4778 Rcm Jobs - Page 14

Job Title: Quality - Credentialing Department: Credentialing / US Healthcare Operations Location: Pune Job Summary: As a Quality - Credentialing , you will be responsible for ensuring the accuracy, completeness, and compliance of credentialing processes for US healthcare professionals. Your role will focus on auditing credentialing files, validating documentation, and ensuring adherence to regulatory standards. You will work closely with credentialing associates to identify gaps, provide feedback, and support continuous improvement in credentialing quality and compliance. Key Responsibilities: Audit credentialing files and documentation to ensure accuracy and completeness. Validate provider ...

Were Hiring – Healthcare RCM Professionals | AR Calling, Prior Authorization & Eligibility Verification Employment Type: Full-time | MNC Hiring Open Positions Hyderabad Role: AR Caller (Physician & Hospital Billing) Experience: Minimum 1 year in AR Calling Salary: Up to 40,000 (Take-Home) Chennai Role: AR Caller (Physician & Hospital Billing) Experience: Minimum 1 year in AR Calling Salary: Up to 40,000 (Take-Home) Mumbai Roles Available: AR Caller (Physician & Hospital Billing) – Up to 40,000 (Take-Home) Prior Authorization Specialist – Up to 5.75 LPA Eligibility Verification Executive – Up to 5.75 LPA Experience: Minimum 1 year in the respective process Additional Details Notice Period: Im...

Review provider claims that have not been paid by insurance companies. Follow up with insurance companies to understand status of claims. Follow up is done through insurance company/ TPA website or through outbound calls.

Hi All, We are looking for RCM AR Caller Experience : 1 To 5 years Requirement & Skill -AR Callers in Hospital Billing (90%) & Physician Billing(10%) If Any One Interested Kindly Share me your resume on vinoda@phebushr.com OR Call me on 9820389632

Were Hiring AR Manager & Team Lead | US Healthcare | Hyderabad Industry: RCM / US Healthcare Interview Mode: Virtual Work Location: Hyderabad AR Manager Experience: 10+ Years in AR Domain Minimum 1 Year as Deputy Manager / Manager on papers (Mandatory) Package: Up to 18 LPA Qualification: Any Graduate Notice Period: Immediate Joiners Preferred AR Team Lead Experience: At least 1 Year as Team Lead on papers 2+ Years as TL preferred Package: Up to 9.5 LPA Qualification: Any Graduate Notice Period: Immediate or up to 15 days Open for candidates from any location (Relocation accepted) Send your updated resume to: HR Suvarna | 7095162832

Greetings from Vee HealthTek...! We are hiring for Charge Entry, Demo Entry & Payment Posting @ Salem Experience: 1 Yrs. to 6 Yrs. (Relevant Medical Billing experience) Process - US Healthcare (Non-Voice) Location - Salem Designation: Processor / Senior Processor Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Ankita Contact Number - 8147835546 Mail Id - Ankita.G@Veehealthtek.com

Hi all Greetings from GEMS Consultancy Hiring for AR Callers Experience: 1-4 years Location: Mysuru, Kochi, Pondicherry, Vizag Interview mode: Virtual Salary max 45k Immediate joiners only Contact Pavithra 7019144304 hr@globaledgemanpower.com

Manage a portfolio of 3-4 clients. • Responsible for execution and delivery across these clients: Engagement Onboarding: Understand the overall scope of the engagement and assist the Manager with staffing, updating the engagement onboarding checklist, developing draft templates – Project Management – Status, Time Trackers/Lead Sheets Execution and Delivery: Assisting with Risk Assessment and Scoping, Assisting in Walkthroughs and Documentation, Performing Test of Design and Operating Effectiveness of Process Controls, Ensure that the testing is done in alignment with the test procedures and the control description given in the Risk and Control matrices, attending the regular status calls wit...

Role & responsibilities Manage a portfolio of 34 clients. Responsibilities include: Execution and Delivery Perform or assist with Risk Assessment , Scoping , Walkthroughs , and Process Documentation including Flowcharts . Conduct Test of Design (TOD) and Test of Operating Effectiveness (TOE) for process controls. Ensure testing aligns with the test procedures and control descriptions outlined in the Risk and Control Matrices . Draft Process & Control Documentation , including Risk & Control Matrices , Flowcharts , and Standard Operating Procedures (SOPs) . Participate in regular status calls with client and onshore team members. Project Management Assist Assistant Manager / Manager in tracki...

Role & responsibilities We are hiring for AR Follow-up HIRING FOR REVENUE CYCLE MANAGEMENT PROFESSIONALS WITH 9 MONTHS TO 6 YEARS OF EXPERIENCE ANALYST / SENIOR ANALYST - AR FOLLOW-UP Good Knowledge in AR Follow-up / Denial Management Follow up with the payer to check on claim status Identify the denial reason and work on the resolution Undergraduate / Graduate with a minimum of 1 Year of experience in AR follow-up Good Communication Skills Willing to work on Night Shifts CONTACT: Megha Jain Email: mjain960@r1rcm.com WhatsApp: 9211831011 R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and ...

We are hiring AR caller / Senior AR Caller Exp:1+yrs' AR calling Location: Chennai/Hyderabad/ Bangalore WFO- Night shift Salary max 40k based on exp. Interested share CV - 9659451176 Divya HR

DeltaX is looking for an enthusiastic person to join its Business Operations / Account Management team you will work with different partners and are expected to develop and maintain business relationships by serving as an internal advocate and client liaison You should possess a strong drive to learn, should be committed, disciplined and open to take challenges Someone who is curious, enjoys learning about new technologies and can communicate effectively will be a perfect fit for this role Job Details: ExperienceFreshers (Any stream) Your day to day responsibilities shall encompass: Serve as the point of contact for assigned accounts Build trust and rapport while identifying areas of opportu...

Hi, Greetings from Happiehire !!! HUGE OPENINGS ON PAYMENT POSTING !!! Hiring for Payment posting - US HEALTHCARE Min 1 year of experience in AR Calling Location: PUNE Virtual interview PF Mandatory work from office Send cv to 8925221508 - whatsapp your resume for immediate response Yogalakshmi Happiehire

***HOSPITAL BILLING AR PREFERRED***. Candidate should have experience in Eligibility and Benefits verification, Authorisation initiating, AR CALLING, Perks and benefits Both pickup and drop cab facilities, Insurance

About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joinin...

Designation : Operations Manager Medical Coding (Inpatient) Role Objective: To Maintain and improve the efficiency and effectiveness of the Team and drive the Business Operations without any challenges Essential Duties and Responsibilities: Ability to co-ordinate multiple projects and initiative simultaneously Ability to drive action plans and strategies Ability to meet Client SLA Deliverables Addressing performance issues and implementing corrective actions Assigning coding tasks and monitoring workload distribution Certification: CIC/CCS (AAPC & AHIMA) Skill Set: Good analytical and process improvement skills. Self-driven, Excellent personal and interpersonal skills, active listener, and e...

Role- We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patien...

Education: * B.Pharmacy/M.Pharmacy/Pharma-D * BSC/MSC in Nursing * BPT / BHMS / BAMS * Candidates should be 2024/2023/2022 passed outs *Should have 60% (CGPA 6.5) and above throughout the academics Other Skills: * Should possess good clinical knowledge and have wide awareness around anatomy, pharmacology and disease process * Good analytical and problem-solving skills * Ability to work independently and be flexible to work in shifts (WFO) * Good verbal and written communication

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by...

Shift Timings: 12:00 to 22:00 Hrs. (flexible) Reporting To: Director Responsibilities: Lead a team of quality senior managers/managers/ assistant managers for multiple business units/customers and across locations. Lead closer calibrated quality outcomes for end customers. Drive customer satisfaction for quality of coding output including corrective and preventive actions for customer quality concerns. Build and operate a predictable quality model and well aligned outcome-based quality assurance unit for coding. Actively collaborate new customer engagements for better quality outcomes including calibration, SOP inputs Drive the structure and governance for ongoing customer calibrations. Coll...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

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. Manages people and drives retention. Analysis data to identify process gaps, prepare reports. Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost...

Role- Medical Coder: We are looking to hire an experienced Coder Sr. Coder with active coding certifications (CPC CPC-A CIC CCS COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, p...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

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 & UB0...