1806 Rcm Jobs - Page 21

Company: Med Globe Healthcare Services. ****WE NEED EXCELLENT VERBAL AND WRITTEN SKILLS IN ENGLISH**** We are hiring only for the Kolkata location; those who live in Kolkata can only apply. Designation: "AR Caller" / Account Receivable Analyst / AR Caller / Medical Billing | US - Healthcare - Night Shifts/US Shifts. Mode: WORK FROM HOME - NEWTOWN, KOLKATA, W.B. Account Receivable: Analyst | US - Healthcare | AR - Calling | AR - Follow-Up | Denial Management | Multispecialty Denials | FRESHERS Roles and responsibilities * Build a learning culture. * Manage and handle effectively escalations raised by the clients. * Adhere to organizational policies and procedures. * The candidate should lead by demonstrating the highest standards of ethical behavior. * Reporting your performance to the team head according to the requirements. * Eager to learn new things. * Passionate. * Enthusiastic. * Quick Learner. * Eager to contribute to the organization. Desired Candidate Profile and Requirements - * Dual-monitor computer with a webcam. * Good Internet/Wi-Fi connection. * Candidate should have advanced computer knowledge of MS Excel, MS Word, Google Drive, email writing, etc. * Candidates should be familiar with US medical insurance and claims processing cycles after joining. * The candidate should be flexible with the work and give the productivity per the requirements. Job Requirements: To be considered for this position, applicants need to meet the following qualification criteria: Job Benefits & Perks Health Insurance. 5 days of work. Employee Development Plans. Paid sick days. Office Perks. Salary Hikes Friendly & Healthy Environment. Cooperative Teams. Annual Leave. Increasing employee engagement. Boosting morale, positivity, and enthusiasm. Education UG: Any graduate or undergraduate. We need candidates who are comfortable on the night shift. Week off: Saturday & Sunday off. ****CANDIDATE SHOULD HAVE A FLUENT AND EXCELLENT COMMUNICATION SKILLS IN ENGLISH. **** Shift timings: 06:30 PM to 03:30 AM. WORK FROM HOME. **The candidate should be completely comfortable with the US Voice Process.** This is a B2B, USA-based healthcare process. The candidates will be responsible for contacting the insurance company on behalf of the doctor/hospital to check the status of the claim and reimbursement. Regards, HR Department MED GLOBE HEALTHCARE SERVICES

*Easy selection* Telephonic interview Process - medical billing (claim settlement) *Voice + backend* *Location* - Airoli *Education* - Hsc/graduate fresher Shift timing: 6:30 pm - 3:30 am *AR Associate -15k inhand for non bpo and 17k in hand for bpo* 5k incentives depends attendance and performance *Saturday and Sunday fixed off* Home drop will be given Hr komal 7777089709

Dear US Healthcare Leaders, We are hiring "General Manager AR Operations" for a leading US Medical Billing Company in India. Share your resume to our HR Kaviya (80568 64265 / kaviya@aramhiring.com) to schedule your interview. Please read the below eligibility criteria before sharing your resume: Criteria 1: Role 1: Candidates with 15+ years experience US Healthcare AR/RCM operations (Hospital Billing) along with hands on experience in EPIC software is eligible. Role 2 : Candidates with 15+ years’ experience US Healthcare AR/RCM operations (Dental Billing) is eligible. Criteria 2: Candidate should be on Senior Manager role or above for more than 3 years are eligible. Associate General Manager, Deputy General Managers and General Manager applicants are also encouraged to apply. Job Location: Location: Chennai Designation : General Manager Operations Department : AR/RCM Operations Span of control: Should have handled 300 - 500+ HC Reporting : Reports to Director Operations Qualifications : Any Degree (Pass - Mandatory) Salary : 25 LPA to 33 LPA Notice Period: Preferring Immediate Joiners and aspirants willing to join in 30 days. Roles and Responsibilities of General Manager Operations: Team Management: Managing a large Operations team spread over different locations with multiple clients in portfolio. Drive Long Term Talent Strategy for the organization, including Talent engagement, succession plan at all levels, development, and retention to ensure higher retention rate of employees. Drive/Create an inclusive, transparent, and collaborative culture in the teams. Provide value-based Leadership to team and be a role model in practicing MERIT. Manage and create a structure aligned to create best in class client experience and create long term value. Business Delivery: Design and execute delivery systems to create Best in Class Client Experience Meet/Exceed Client SLAs consistently. Drive Continuous improvement and Transformation plan for clients using Six Sigma and LEAN methodologies. Improve the operational systems, processes and policies in support of the client’s SLAs. Lead and create short and long-term strategy to deliver business outcomes. P&L Ownership - Oversee financial management of the processes and work with respective departments in terms of costing and profitability. Effective and timely coordination and communication with the support functions (SAP, HR, IT, Finance, Employee engagement) Comply with the client and organization’s internal policies and procedures. COMPETENCIES, SKILLS, AND OTHER REQUISITES: Service Delivery Leadership Strategic Thought leadership to grow business. External and Internal Stakeholder Management Problem Solving and Analytical Skills Unflinching integrity and personal work ethics Self-starter who strives for self and team excellence Attention to detail and concern for accuracy. Excellent time management skills and multi-tasking ability Excellent written and spoken English. ASSESSMENT PROCESS Virtual Functional Interview Face to Face interview with Leadership teams Share your resume to our HR Kaviya (80568 64265 / kaviya@aramhiring.com) to schedule your interview. Regards, Aram Hiring Solutions

Role & responsibilities Lead enterprise-wide quality and process improvement strategies for AR, PP, Billing, or EV/BV functions. Design, implement, and monitor KPIs to ensure high performance and continuous improvement across processes. Develop robust quality control mechanisms and evaluation models that support consistent service delivery. Identify performance gaps and lead root cause analysis using structured problem-solving and Six Sigma methodologies. Work closely with cross-functional stakeholders including senior leadership, clients, and delivery teams. Drive operational excellence by implementing Lean/TPS frameworks and data-driven insights. Provide coaching and constructive feedback to internal teams to improve process adherence and service quality. Establish and maintain quality performance goals tailored to business unit needs. Act as a consultative partner to business leaders, helping navigate complexity, ambiguity, and changing priorities. Mentor and manage global or distributed QA teams; provide direction for continuous learning and capability building. Preferred candidate profile Minimum of 15+ years of total experience with at least 12+ years in Quality Assurance and Process Improvement. Strong experience in the healthcare KPO domain preferred, especially in US healthcare operations. Six Sigma Black Belt or Master Black Belt certification strongly preferred. Proven track record of delivering business outcomes in a hyper-growth or transformation environment. Deep understanding of Lean, Six Sigma, and workflow reengineering in a knowledge-industry setting

Seeking a Team Lead with 6+ yrs experience in US Healthcare (Physician Billing) for Charges & Payment Posting. Should manage team performance, ensure accuracy, handle denials, and meet SLAs. Good knowledge of billing systems & payer rules required.

We seek a dynamic Transformation Manager to lead AR transformation in RCM. The role focuses on process reengineering, automation, and improving metrics like DSO, denials, and collections. Collaborates with ops, quality, analytics, and the client

Must be prepared to work night-shift Must have good knowledge of written and spoken English. Ability to use computer and latest OS systems and Application software. Outstanding communications and interpersonal skills. Required Candidate profile Strong knowledge of all types of Insurance plans, Eligibility verification Appeal for denied claims in order to receive payment. basic knowledge of RCM. • AR calling experience

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

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Quality Analyst Role Objective: The job will be to evaluate the web and voice transactions to make sure they are error free and compliant towards the process & sharing feedbacks with transcribes typed by listening 100% of the patients feedback surveys. Essential Duties and Responsibilities Auditing for Onshore and BSO teams. Will do audits as per the weekly-monthly audit plan and do PKTs of the team members Participate in process & training calls as required Reports sharing to communicate performance effectively and timely with Ops and QA team Will be actively involved in creating audit & sample plan, feedback sharing & training the team members weekly, based on the themes identified. QA will be involved in weekly or biweekly calibration calls Will be actively involved in managing escalations received externally and internally Work closely with the Ops supervisors and quality team to develop agent & team level action plans for Quality improvement. May have to work long shifts whenever needed and to effectively handle challenging situations. Perform all other assigned tasks and responsibilities as assigned. Skill Set Excellent written & verbal communication skills> Strong knowledge of MS Office (MS Excel & Power Point are Mandatory)> Excellent Personal & Interpersonal Skills> Knowledge of Quality Tools Like 5 Why's, Lean & RCA"> Good Knowledge of Denial & Follow Up Pre-requisite Thorough understanding of AR Follow Up and Denials management Should have overall 3+ years of experience in RCM Follow up Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should be expertise/worked in EPIC Host r1rcm.com Facebook

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess 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 PowerPointQualificationsGraduate 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 SetCandidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. r1rcm.com Facebook

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 enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Location: Hyderabad Reports to (level of category) Senior Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. r1rcm.com Facebook

R1 is leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation: Assistant Operations Manager/Associate Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retentionAnalysis data to identify process gaps, prepare reportsPerformance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics. Qualifications: 6-7 Years of overall RCM experience & 2+ Years in People MangementGraduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial ManagementAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. r1rcm.com Facebook

Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. About the role: Needs to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. This role involves analyzing healthcare data and model on proprietary tools. Be able to take up new initiatives independently and collaborate with external and internal stakeholders. Be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What will you need: Graduate in any discipline (preferably via regular attendance) from a recognized educational institute with good academic track record Should have Live hands-on experience of at-least 2 year in Advance Analytical Tool (Power BI, Tableau, SQL) should have solid understanding of SSIS (ETL) with strong SQL & PL SQL Connecting to data sources, importing data and transforming data for Business Intelligence. Should have expertise in DAX & Visuals in Power BI and live Hand-On experience on end-to-end project Strong mathematical skills to help collect, measure, organize and analyze data. Interpret data, analyze results using advance analytical tools & techniques and provide ongoing reports Identify, analyze, and interpret trends or patterns in complex data sets Ability to communicate with technical and business resources at many levels in a manner that supports progress and success. Ability to understand, appreciate and adapt to new business cultures and ways of working. Demonstrates initiative and works independently with minimal supervision. r1rcm.com Facebook

Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Specialist Training (4I) Role Objective Key Performance Indicators (KPI) What are the measurable indicators for the role Measurable Deliverables Training Throughput - Weightage (30%) First Pass Attempt - Weightage (25%) Production & Quality - Weightage (10%) Accurate & Time Data/MIS Reporting (15%) Basic Hygiene (Schedule Adherence, Responsiveness, Self-Conduct) - Weightage (10%) Trainee feedback - Weightage (5%) Projects (content development, any cost/ time/ FTE saving projects) - Weightage (5%) TNI / BQM management Essential Duties and Responsibilities Role typeIndividual Contributor Conduct new hire, refresher training on aligned process, domain, and tools Conduct process knowledge tests, analyse results and publish findings Work closely with quality and business to identify performance gaps for new hire trainees, create and execute remediation plans to improve trainee performance Achieve set targets on various training effectiveness parameters (level I, level II) Be responsible for training batch management: o Adherence to learning plan o Maintain all batch data and reporting as per the pre-set process o Manage batch logistics training invites, ID Request & Management o Take care of people issues in the batch (performance, disciplinary, schedule adherence, EWS etc.) o On time referred to HR cases alignment (absconding, NCNS, training rejects) Be an active and effective contributor in assigned projects (e.g., new work transition, any process content creation and dissemination, etc.) Continue with hands-on work processing for aligned processes for minimum 12 hours a month Participate in client calls, understand process/tools changes or upgrades, prepare required documentation for roll-out to the aligned process teams Be accountable for self-development/learning, create & complete individual development plan for self, continuously stay invested to be a subject matter expert Stay compliant with the HIPAA and other company policies/compliance : Effective giving and taking feedback, coaching, and mentoring skills Strong interpersonal skills and ability to manage varied trainee personality types Excellent verbal and written communication skills (esp. email communication) Self-motivated and self-driven with a knack for continuously upskilling self Team-player Certification NA Skill Set Qualification and technical skills required to execute the role. Candidate should be graduated and 3 years of exp in AR follow up role Technical Skills : Experience in Revenue Cycle Management for U.S. Healthcare & Expertise in AR Follow up end to end processes Understanding of Online Payer Portals Hands on in MS Office likePowerPoint, Excel, and Word Ability to use virtual communication platforms effectively likeTeams, Zoom, WebEx Experience levels required to execute this role Minimum of 3 years experience in RCM of U.S. healthcare industry (frontend, middle, backend as per role alignment) Overall experience Maximum 5 years Behavioral skills / competencies required for this role. E.g. Attention to detail Functional & Behavioral Skills Strong facilitation & presentation skills for both in-person & virtual environments Understanding of basics of content creation Pre-requisite Should have overall 7+ years of experience in RCM Operations Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills r1rcm.com Facebook

Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.Essential Duties and ResponsibilitiesFollow 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. Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors r1rcm.com Facebook Location - Chennai,Noida,Bengaluru,Gurugram

Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. About the role: Needs to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. This role involves analyzing healthcare data and model on proprietary tools. Be able to take up new initiatives independently and collaborate with external and internal stakeholders. Be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What will you need: Graduate in any discipline (preferably via regular attendance) from a recognized educational institute with good academic track record Should have Live hands-on experience of at-least 2 year in Advance Analytical Tool (Power BI, Tableau, SQL) should have solid understanding of SSIS (ETL) with strong SQL & PL SQL Connecting to data sources, importing data and transforming data for Business Intelligence. Should have expertise in DAX & Visuals in Power BI and live Hand-On experience on end-to-end project Strong mathematical skills to help collect, measure, organize and analyze data. Interpret data, analyze results using advance analytical tools & techniques and provide ongoing reports Identify, analyze, and interpret trends or patterns in complex data sets Ability to communicate with technical and business resources at many levels in a manner that supports progress and success. Ability to understand, appreciate and adapt to new business cultures and ways of working. Demonstrates initiative and works independently with minimal supervision. r1rcm.com Facebook

Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Role Objective Manage AR, Denials and Appeal follow up operations team. Essential Duties and Responsibilities Should have the ability to manage an operations team of 100+ FTEs. Should have the ability to manage multiple provider/hospital sites. Should have the ability to coordinate and proactively communicate with domestic counterparts and leaders. Should have excellent analytical and decision-making skills. Should have strong communication, interpersonal, and presentation skills. Candidate should be self-driven, with leadership abilities and a results-oriented approach. Should be able to identify and implement strategies for process improvement. Should have experience in inter-departmental and intra-departmental coordination with multiple stakeholders. Should have a thorough understanding of AR follow-up, denials, and appeals processes. Should be able to drive KPIs to achieve business metrics. Should ensure the timely delivery of projects and reports. Should have the ability to prepare presentations for business meetings. Should ensure and drive adherence to company policies and compliance standards. Should manage the performance of supervisors and team members. Should lead initiatives for productivity and quality improvement. Should be able to control absenteeism and attrition within organization-defined goals. Certification N/A Skill Set Domain knowledge on both CM1500 and UB04 claims follow up. Operations Management. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Pre-requisite: Should have overall 7+ years of experience in RCM Operations Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills r1rcm.com Facebook

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 enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Job Responsibilities: Identify, analyze, and manage all issues about claims edits and rejects Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met. Review and analyze top edits and rejects with BSO global team every week. Identify the opportunities for edits and rejects that could be reduced Active participation in weekly calls; top edits and rejects review call with the onshore team Oversee monthly reporting, weekly DNFB, monthly performance deck, Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. Implement and maintain department compliance with new and existing policies and procedures. Ensure timely completion of month-end duties and perform other duties as assigned. Continually evaluate claim processing business and make suggestions for improvement. Knowledgeable in end to end revenue cycle management Reliable and punctual in reporting for work and taking designated breaks. What You Should Have to Qualify 8+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience. 4+ years of management experience leading or supervising billers. Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. 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 professional communication. Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Strong attention to detail and keep a constant eye out for opportunities to improve efficiency. Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions. Have experience with hospital billing and Meditech software will be given preference. Ability to adapt to changing priorities and handle multiple tasks simultaneously. r1rcm.com Facebook

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, 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 enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Position Title: Operations Delivery Leader Function: Billing Location: NCR (Noida sec 135 & Gurugram Sec 48) Shift Timings: 18:00 to 03:00 Hrs. Responsibilities: Lead a team of operations (Span of ~300-500) for multiple LOBs (Billing, Follow-Up). Develop and implement strategies to improve billing and AR Analyze current billing and AR processes to identify areas for improvement, implementing best practices to enhance efficiency and accuracy Support the Automation initiatives from a co-ordination & post implementation standpoint Manage portfolio of improvement / reengineering projects for the backend services Driving employee engagement and associated scores. Work closely with Quality, training, Onshore counter parts in driving results Mentor and lead improvement projects. Generate business impact through Improvement initiatives. Establish and monitor key performance indicators (KPIs) to measure success and ensure efficiency. Collaborate with department heads to drive performance improvements and achieve targets. Streamline operations to reduce costs, improve productivity, and enhance customer satisfaction. Identify cost-saving opportunities without compromising quality or service delivery. Address and resolve challenges efficiently while minimizing disruptions. Pre- Requisite: 10-15 years of experience in end-to-end RCM including AR follow up, billing, cash posting, credit in Acute / Hospital Billing. 10 years of people management experience is preferred. Should have excellent RCM domain knowledge. Skills Required: Strategic thinking and problem-solving skills. High attention to detail and organizational abilities. Ability to thrive in a fast-paced, dynamic environment. r1rcm.com Facebook

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess 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 PowerPointQualificationsGraduate 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 SetCandidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Experience in Physician Billing (CMS1500) Worked on Denials, Follow ups Strong Knowledge in Denials management process AR Good communication & analytical skills Two-way cab provided for Night Shift

Job Roles & Responsibilities: At least 10 years of Healthcare RCM Experience. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work US shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate or above. Desired Skills: Develop the Operations strategy for the organization, keeping in mind the business requirements. Execute these innovative strategies to improve and secure business delivery. Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective clients ? Manage onshore centers for Patient collections and Insurance billing. Experience in project transition will be a value add. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices and experience of handling entire functions of Healthcare RCM - Payment posting, AR Follow-up, Denial Management & Patient Billing (Voice & Non voice) Should have experience in expanding operations and work on prospect clients, RFPs, SOPs and DOUs etc. Ensure that the portfolio/s meets client and internal company performance benchmarks. Actively develop the management capabilities and business acumen of direct reportees, and drives the development of team members, ensuring full and well- rounded team competency. Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external) Excellent analytical, verbal and written - communication and presentation skills. Proficient in Excel and PowerPoint to create/read/analyze weekly reports, dashboards for both internal management and clients. Strong interpersonal skills to be able to effectively relate with the public, patients, organizations and employees. Staff development including training, coaching and competency assessment.

Job Roles & Responsibilities: 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. Ensure that the portfolio meets client and internal company performance benchmarks. 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. Ability to execute policies, processes and procedures of the organization. Demonstrate leadership skills with experience managing 5-10 Teams. Excellent verbal and written communication and presentation skills. 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 winwin situation. Strong focus on Customer Service. Strong Employee Retention capabilities. Candidate Requirements: Minimum 14+ years of experience into End to End RCM Process and in depth knowledge of metrics and calculations. Either presently working as Associate Director or minimum 2 years as Senior Manager. Handled a team of 150+. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work night shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate.

Role & responsibilities The position is specifically responsible for the supervision of Reconciliation department along with separate projects to support our organizations Revenue Cycle Services operational function. The position will manage the groups within each area ensuring workflows, schedules, productivity and performance. Knowledge and understanding of day-to-day work is necessary, as occasionally the supervisor will cover shifts and step in as needed. Project management will include initiating, prioritizing and reporting on a variety of projects directed by the Sr. Director of Operations. The position may represent the company to its clients. The position efficiently and effectively supports the company's overall Operations by providing accurate and timely oversight of responsibilities. Location - Pune Shift Timings - 7:30 PM to 4:30 AM Preferred candidate profile 1+ year relevant work experience (Preferred) 3 - 5 years experience with various billing systems, such as NextGen, Pro etc. 1+ years accounting experience (Preferred) Skills: Extensive knowledge of the use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel Effective leadership qualities; strong written, oral, and interpersonal communication skills Ability to present ideas in business-friendly and user-friendly language; highly selfmotivated, self-directed, and attentive to detail; team-oriented, collaborative Ability to effectively prioritize and execute tasks in a high-pressure environment Ability to read, analyze and interpret complex documents Ability to respond effectively to sensitive inquiries or complaints from employees and clients Ability to speak clearly and to make effective and persuasive arguments and presentations Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems Thanks & Regards

Hiring for AR Caller / AR calling (US healthcare) Rcm Company - Ascent Business solution experience - 1+ years salary - As per company norms location - Nagpur looking for a immediate joiner Contact number - 8956069774