3185 Rcm Jobs - Page 15

Dear Candidates Greetings From Qway Technologies We are hiring for AR Calling Process: Medical Billing (AR) Designation: AR Caller , Senior AR Caller Salary: As per Market standards Location: Mysore/Mysuru Free Pick up and Drop facility will be provided for both Male & Female employees Should have good domain knowledge Experience in end to end RCM would be preferred Should be a good team player Interested candidate can ping me in Watsapp or can call directly Kindly Watsapp to the below mentioned number. Number: 8073983877 - Yogendra Regards HR Team Qway Technologies KSSIDC, PLOT NUM SPL-55, Hebbal Industrial Estate, Hebbal, Mysuru, Karnataka 570016.

HCLTech || Walk-in Drive for AR Callers || 16th Sep'25 - Ambattur Location Experience: 1 to 4 Years Shift: US Shift Timings Work Location: ELCOT Shollingnallur , Chennai. Time and Venue 16th September , 10.30 AM - 2.30 PM HCLTech, No. 8, M T H Road, AMB 6, Ambattur Industrial Estate, Ambattur, Chennai - 600058, Tamil Nadu, India POC: Jefferson/ Yuvapriya JOB SUMMARY This position is responsible for providing customer service support and collections via phone calls. Should have experience in RCM/DME for minimum of 1 year Outbound calls to insurance companies, end customers and perform eligibility verification, obtain prior authorization, requesting missing or incomplete payer information, Upd...

Job Title: Accounts Receivable (AR)/EV Caller -Medical Billing Job Type: Full-Time Job Summary: We are looking for an Accounts Receivable (AR)/EV Caller to join our dynamic medical billing team. The ideal candidate will be responsible for handling the follow-up on unpaid claims, resolving billing discrepancies, and working directly with insurance companies to ensure timely payment. This role requires strong communication skills, attention to detail, and knowledge of medical billing practices. Key Responsibilities: Follow up on outstanding insurance claims and unpaid accounts. Communicate with insurance companies to resolve claims issues, including denials and underpayments. Ensure accurate a...

HCLTech || Walk-in Drive for AR Callers || 18th & 19th Sep'25 - Sholinganallur Location Experience: 1 to 4 Years Shift: US Shift Timings Time and Venue: 18th & 19th Sep'25 , 10.30 AM - 2.30 PM HCL Tech, SEZ Tower 4, 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119 POC: Jefferson/Suriyapriya JOB SUMMARY This position is responsible for providing customer service support and collections via phone calls. Should have experience in RCM/DME for minimum of 1 year Outbound calls to insurance companies, end customers and perform eligibility verification, obtain prior authorization, requesting missing or incomplete payer information, Update patient information an...

HCLTech || Walk-in Drive for AR Callers || 16th Sep'25 - Ambattur Location Experience: 1 to 4 Years Shift: US Shift Timings Time and Venue 16th September , 10.30 AM - 2.30 PM Venue: HCLTech, No. 8, M T H Road, AMB 6, Ambattur Industrial Estate, Ambattur, Chennai - 600058, Tamil Nadu, India. POC: Jefferson/Suriyapriya JOB SUMMARY This position is responsible for providing customer service support and collections via phone calls. Should have experience in RCM/DME for minimum of 1 year Outbound calls to insurance companies, end customers and perform eligibility verification, obtain prior authorization, requesting missing or incomplete payer information, Update patient information and other call...

Job Summary We are looking for an experienced RCM AR Specialist with 2-4 years of experience in denial management, billing, AR follow-up, and payment posting. Experience with RCM cycle and familiarity with RCM software such as ECW, Athena, Core 360, and Epic is required. Preferred experience in Radiology, Orthopedics, Home Health, Hospice, Cardiology, Family Medicine, and Wound Care specialties. Key Responsibilities Manage denial resolutions and claim rejections effectively. Follow up on outstanding AR balances and ensure timely payment collection. Post payments accurately and resolve billing discrepancies. Ensure compliance with RCM processes and software tools. Qualifications 2-4 years of ...

Dear Applicant, Excellent opportunity ! Position / Title : Executive - AR / Senior Executive - AR Responsibility Areas Role Description Overview: The User is accountable to manage day to day activities of Denials/Claims Processing/ AR follow-up/ Rejections with respect to Hospital Billing. Responsible for contacting insurance companies and patients to follow up on outstanding medical claims. Navigates complex billing and coding processes to ensure accurate reimbursement for healthcare services. Responsibility Areas: Should handle US Healthcare Hospitals/Facility Accounts Receivable. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Call...

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE**Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process.Role & responsibilitiesObtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.Provides i...

Job Description Should have strong knowledge in RCM and denial management. Candidate must be familiar with CMS1500 form. Should have knowledge on terms like CPTs, Modifiers, ICD codes Should have knowledge on insurance guidelines especially Medicare and Non-Medicare. Good Knowledge on Denial Scenarios Calling agents on claims resolutions and handling the denials for a closure. Ensure 100% follow up on pending claims Ensure deliverables adhere to quality standards Handling daily denials Handling more complex/aged inventory Follow the basic rules as provided on the SOP Education/ Experience Requirements Any Undergraduate/Graduation Degree and above Problem solving skills Strong verbal and writ...

Role & responsibilities Should have experience in Credentialing process in Medical Billing - Min of 1 year to Max 6 years. Credentialing in medical billing is the process that all healthcare service providers perform to become enlisted with insurance companies . Only trusted, vetted, and verified insurance companies include healthcare providers to serve their customers. Candidate who has good / trainable communication. Preferred candidate profile Should be flexible to work in US shift & Work from office Flexible to extend support on weekend based on requirement Should have experience in Credentialing Fluent verbal communication abilities / call center expertise (Semi Voice process) Immediate...

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims E...

Dear Applicant, Excellent opportunity ! Position / Title : Executive - AR / Senior Executive - AR / QCA-AR Responsibility Areas Role Description Overview: The User is accountable to manage day to day activities of Denials/Claims Processing/ AR follow-up/ Rejections with respect to Hospital Billing. Responsible for contacting insurance companies and patients to follow up on outstanding medical claims. Navigates complex billing and coding processes to ensure accurate reimbursement for healthcare services. Responsibility Areas: Should handle US Healthcare Hospitals/Facility Accounts Receivable. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to cla...

Job Summary : We are seeking a detail-oriented and experienced Payment Posting and Reconciliation Specialist to join our medical billing team. The ideal candidate will be responsible for accurately posting payments, reconciling accounts, and ensuring that all transactions are properly documented and recorded. This role is critical in maintaining the financial accuracy of our clients. Key Responsibilities : - Accurately post all payments received from insurance companies, patients, and other sources into the billing system. - Reconcile daily deposits and electronic fund transfers (EFTs) to ensure all payments are accounted for and discrepancies are resolved. - Verify and adjust account balanc...

We are hiring for Leading ITES Company for AR Caller - Healthcare Profile Location: Hyderabad Salary: Upto 32k in hand Role & responsibilities: Responsibilities: Minimum 1 year experience in AR Calling in medical billing field Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Good Knowledge of RCM and Denial management. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates ...

Role & responsibilities Identify, analyze, and manage all issues about claims edits and rejects Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. Active participation in weekly calls; top edits and rejects review call with the onshore team Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and pro...

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...

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...

Role Objective Identifying revenue gain opportunity or denial prevention opportunities by reviewing the open AR claims/denied claims Essential Duties and Responsibilities Denied Claim Reviews/Account level reviews Identifying themes/trends through data reviews Coordinating with requirement stakeholders on the issues/themes/trends identifies Publishing assigned reports/tasks Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Identifying automation/process efficiencies Maintain a strong focus on identifying the root cause of denials while creating sustainable solutions to prevent future denials. Able to interact independently with counterparts i...

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 ma...

Role Objective: Payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The cash/payment posting staff posts these payments immediately into the respective patient accounts, against that claim to reconcile them. Essential Duties and Responsibilities: Need to work on payment posting and denial batches. Must work on ERA discrepancies. Need to do bank reconciliation. 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 ...

About R1 Roles & Responsibilities: Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. Should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months Requirements: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication S...

Roles & Responsibilities: Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. Should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months Requirements: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (bo...

Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Gra...

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...

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...