1807 Rcm Jobs - Page 13

Job Description Prioritize claims for AR work based on aging, dollar value, and other criteria. Monitor Team's production and SLA delivery. Assign AR accounts and prioritize claims to AR Associates for completion on a daily or weekly as appropriate. Run AR reports daily / weekly for each client account. Manage and handle effectively escalations raised by the clients. Provide mentorship, training and coaching to the team. Adhere to organizational policies and procedures. Keep the Standard Operating Procedures updated and establish due control mechanisms. Attending management meetings to present results and formulate continual process improvement and effectiveness. Work with quality and business transformation teams to identify, recommend and implement process improvement projects. Essential Excellent written & verbal communication skills. Excellent analytical and comprehensive skills Healthcare compliance and terminology knowledge. Well-versed with MS Office Excel. Willingness to work in continuous night shift. 5-8 years experience working as AR Caller Proven track record in problem solving and improving process efficiency through strong analytical and problem-solving skills. Strong knowledge of US revenue cycle management for Physician Practices and Hospitals Strong leadership skills with an ability to motivate direct reports. Develop the team's talent, drive employee retention and engagement.

Role & responsibilities Participate in client calls and understand the quality requirements both from a process perspective and for targets Identify a method to achieve the quality targets and implement the same in consultation with operations manager / Team Manager Identify errors with high Inspection efficiency Provide face-to-face feedback and also send emails with the type of errors, etc., daily as per protocol Ensure the correction of the error by the respective Operations associate Coach employees to minimize errors and improve performance Provide inputs to the training team on common mistakes made to enhance the training curriculum Test files/batches for new clients/processes to be processed as part of familiarization Generation of QA reports daily Attainment of Internal & External SLA as per Process Defined. Meet and exceed inspection efficiency score, calibration score, knowledge and skills score, inspection productivity rate, and any other appropriate metrics Record identified errors. This is an organizational record & can be used by the organization as it deems fit Preferred candidate profile Must be a graduate (Bachelor's or Master's) Minimum of 6 Years of Professional and Relevant Experience in US healthcare (RCM) in any of the following service lines: Coding - Surgery, Same day surgery, SDS

Role & responsibilities Work experience of 5+ years and experience in the AR / PP / Billing functions of a US Healthcare Setup of at least 3+ years Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills Conduct process quality monitoring and identify improvement areas Review coding review requests; quantify and report preventable issues Review denial adjustments for accuracy; communicate findings to relevant teams Manage high-risk, aged, or excessive incomplete action account balance Allocate and review team work assignments and worklists Encourage continuous improvement, process optimization, and automation Engage and motivate team for performance and innovation

Locations: Chennai, Trichy, Mumbai Experience: 1–5 years Skills: AR calling, denial management, prior authorization (physician/hospital billing) Shift: Voice process (typically EST night shift) Joining: Immediate intake preferred

AR callers Exp - Min 1.5 yrs of exp in AR calling & denials Location - Chennai (NO Cab Facilities) Max Slab 40K IMMEDIATE Joiners Monday should join

Dear Candidate, Greetings from ACCESS HEALTHCARE!! Grand opening for AR Callers VOICE Process- Denial Management (CMS1500 and UB04) Designation: AR Caller ONLY EXPERIENCED CANDIDATES. (Minimum 0.6 months experience needed) Expecting Candidates should Have Experience in Voice Process only Preferring Immediate joiners. (Notice period acceptable upto 15 days) Relieving letter is not mandotary. Billing Type: CMS1500 and UB04 Shift : Night Shift (6pm to 3am) Week off : Saturday & Sunday. Package : Good Hike from previous package. Free Cab : Two-way pickup & drop available with free of cost. Location : Chennai. Interview : Two rounds of interview (Technical and salary discussion round) NO WORK FROM HOME Role & responsibilities Manage accounts receivable calls to resolve customer queries, disputes, and issues related to medical billing. Identify and address denial management strategies to minimize write-offs and optimize revenue cycle management. Collaborate with internal teams such as patient access, insurance verification, and coding to ensure accurate claims processing. Provide exceptional customer service by responding promptly to customer inquiries and resolving concerns in a professional manner. Maintain accurate records of all interactions with customers using our CRM system. Preferred candidate profile ONLY EXPERIENCED CANDIDATES. (Minimum 0.6 months experience needed) Expecting Candidates should Have Experience in Voice Process only Preferring Immediate joiners. (Notice period acceptable upto 15 days) Relieving letter is not mandotary. Billing Type: CMS1500 and UB04

Urgent Opening for AR Caller/SR AR Caller -Medical Billing-Voice Process Job Loc:Chennai, Trichy, Bangalore, Pune Exp:1yr-5yrs Salary:40k Max Skills:Any Billing ,Denials NP:Imm IF INTERESTED CALL/WATSAPP: 9629690325 REGARDS; Madhubala

Experience- 1 to 5 years of experience in CMS1500 Salary- upto 45000/- Location-Chennai,Bangalore,Mumbai Shift-Day & night shift Work from office only Immediate joiners are preferred Relieving Letter: Not Mandatory Contact: Nandini(HR)-9750358650

HIRING AR CALLERS /SR AR CALLERS( Day shift and Night shift ) Experience: Minimum 1+ Year in CMS-1500 Take-home Salary : Up to 45000 per month Location: Bangalore, Chennai and Mumbai Work Mode: Work from Office Notice Period: Immediate Joiners Preferred Relieving Letter: Not Mandatory Interested Candidates, Reach Out Now! Call / WhatsApp: HR Nandini-9750358650

Primary Responsibilities: Solicit, review and analyze business requirements Write business and technical requirements Communicate and validate requirements with stakeholders Validate solution meets business needs Work with application users to develop test scripts and facilitate testing to validate application functionality and configuration Participate in organizational projects and/or manage small/medium projects related to assigned applications Translates customer needs into quality system solutions and ensures effective operational outcomes Focus on business value proposition*Apply understanding of As Is and To Be processes to develop solution 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 Role Focus Areas: Core Expertise Required: Provider Management Utilization Management Care Management Domain Knowledge: Value-Based Care Clinical & Care Management Familiarity with Medical Terminology Experience with EMR (Electronic Medical Records) and Claims Processing Technical/Clinical Understanding: Admission & Discharge Processes CPT Codes, Procedure Codes, Diagnosis Codes Core AI Understanding AI/ML Fundamentals: Understanding of supervised, unsupervised, and reinforcement learning Model Lifecycle Awareness: Familiarity with model training, evaluation, deployment, and monitoring Data Literacy: Ability to interpret data, understand data quality issues, and collaborate with data scientists AI Product Strategy AI Use Case Identification: Ability to identify and validate AI opportunities aligned with business goals Feasibility Assessment: Understanding of whats technically possible with current AI capabilities AI/ML Roadmapping: Planning features and releases that depend on model development cycles Collaboration with Technical Teams Cross-functional Communication: Ability to translate business needs into technical requirements and vice versa Experimentation & A/B Testing: Understanding of how to run and interpret experiments involving AI models MLOps Awareness: Familiarity with CI/CD for ML, model versioning, and monitoring tools AI Tools & Platforms Prompt Engineering (for LLMs): Crafting effective prompts for tools like ChatGPT, Copilot, or Claude Responsible AI & Ethics Bias & Fairness: Understanding of how bias can enter models and how to mitigate it Explainability: Familiarity with tools like SHAP, LIME, or model cards Regulatory Awareness: Knowledge of AI-related compliance (e.g., HIPPA, AI Act) AI-Enhanced Product Management AI in SDLC: Using AI tools for user story generation, backlog grooming, and documentation AI for User Insights: Leveraging NLP for sentiment analysis, user feedback clustering, etc. AI-Driven Personalization: Understanding recommendation systems, dynamic content delivery, etc. Required Qualifications: Undergraduate degree or equivalent experience. 5+ years of experience in Business Analysis in healthcare including providing overall support, maintenance, configuration, troubleshooting, system upgrades, and more for Healthcare Applications Good experience on EMR / RCM systems Experience working with stakeholders, gathering requirements, and taking action based on their business needs Demonstrated success in running EMR / RCM / UM, CM and DM systems support in requirements, UAT, deployment supports Proven ability to work independently without direct supervision Proven ability to effectively manage time and competing priorities Proven ability to work with cross-functional teams #NJP #Gen

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: Solicit, review and analyze business requirements Write business and technical requirements Communicate and validate requirements with stakeholders Validate solution meets business needs Work with application users to develop test scripts and facilitate testing to validate application functionality and configuration Participate in organizational projects and/or manage small/medium projects related to assigned applications Translates customer needs into quality system solutions and ensures effective operational outcomes Focus on business value proposition*Apply understanding of ‘As Is’ and ‘To Be’ processes to develop solution 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 Role Focus Areas: Core Expertise Required: Provider Management Utilization Management Care Management Domain Knowledge: Value-Based Care Clinical & Care Management Familiarity with Medical Terminology Experience with EMR (Electronic Medical Records) and Claims Processing Technical/Clinical Understanding: Admission & Discharge Processes CPT Codes, Procedure Codes, Diagnosis Codes Core AI Understanding AI/ML Fundamentals: Understanding of supervised, unsupervised, and reinforcement learning Model Lifecycle Awareness: Familiarity with model training, evaluation, deployment, and monitoring Data Literacy: Ability to interpret data, understand data quality issues, and collaborate with data scientists AI Product Strategy AI Use Case Identification: Ability to identify and validate AI opportunities aligned with business goals Feasibility Assessment: Understanding of what’s technically possible with current AI capabilities AI/ML Roadmapping: Planning features and releases that depend on model development cycles Collaboration with Technical Teams Cross-functional Communication: Ability to translate business needs into technical requirements and vice versa Experimentation & A/B Testing: Understanding of how to run and interpret experiments involving AI models MLOps Awareness: Familiarity with CI/CD for ML, model versioning, and monitoring tools AI Tools & Platforms Prompt Engineering (for LLMs): Crafting effective prompts for tools like ChatGPT, Copilot, or Claude Responsible AI & Ethics Bias & Fairness: Understanding of how bias can enter models and how to mitigate it Explainability: Familiarity with tools like SHAP, LIME, or model cards Regulatory Awareness: Knowledge of AI-related compliance (e.g., HIPPA, AI Act) AI-Enhanced Product Management AI in SDLC: Using AI tools for user story generation, backlog grooming, and documentation AI for User Insights: Leveraging NLP for sentiment analysis, user feedback clustering, etc. AI-Driven Personalization: Understanding recommendation systems, dynamic content delivery, etc. Required Qualifications: Undergraduate degree or equivalent experience. 5+ years of experience in Business Analysis in healthcare including providing overall support, maintenance, configuration, troubleshooting, system upgrades, and more for Healthcare Applications Good experience on EMR / RCM systems Experience working with stakeholders, gathering requirements, and taking action based on their business needs Demonstrated success in running EMR / RCM / UM, CM and DM systems support in requirements, UAT, deployment supports Proven ability to work independently without direct supervision Proven ability to effectively manage time and competing priorities Proven ability to work with cross-functional teams At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. #NJP #Gen External Candidate Application Internal Employee Application

About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Lakshmi PS HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432489/WhatsApp @7892150019 lakshmi.p@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS ******

Job Description Primary need to Configure and setup MSE 5.12.x packages Develop PL/SQL store procedure to process the data Perform Unit and Integration and non-regression testing Prepare Design Specification, Technical Specification Prepare the data requirement and mapping document Design and Configure RCM and AIS Provide UAT support Provide deployment support to production team Deploy and install ETS packages in Dev, SIT and UAT env Prepare support handover documentation. Analyze data and logs to resolve application issues Analyze business requirements to contribute to application design Participate in New Model onboarding's and Actimize evolution projects.

Job Description Primary need to Configure and setup MSE 5.12.x packages Develop PL/SQL store procedure to process the data Perform Unit and Integration and non-regression testing Prepare Design Specification, Technical Specification Prepare the data requirement and mapping document Design and Configure RCM and AIS

Role: Internal Audit & Risk Advisory (Senior Consultant | Deputy Manager) Roles & Responsibilities: Candidates having experience of working in a senior position of any leading consulting firms in the region with focus on Internal Audit, IFC, ICOFR including dispute resolution. Minimum 2+ years of industry related / relevant consulting experience within depth understanding of the Internal Audit and Risk Advisory domain. Key areas of expertise expected include project management, cost estimation, quantity surveying, budgeting and accounting. Exposure to industries in Non - FS EPC, Manufacturing, Healthcare, Pharmaceuticals etc. Must have strong local/regional community network and be an active member of trade and professional associations. Job Profile. Lead the Internal Audit practice, providing expertise and professional advice to the client organizations on effective implementation of Internal Audit assignments and deliver value from Internal Audit projects. Develop strong relationships with top executives at prospects (target clients) and existing clients. Identify the value we will be providing to clients. Collaborate on resource staffing to maximize value for the firm. Understand the client's requirements and develop effective proposals and any other collateral required. Ensure firm is included in responses to key industry and solution RFPs in the region. Build a strong network of contacts and leverage it for business development. Speak at/ chair local/regional conferences and initiate exploratory meetings with prospective clients. Develop relationships with key buyers and hunt for opportunities to expand our relationship network. Conduct interviews with clients (senior staff - CXOs & heads of business units), analyze the facts, establish hypotheses, and derive conclusions. Supervise a team of professionals across different client engagements. Ensure delivery of quality work in line with our value proposition. Demonstrate technical competence in related domain. Oversee billing and collections. Prepare client presentations (for different target audiences - CXOs, Board of Directors, Audit Committees). Lead presentations on assignment reports &/ project deliverables to client management. Soft Skills A good blend of creative thinking and rigorous analysis in solving business problems. High energy individual possessing excellent analytical, interpersonal, communication and presentation skills. Adept at preparing and presenting to senior audiences. Demonstrates excellent leadership and interpersonal skills. Must be able to maintain a professional demeanor in times of high stress. Prior management and direct supervisory experience in a team environment required. Excellent time management skills. Must have ability to multi-task. Regular reading habits to stay abreast of new trends & developments and exhibit high level of confidentiality. Enjoys travelling and meeting new people. Flexibility to travel to, and work in, other locations is essential. Interested candidates can share their resume on kirti.goyal@protivitiglobal.in

We are conducting the interviews on Saturdays and Sundays. OMEGA HEALTH CARE Please share the maximum profiles to respective spocs. Below are the skills and requirements. 1. Designation : AR Callers / Senior AR Callers 2. Experience: 1 Year to 5 years 3. Required Skills: I. Expertise in Physician Billing (CMS-1500) II. Strong understanding of CMS-1500 claim forms and related processes III. Strong in Denial Management IV. Good communication skills 4. Notice Period: Immediate joiners or candidates with a maximum 7 day notice period are highly preferred 5. Shift: Night shift & Day Shift 6. Location: Bangalore 7. Rounds of Interview: I. HR Round II. Operations Round And we ahve vacancies for Hyderabad location R1RCM-Walkin Gebbs Health care-Virtual AND Walkin Banglore Omega-Virtual Day available Who all are intersted to call me and whats app your resume S. Umadevi 9515464576 umadevi.s@maintec.in we need AR Calling denial Management, Voice process, provider side exerince candidates Physician and hospital billing expperience candidates with proper documents Need immediate joiners AR Callers 9515464576

Role & responsibilities : To review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to understand the reasons for denials and work towards resolving them. Preferred candidate profile : 1 - 4 Years of experience as an AR Analyst [Physician billing / Hospital billing] Perks and benefits : Internal Promotions, Two way cab, PF, Medical insurance. Interested candidates can drop your resume to sheril.monisha@omegahms.com // 9360510353 [Sheril - HR]. Note: Good communication and Denials knowledge is a must.

Job Description : We are seeking an experienced SAP SuccessFactors Consultant with in-depth knowledge of Compensation and Variable Pay modules. The ideal candidate will be responsible for the implementation, configuration, and support of strategic compensation programs aligned with business objectives and employee performance. Key Responsibilities : Compensation : - Implement and configure SuccessFactors Compensation module including salary planning, compensation worksheets, eligibility rules, guidelines, and budget modeling - Design and manage compensation templates, cycle setup, XML configuration, and workflow rules - Develop compensation statements and handle merit, promotion, and adjustment scenarios - Integrate with Employee Central or other core HR systems for seamless data flow Variable Pay : - Design and implement Variable Pay programs including bonus plans, eligibility rules, business goals, and payout modeling - Configure bonus calculation formulas, eligibility profiles, and lookup tables - Create Variable Pay templates, and manage cycle processing and approval workflows - Collaborate with business to ensure alignment of variable pay programs with performance and business results General Responsibilities : - Gather requirements from HR and business stakeholders and provide best practice recommendations - Perform data validation, UAT support, and go-live activities - Create user documentation and deliver training sessions to HR teams - Coordinate with SuccessFactors support for issue resolution and product updates Required Skills : - 5+ years of experience in SAP SuccessFactors, with at least 23 years focused on Compensation and Variable Pay - Strong hands-on configuration skills in Compensation cycle setup, budgeting, eligibility rules, and XML based templates - Deep understanding of Variable Pay plan design, business goal mapping, and payout logic - Experience with Role-Based Permissions (RBP), compensation statements, and integration with EC - Excellent communication skills to engage with both business and technical stakeholders Preferred Skills : - SAP SuccessFactors Certification in Compensation and Variable Pay - Experience in global compensation planning and multi-currency environments - Familiarity with Advanced Reporting (ORD/Canvas) or Integration Center - Knowledge of related modules such as EC, PMGM, and CDP Educational Qualifications : - Bachelors degree in Human Resources, Information Technology, Business, or a related field - SAP SuccessFactors Compensation/Variable Pay Certification preferred

About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Hemalatha HR Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 080-67432492/Whatsapp @9900261540 Hemalatha.c@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS ******

About Client Hiring for one of the most prestigious multinational corporations Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432406 amala@blackwhite.in | www.blackwhite.in ************** Please refer your Friends***************

HR SPOC - Aiswarya M Greetings from Firstsource solutions LTD !! Here is an exciting opportunity for Senior AR Callers from Firstsource !! Roles & Responsibilities: Understand Revenue Cycle Management (RCM) of US Healthcare Providers. Good knowledge on Denials and Immediate action to resolve them. Reviews the work order. Follow-up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverables adhere to quality standards. Eligibility Criteria: Candidates should have experience in AR Calling, Denials Management, Web Portals, Denial Claims, Hospital billing (HB) / Physician Billing (PB) Minimum 1.5 years experience ! Work from Office mode. Immediate Joiners and candidates those who are in notice period can apply. Should have proper documents (Education certificates, offer letter, Pay-slips, Relieving letter etc..) Position : Senior Revenue Sycle Billing Specialist Industry : ITES/BPO Category : AR Calling Division : Healthcare international Business Job location : Chennai, Taramani. Shift : Night Shift /Flexible to work in any shifts and timings Drop Cab Facilities available around 30 Kms! Location: RMZ Millenia Business Park, 5th Floor, Campus 2A, MGR Main Road, Perungudi, Chennai 600096 Direct Walk-in Time : 12PM - 4.30 PM Direct Walk-in Date: Monday to Friday Note: Bring your Pan card Or Aadhar card (original and Xerox) Contact person: Aiswarya M - 8072289336 (WhatsApp / Contact NO) or Share your resumes to aiswarya.mmm@firstsource.com Mention reference name Aiswarya M HR in top of your resume. Kindly refer your friends as well. ABOUT US Firstsource Solutions Limited, an RP-Sanjiv Goenka Group company (NSE: FSL, BSE: 532809, Reuters: FISO.BO, Bloomberg: FSOL:IN), is a leading provider of transformational solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology, and other industries. The Companys Digital First, Digital Now approach helps organizations reinvent operations and reimagine business models, enabling them to deliver moments that matter and build competitive advantage. With an established presence in the US including over a dozen offices, and multiple sites in the UK, India, the Philippines and Mexico, we act as a trusted growth partner for over 150 leading global brands, including several Fortune 500 and FTSE 100 companies. Website http://www.firstsource.com Firstsource | Business Process Management | Trusted Outsourcing Partner Firstsource is a leader in business process management (BPM) services and a trusted outsourcing partner to the world's leading brands. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or aiswarya.mmm@firstsource.com

Hiring Jr/ Sr. AR Executive to support the billing and collections process. The role involves resolving aged AR accounts, tracking payments, communicating with payers for resolution, and ensuring timely collections while doing accurate follow-up. Office cab/shuttle Provident fund

Job description AR CALLER/ SR AR CALLER Work Locations: Chennai, Bangalore, Mumbai Experience Required: 1 to 6 years (Denial Management) Job Responsibilities: Insurance Follow-Up Call insurance companies to check claim status and resolve payment issues. Denial Management Analyze and work on denied claims to ensure reimbursement. Claim Processing & Appeals Initiate and process appeals for underpaid or denied claims. Coordination with Teams – Work closely with billing teams to ensure claim accuracy and quick resolution. Maintain Productivity & Quality Standards – Meet daily/weekly targets for call volume and claim resolutions. Documentation & Reporting – Maintain accurate records of interactions and claim statuses. Required Skills & Qualifications: 1. Strong communication skills in English (Verbal). 2. Medical Billing & Coding Knowledge – Familiarity with CPT, ICD-10, and HCPCS codes. 3. Experience in RCM (Revenue Cycle Management) – Understanding of claim submission, follow-up, and reimbursement. 4. Problem-Solving & Analytical Skills – Ability to identify claim issues and resolve them efficiently. 5. Attention to Detail – Ensure accuracy in claim handling and documentation. 6. Basic Computer Skills – Proficiency in MS Office and medical billing software (e.g., EPIC, eClinicalWorks, NextGen). Perks and Benefits: Competitive salary and incentives Training and career growth opportunities Supportive work environment Apply Now! Don't Miss This Exciting Opportunity! Please share your updated Resume to Madhushika HR @ 9384270038 or Amirtha HR @ 7200237395

ROLE PURPOSE & OBJECTIVE Responsible to implement the operational risk framework for assessing, identifying, monitoring and mitigating pertinent operational risks in line with the defined risk appetite of the bank. To supervise the effective implementation of this framework across the Bank to ensure that the Banks objectives and goals are not in any way affected by inherent and external operational risks. Responsible for conducting pre-onboarding assessment of the vendor and also annual risk assessment of material vendors. Responsible for monitoring and managing overall Outsourcing risk and IT Risk posture of the bank including Digital risk. To manage operational risks arising from material outsourcing activities, review gaps and recommend preventive controls. Responsible for conducting Root cause analysis on critical IT incidents and implement preventive measures. Periodic review of the IT and Outsourcing risk register maintained and updated by each critical verticals/service delivery units. To ensure User access review is conducted for the critical applications on defined frequency as per the User Access Management Policy and ensure observations are shared with stake holders for necessary actions. Conduct thematic reviews and analysis on various operational risk areas as per the plan or as directed by the management Committee. To provide critical input to enhance from operational risk perspective and ensuring adequate controls are put in place before implementation (including review of Business Requirement Document, Functional Solutioning Document and User Acceptance Testing) of the Bank. To supervise the preparation of RBI tranche Data Control Template (DCT) at quarterly intervals and to provide compliance to the observations To have principal responsibility in reviewing and providing critical input on Risk Control Matrix prepared for identified processes of the Bank for the annual IFC review as per the Companies Act 2013, and to supervise the testing of each control with multiple samples to ensure compliance. This is mandatory for annual certification by External Auditors. To discuss with stakeholders on gaps identified during IFC and provide an action plan for closure of gaps. To support BCP manager to develop Business Impact Analysis (BIA) in consultation with various stakeholders and carry out frequent BCP simulations across branches, regions and corporate functions to evaluate preparedness of the Bank to carry out business as usual in the event of business disruption. Conducting risk awareness sessions on Outsourcing risk, IT risk, Digital risk and BCP for all employees and building robust risk culture within the Organization. Work with IT to minimize the recurring instances of gaps in system implementation that results in customer services issues. To ensure that all RBI inspection / Internal audit / Compliance observations are addressed and closed within the committed timelines. SIZE OF THE ROLE FINANCIAL SIZE NON-FINANCIAL SIZE Maintains 1,500 + vendors Material, Financial and IT vendors 70 + annual risk assessment of critical vendors Financial and Critical Reviews 30 + documents in a month SOP, BRD and FSD 40 + Planned and Unplanned BCPs in a month for critical processes 20 + User acceptance tests in a month which includes regulatory and non-regulatory changes Conduct User access review for 40 + critical and security applications Prepares Outsourcing risk postures for 200 + critical vendors (Average yearly invoice > 1 Cr.) Managing team size varying 5 to 6 members 3 direct reports in the grade of Manager Operational Risk Regular interaction material vendors (35) Maintaining SOPs, Internal Circulars, Regulatory Circulars and guidelines issued by RBI Actionable tracking for Open points in ORMC, RMCB and PrAC. Regular interaction internal stakeholders Business heads, IT Solution Delivery heads, IT Application service Management heads, IT Governance head, Head Digital Banking, Principal Nodal Officer, National Manager Compliance, National Manager Legal, National Manager CPMT, Head Alliance and Electronic Payments. KEY DUTIES & RESPONSIBILITIES OF THE ROLE Business/ Financials Review and provide critical input on new All products/processes and any amendments to products/processes to highlight Operational Risks and recommend additional controls to mitigate the risks. Conduct RCA on critical IT incidents and take preventive measures. Support to BCP manager to prepare, evaluate and update Business Impact Analysis (BIA) documents to determine and evaluate the potential effects of an interruption to critical business operations as a result of a disaster, accident or emergency. Support to BCP manager in preparing schedule for Business Continuity Plan (BCP) simulation covering activities carried out at branches, regions and corporate office to evaluate preparedness of the Bank to minimize the effect of a disruption. Facilitate regional Ops Risk team across branches and regions to carry out BCP simulation as per approved schedule. Review result of BCP testing and share the same with ORMC and BCP committee on its effectiveness in the event of a disaster and its continuing relevance to the Business to evaluate preparedness of the Bank to minimize the effect of a disruption. Direct and participate in product and process review for availability of controls and also in reviews related to Business Requirements Document (BRD), Functional Specific Development (FSD) and perform User Acceptance Testing (UAT) to ensure effectiveness of controls before moving to Production Perform pre-on-boarding material outsourcing vendors risk assessment with regards to compliance to regulatory guidelines on managing risks and code of conduct. Carry out annual risk assessment of material outsourcing vendors across regions and share the deviations with respective stakeholders for control gaps and associated risk. Manage operational risks arising from material outsourcing activities so as to ensure outsourcing vendors maintain high standard of compliance to code of conduct and service level agreement (SLA) in performing activities on behalf of the Bank. Customer (Both Internal & External) Develop and implement outsourcing and IT risk posture to analyse key risk indicators and identify remedial measures in co-ordination with functional units, and initiate suitable actions. Carry out thematic control testing to review effectiveness of various controls, and provision for automation. Develop Risk and Control Matrix (RCM) along with concern stakeholders for various processes and products. Supervise the Test of Design and Test of Operating Effectiveness and discuss failure with the risk owners for putting controls and mitigations Coordinate, review and submit all the necessary data and reports/information for the purpose of submitting various DCTs to RBI on a quarterly basis. Participate in National Inter-Departmental Meeting (NIDM) to review process non-adherence, people issue and similar other regional issues including external development impacting risk so as to recommend process enhancement, process reiteration and punitive action where applicable. Internal Process Supervise and review the Internal Financial Control (IFC) testing to comply with regulatory guidelines. Conduct Root Cause Analysis (RCA) of loss incidents for identification of control gaps and recommend corrective action. Maintain repository of Issue and Action and committee recommendations, and track them for effective implementation. Annual review of Outsourcing, IT, BCM policy documents of the Bank to incorporate all updates and amendments, and present such revised version of the document to the Board for necessary approvals.

"Greetings from Logix health" We are looking for Middle Management Operation in PR End - End Denial Management Roles and responsibilities, We are looking for a highly experienced END - END Denial Management to lead and manage Accounts Receivable (AR) operations in a US Healthcare RCM process. The ideal candidate will have strong leadership skills, a deep understanding of denial management and payer follow-up processes, and a proven track record in driving performance across large teams. Key Responsibilities: Lead End - End Denial Management (50-150 FTEs) focused on insurance claim follow-up, denial resolution, and collections. Monitor team KPIs: AR aging, claim resolution, call quality, productivity & first-pass resolution. Ensure SLA adherence and client satisfaction through timely escalations and issue resolution. Implement QA and CI initiatives to improve accuracy, efficiency, and team productivity. Collaborate with internal stakeholders (billing, coding, training) to reduce denials and rework. Handle team performance reviews, coaching, training, and succession planning. Present operational updates and dashboards to leadership and clients. Ensure compliance with HIPAA and client-specific RCM protocols. Desired Candidate Profile: 1220 years of experience in US Healthcare RCM, especially in AR calling Minimum 5 years in a team management role, handling 50+ FTEs Strong knowledge of US insurance (Medicare, Medicaid, Commercial), denial codes, and appeals Experience in ED & E&M specialties preferred Hands-on experience with RCM platforms (e.g., EPIC, Athena, eClinicalWorks) Excellent communication, team management, and stakeholder handling skills Certifications in medical billing/coding (CPC, CCS) or Lean Six Sigma preferred Education: UG: Any Graduate Any Specialization PG: Post Graduation Not Required (preferred if relevant) If your Interested, please share your profile @ fjabbar@logixhealth.com or bhachandrasekar@logixhealth.com or 9847758250/ 9148557763