We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices 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. 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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

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.

Responsibilities:Configure the Intake solutionCommunicates with the deployment leadUpholds build standardsMotivates stakeholders to execute operational change and achieve desired results Assists in creating, implementing, and upholding standard processes and workflowsCollaborates with stakeholders to design educational materials and coordinates training activities to prepare for operational readiness Assesses applicable patient experience initiative enhancements and expansionDemonstrates an ability to identify opportunities to gain efficiencies relating to patient experience initiatives Required Qualifications:Bachelors DegreeBusiness management or healthcare experienceExcellent organization and attention to detail skillsHighly developed verbal and written communication skillsExcellent decision-making, communication and collaboration skills with proven cross-functional and multi-level relationship building skillsStrong analytical skills and abilityAbility to solve problems outside of area of expertise

Role Objective AR is the most essential part in the RCM cycle. It is usually the last step. After Denial management (AR), 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. Should be able to manage a team of 25-30 FTEs FTEs will be directly reporting to AM Will be responsible to resolve queries, account reviews and provide training in case required Drive production and quality to the expected level Responsible to identify production and quality issues and to put plans in place for improvement Analyze data to identify payer issues & challenges and fixes Should work towards team engagement and retention/absenteeism Will be responsible to lead internal and external calls. 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 management. Must operate utilizing aggressive operating metrics. Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Good domain knowledge 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. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular 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)

About the role As the Associate Operations Manager, your primary role will be primarily responsible for driving a high-morale team, a culture of high performance, meeting client deliverables consistently, and effectively managing stakeholders. Eligibility Criteria 10 Years of total work experience in Medical Coding, with 3-5 years of team management experience. Must have > 3 years of coding experience in the Same day Surgery, E&M, ED Facility & Observation Working knowledge of Physician coding & hospital coding is an added advantage. Successful completion of a certification program from AHIMA such as CCS, CCS-P, or AAPC such as CIC, COC, and CPC Must be active during joining and verified. Experience in any EMR systems such as Epic, Cerner & Meditech. Must be an SME with up-to-date knowledge of ICD-10CM, CPT-4, Ambulatory payment classification (APC), and NCCI edits. Effective communication skills, presentation skills, and proficiency in MS Excel & PowerPoint. Education Graduate or undergraduate with a high level of knowledge and relevant work experience. Shift timing: 8.30 AM - 5.30 PM or 1 PM - 10 PM IST, should be flexible to adapt shift timings on a need basis. Responsibilities Oversee CBOS Department Operations Capacity planning based on monthly goals, managing inventory and leaves. Responsible for managing the allocation & workflows, identifying risks, and mitigation. Reporting the weekly and monthly performance to key stakeholders, taking initiative for the identified areas of improvement. Team management of direct reports across multiple employee levels Setting KPI goals, reviewing the performance metrics, coaching, and feedback to enable the team to meet KPI goals consistently. Working with training and QA functions to identify training needs, tweaking training programs to keep the team up to date on client-specifics, industry updates such as coding clinics HCPCS, CPT assistant, and annual updates on ICD 10CM, CPT-4. Contribute and inspire team-wide development through valuable content sharing, rewards & recognition, and implementing best people management practices such as team bonding.

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 designing and analyzing the healthcare reimbursement model . Be able take up new initiatives, maintain synchrony in the team. Collaborate with external & internal stakeholders, work effectively in a growing team, be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What you will do: To design, analyze and maintain healthcare reimbursement models to ensure the revenue estimation is in-line with the contracts. To perform various analytical reviews and deep-dives (root cause analysis) on client-specific healthcare reimbursement methodologyto ensure accuracy of revenue projections and actual collections. To report/highlight the exceptions in reimbursement method by building contract models for Hospital charges To effectively communicate the findings/ observations with recommended action to US team/clients. Maintain MIS related to analysis, Accuracy and coverage report for maintenance databases Handling client calls and communicating effectively for task deliverables and site maintenance What will you need: Graduate degree Preferably in Statistics\Mathematics\Economics\Commerce\Finance from a reputed educational institute Good analytical and algorithm building skills, having experience to build contract models for hospital charges to calculate expected reimbursement Skills to read, understand and interpret reimbursement contracts between hospitals and insurance providers. Experience/knowledge of various US healthcare reimbursement methods like MS DRG weightage, Multipliers, % of charges, outliers, Grouper fee schedule etc. Good Communication Skills (both written & verbal) Preferable - 1-3 years of experience in US healthcare Having good knowledge about RCM cycle and denial management

Job Description Preparing and ensuring compliance to the maintenance procedures, Preventive and Predictive maintenance schedules. Condition monitoring of rotating equipment, analysis and advice Assist plant maintenance in troubleshooting critical problems. Supervision of quality checks during overhauling of critical rotating equipment. Assistance/ Association in repair and refurbishment of rotating equipment/components. Perform Failure analysis and Root cause analysis (RCA) of repetitive failures Review and optimize maintenance tasks /frequencies. Applying the leanings from RCA to proactively increase the reliability of other assets. Ensure safe and trouble free start-up of critical rotating machines Provide technical support for critical and insurance spares reviews. Training faculty for in-house programs related to rotary equipment. Provide inputs for planning and scheduling of critical rotating equipment overhauling. Provide assistance for erection and commissioning of new equipment. Skills & Competencies Knowledge on rotating equipment maintenance techniques and types Knowledge of Reliability principles (RCM/FMEA, Statistical tools) Knowledge of industry standards and codes (API, ASME, ISO etc.) Analytical ability Good interpersonal skills Communication skills Decision-making ability Education Required Bachelors or Master Degree in Mechanical Engineering with good consistent academic records Experience Require 7 to 8 years Refinery/Petrochemical/Chemical plant design/maintenance/operations experience is required with at least 3-5 year's experience in Rotating Equipment. Hands on experience in rotating equipment trouble shooting, maintenance and condition monitoring. Experience in Rotating equipment selection, erection and commissioning is preferred.

We're Hiring for AR Caller Location - Chennai If you're a graduate looking for a opportunity, this might be perfect for you! Work Schedule: Monday to Friday (Saturday & Sunday off) Role & responsibilities: 1) Strong knowledge in denial management and Good communication 2) Should expertise in RCM Division of AR Calling Team 3) Responsible for the productivity, quality and overall performance of the projects. 4) Knowledge on FQHC Billing and Epic software is the added advantage. 5) Analyse the rejected/denied claims and understand the reasons of rejections/denial and reprocess the same for payment. Preferred candidate profile: Minimum 1.5 years experience in AR calling Perks and benefits: 1) Two way cab facilities are provided 2) Production Incentive & Attendance Incentive is paid every month 3) Salary - Best in the industry 4) PF Contribution 5) Health Insurance coverage Buzz me Sathya @ 6369627566

Greetings from ACP Billing Services! We are hiring for the following roles - Work from Office Charge Posting Payment Posting Experience & Requirements: Minimum 3+ years of experience in US Medical Billing. Strong verbal and written communication skills. Charge/Payment Posting candidates with good typing skills will have an added advantage. Competitive remuneration as per industry standards. Spot offers for selected candidates. Immediate joiners are preferred. Responsibilities: Process medical billing transactions with a 99% or higher accuracy rate. Understand and apply customer-provided business rules while ensuring compliance with turnaround time requirements. Work collaboratively in teams to achieve set targets. Utilize medical billing expertise to monitor and report customer KPIs. Actively participate in learning programs and compliance initiatives. Competencies & Skills: Strong interpersonal and analytical skills. Proficiency in MS Office (Word, Excel, PowerPoint). Adaptability, flexibility, and a proactive approach to tasks. Commitment to meeting productivity, quality, and attendance SLAs. Team-oriented mindset with a willingness to take initiative. Work Location : ACP Billing Services Pvt Ltd - NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark : Next to ICICI Bank Madhavaram Branch. Share your CV to hr@acpbillingservices.com / WhatsApp 9841820311

Dear Applicant's, Hiring for AR caller - QA Location - Hyderabad / Kolkata WFO US Night shift Role: SME: 4years in AR caller with quality analyst CTC - Up to 6.5lpa Skills : RCM, Ar Caller/Revenue cycle management /Physician Billing/ Denial Management/ Hospital billing with Excellent Communication . 1year on papers experience in QA Interested Candidates Contact HR Pallavi @9167757169 / pallavi@careerguideline.com

Will be responsible for outbound calls to insurances for claim status and eligibility verification, Denial documentation and further action, Calling the insurance carriers based on the appointment received by the clients. Walk in Interview-14/05/2025

NO SALES , NO TARGET JOB Hiring For AR Caller In US Healthcare(Blended Process) #Shift: US Shift #5days working #Salary: Depend Upon Interview (Freshers-20k CTC) #Location: Ahmedabad, Gujarat >> Fresher Also Apply << >> Fluent English Required <

Job description Senior AR caller Specialty : Physician Billing, Hospital Billing, Iv Caller, EV caller, Authorization, anaesthesia, Radiology Reliving letter and Not relieving letter can apply Work Location : Hyderabad , Chennai , Coimbatore, Experience Required : 1 to 6 years Job Responsibilities: We are looking for a AR Caller to join our team to assist us in Calling for insurance claims and databases. Required Skills & Qualifications: Experience in RCM (Revenue Cycle Management) Perks and Benefits: Competitive salary and incentives Training and career growth opportunities Supportive work environment Apply Now! Don't Miss This Exciting Opportunity! Please share your updated Resume to Thirsha HR@ 7200176823 or Suganthi HR 72001 80665

Job Description: Should have strong leadership and team management abilities. Extensive knowledge of accounts receivable processes and end-to-end billing. Strong problem-solving and decision-making skills. Wide knowledge of KPI metrics and performance management. Excellent communication and interpersonal skills. Ability to work under pressure and meet deadlines. Proficiency in using relevant software and tools will be added advantage (Allscripts, ECW, Medisoft). Worked on ED specialty will be added advantage. Qualifications: * Minimum 6+ years of experience in RCM (AR Calling & Denial Management) * Should have team handling experience * Immediate to 30 days notice period candidates can apply * Willing to WFO & Night Shift * Strong knowledge on CMS1500 Form & Multispecialty denials

NO SALES , NO TARGET JOB Hiring For AR Caller In US Healthcare(Blended Process) #Shift: US Shift #5days working #Salary: Depend Upon Interview (Freshers-20k CTC) #Location: Ahmedabad, Gujarat >> Fresher Also Apply << >> Fluent English Required <

Job Title: Accounts Receivable (AR) 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 and timely payment posting into the system. Work with the billing team to correct any claim discrepancies or coding errors. Review EOBs (Explanation of Benefits) and identify any errors or discrepancies. Maintain detailed records of all communication and updates with insurance companies and clients. Escalate unresolved issues to higher management as needed. Keep up to date with changes in insurance policies and reimbursement regulations. Qualifications & Requirements: Experience: Minimum 1-2 years in accounts receivable, medical billing, or related field. Knowledge: Understanding of medical billing, AR processes, and insurance terminology (Medicare, Medicaid, PPO, HMO, etc.). Skills: Strong verbal and written communication skills. Attention to detail and problem-solving abilities. Familiarity with medical billing software (e.g., Kareo, Athenahealth, eClinicalWorks). Ability to multitask and prioritize effectively. Education: High school diploma or equivalent (preferred: Bachelors degree in Healthcare Administration or related field). Shift: Night shift (for US-based clients) / Flexible working hours. Transportation: No cab facility provided candidates must arrange their own commute. Benefits: Competitive salary & incentives Health insurance (if applicable) Career growth opportunities Training & development programs Interested Candidates please contact Saranya devi HR- 7200153996

Role & responsibilities Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. SME in Denial Management Provide trend analysis of issues with their appropriate solutions to the respective supervisor. Review remittance and action the claim for solution towards payment. Respond to customer requests by phone and/or in writing to ensure timely resolution of unpaid and denied claims. Adhere to SOP guidelines within established productivity standards. Report changes identified on payer adjudication guidelines. Knowledge on appeals management. Attending meetings and in-service training to enhance Accounts Receivable knowledge, compliance skills, and maintenance of credentials. Ensure complete adherence to TAT and SLAs as defined by the customer. Maintaining patient confidentiality. Required Skills for this role include: 5+ years of experience working on Revenue Cycle Management regarding medical billing. Expertise on Revenue cycle management and End to End resolution guidelines. Expertise with Windows PC applications that required you to use a keyboard, MS office, navigate screens, and learn new software tools. Ability to work regularly from office scheduled shifts from Monday-Friday 5:30 pm to 3:30 pm IST. INTERESTED PLEASE SHARE PROFILES TO pushpa.shanmugam@nttdata.com

Company: Vee Healthtek Pvt Ltd Job Title: Eligibility Verification & Prior Authorization (voice process) Locations: Chennai (Thoraipakkam) Job Type: Full-time Salary: Competitive (based on experience) Benefits : 1200 Allowances, 1200 Food Coupon & Two-way Cab Key Responsibilities: * Review and process prior authorization requests for medical treatments and services. * Communicate with insurance companies to ensure timely approvals. * Work closely with healthcare professionals to gather necessary documentation. * Maintain accurate records and follow up on pending authorizations. * Ensure compliance with healthcare regulations and company policies. Who Can Apply? * AR Caller Prior Authorization: 1 year of experience in healthcare AR calling. * Senior AR Caller Prior Authorization: Minimum 2+ years of experience in AR calling with expertise in claim resolution. * Strong understanding of US healthcare revenue cycle management. * Excellent communication and analytical skills. * Ability to work night shifts and meet performance targets. If you are interested in joining our team, please reach out to Sterling Jos 9597592977 or share your profile to sterlingjos.j@veehealthtek.com , We are looking forward to welcoming you to Vee Healthtek Pvt Lmt!!!!!!!

Role & responsibilities : • Undertake preliminary assessment of internal controls framework, examining the design and their current operating effectiveness addressing risks and accomplishing the Companies goals and objectives. • Prepare and/or follow internal controls and compliance work programs. • Review processes to ensure the adequacy of internal controls, processes and policy adherence mechanism. • Complete annual testing and documentation of Internal Controls • Plan and perform and monitor full audit cycle including risk assessment, review operations for efficiency and effectiveness, reliable financial reporting and compliance with the applicable rules and regulations • Conducting periodic Process & System Audit, Operation Audit, Management Audit and Compliance Audit as per the Annual Audit Plan. • Undertake surprise audit/investigations as required by management. • Set up and maintain the Internal Control database, ensure timely execution of controls. • Conduct meetings and Communicate Internal Control issues with relevant stakeholders on the Group Company level • Preparation of accurate and timely reports on financial audit findings, including recommendations for improvement. • Ensure development of Standard Operating Procedures (SOPs) of the Company. • Work collaboratively with operations team to discuss the Audit findings and develop action plans to resolve identified gaps. • Tracking open audit issues for effective implementation on due date as agreed by process owners • Conduct follow up audits to monitor managements observations. • Assessing and ensuring the company’s compliance with applicable laws, regulations and company policies in India. • Engage for continuous knowledge development regarding sector’s rules, regulations, best practices, tools, techniques, and performance standards. • Participate in ad-hoc internal control-related projects-development of Risk Control Matrix (RCM) • Perform other related duties assigned by the line manager. Example of duties: Plan and execute audit engagements, including data analysis and testing. Review financial statements and supporting documentation. Evaluate internal control systems and ensure adherence to applicable Indian laws. Perform risk assessments and internal control evaluations and detect discrepancies. Internal Audit Executive (FINANCIAL & OPERATIONAL AUDITS) Identify and investigate potentially fraudulent activities or financial irregularities. Prepare and present audit reports to stakeholders and shareholders. Monitor the implementation of audit recommendations and execute remedial actions. Stay updated with the latest industry regulations and best practices in internal auditing. Preferred candidate profile :

Greetings from SolvEdge!!!! We are hiring for AR Callers EXPERIENCE : 1 to 4 years Designation : AR Caller & Senior AR Caller Salary : As per industry standards Location : Chennai - Pallavaram Interview Mode : Direct Looking for Immediate joiner or 15 days Notice Interested can share cv to hrindia@solvedge.com or can call HR - 9500555202

Job Title: Sr Associate - Authorization Years of Experience: 2-3 years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Mode of operation: Work from office Mode of Interview: In-Person Location: Hyderabad, Telangana Job Description: We are looking for Sr Associate - Authorizations " who can join our team. Below is job requirement. Additional Comments NexGen Experience is desirable. Oncology and Orthopaedic specialty experience will be valuable. Knowledge of the US payer mix will be a great value add. Ragini 8341128386

Role & Responsibilities :- Claims Management : Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management : Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication : Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies. Account Follow-up : Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up. Oversee credentialing processes, ensuring compliance with industry and regulatory standards. Collect, review, and verify documentation such as licenses, certifications, and work history. Maintain and update credentialing databases with accurate and current provider information. Track credentialing status, expirations, and re-credentialing timelines using software tools. Act as the primary contact for healthcare providers, guiding them through the credentialing process. Perks and benefits Work from Office (Pune) PF Deductions Gratuity Health Insurance Kindly share your resume on guddan@rsystems.com or ping me at 7011037919 for more details. Note: Looking for the immediate Joiner

Job description AR ( Credentialing ) Job Description As a Credentialing Associate at R Systems, you will play a pivotal role in ensuring the accurate and timely processing of credentialing applications for US healthcare professionals. Your expertise in regulatory compliance, attention to detail, and ability to manage multiple tasks will be critical in maintaining provider records and ensuring adherence to industry standards. You will conduct thorough background checks, verify licenses and certifications, and collaborate with internal teams to address credentialing issues. Additionally, you will stay informed about changes in healthcare regulations and help refine credentialing policies and procedures to enhance operational efficiency. Your contribution will directly impact the quality of healthcare services by ensuring that only qualified professionals are credentialed. Preferred Skills- Follow up, Denial Management, Credentialing, Enrollment, US Healthcare Roles & Responsibilities Oversee credentialing processes, ensuring compliance with industry and regulatory standards. Collect, review, and verify documentation such as licenses, certifications, and work history. Maintain and update credentialing databases with accurate and current provider information. Track credentialing status, expirations, and re-credentialing timelines using software tools. Act as the primary contact for healthcare providers, guiding them through the credentialing process. Collaborate with internal teams, including HR and legal, to ensure credentialing requirements are met. Conduct audits to identify areas for improvement and ensure compliance with policies. Prepare detailed reports on credentialing activities and outcomes for leadership review. Stay current with state and federal regulations to ensure compliance. Assist in developing and implementing credentialing policies aligned with best practices and organizational standards. Drop your CV at guddan@rsystems.com & Whatsapp - 7011037919

Responsibilities: * Manage denials through effective communication with providers and insurers. * Ensure compliance with HIPAA, Medicaid, Medicare, Cobra, ICD, CPT, HCPCS codes. Health insurance Office cab/shuttle Provident fund