463 Payment Posting Jobs - Page 9

Review the providers claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claims status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers. Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be Document actions taken into the claims billing system. Meet the established performance standards daily. Improve skills in CPT codes and DX Codes. Make collections with a convincing approach. Good understanding of the US Healthcare revenue cycle and its intricacies Shift Timing: Night shift (US Shift) (5.30 PM - 2.30 AM IST) Shift Days: Monday - Friday Salary: Upto 28K CTC {Including Night Shift Allowance} Any Graduate can apply Minimum 1 year experience in the related field

Review the providers claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claims status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers. Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be Document actions taken into the claims billing system. Meet the established performance standards daily. Improve skills in CPT codes and DX Codes. Make collections with a convincing approach. Good understanding of the US Healthcare revenue cycle and its intricacies Shift Timing: Night shift (US Shift) (5.30 PM - 2.30 AM IST) Shift Days: Monday - Friday Salary: Upto 28K CTC {Including Night Shift Allowance} Any Graduate can apply Minimum 1 year experience in the related field

Hiring: AR Caller (Denial Management) 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 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 Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

Hiring: AR Caller (Denial Management) 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 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 Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

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 : 1Years - 6 Years Qualification : Any Graduate Notice: Immediate Joiner. Essential Requirement :- Associate should have worked Experience in Charge entry & Payment Posting with good knowledge of medical billing process. Location: Velachery & Vepery Shift: Day Contact Name : MALINI HR Contact Details - 9003239650 / 8925808598 (Call or Whatsapp) NOTE : (only Medical billing experience with 1Yrs are eligible) Regards MALINI HR GLOBAL

Role & responsibilities Accurate Payment Posting: Recording payments (insurance, patient, etc.) into the appropriate accounts within the billing system. Reconciliation: Balancing payments received with deposit totals and ensuring accuracy of financial records. Denial Management: Identifying and posting insurance denials, then working with other teams to resolve them and potentially resubmit claims. Understanding EOBs/ERAs: Reviewing Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to verify payment accuracy and identify discrepancies. Reporting: Generating reports on payment processing metrics, identifying trends, and contributing to process improvements. Communication: Effectively communicating with other team members, such as accounts receivable or billing teams, regarding payment-related issues. Preferred candidate profile Minimum 1 Year Experience into payment posting Work Location: Pune Will to work from office Interested candidates reach out to HR Jai:9080415928

Greetings from Collar JobsKart Pvt Ltd!!!! Hiring for Senior Payment Posting Key responsibilities : Excellent hands on experience handling Commercial insurance companies Exposure in any Denials / Physician billing / Insurance calling Good Communication Skills Requirement : * Experience : Minimum 1 Year Experience into Payment Posting - Voice Process. * Immediate joiners can apply. Interested reach HR Abimanyu @ 6382713304( Call & Whatsapp )

Greetings from Collar JobsKart Pvt Ltd!!!! Hiring for Senior Payment Posting Key responsibilities : Excellent hands on experience handling Commercial insurance companies Exposure in any Denials / Physician billing / Insurance calling Good Communication Skills Requirement : * Experience : Minimum 1 Year Experience into Payment Posting - Voice Process. * Immediate joiners can apply. Interested reach HR Jai Krish @ 9080415928 ( Call & Whatsapp )

Job Purpose: Processing, proofing and distributing copy to domestic and international circuits via wire, Newswire for Journalists web service, Internet, fax and email, ensuring a timely and accurate transmission. Quality checking all orders and distributions to guarantee a high standard of service delivery. Account managing the successful completion of orders Providing clients with an excellent service that exceeds their expectations and is in line with corporate strategy. Adhering to all departmental Standard Operating Procedures at all times. Providing a high standard of ROI reporting to add value to PRNs products. Key Result Areas: 1 . Distribution: Output clients copy in timely fashion Ensure accurate distribution to correct circuit at specified time Monitor and chase return of requested translations for onward distribution Ensure that all information uploaded to Newswire for Journalists is uploaded with relevant industry, subject and geography coding Upload graphics and linked documents onto Newswire for Journalists, and the Newswire websites 2. Editorial: Ensure accuracy, attribution and acceptability of clients copy Ensure regulatory headline and content accuracy of clients copy Assist with formatting or document conversion queries 3. Client Relations Promote a client-focused culture at all times Instigate initiatives and processes to build, develop and maintain excellent business relationships Understand clients needs and objectives Attend meetings and social evenings with clients where necessary Act as initial contact and take responsibility for all client queries and complaints. Follow standard escalation procedures at all times Maintain an excellent knowledge of all Newswire products and services. Liaise with Secondary Information Providers (SIPs) to ensure accurate and expedient transmission Liase with regulatory bodies Provide consultative service - advise clients on available and appropriate circuits Provide editorial advice to maximise potential pick-up of press release copy Maintain and develop relations with internal clients to achieve excellent service delivery 4.Quality and Administration: Ensure all jobs are assigned, distributed and fulfilled correctly Ensure all jobs and related correspondence/activities are accurately logged in the workflow management system Focus on quality standards and timelines to achieve team targets and objectives, and to maintain high visibility for the team within the company Maintain company websites ensuring incoming service feeds are accurately mapped 5 Client/Affiliate Liaison Liaise between translation agencies and client to ensure customer satisfaction with translation service Advise on distribution receipt and clear times Look for any up-selling opportunities Liaise with affiliates to ensure accurate and expedient transmission Provide consultative service - advise clients on available and appropriate circuits Maintain and develop relations with internal clients to achieve excellent service delivery 6.Competencies, Attributes, Knowledge: Experience in an editorial/proof-reading role Excellent inter-personal skills with all levels of company personnel and clients Ability to closely follow all policies and procedures Good team player. Self-motivated, disciplined and able to remain corporately focused Have the energy and drive to work under pressure to hit tight targets Excellent organisation and time-management skills with a high attention to detail Flexibility around team shift patterns An excellent standard of spoken, written and reading English At least one other Indian language written and oral other than Hindi, is also considered highly desirable Well presented and businesslike High level of ability on communicating verbally with clients

Responsibilities: Mandatory US shift and work from Office * Ensure accurate payment posting, denial management & AR calling * Manage accounts receivable process from start to finish * Oversee cash posting and revenue cycle management Annual bonus

Location: Chennai Shift: Rotational Shift Experience Required: 3-5 Years Job Title: Charge Posting Specialist Job Description: We are seeking a detail-oriented and organized Charge Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting charges for services rendered, ensuring that all transactions are recorded correctly to facilitate timely billing and collections. Key Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Job Title: Payment Posting Specialist Job Description: We are seeking a meticulous and organized Payment Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting payments received from insurance companies and patients, ensuring the integrity of financial data and contributing to the overall efficiency of the revenue cycle. Key Responsibilities: Payment Entry: Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks. Reconciliation: Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies. Claims Management: Review and resolve any payment discrepancies, denials, or underpayments by working closely with the billing and collections teams. Reporting: Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow. Customer Communication: Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner. Compliance: Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting. Process Improvement: Identify opportunities for streamlining the payment posting process and contribute to best practices within the team.

We are Hiring Payment Posting in Pune(Credence) We Need Immediate Joiners Key responsibilities : Excellent hands on experience handling Commercial insurance companies Exposure in any Denials / Physician billing / Insurance calling Good Communication Skills Requirement : * Experience : Minimum 1 Year Experience into Payment Posting - Voice Process. * Immediate joiners can apply. Interested candidate only reach HR Vinodhini( 7904391931only Whatsapp )

Role & responsibilities Reviewing patient medical records and bills to ensure accuracy Entering patient treatment codes into billing software Processing and submitting medical claims to insurance companies Following up on rejected or denied claims Communicating with healthcare providers and insurance companies to resolve billing issues Assisting with patient inquiries about billing and insurance Maintaining confidentiality of patient data according to HIPAA guidelines Updating and maintaining billing software with the latest coding information Performing regular audits to ensure that all charges are accounted for and billed correctly Processing payments from insurance companies and patients Preferred candidate profile Excellent written and oral communication skills. Minimum 1-year experience in AR calling Understand the Revenue Cycle Management (RCM) of US Healthcare providers. Basic knowledge of Denials and immediate action to resolve them. Follow up on the claims for collection of payment. Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables. Should be able to resolve billing issues that have resulted in payment delays. Must be spontaneous and enthusiastic

Skill required: Order to Cash - Cash Application Processing Designation: Order to Cash Operations Specialist Qualifications: BCom Years of Experience: 7 to 11 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 Lead and mentor customer account reconciliation and cash application team.Optimizing working capital, providing real-time visibility and end-to-end management of revenue and cash flow, and streamlining billing processes. This team over looks the entire processes that starts from customers inquiry, sales order to delivery and invoicing. The Cash Application Processing team focuses on solving queries related to cash applications and coordination with the customers. The role requires a good understanding of cash applications, the process of applying unapplied cash, reconciliation of suspense account in cash application, and process them from payment receipt to finalization.Receive and deposit customer payments, apply cash remittances and credits/ adjustments, maintain bad debt reserves and allowances, prepare Accounts Receivable reporting, and post and reconcile Accounts Receivable activity to the general ledger. What are we looking for Cash ApplicationAccount ReconciliationsAdaptable and flexibleAbility to perform under pressureProblem-solving skillsDetail orientationAgility for quick learning Roles and Responsibilities: Accurately applying customer payments:Matching incoming payments to specific invoices and accounts. Reconciling payment discrepancies:Investigating and resolving any inconsistencies between payments and recorded invoices. Handling customer inquiries:Addressing questions related to payments, invoice details, and account status. Processing and posting payments:Ensuring all transactions are properly recorded and maintained. Maintaining accurate records:Keeping up-to-date accounts receivable records. Collaborating with other finance teams:Working with other finance departments to ensure efficient financial operations. Managing Team, Client governance, escalations, reporting s Qualification BCom

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 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 Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressureTower:Group InsuranceLevel 1:Employee BenefitLevel 2:Claims ProcessingMust have/ minimum requirement2+ years of experience in Insurance Disability Claims Processing.Knowledge of MS Office Tools and good computer knowledge. Roles & Responsibilities:Processing Disability insurance claims, calculating overpayments and Underpayments.Review and assess complex Disability claims to determine benefits and eligibility for payment.Research and verify claims information including policy details, claims document validation, calculating benefit amount and other relevant documentation.Identify the correct payee or beneficiary to release the claims payment.Complies with all regulatory requirements, procedures, and Federal/State/Local regulations.Research on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability to identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU.S Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. DesignationAssistant Manager Reports to (level of category)DM/Manager - Operations Role Objective Cash Posing is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (Cash Posting), 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. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis No Planned leaves for next 6 months Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors. Subject matter expert in Cash Posing Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and small Company Profile (for recruiting purposes only) Short paragraph describing the company R1 RCM (NYSEAH) is a leading provider of services and technology to healthcare providers.Our mission is to help our healthcare clients strengthen their financial stability and deliver better care at a more affordable cost to the communities they serve, increasing healthcare access for all.Our distinctive operating model that includes people, process, and sophisticated integrated technology helps our customers realize sustainable improvements in their operating margins and improve the satisfaction of their patients, physicians, and staff. Our customers typically are multi-hospital systems, including faith-based or community healthcare systems, academic medical centers and independent ambulatory clinics, and their affiliated physician practice groups. R1 RCM offers a continuum of offerings to service our clients' needs. These offerings includeProvider Business Solutions (PBS), which improves the entire revenue cycle of our provider clients, unlike competing services that address only a portion of the revenue cycle or focus solely on cost reductions; Physician Advisory Services ("PAS"), which works closely with the hospital medical staff, case management, and senior leadership to strengthen compliance, limit denials, improve revenue integrity, and improve efficiency; and Population Health Solutions (PHS), which spans the entire healthcare delivery continuum and enables providers to manage the health of their patient populations by delivering higher-quality care while reducing aggregate cost of care. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

R1 RCM India is proud to be a Great Place To Work Certified organization. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities . Designation Lead Associate Reports to (level of category) Individual COA(Performance Management) 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 shifts on a rotational basis WFO only Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and Powerpoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors. Subject matter expert in AR follow up Good knowledge of SQL/PowerBI/Excel Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. 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 reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations 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 be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Location: Hyderabad Reports to (level of category) Senior Operations Manager 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. Day-to-day operations People Management (Work Allocation, On job support, Feedback & Team building) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) Reports (Internal and Client performance reports) Work allocation strategy CMS 1500 & UB04 AR experience is mandatory. Span of control - 80 to 100 Thorough knowledge of all AR scenarios and Denials Expertise in both Federal and Commercial payor mix Excellent interpersonal skills Should be capable to interact with US clients and manage escalations 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 be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore , and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities . Designation S r. Analyst /Lead Associate Reports to (level of category) Individual COA( Performance Management) 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. Performance management First level of escalation Work in all shifts on a rotational basis WFO only Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma , M.Pharma , Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and Powerpoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors. Subject matter expert in AR follow up Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and smal l. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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 ResponsibilitiesNeed 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 written & verbal) Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit Visit us on

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, Bank Reconciliations, Marchant portals, Refund process, Statement and Collection process, EOM Reporting. Excellent skill sets required in Microsoft products, especially excel spreadsheet for reports and analyze data using tools like VLOOKUP. Pivot table etc. The right candidate should be able to handle the work pressure during End of Month and will take the challenge to meet the day-to-day deliverables. Ensuring the Daily/Weekly and Monthly reports are to be shared with the stakeholders in a timely manner and within the given time. Good communication and interpersonal skills especially with the team members and clients. Preferred Only Immediate Joiner Salary will not be a constraint to a right candidate & at par with the Industry standard.

Educational Bachelor of Engineering,BTech,BCA,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities As a ‘Product Analyst’ your role is pivotal to delivering feature user stories within a scrum team and continuously building a backlog for the scrum team. Work with the Product Manager to map out the user stories for a capability/feature, become the SME of the capability and develop products to meet the needs of customers and industry. Additional Responsibilities: Competencies Navigating between multiple stakeholders to derive consensus. Demonstrate ability to understand customer pain points, market gap analysis, opportunity analysis. Critical thinking, analysis, and problem-solving skills to address core business problems. Support user testing and ensure product meets implementation needs. Track progress and perform demo to relevant internal stakeholders and external product users. Strong reporting abilities by keeping track of multiple topics/ open questions. Strong acumen in MS office related tools – PowerPoint, Excel Experience working with JIRA, Confluence, Visio Aspiring to work in a fast paced and agile environment Has a proactive can-do attitude. Technical and Professional : Hands on experience working with Payer/ Provider/ PBM organizations Multiple stakeholders (internal/ customer/ vendors) Communicating and understanding architecture design decisions and impacts to features/user stories. Experience in legacy and web-based systems interfaces, Application Programmable Interfaces (APIs) Create and own detailed use cases, supporting functional requirements, user stories and acceptance criteria(s) Sound knowledge and experience on Agile. Experience and desire to work in a Global delivery environment. Preferred Skills: Domain-Healthcare-Healthcare - ALL Technology-Analytics - Functional-Business Analyst

SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions. ** Hand on experience in ECW software preferrable**

Hiring for US Healthcare - Blended Process Graduate Freshers can apply. NO BE/B.Tech Good Comms Skills Required Salary 16k inhand Fixed Night Shifts Sat/Sun Fixed Off Meals Medical Allowance Both side cabs Gurgaon Call/WhatsApp Muskaan 9218076434 Required Candidate profile Candidate must have good communication skills. Must be comfortable with complete night shifts. Should have all the documents of education Must be and immediate joiner Walk-in Interviews only Perks and benefits Incentive Cabs Meals Medical Allowance Sat/Sun off