11 R1 Rcm Jobs

We are hiring for Leading ITES Company for AR Caller - Healthcare Profile Location: Hyderabad Salary: Upto 32k in hand Role & responsibilities: Responsibilities: Minimum 1 year experience in AR Calling in medical billing field Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Good Knowledge of RCM and Denial management. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Maintain AR medical billing claims/accounts at an acceptable level. Work in teams that process medical billing transactions and strive to achieve team goal In some cases To make calls to insurance companies or to the client to follow up on unpaid claims. Absorb all business rules provided by the customer and process transactions with a high standard of accuracy and within the stipulated turnaround time Follow up on the claims for collection of payments. To Apply WhatsApp 'Hi' @ 9151555419 and Follow the Steps Below: a) For Position in Hyderabad Search : Hospital Billing (Job Code # 117) b) For Position in Hyderabad Search : Physician Billing (Job Code # 118)

Hi, We Are Hiring for Leading ITES Company In Gurgaon for Pre - Authorization Role Key Highlights: 1: B.Pharma / M.Pharma / BDS required with minimum 1 year of any medical experience 2: Candidate Must Not Have Any Exams in the Next 6 Months 3: 24x7 Shifts 4: 5 Days Working 5: Both Side Cabs 6: Immediate Joiners Preferred Daily Walkin @ Outpace Consulting, C-29, Sec 2 Noida (Nearest Metro Noida Sec 15, Exit Gate 3) Landmark : Near Hotel Nirulas Walkin Time : 11 am to 3 Pm Shadiya @ 7898822545 Whatsapp Your CV @ 9721919721 Key Responsibilities: Reduced Denials and Improved Cash Flow Proactive preauthorization management significantly reduces the risk of denials, ensuring timely reimbursements and a healthier cash flow. Cost Control for Both Parties Preauthorization allows insurance companies to control healthcare costs by ensuring services are medically necessary and adhere to established Minimizing Claim Denials and Ensuring Reimbursement A strong authorization process directly reduces claim denials by ensuring that services, treatments, or procedures meet insurance coverage criteria before they are rendered. Streamlining Operational Efficiency: Expertise in prior authorization streamlines the entire RCM process by pre-emptively Enhancing the Patient Experience It leads to a smoother patient journey by minimizing unexpected out-of-pocket costs and reducing the likelihood of treatment delays or cancellations due to coverage issues. Ensuring Compliance and Managing Payer Relationships Staying updated on ever-changing insurance policies and guidelines is vital for successful authorization, preventing disputes and maintaining positive relationships with payers Resource Allocation and Prevention of Fraud Prior authorization helps ensure that resources are used efficiently by approving only medically necessary treatments and acts as a safeguard against fraud and abuse within the healthcare system.

We are hiring for Leading ITES Company for AR Caller - Healthcare Profile Location: Hyderabad Salary: Upto 32k in hand Role & responsibilities: Responsibilities: Minimum 1 year experience in AR Calling in medical billing field Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Good Knowledge of RCM and Denial management. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Maintain AR medical billing claims/accounts at an acceptable level. Work in teams that process medical billing transactions and strive to achieve team goal In some cases To make calls to insurance companies or to the client to follow up on unpaid claims. Absorb all business rules provided by the customer and process transactions with a high standard of accuracy and within the stipulated turnaround time Follow up on the claims for collection of payments. To Apply WhatsApp 'Hi' @ 9151555419 and Follow the Steps Below: a) For Position in Hyderabad Search : Hospital Billing (Job Code # 117) b) For Position in Hyderabad Search : Physician Billing (Job Code # 118)

Hi, We Are Hiring for Leading ITES Company In Gurgaon for Pre - Authorization Role Key Highlights: 1: B.Pharma / M.Pharma / BDS required with minimum 1 year of any medical experience 2: Candidate Must Not Have Any Exams in the Next 6 Months 3: 24x7 Shifts 4: 5 Days Working 5: Both Side Cabs 6: Immediate Joiners Preferred Daily Walkin @ Outpace Consulting, C-29, Sec 2 Noida (Nearest Metro Noida Sec 15, Exit Gate 3) Landmark : Near Hotel Nirulas Walkin Time : 11 am to 3 Pm Shadiya @ 7898822545 Whatsapp Your CV @ 9721919721 Key Responsibilities: Reduced Denials and Improved Cash Flow Proactive preauthorization management significantly reduces the risk of denials, ensuring timely reimbursements and a healthier cash flow. Cost Control for Both Parties Preauthorization allows insurance companies to control healthcare costs by ensuring services are medically necessary and adhere to established Minimizing Claim Denials and Ensuring Reimbursement A strong authorization process directly reduces claim denials by ensuring that services, treatments, or procedures meet insurance coverage criteria before they are rendered. Streamlining Operational Efficiency: Expertise in prior authorization streamlines the entire RCM process by pre-emptively Enhancing the Patient Experience It leads to a smoother patient journey by minimizing unexpected out-of-pocket costs and reducing the likelihood of treatment delays or cancellations due to coverage issues. Ensuring Compliance and Managing Payer Relationships Staying updated on ever-changing insurance policies and guidelines is vital for successful authorization, preventing disputes and maintaining positive relationships with payers Resource Allocation and Prevention of Fraud Prior authorization helps ensure that resources are used efficiently by approving only medically necessary treatments and acts as a safeguard against fraud and abuse within the healthcare system.

Hi, We Are Hiring for Leading ITES Company In Gurgaon for Pre - Authorization Role Key Highlights: 1: B.Pharma / M.Pharma / BDS required with minimum 1 year of any medical experience 2: Candidate Must Not Have Any Exams in the Next 6 Months 3: 24x7 Shifts 4: 5 Days Working 5: Both Side Cabs 6: Immediate Joiners Preferred Daily Walkin @ Outpace Consulting, C-29, Sec 2 Noida (Nearest Metro Noida Sec 15, Exit Gate 3) Landmark : Near Hotel Nirulas Walkin Time : 11 am to 3 Pm Shadiya @ 7898822545 Whatsapp Your CV @ 9721919721 Key Responsibilities: Reduced Denials and Improved Cash Flow Proactive preauthorization management significantly reduces the risk of denials, ensuring timely reimbursements and a healthier cash flow. Cost Control for Both Parties Preauthorization allows insurance companies to control healthcare costs by ensuring services are medically necessary and adhere to established Minimizing Claim Denials and Ensuring Reimbursement A strong authorization process directly reduces claim denials by ensuring that services, treatments, or procedures meet insurance coverage criteria before they are rendered. Streamlining Operational Efficiency: Expertise in prior authorization streamlines the entire RCM process by pre-emptively Enhancing the Patient Experience It leads to a smoother patient journey by minimizing unexpected out-of-pocket costs and reducing the likelihood of treatment delays or cancellations due to coverage issues. Ensuring Compliance and Managing Payer Relationships Staying updated on ever-changing insurance policies and guidelines is vital for successful authorization, preventing disputes and maintaining positive relationships with payers Resource Allocation and Prevention of Fraud Prior authorization helps ensure that resources are used efficiently by approving only medically necessary treatments and acts as a safeguard against fraud and abuse within the healthcare system.

Hi, We Are Hiring for Leading ITES Company In Gurgaon for Pre - Authorization Role Key Highlights: 1: B.Pharma / M.Pharma / BDS required with minimum 1 year of any medical experience 2: Candidate Must Not Have Any Exams in the Next 6 Months 3: 24x7 Shifts 4: 5 Days Working 5: Both Side Cabs 6: Immediate Joiners Preferred Daily Walkin @ Outpace Consulting, C-29, Sec 2 Noida (Nearest Metro Noida Sec 15, Exit Gate 3) Landmark : Near Hotel Nirulas Walkin Time : 11 am to 3 Pm Shadiya @ 7898822545 Whatsapp Your CV @ 9721919721 Key Responsibilities: Reduced Denials and Improved Cash Flow Proactive preauthorization management significantly reduces the risk of denials, ensuring timely reimbursements and a healthier cash flow. Cost Control for Both Parties Preauthorization allows insurance companies to control healthcare costs by ensuring services are medically necessary and adhere to established Minimizing Claim Denials and Ensuring Reimbursement A strong authorization process directly reduces claim denials by ensuring that services, treatments, or procedures meet insurance coverage criteria before they are rendered. Streamlining Operational Efficiency: Expertise in prior authorization streamlines the entire RCM process by pre-emptively Enhancing the Patient Experience It leads to a smoother patient journey by minimizing unexpected out-of-pocket costs and reducing the likelihood of treatment delays or cancellations due to coverage issues. Ensuring Compliance and Managing Payer Relationships Staying updated on ever-changing insurance policies and guidelines is vital for successful authorization, preventing disputes and maintaining positive relationships with payers Resource Allocation and Prevention of Fraud Prior authorization helps ensure that resources are used efficiently by approving only medically necessary treatments and acts as a safeguard against fraud and abuse within the healthcare system.

Hi, We are hiring for Leading ITES Company for Lead Study Data Manager Profile Skills: a) Minimum 5 Years of Core Clinical Data Management Experience with minimum 1 year of experience of leading a clinical trial. . b) Experience on Study Conduct and Close Out c) Any Graduate JOB DECSRIPTION: Need exposure of Inform or Medidata Rave database Responsible & Accountable for the assigned study conduct activities, in clinical trials Validate clinical trial data to ensure consistency, integrity and accuracy based on project specific guidelines. Generate data queries based on validation checks or raise Manual queries to resolve data inconsistencies. To perform reconciliation of data from external sources (e.g. Serious Adverse Events, IWRS, Central Laboratory). SPOC for the study communications Proactively highlight any risks associated with the study along with the mitigation plan. Establish a partnership with the stakeholders at operational level to work seamlessly to deliver the assigned project/activity as per timelines. Identify process Improvement opportunities and to ensure learning is shared Ensure deliverables and/or agreed activities/tasks with customer. are completed with the expected quality. Have worked on Study set-up, Study Conduct and Study Close out for various therapeutic areas. Have also worked on writing edit check specification, CRF completion guidelines and review and corrections of set up documents for different versions. To Apply, WhatsApp 'Hi' @ 9151555419 Follow the Steps Below: >Click on Start option to Apply and fill the details >Select the location as Other ( to get multiple location option ) a) To Apply for above Job Role ( Mumbai ) Type : Job Code # 184 b) To Apply for above Job Role ( Pune ) Type : Job Code # 185 c) To Apply for above Job Role ( Bangalore ) Type : Job Code # 186

Hi We are hiring for Leading ITES Company for Clinical Data Manager Profile. Role & Responsibilities: Candidate should have 2-5 years of experience of CDM with experience in Conduct Scope of work Perform day-to-day Clinical Data Management activities. Work and coordinate with the team to perform data management activities and deliver an error-free quality database in accordance with the data management plan and regulator standards. Read and understand the study protocol and the timelines. Perform test data entry in the TEST environment, data listing review, data reconciliation, and query management tasks. Escalate/Action discrepancy in the clinical data as appropriate. Perform external checks to handle manual discrepancies and action the same. Ensure an error-free, quality data with no open queries. Escalate any discrepancy in the clinical data to the study lead as appropriate. Timely completion of training Any other tasks deemed appropriate To perform medical data collection and analysis of Prostate Cancer Data using databases like HIS/ EMR (Electronic Medical Record) and Caisis, Rave, CDM (startup, closeout, conduct) Client interaction and meetings. Bringing up new ideas and executing new plans to cope with the backlog. Training new team members as and when required. To Apply, WhatsApp 'Hi' @ 9151555419 Follow the Steps Below: >Click on Start option to Apply and fill the details >Select the location as Other ( to get multiple location option ) a) To Apply for above Job Role ( Mumbai ) Type : Job Code # 205 b) To Apply for above Job Role ( Pune ) Type : Job Code # 206 c) To Apply for above Job Role ( Bangalore ) Type : Job Code # 207

Hi, We are hiring for Leading ITES Company for Lead Study Data Manager Profile Skills: a) Minimum 5 Years of Core Clinical Data Management Experience with minimum 1 year of experience of leading a clinical trial. . b) Experience on Study Conduct and Close Out c) Any Graduate JOB DECSRIPTION: Need exposure of Inform or Medidata Rave database Responsible & Accountable for the assigned study conduct activities, in clinical trials Validate clinical trial data to ensure consistency, integrity and accuracy based on project specific guidelines. Generate data queries based on validation checks or raise Manual queries to resolve data inconsistencies. To perform reconciliation of data from external sources (e.g. Serious Adverse Events, IWRS, Central Laboratory). SPOC for the study communications Proactively highlight any risks associated with the study along with the mitigation plan. Establish a partnership with the stakeholders at operational level to work seamlessly to deliver the assigned project/activity as per timelines. Identify process Improvement opportunities and to ensure learning is shared Ensure deliverables and/or agreed activities/tasks with customer. are completed with the expected quality. Have worked on Study set-up, Study Conduct and Study Close out for various therapeutic areas. Have also worked on writing edit check specification, CRF completion guidelines and review and corrections of set up documents for different versions. To Apply WhatsApp 'Hi' @ 9151555419 and Follow the Steps Below: a) For Position in Mumbai Search : Job Code # 184 b) For Position in Pune Search : Job Code # 185 c) For Position in Bangalore Search : Job Code # 186

Hi We are hiring for Leading ITES Company for Clinical Data Manager Profile. Role & Responsibilities: Candidate should have 2-5 years of experience of CDM with experience in Conduct Scope of work Perform day-to-day Clinical Data Management activities. Work and coordinate with the team to perform data management activities and deliver an error-free quality database in accordance with the data management plan and regulator standards. Read and understand the study protocol and the timelines. Perform test data entry in the TEST environment, data listing review, data reconciliation, and query management tasks. Escalate/Action discrepancy in the clinical data as appropriate. Perform external checks to handle manual discrepancies and action the same. Ensure an error-free, quality data with no open queries. Escalate any discrepancy in the clinical data to the study lead as appropriate. Timely completion of training Any other tasks deemed appropriate To perform medical data collection and analysis of Prostate Cancer Data using databases like HIS/ EMR (Electronic Medical Record) and Caisis, Rave, CDM (startup, closeout, conduct) Client interaction and meetings. Bringing up new ideas and executing new plans to cope with the backlog. Training new team members as and when required. To Apply WhatsApp 'Hi' @ 9151555419 and Follow the Steps Below: a) For Position in Mumbai Search : Job Code # 205 b) For Position in Pune Search : Job Code # 206 C) For Position in Bangalore Search : Job Code # 207

Hi We are hiring for Leading ITES Company for Clinical Data Manager Profile. Role & Responsibilities: Candidate should have 2-5 years of experience of CDM with experience in Conduct Scope of work Perform day-to-day Clinical Data Management activities. Work and coordinate with the team to perform data management activities and deliver an error-free quality database in accordance with the data management plan and regulator standards. Read and understand the study protocol and the timelines. Perform test data entry in the TEST environment, data listing review, data reconciliation, and query management tasks. Escalate/Action discrepancy in the clinical data as appropriate. Perform external checks to handle manual discrepancies and action the same. Ensure an error-free, quality data with no open queries. Escalate any discrepancy in the clinical data to the study lead as appropriate. Timely completion of training Any other tasks deemed appropriate To perform medical data collection and analysis of Prostate Cancer Data using databases like HIS/ EMR (Electronic Medical Record) and Caisis, Rave, CDM (startup, closeout, conduct) Client interaction and meetings. Bringing up new ideas and executing new plans to cope with the backlog. Training new team members as and when required. To Apply WhatsApp 'Hi' @ 9151555419 and Follow the Steps Below: a) For Position in Mumbai Search : Job Code # 205 b) For Position in Pune Search : Job Code # 206 C) For Position in Bangalore Search : Job Code # 207