1807 Rcm Jobs - Page 14

"Greetings from Logix health" We are looking for Middle Management Operation Manager in Provider Reimbursement ( 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

Communicates with insurance companies regarding claims and payment status. Adjust insurance and patient ledger as needed Oversees denials and follows up on unpaid or improperly paid claims Performs report monitoring and analysis .Maintains daily production log Adheres to RCM guidelines, policies, and procedures Strives for continuous improvement, offers insight, and contributes to resolution when issues arise Performs all other duties, as assigned AR Dental / Ortho experience resource with 12 - 24 moth experience High voice skilled resources Should be flexible to work in tight timelines with high volume workload AR Insurance and Denial follow up calling experience to follow up for claims billed Hardcore knowledge of RCM guidelines, policies, and procedures 5 Days Working 2 Days off Rotational Shift and Rotational off Job Location - Gurugram Work from office profile

Dear Aspirants, Warm Greetings!! We are hiring for the following details, 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 Friday ( 11am to 6pm ) Everyday Contact person VIBHA HR (9043585877) Interview time (11am to 6pm ) Bring 2 updated resumes Refer (HR Name - VIBHA HR) Mail Id : vibha@novigoservices.com Call / WhatsApp (9043585877) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- Vibha HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)

Responsibilities: * Manage accounts receivable calls: resolve issues, negotiate payments & denials. * Contribute to revenue cycle management at hospital/physician Billing.

Company Overview: We are a fast-growing Revenue Cycle Management (RCM) services company based in Noida, providing comprehensive RCM solutions to US-based healthcare providers, clinics, and hospitals. Our mission is to deliver high-quality, cost-effective billing, coding, credentialing, and denial management services through a team of skilled professionals and cutting-edge technology. Position Summary: We are seeking a dynamic and results-oriented Business Development Manager to lead our growth initiatives and expand our client base in the US healthcare market. The ideal candidate must have a proven track record of generating qualified leads and securing business opportunities for RCM services. Key Responsibilities (KRAs): Identify, qualify, and generate new business opportunities in the US healthcare market for end-to-end RCM services. Build and maintain a strong pipeline of prospects through cold calling, email campaigns, LinkedIn outreach, and networking. Develop and execute lead generation strategies focused on hospitals, clinics, group practices, and specialty providers. Collaborate with internal stakeholders to prepare proposals, pitch decks, and pricing models tailored to client needs. Conduct discovery calls, present service offerings, and close deals to onboard new clients. Maintain a clear understanding of US healthcare billing, coding, and RCM workflows to effectively pitch solutions. Track, manage, and report sales activities using CRM tools. Stay up-to-date with industry trends, competitors, and emerging technologies in the RCM space. Key Requirements: Minimum 5 years of experience in lead generation or client acquisition in the RCM industry . Strong understanding of the US healthcare system, medical billing, coding, and RCM processes. Proven ability to independently generate and close new business. Excellent verbal and written communication skills, with a persuasive and consultative sales approach. Ability to work with cross-functional teams and adapt to a fast-paced, target-driven environment. Proficiency with CRM systems, LinkedIn Sales Navigator, and Microsoft Office Suite. What We Offer: Competitive base salary based on experience and industry standards. Lucrative bonus and incentive structure tied to successful client acquisition. Opportunity to work with a growing company with a strong leadership team and clear growth trajectory. Flexible and supportive work environment with a focus on performance and results. To Apply: Interested candidates may send their updated resume along with a brief cover letter to humanresources@cognithium.com or can call at 9289754401

Greetings from Global Healthcare Billing Partners...! Exp Required: 1 - 4 Years of exp in AR Analyst Job Location: Velachery & Vepery - Chennai. Shift: Day/Night Job description: Should have 1 - 4 years Experience in AR Analyst. Good Knowledge of RCM and Denial management. Worked in Hospital Billing Follow up on the claims for collection of payments. Analyze medical claims and resolve issues. Willingness to work in Any Shift. (Day / Night) In these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Mode of interview: Virtual - MS Teams Interested candidates can contact or share your updated resume to this WhatsApp Number 8925808592. Regards, Harini S HR Department

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Callers with minimum 6 months of experience into Medical Billing Domain from both Hospital Billing and Physician Billing. Job Title: AR Caller Experience: 0.6 Years to 6 Years Work Mode : WFO Location: Velachery/Vepery Notice Period : Immediate Joiners Shift: Night Key Responsibilities: Follow up on unpaid or denied claims with insurance companies. Resolve billing discrepancies and ensure accurate payment processing. Maintain up-to-date records of communications and account statuses. Verify insurance details and submit claims per payer guidelines. Address patient and provider inquiries in a professional manner Mode of interview: Virtual - MS Teams Interested candidates can share your updated Resume/CV to this WhatsApp Number 8925808592 Regards Harini S HR Department

Job Summary: We are seeking a detail-oriented and experienced Medical Coder / Biller QA professional to join our growing RCM team in GM Analytics Solutions . The ideal candidate should possess a strong background in hospital professional billing and coding, along with an in-depth understanding of insurance workflows and denial management. This role demands accuracy, analytical thinking, and strong compliance awareness in line with healthcare industry standards. Key Responsibilities: Perform accurate coding and billing of hospital professional services, ensuring compliance with CPT, ICD-10, and HCPCS coding standards. Review and resolve coding denials for Inpatient (IP) and Outpatient (OP) claims, with special emphasis on E/M coding . Conduct Quality Assurance (QA) checks on coded and billed claims before submission. Collaborate with cross-functional teams for accurate claims processing and timely resolution of rejections. Prepare and analyze reports using Microsoft Excel for internal audits, performance tracking, and continuous improvement. Maintain up-to-date knowledge of payer policies, HMO , PPO , Medicare , and Medicaid requirements. Ensure strict adherence to HIPAA and other regulatory compliance guidelines. Required Qualifications: Certification: CPC (Certified Professional Coder) Mandatory Experience: Minimum 2+ years of experience in hospital professional billing Minimum 2+ years of medical coding experience , particularly in denials and E/M coding Technical Skills: Proficiency in Microsoft Excel data handling, formulas, reporting Insurance Knowledge: Familiarity with various insurance types such as HMO , PPO , Medicare , and Medicaid Desired Competencies: Strong attention to detail and commitment to coding accuracy Solid understanding of medical terminology, billing rules, and industry updates Excellent communication and documentation skills Ability to manage multiple tasks in a deadline-driven environment Note: This is a Work-from-Office position only. Candidates must be open to working from our physical office location. Apply Now to be a part of our fast-growing, quality-focused healthcare team. Contact - Shivi HR - 7428699980

Experience working AR Experience leading teams and leading team leads (leading leaders) Understanding of California / IPA payer landscape Experience with contracts Experience calling payers / establishing relationships with payer stakeholders

Greetings From Prochant India Pvt Ltd Job Title: AR Caller/Senior AR Caller (US Healthcare) Location: Chennai Experience: 1 to 3 years Shift: Night Shift (US Shift) Employment Type: Full-Time About Prochant: Prochant is a leading US-based healthcare revenue cycle management company. We specialize in end-to-end RCM services for home medical equipment, pharmacy, and healthcare providers. We are growing and hiring talented individuals to join our AR Calling team. Job Description: As an AR Caller at Prochant, you will be responsible for calling insurance companies in the US to follow up on outstanding claims, ensure timely resolution, and support the billing process. This role requires strong communication skills and a focus on results and accuracy. Roles and Responsibilities: • Call US insurance companies to follow up on pending or denied claims • Review patient claims and update the system with accurate information • Resolve issues related to denied claims and ensure timely payments • Coordinate with the internal team for claim escalations and resubmissions • Meet daily productivity and quality benchmarks Requirements: • 1 year to 3 years of experience in AR calling or US medical billing • Strong communication skills (verbal and written) • Knowledge of RCM process, denial management, and CPT/ICD codes preferred • Willingness to work in night shifts (US timing) • Basic computer and system navigation skills Benefits: Salary & Appraisal -Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Up front Leave Credit Accelerated career path for exceptional performers. Only 5 days working (Monday to Friday) Mode Of Interview: Virtual 2-way cab for female candidates Contact Person: Harini P Contact Number: 8870459635 Mail: harinip@prochant.com

Urgently Required AR Callers / Senior AR Callers / Team Leader!!! . Min 1 year Exp in AR calling (Experience in Lab calling) For more details contact: 7397286767 / 7305188864 / 7358321828 / 7397286767 / 7358399847 Required Candidate profile Salary & Appraisal - Best in Industry. Excellent learning platform with great opportunity. Only 5 days working (Monday to Friday) Two way cab will be provided. Dinner will be provided.

Greetings from Invensis Technologies Pvt Ltd!!!!! Huge Openings For AR / Sr. AR Callers No of Requirement: 05 Nos Position: AR Callers (5 Nos) Experience: 3-6 Years of AR Calling Experience. Education: Any Graduate with experience in the Healthcare Industry. Skills: Excellent verbal communication skills Shift Timings: US Shift - 5.30 PM to 2.30 AM (Flexible to work in night shifts) Location: Willing to Travel / relocate to J P Nagar, Bangalore. Office is in J P Nagar. Roles and Responsibilities: Should be able to handle US Healthcare Billing Accounts Receivable. To make sure that all the deliverables adhere to the quality standards. Need to work on Denials, Rejections and making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Experience: Min of 3+ year experience in US Healthcare ( Freshers Kindly Ignore) Should have good Verbal and Written communication skills. Should have strong knowledge in Healthcare industry. Should be proficient in calling the insurance companies. Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Interested candidates can share their resume to HR : Karan WhatsApp : 7975093652 Mail ID : karan.hr@invensis.net CONTACT: Karan(7975093652) Regards, Human Resource Invensis Technologies Pvt. Ltd.

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, Darini HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432490 | WhatsApp 9591269435 darini@blackwhite.in | www.blackwhite.in ************** Please refer your 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 : 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, Niveditha HR Senior Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 080-67432447/Whatsapp @9901039852| niveditha.b@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 : 3 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, Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS / FAMILY******

Role: Internal Audit & Risk Advisory - Deputy Manager | Senior Manager (Telecom sector) Travelling: Candidate will require to travel extensively to Middle East countries for projects. Interested candidates can also share their updated resumes at kirti.goyal@protivitiglobal.in Key Responsibilities: Spearhead internal client facing teams and guide them on solution delivery. Independently lead smaller modules of the engagement. Identify, assess and monitor risks by developing a risk management plan and strategy and identify opportunities to improve business processes. Assist clients in addressing compliance, financial, operational and strategic risk. Assist team members in developing technical and professional competency. Coach, train and support consultants in the team. Independently execute assignments. Typical assignments comprise of conducting reviews of systems, internal controls, re-engineering processes, documentation of Standard Operating Procedures, and cost & working capital optimization. Effectively deliver tasks on projects as guided by the management team. Manage multiple assignments and related project internal teams. Meet quality guidelines within the established turnaround time (or allotted budget) for assigned requests. Establish deep relationships with client personnel (at appropriate levels) by understanding clients perspective. Assist clients with testing internal process controls and developing internal audit plans. Assess the current state of an organization's internal control/Sarbanes-Oxley Act framework and help clients drive value and efficiency in their internal controls by implementing leading practices. Constantly monitor project progress, manage risk and verify key stakeholders are kept informed about progress and expected outcomes. Participate in sales and support business development initiatives. Desired Profile: Qualified CA (Mandatory) Minimum 3+ years experience in a related field, preferably in internal audit, consulting, advisory, professional services and/or industry. Experience related to implementation of variety of research and information gathering strategies, conduct risk assessment, perform and interpret gap analysis and development of risk remediation strategies in Telecom sector. Understand the current accounting principals and internal control concepts (COSO, COBIT). Working knowledge of auditing processes and methodologies, including flowcharting. Working knowledge of Companies Act 2013. Working knowledge of Sarbanes-Oxley Act provisions and methodologies for achieving compliance. Proficient in Microsoft Office suite applications. Prior project management and supervisory skills required. Strong internal personnel, analytical skills and management skills. Good oral and written communication skills including documentation of findings and recommendations. Able to handle highly confidential information in a strictly professional manner. Able to maintain professional demeanor in times of high stress. Open to travel as per client requirements. Interested candidates can directly share their updated resumes ahead at kirti.goyal@protivitiglobal.in

As a Product Owner with 5-7 years of experience in US Healthcare, you will play a crucial role in bridging the gap between the Product Manager and the delivery team. Reporting to the Sr. Manager of Product, you will be responsible for aligning both parties towards common goals and the big picture of the enterprise and business. Your key responsibilities will include collaborating closely with Product Managers on scoping and priority issues on a regular basis. You will be part of a leading health information network in the United States, processing over 13 billion transactions annually and connecting more than two million healthcare providers and over two thousand technology partners to health plans nationwide. Working with a team of technology and business professionals in Bangalore, you will contribute to transforming healthcare delivery through innovation and collaboration. Your day-to-day activities will involve leading storyboarding by developing and prioritizing stories based on the overall business benefit and relative cost of each piece of work. You will act as the voice of the customer while keeping the big picture in mind to prevent unnecessary short-term product development trade-offs. Additionally, you will manage and groom the backlog, participate in release planning, monitor progress, conduct usability testing regularly, prioritize log defects, and participate in acceptance testing for every release. To be successful in this role, you should have 5-7 years of experience in US Healthcare, with expertise in RCM, Clearinghouse, EMR/EHR systems, Claims, and Patient Access. You should also possess 2-3 years of progressive work experience in a product role, strong analytical skills, excellent verbal and written communication skills, and experience building products in an agile environment. The interview process will include a Manager Resume Review, Technical Interview with the India Team, Technical Interview with US Stakeholders, and an HR Round. If you have a demonstrated mastery of using flowcharting tools, understand how to interpret business needs into application and operation requirements, and have a passion for agile methodologies and product management, we would like to hear from you.,

As an Associate Director-RCM, you will be responsible for providing leadership and strategic direction to a team of operations (Span of -650) across multiple Lines of Business (LOBs) including Follow-Up, Billing, and Cash Posting. Your role will involve leading and managing teams involved in billing, coding, collections, and AR follow-up. You will be required to develop and execute Revenue Cycle Management (RCM) strategies aimed at enhancing financial performance and operational efficiency. Additionally, you will support the Director/VP of RCM in strategic planning and process improvement initiatives. You will be tasked with overseeing the Revenue Cycle by monitoring and analyzing key performance indicators (KPIs) such as days in Accounts Receivable (A/R), denial rates, cash collections, net collection rate, among others. It will be crucial for you to ensure accuracy and timeliness in billing, coding, and claims submission. You will also play a key role in improving denial management processes and facilitating appeals or resolutions as needed. In addition to your leadership and strategic responsibilities, you will be required to implement audit and quality assurance programs to uphold compliance standards and ensure quality in coding, billing, and collections processes. This position is based in NCR (Noida and Gurugram), and the work timings are from 5:30 pm to 2:30 am.,

Hiring for Accounts Receivable Executive (XiFin) experience!!! Call : Elizabeth - 7028889320 Job Description Desired Skills 1+ Years of experience in US Medical RCM {Revenue Cycle Management} Willingness to work in US shifts. Immediate Joiners are preffered. Looking for experience in XiFin Software! Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Job Category: Revenue Cycle Mangement Job Type: Full Time Job Location: Pune Con. 7028889320 Email: Elizabeth.Pillay@in.credencerm.com

Preferred Knowledge/Skills *: Job Description Summary Insurance Follow-Up: Contact insurance companies via phone, email, or online portals to follow up on outstanding claims. Identify and resolve issues causing payment delays, such as claim denials or underpayments. Verify claim status, appeal denied claims, and resubmit claims when necessary. Documentation and Reporting: Maintain accurate and detailed documentation of all communications and actions taken. Update account information and billing systems with payment details and follow-up notes. Generate reports on accounts receivable status, aging trends, and collection efforts. Compliance and Regulations: Adhere to HIPAA regulations and guidelines to ensure patient confidentiality and data security. Stay informed about insurance policies, billing guidelines, and industry changes affecting reimbursement. Team Collaboration: Collaborate with internal departments, including billing, coding, and collections teams, to resolve payment issues. Participate in meetings and discussions to improve revenue cycle processes and workflow. PMS Experience: Epic HB or PB experience is Mandatory Requirements: Proven experience (1-2 years) in healthcare revenue cycle management, specifically in accounts receivable follow-up and collections. Strong understanding of medical billing processes, insurance claims, and reimbursement methodologies. Excellent communication skills with the ability to effectively interact with insurance companies, patients, and internal stakeholders. Proficiency in using billing software, electronic health records (EHR), and Microsoft Office applications. Attention to detail and ability to prioritize tasks to meet deadlines. Knowledge of medical coding (ICD-10, CPT) is a plus. Experience Level: 1 to 2 years. Shift timings: Flexible to work in night shifts (US Time zone) Preferred Qualification: Bachelors degree in finance or Any Graduate

Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse. For more information, please look on to About | Guidehouse If this role excites you, please share your resume to mb@guidehouse.com Mode of Interview - Face to Face (Note : Screened & Shorlisted candidate will receive the call letter to attend the In Person Interview from Guidehouse TA Team ) Responsibilities Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket to make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity, and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Do you have this: 1+ Years of experience in AR Calling Denial Management (Mandatory) Expert in listening and resolving problems Expert to work in a team Proficient in delivering high quality result Ability to work accurately and parry detail attention Capable of grasping new concepts quickly Good communication skills (written and verbal) Willing to work in flexible shift including night. Excellent communication Qualification Graduation and above ( mandatory , no backlogs )

Role & responsibilities : Claims Processing: Managing and processing insurance claims, including verifying patient information, coding procedures accurately, and submitting claims to insurance companies. Follow-up on Unpaid Claims: Monitoring the status of submitted claims, identifying unpaid or denied claims, and following up with insurance companies to resolve issues and ensure timely payments. Appeals and Disputes : Handling claim denials and rejections by preparing and submitting appeals to insurance companies and resolving billing disputes. AR Aging Management : Managing accounts receivable aging reports and actively working to reduce outstanding balances. Preferred candidate profile: Experience: A minimum of 1-5 years of experience in medical billing and insurance claims processing. Previous experience in a senior or leadership role within a medical billing department is highly desirable. Knowledge: Strong understanding of medical billing procedures, healthcare reimbursement, and insurance claim processes. Proficiency in medical coding (ICD-10, CPT, HCPCS) and knowledge of billing software and electronic health records (EHR) systems. Familiarity with healthcare regulations, including HIPAA, and the ability to maintain compliance.

Job Profile Coordinating Develop and execute innovative strategies to improve and secure business delivery Able to establish pilot A/R process and devise strategy to improve collections. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices i.e. Payment Posting, AR Followup/Denial Management, & Patient Billing. Understands the eccentricities of various provider specialties. Actively develop the management capabilities and business acumen of direct reporters, and drives the development of team members, ensuring full and well- rounded team competency Experience of performing annual performance review/appraisals. Proficient in Excel and PowerPoint to create weekly reports, dashboards for both internal management and client . Strong people management skills with fair understanding of required techniques to create win-win situation Strong Employee Retention capabilities. Candidate Requirements Minimum 4 years of Medical Billing Experience is AR Follow and Denial Management Minimum 1 year experience as a Team Leader Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work night shifts. Preferred Qualification - Any Graduate

Role & responsibilities 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 & charge entry Ability to learn and adapt to new practice management system Good Process knowledge Excellent Typing Skills Good written & verbal communication Hindi Language is added advantage CONTACT : HR THENDRAL - 9080343507 HR PADMAJA - 7358440054

Walk in Drive # Shift: US Shift #Location: Ahmedabad #Salary: Upto 30K CTC Cab Facility Provided( Both side) Fluent English Required 01 to 02 year Experience Required