates are entered in client system, follow procedure on filing the claims Comment all actions taken in internal and client host system Work independently from assigned work queues Meets and...
Posted Date not available
1.0 - 3.0 years
2 - 4 Lacs
noida
Work from Office
Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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 whi...
Posted Date not available
4.0 - 6.0 years
4 - 6 Lacs
bengaluru
Work from Office
Extensive experience in payment posting. Min of 4-5 years of experience in payment posting. Good communication skills both verbal and written. Willing to work in Night Shift work location -Bangalore Required Candidate profile Ability to work with numbers and do bank reconciliations Ability to call insurance companies to troubleshoot EOB issues or obtain payment information Call or Whatsapp 9989051577
Posted Date not available
1.0 - 6.0 years
1 - 2 Lacs
chennai
Work from Office
Role: AR cum Analyst Skill: AR caller with AR Analyst knowledge Experience: 1+ yr Budget: Max 3.5 LPA Immediate joiners preferred Good communication Night Shift Walk-in interview Regards sowmiya 9600445623/8870213772
Posted Date not available
1.0 - 4.0 years
1 - 4 Lacs
hyderabad
Hybrid
Hello, We are hiring for Technical Support (International Voice Process) for one of the Big4 Company for C2H. Kindly reach me on whatsapp 9353629875 soumya.s@dynpro.in Payroll: Dynpro India Pvt Ltd (C2H/ Contract2Hire) Role: Associate Analyst Experience: 1-4 Years Hybrid Model Work Location: Mind space - Hyderabad Shift timings: 2PM to 11PM Must Have: Account receivable experience Daily activity Working on customer queries: To work on all accounts receivable queries received from internal and external client each day in a prompt, professional and efficient manner. Contact client via phone, email and make sure the collection queries are resolved on time. Understanding and complying with firms...
Posted Date not available
10.0 - 12.0 years
0 - 0 Lacs
coimbatore
Work from Office
Mandatory leadership experience is required & responsible for managing a team of 50+ associates under at least 2-3 team leads. Responsible for timely and accurate posting of all payments. Experience in Payment posting, Denials Postings and Insurance rejections & Claims. Responsible to handle team and maintain teams production & quality, client coordination Should Possess extensive knowledge in Reviewing Explanation of Benefits (EOB) and Electronic remittance advice (ERA) documents, matches with electronic funds transfers (EFTs) and post payment to appropriate accounts. This Role involves extensive knowledge in Payment and Denial Posting, ERA posting, Correspondence posting, Insurance Portals...
Posted Date not available
1.0 - 4.0 years
1 - 4 Lacs
hyderabad
Hybrid
Hello, We are hiring for Technical Support (International Voice Process) for one of the Big4 Company for C2H. Kindly reach me on whatsapp 9353629875 soumya.s@dynpro.in Payroll: Dynpro India Pvt Ltd (C2H/ Contract2Hire) Role: Associate Analyst Experience: 1-4 Years Hybrid Model Work Location: Mind space - Hyderabad Shift timings: 2PM to 11PM Must Have: Account receivable experience Daily activity Working on customer queries: To work on all accounts receivable queries received from internal and external client each day in a prompt, professional and efficient manner. Contact client via phone, email and make sure the collection queries are resolved on time. Understanding and complying with firms...
Posted Date not available
5.0 - 10.0 years
7 - 8 Lacs
gurugram
Work from Office
Role & responsibilities RCM Manager oversees the entire revenue lifecycle in healthcare from patient registration through claims submission to payment collection ensuring the organization maximizes revenue, maintains compliance, and optimizes billing operations. Team Leadership & Training : Lead and mentor billing, coding, and AR staff, setting performance goals and ensuring operational consistency. Performance Analytics & Reporting : Monitor KPIs such as denial rate, clean claim rate, collection percentage and deliver insights for process optimization. Preferred candidate profile Requires 5-7 years of healthcare RCM experience and at least 2 years managing teams.
Posted Date not available
1.0 - 5.0 years
4 - 6 Lacs
bengaluru
Work from Office
Extensive experience in payment posting. Minimum of 4-5 years of experience in payment posting. Good communication skills both verbal and written. Willing to work in Night Shift. Required Candidate profile Ability to work with numbers and do bank reconciliations Ability to call insurance companies to troubleshoot EOB issues or obtain payment information Call or Whatsapp 9989051577
Posted Date not available
1.0 - 6.0 years
2 - 4 Lacs
pune
Work from Office
Hiring for AR callers / Payment Posting Job Category : Revenue Cycle Management Job Full time : Full time Designation - Accounts Receivable - Executive Desired Skills: 1+ yrs of experience in US Medical RCM (Revenue Cycle Management) Willingness to work in US Shifts Immediate Joiners are preferred Can perform HIPAA Compliant auto and manual posting requirements Execute daily payment posting batch reconciliation Good verbal and written communication skills Understanding of posting offsets/ forward balance , correspondence, and refund processing/posting Familiar with denial and remark codes to perform posting and assignment of AR appropriately Payment Posting - requirements : Good verbal and w...
Posted Date not available
1.0 - 3.0 years
1 - 3 Lacs
hyderabad
Work from Office
Billing Executive - Charge Entry Verify and understand patient's insurance coverage. Demographic entry of the patient's information. Use coded data to produce and submit claims to insurance companies. Knowledge about ICD 10 and CPT codes Knowledge about Insurances, Denials, Rejections Meet individual and departmental standards with regard to quality and productivity. Desire for knowledge/attitude to learn Good communication skills Good reasoning and Analytical skills Process Associate - Payment posting Posting payments and adjustments from ERAs and EOBs Applying refunds on identified overpayments Report overpayments, underpayments, and other irregularities. Understand Denials and apply them ...
Posted Date not available
3.0 - 5.0 years
4 - 6 Lacs
noida
Work from Office
Job Summary: We are seeking a skilled and detail-oriented Subject Matter Expert with experience in handling insurance denials and AR follow-up. The ideal candidate will be proficient in using health insurance portals, EHR systems, and have hands-on experience with Advanced MD software. A strong background in healthcare billing and collections is essential for success in this role. Responsibilities: Utilize Advanced MD software to manage and process accounts receivable for healthcare services. Charge posting and payment posting. Ensure accurate and timely billing submissions to insurance companies and patients. Follow up on outstanding claims and denials to maximize collections. Review and re...
Posted Date not available
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