1263 Rcm Jobs

Skills Skill Accounts Receivable Process Improvement Medical Billing MIS Outsourcing Vendor Management Transition Management Operations Management Revenue Cycle BPO Education Qualification No data available CERTIFICATION No data available Processing of Medical Data Entering charges and posting payments in the software Ensure that the deliverables to the client adhere to the quality standards. To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of Payment Posting or Demo & Charge or Correspondence or Charge Entry Understand the client requirements and specifications of the project Ensure targets are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Applying the instructions/updates received from the client when doing the production. Update their production count in SRP and Online score card. Prepare and Maintain reports

Skills Skill Medical Coding Healthcare CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 HIPAA Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Accounts Receivable Process Improvement MIS Medical Billing Vendor Management Accounting Financial Analysis Outsourcing CRM BPO Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. 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 Update Production logs\ Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

Skills Skill Business Development Vendor Management Project Management Business Strategy Solution Architecture Product Management Enterprise Software Outsourcing Cloud Computing CRM Education Qualification No data available CERTIFICATION No data available DEPARTMENT Pre-Sales & Solutions JOB TITLE GM/AD/D + (Any suitable profile & designation) REPORTING TO AVP - Solutions ROLE Solution Development Skill sets Required Essential Skills Strong domain expertise in one or multiple areas RCM processes – Front-end - Scheduling, Registration, EV/ BV etc.. Mid-Cycle - Medical Coding, HCC coding, Charge entry etc. and Backend - AR, Denial Management, Payment posting, Revenue integrity etc. Analytics – Analyze, Interpret and summarize data in providing insightful updates to leadership and for taking it to client for discussions, create staffing strategies. Suggest and validate Technology driven solutions based on In-house capabilities and Industry requirements. Creating transformative & compelling solutions which will drive savings to customers. Understanding of different pricing methodologies like transaction based, contingency based, FTE based. Experience in creating them will be an added advantage. Job description – As part of the Pre-Sales and Solutions team you will play a critical role in the overall growth strategy and will directly report to AVP Solutions. Responsible for acquiring new clients by selling services provided by Omega, building strong and sustainable relationships with the Management and decision-makers. Help Company meet customer acquisition and revenue growth targets by keeping our company competitive and innovative. Expected to have a thorough understanding of the business to be able to propose tailor-made products/services to the potential customers Work closely with the senior leadership to achieve organizational goals Ability to build and lead large deals single handedly and lead team members Excellent communication skills with ability to build rapport quickly over phone calls/meetings; strong negotiation skills are essential. Lead any due diligence and discovery workshops Drive complete end to end Solutions / Pricing Drive meetings, maintain minutes to ensure stakeholders are aware of the scope of the RFP and timely follow up on open items. Ensure timely completion of customer submission documents adhering to deadlines Work with Sales team/Client services and all internal support teams to respond RFP, RFIs and other pre-sales deliverables Ensure successful conversion of opportunities. Maintain a culture of high customer service both internal and external Continue to build domain capability in chosen sub-domain, including keeping updated on new technology, regulations, etc. PREREQUISITES TO HIRE Ability to lead discussions with U.S based clients and across internal team Good communication skills (verbal & written) Medium to advanced level skill in MS office tools like excel, power point, word, Visio, etc. Good Communication Skills – Both Verbal and Written. Eye for Details, Logical thinking. Good Analytical Skills and should be a quicker learner. Ability to work with limited supervision. Ability to multi-task and manage time efficiently under the pressure of deadlines. Flexibility to work in shifts. Sensitivity to the confidential nature of the data and proprietary company information EDUCATIONAL QUALIFICATION Graduate from any stream with minimum 12+ years of Exp in US Healthcare Industry (Payer or Provider or Both) Strong Analytical skills . PERFORMANCE STANDARDS MEASURABLE Meeting all SLAs defined NON MEASURABLE Self-motivation Ability to work un-supervised Team Player Reliability Professionalism Achievement orientation Relationship building ability Personal grooming and etiquette Initiatives

Skills Skill Accounts Receivable BPO Process Improvement MIS Medical Billing Vendor Management Accounting Financial Analysis Outsourcing CRM Education Qualification No data available CERTIFICATION No data available Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. 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 Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

We Are Hiring -AR Calling||US Healthcare ||RCM|| Eligibility :- Min 1+ years of experience into AR Calling in denial management into physician and hospital billing . Locations :- Hyderabad , Chennai ,Noida & Mumbai Qualification :- Inter & Above Package- Hospital billing - Upto 50k. Phycisian billing-Up to 40k Immediate Joiners Preferred, Relieving letter from anyone company is Mandate WFO Perks & Benefits: 2 way cab. Meal Coupon. Incentives. Allowances. Interested candidates can Call Or Send Resume to HR : SAHARIKA MOBLIE NO: 9951772874 MAIL ID : Saharika.axis@gmal.com References are Welcome

Key Responsibilities: Client Communication: Follow up with US-based patients via phone to collect outstanding insurance payments. Account Management: Maintain accurate records of communications and transactions. Payment Processing: Ensure timely payment processing and resolve discrepancies. Reporting: Generate regular reports on account status and updates. Customer Service: Address inquiries and provide excellent service to resolve payment issues. Perks & Benefits: Competitive salary package up to 6 LPA Two-way cab facility Meals provided (Lunch & Dinner)

Who we are: 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. 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, visit r1rcm.com Visit us on Facebook

The Opportunity Avantor is looking for a dynamic, forward-thinking, and experienced Team Lead who will be responsible for carving out various strategies along with the team members to ensure the past due trending on the portfolio in charge is kept in good standing by collecting cash. This role will be a full-time position based out of our Coimbatore, India office . The job involves managing and guiding a team of A/R Collections team. The key role is to resolve customer disputes over receivables more effectively, arrange customer meetings, work with various internal teams, and streamline customers accounts receivable processes by providing resolution to the issues. The work includes a combination of voice and non-voice follow-up with internal and external teams. What were looking for " Experience3+ years of Experience in Accounts receivable Collections with Team Handling Should be Flexible to work night shifts and working from the office How you will thrive and create an impact " Lead a team of collections analysts and prioritize the portfolio based on various worklists and ensure timely cash collections based on the credit term extended to the customers. Guide the team and enable to achieve and exceed the set target. The role involves engaging in problem-solving exercises and fixing root cause problems related to AR aging and fixing recurring issues. Contacting and working together with billing team, cash applications problems, warehouses and vendors for stock check, stock adjustment, return initiation, Proof of delivery, credit release etc as per escalation matrix Liaising with internal Avantor teams like Pricing, Sales, CMD, Customer service, AP, B2B, Cash Applications in order to resolve the dispute case and prevent the recurrences of similar errors Root cause and trending analysis of disputes, suggesting and implementing corrective and preventive measures Manage day-to-day activities with the team. Respond to customers on any process related queries and manage stakeholder/customer escalations. Perform quality check on the A/R follows and other established metrics of the process Monitoring and managing workflow or daily targets to assure timely delivery of agreed SLAs. Tracking and maintaining metrics for a variety of data includes attendance, productivity, etc. Develop processes to improve productivity and quality of the team Participate in the new pilots projects & work towards proper transition of knowledge to team and participate in other strategic initiatives Assume responsibility for staff training and education as well as career development Identify and present solutions for process improvements Disclaimer: The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Avantor is proud to be an equal opportunity employer. Why Avantor Dare to go further in your career. Join our global team of 14,000+ associates whose passion for discovery and determination to overcome challenges relentlessly advances life-changing science. The work we do changes peoples lives for the better. It brings new patient treatments and therapies to market, giving a cancer survivor the chance to walk his daughter down the aisle. It enables medical devices that help a little boy hear his moms voice for the first time. Outcomes such as these create unlimited opportunities for you to contribute your talents, learn new skills and grow your career at Avantor. We are committed to helping you on this journey through our diverse, equitable and inclusive culture which includes learning experiences to support your career growth and success. At Avantor, dare to go further and see how the impact of your contributions set science in motion to create a better world. Apply today! EEO Statement: We are an Equal Employment/Affirmative Action employer and VEVRAA Federal Contractor. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state/province, or local law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at recruiting@avantorsciences.com and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address. 3rd party non-solicitation policy:

GM Analytics Solutions is looking for a driven, dedicated and experienced Medical Billing professional, proficient in US healthcare 6 months-2 years Experience is required in Medical coding for US Healthcare preferable E&M , Nephrology & Vascular Services. Certified Professional Coder (CPC) from American Academy of Professional Coder (AAPC) certification with knowledge of HCPCS, ICD, CPT is mandatory. Accurately analyses provider documentation/Medical Records and ensure the appropriate CPT/HCPCS codes assigned. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Evaluates medical records for consistency and adequacy of documentation. Maintains compliance standards as per the policies and reports compliance issues as required. Excellent Analytical Skills. Good Knowledge and understanding of Human Anatomy. good understanding of medical terminology, a disease processes. Proficiency in Microsoft office tools Day Shift Education/Experience Requirements: Qualifications: Graduate Masters degree Ina related field 0-2 years of experience in medical billing with healthcare billing/coding and/or physician office billing/coding experience. with a focus on US healthcare revenue cycle management Excellent computer skills Excellent written and verbal communication skills Excellent management skills Advanced computer skills in MS Office Suite, pMDsoft, Acumen, Athenahealt,h and other applications/systems preferred Competency Requirements: Must possess the following knowledge, skills, and abilities to perform this job successfully: Familiar with standard concepts, practices, and procedures within the field. Creativity and latitude are required. Ability to work in a fast-paced, result-driven, and complex healthcare setting. Ability to meet strict deadlines. Excellent analytical, problem-solving, organization and time management skills. Takes a sense of ownership Capable of embracing unexpected changes in direction or priority. Strong self-sufficiency and initiative working on database projects. Ability to juggle multiple priorities successfully. Extremely strong organizational and communication skills. High-energy, hands-on employee who thrives in a fast-paced work environment. Detail-oriented with excellent follow-up. Solutions-minded, compliance-minded and results-oriented. Excellent planning skills with the ability to define, analyze and resolve issues quickly and accurately Work Environment: Extensive telephone and computer usage. Use computer mouse requires repetitive hand and wrist motion. Timeofft i restricted during peak periods. Regular reachinggraspingn andd carrying of objects. For more information Email:hr@gmanalyticssolutions.in Contact: 7428699980

Overview We have an exciting role of Manager - Medical Copywriter to drive and translate creative and contemporary ideas to solid design and impact. You will have a key role in design and deployment of creative campaigns with our global clients, including many Fortune 50 companies. About US We are an integral part of Annalect Global and Omnicom Group, one of the largest media and advertising agency holding companies in the world. Omnicom’s branded networks and numerous specialty firms provide advertising, strategic media planning and buying, digital and interactive marketing, direct and promotional marketing, public relations, and other specialty communications services. Our agency brands are consistently recognized as being among the world’s creative best. Annalect India plays a key role for our group companies by providing stellar products and services in areas of Creative Services, Technology, Marketing Science (data & analytics), Market Research, Business Support Services, Media Services, Consulting & Advisory Services. We are growing rapidly and looking for talented professionals like you to be part of this journey. Let us build this, together! Responsibilities This is an exciting role and would entail you to Manage cross-functional partners to deliver medical content for a variety of audiences (digital and print) while also handling medical copywriting and veeva submissions work Copywriting & Content Development Write clear, engaging, and medically accurate content for a range of audiences - including press materials, consumer campaigns, digital assets, and educational tools. •Translate complex clinical and scientific information into language that resonates with non- specialist audiences, including patients, caregivers, and media outlets. Develop a refined understanding of the brand, disease, and the overall therapeutic/treatment category Ensure the creation of all content is developed with appropriate tone, style, and structure based on brand strategy, creative brief, and client expectations Develop messaging that aligns with brand strategy, while simplifying technical data for broader understanding without compromising accuracy. Partner with internal teams (account, strategy, and creative) to ideate and execute content that is impactful, on-brand, and compliant. Revise and refine copy based on internal and client feedback and MLR reviewer input. Veeva Submission & MLR Review Support Prepare and submit materials in Veeva Vault PromoMats for MLR review, ensuring all metadata, references, and annotations are accurate and complete. Link supporting references to corresponding claims and manage annotation accuracy. •Track submission timelines and status; coordinate follow-ups, revisions, and final approvals. •Act as a bridge between creative/content teams and regulatory operations to ensure seamless submissions and compliance with SOPs. Maintain organized version control and documentation of submitted and approved materials Demonstrate an understanding of healthcare/pharma advertising communication requirements Be familiar with modular content and omnichannel marketing – develop and maintain content matrix and core claims documentation Qualifications You will be working closely with Our global creative agency teams. You will also be closely collaborating with our team of talented and designers to deliver high-quality services. This may be the right role for you if you have 11+ years of experience in healthcare communications agencies (AMA experience is preferred) Bachelor's degree or equivalent experience with a focus on pharma/science/medicine Portfolio containing work samples that demonstrate strong conceptual abilities, creative thinking, and exceptional writing skills in a variety of communication forms (e.g., sales aids, direct mail, websites, social media) for a variety of audiences (e.g., healthcare professionals, patients, consumers) Understanding of omnichannel marketing, modular content, and processes for content development Experience with referencing and annotating, and MLR submissions requirements and processes Excellent leadership, management and client-facing communication skills Strong organizational skills, attention to detail, and ability to multitask. An ability to understand and process healthcare information Ability to multi-task in a faced-paced environment as a member of a highly collaborative team The desire to work with a diverse group of teams, projects, and clients.

Job Description Create the future of e-health together with us by becoming a Sr. Associate Credentialing As one of the Best in KLAS RCM organizations in the industry we offer a full scope of RCM services as well as BPO services, our organization gives our team members the training and solutions to learn and grow across variety of technologies and processes. As an innovator and leader in the e -health services we offer unparalleled growth opportunities in the industry. What you can expect from us: A safe digital application and a structured and streamlined onboarding process. An extensive group health and accidental insurance program. Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office. Subsidized meal facility. Fun at Work: tons of engagement activities and entertaining games for everyone to participate . Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion. Best HR practices along with an open-door policy to ensure a very employee friendly environment. A recession proof and secured workplace for our entire workforce. Ample scope of reward and recognition along with perks like marriage gift hampers and gifts for birth of a child. What you can do for us: Should have working experience in US Healthcare -Credentialing Process-Payer and Provider Processes. Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements. Oversee day-to-day operational credentialing and privileging activities. Collaborating with the Credentialing Manager to ensure proper functioning of activities, policies, and procedures. Acting as a resource and subject matter expert, resolving issues, Coordinating with Credentialing contacts regarding the credentialing process. Verifying primary source data, such as provider education, board certifications, license, and other eligibilities / documents. Ensuring timely credentialing and re-credentialing of network providers and working with Internal/External Team to ensure credentialing files completed within time frame and compliance. Calling Payers for Enrollment application status and take necessary action . Profile Qualifications: Minimum of 1 year of experience as Credentialing in US RCM industry. Should have knowledge in CAQH modules, provider enrollment . Overall, should be expertise with CAQH . Candidate should be a graduate. Basic knowledge about Internet Concepts, Windows, Microsoft ,Adobe products. Should possess strong documentation and presentation skills. Should be flexible to work in shifts, based on business need. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.

Primary Responsibilities: Lead a team of 25 - 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing companys vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine)

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Primary Responsibilities: Gather and analyze requirements for clinical data conversion projects Collaborate with clients and vendors to define project scope, timelines, and deliverables Prepare and transform clinical data for conversion activities Address and resolve data-related issues reported by clients Develop and maintain documentation and specifications for data conversion processes Monitor project progress and ensure timely completion of milestones Troubleshoot common database issues and provide technical support Ensure compliance with US healthcare regulations and standards Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Familiarity with US healthcare systems and regulations Knowledge of standard EHR/EMR clinical data workflows Understanding of healthcare clinical dictionaries Proficiency in EHR database architecture and data extraction/transformation using MS SQL Server Solid knowledge of stored procedures, triggers, and functions Proven excellent problem-solving and troubleshooting skills Solid communication and collaboration abilities

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities Lead a team of 25-30 certified coders. Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe, secure, and legal work environment; developing personal growth opportunities Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate in any discipline Experience of handling HCC team (QRAO) for 2+ years as assistant manager or working as deputy manager Experience in Performance Management, Project Management, Coaching, Supervision, Quality Management, Results Driven, Developing Budgets, Developing Standards, Foster Teamwork, Handles Pressure, Giving Feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc) Proven ability to operate basic office equipment (copier and facsimile machine)

JOB TITLE Technical Business Analysis Engineer II RESPONSIBILITIES May perform one or more of the following: Requirement/Analysis Ability to comprehend Business Requirement Documents (BRD) Maintain and Update Data/Vendor Interfaces BRD Interprets requirements to create systems specifications documents to build and execute system. Perform Data Analysis, Audit, and associated research and provide subsequent resolutions. Understanding of database/SQL Query Writing Work alongside with Sr. members or individually (as required) to assist in smooth integration/transition of processes and create/maintain documentations for the same. Responsible for solving the data and Vendor files related issues and preparation of annual calendar, as applicable. Execute & Manage the assigned tasks {Data Analysis, Vendor files, Requirement Analysis} specific to your Tower HW Domain knowledge is good to have. Process Ability to think and conceptualize and/or implement ideas of process automation. Follow the standard practices and procedures specific to your Tower. Accountability/Communication Work independently on tasks assigned. Should be able to Coach & mentor team members. Demonstrate ownership on work assigned to self and immediate sub-ordinates. Manage Offshore/Onshore interaction and stakeholder communication as per the business needs. Update all documentation with task details and provide regular updates to team. All other tasks as assigned.

Job Track Description Requires relevant expertise through formal education in a professional, sales, or technical area. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results. Able to complete work self-guided. College or university degree required or equivalent work experience. General Profile Performs routine assignments. Exposure to fundamental theories and concepts. Develops skills by performing structured work assignments. Uses existing procedures to solve routine or standard problems. Receives instruction, guidance, and direction from others. Functional Knowledge Requires a conceptual understanding of theories, practices, and procedures. Business Expertise Applies general knowledge of business developed through education or experience. Impact Works self-guided with no supervisory responsibilities. Follows standardized procedures and practices to achieve objectives and meet deadlines. Leadership No supervisory responsibilities. Responsible for developing technical contributions. Problem Solving Uses existing procedures to solve standard problems. Examines information and standard practices to make judgments. Interpersonal Skills Exchanges information and ideas effectively. Asks questions and checks for understanding. Responsibility Statements Serves as liaison between end-users and product development teams. Partners with senior BA's to examine, define, and document project requirements. Communicates project requirements to development teams. Supports analyzing requirements and defines tech solutions. Defines a go-to approach for system construction. Performs other duties as assigned. Complies with all policies and standards.

Initiate and complete prior authorization requests for medical services and procedures. Also, follow up with insurance companies to verify the approval/denial status Contact 8977711182 Required Candidate profile Accurately document authorization details in the system, ensuring compliance with insurance guidelines

Key Responsibilities: Client Communication: Follow up with US-based patients via phone to collect outstanding insurance payments. Account Management: Maintain accurate records of communications and transactions. Payment Processing: Ensure timely payment processing and resolve discrepancies. Reporting: Generate regular reports on account status and updates. Customer Service: Address inquiries and provide excellent service to resolve payment issues. Perks & Benefits: Competitive salary package up to 6 LPA Two-way cab facility Meals provided (Lunch & Dinner)

Job Role : Accurate posting of Patient demographic detail Charge Entry or Payment Posting transactions in the revenue cycle software provided by the customer Strive to achieve the productivity standards Adhere to customer provided turnaround time requirements Actively Participate in all training activities from Induction training, Client specific training and refresher training on billing and compliance Possess strong ability to understand impact of the process on customer KPIs Adhere to the company's information security guidelines Demonstrate ethical behavior at all times Job REQUIREMENTS To be considered for this position, applicants need to meet the following qualification criteria: 1-4 years of experience in Patient Demographics Entry, Payment posting or Charge Entry Strong knowledge of medical billing concepts Good communication and analytical skills Must be flexible to work in shifts This process does not require any call center skills (non-voice) Interested candidates can call/ WhatsApp HR Manish Singh - 9311316017

Job Description • Work in teams that process medical billing transactions and strive to achieve team goals • Process Payment Posting transactions with an accuracy rate of 99% or more • Absorb all business rules provided by the customer and process transactions with a high standard of accuracy and within the stipulated turnaround time • Actively participate in companys learning and compliance initiatives • Apply your knowledge of medical billing to report performance on customer KPIs • Be in the center of ethical behavior and never on the sidelines Desired Candidate Profile • Should have 1-2 years of experience in medical billing, preferably in payment posting process • Ability to learn and adapt to new practice management system • Good Process knowledge • Excellent Typing Skills • Good written & verbal communication Walk in Address Medusind , 8th Floor, Prestige Centre Court, The Forum Vijaya mall, No.183, NSK Salai, Arcot Road, Vadapalani, Chennai, Tamil Nadu 600026 Timing 11.00 to 5.00 pm (Saturday & Sunday Holiday no interview) Contact Details: Muthuvel HR Mobile no: 8248361225

Dear Aspirants, Warm Greetings!! We are hiring for the following details, DIRECT WALKin ( Reference Name : NAUSHEEN HR / 9043004655) Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting 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 Saturday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Begum H Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen Begum H - HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen Begum H nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

In this Role you will be Responsible For The coder reads the documentation to understand the patient's diagnoses assigned Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders Medical coding allows for Uniform documentation between medical facilities The main task of a medical coders is to review clinical statements and assign standard Codes of the role include 3+ Year of experience in any Healthcare BPO _ ED PROFEE & FACILITY / CPC CERTIFIED Highlights documentation deficiency / Play SME role for freshers Good knowledge in EM outpatient coding and multispecialty + Procedure codes 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend"™s basis business requirement. Ability to communicate (oral/written) effectively in English to exchange information with our client

We Are Hiring || AR Callers ( RCM US Healthcare ) || Experience :- Min 1 year of exp in AR Calling (US Health Care) into Denial Management Package :- Up to 50K Take home Locations :- Hyderabad , Banglore. Qualification :- Graduation. Perks and Benefits: 1. 2 way cab 2. Incentives and Allowances Notice Period :- Preferred Immediate Joiners ( Serving Notice period Candidates are also Eligible ) *Work From Office* Interested candidates can share your updated resume to HR Vaishnavi- 7386370056(share resume via WhatsApp ) Refer your friend's / Colleagues