1807 Rcm Jobs - Page 29

Job Summary: We are seeking a highly skilled and analytical Business Analyst with experience in the healthcare industry to join our dynamic team. The ideal candidate will leverage data to uncover insights, drive operational efficiency, support strategic initiatives, and enhance patient outcomes. You will work closely with cross-functional teams including clinical, operations, product, and IT to translate business needs into actionable data-driven solutions. Key Responsibilities: Analyze healthcare data to support strategic business decisions, performance monitoring, and process improvement. Gather, validate, and document business requirements from stakeholders. Design and implement dashboards and reports using Microsoft Power BI to communicate key metrics. Write and optimize complex SQL queries to extract, manipulate, and manage data from relational databases. Develop predictive models and perform statistical analysis using Python (Pandas, NumPy, Scikit-learn) or R . Build and maintain advanced Excel/Google Sheets tools for data cleaning, modeling, and visualization (including pivot tables, macros, and complex formulas). Partner with clinical and operational teams to identify trends and provide insights to improve care quality, efficiency, and compliance. Ensure data integrity, accuracy, and standardization across multiple sources and systems. Communicate findings and recommendations through presentations and data visualizations to both technical and non-technical stakeholders. Core Technical Skills Required: SQL: Advanced proficiency in writing complex queries and optimizing relational database performance. Spreadsheet Software: Expert in Microsoft Excel and Google Sheets , including pivot tables, advanced formulas, data modeling, and macros. Programming Languages: Strong expertise in Python or R for data analysis, automation, and statistical modeling. Python: Proficiency in Pandas , NumPy , and Scikit-learn for data handling and machine learning. Power BI: Demonstrated experience creating interactive dashboards, reports, and visualizations in Microsoft Power BI . Familiarity with data governance and privacy standards such as HIPAA is a plus.

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 10 am to 6 pm ) Everyday Contact person VIBHA HR ( 9043585877 ) Interview time (10 am to 6 pm) Bring 2 updated resumes Refer( HR Name VIBHA ) Mail Id : vibha@novigoservices.com Call / Whatsapp (9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- VIBHA HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)

SUMMARY Job Opening: Retail Staff Location: Jaipur Our client, a UAE-based multinational conglomerate headquartered in Dubai, is seeking freshers to join their retail staff team in Jaipur. This is an excellent opportunity for individuals looking to kickstart their career in the retail industry. Responsibilities: Folding and stacking at basic table. Timely display of received stocks. Upkeep of section. Ensuring a carton-free floor. Maintaining display standards, including signage. Merchandise clearance from the trial room. Ensuring the right product is displayed on the right browser. Providing customers with shopping bags. Requirements Requirements: Minimum qualification of 10th/12th/Graduate. Age between 18-30 years. 6 months contract period. 6 days working (week off between Monday to Thursday, any day). Open for male candidates. If you are enthusiastic, dedicated, and meet the above requirements, we encourage you to apply for this exciting opportunity in the retail industry. Must Have - Minimum qualification of 10th/12th/Graduate. Age between 18-30 years. --- Note: The original job description did not specify any additional requirements. If there are specific requirements, please provide them for inclusion. Benefits Salary- 10600 NTH + Incentives

Hello Connections..! We have Huge openings for Ar callers!!!! Greetings from Happiehire!!! Designation: Ar caller / Sr Ar caller (International voice process) Experience: 1 to 4 years - (physician billing / hospital billing / Denials, voice process) **** Chennai location / Bangalore location / Mumbai Location*** Experience in physician or hospital billing Denial experience mandatory Good salary hike Virtual /walkin available FOR IMMEDIATE RESPONSE SEND CV TO 8925221508 Yogalakshmi Happiehire

Greetings !! Deloitte is Hiring for our Indirect Tax team youll build and nurture positive working relationships with teams and clients with the intention to exceed client expectations. Roles & Responsibilities :- Preparation of tax computations after adjustment of tax credits Finalization of eligible Input Tax Credits basis data shared by client Coordinating with clients for discharging tax liabilities Preparation and submission of GST returns Handling day to day GST and other Indirect Tax queries of clients Analysis of relevant GST updates and informing clients Compliance Data analysis, handling and resolution of queries Compilation and filing of GST/IDT registration and Surrender Applications Preparing templates for compliances and seeking information basis client business and operating model GST/Indirect Tax department liaising Maintaining compliance data in retrievable and GST compliant formats Sending compliance MIS/Tracker to clients Basic knowledge of Microsoft tools and technology savvy. Working experience in some accounting software like Tally/SAP/Oracle (preferable) Assisting the team in internal matters such as billings, risk compliances etc. Desired qualifications :- Graduates/Semi-Qualified C.A/C.S/MBA(Finance) with 1-6 years of Experience in Indirect Taxation Good Technical Knowledge Clarity of Concepts Team Player Effective communication and presentation skills Persistent and persuasive Warm Regards, Talent Acquisition Team Deloitte Please share your CV on :- marora.ext@deloitte.com

Key Responsibilities: Supervise and lead a team of AR associates/executives. Monitor and manage daily production and quality metrics. Handle client communications and resolve escalations efficiently. Review and analyze aging reports, denial trends, and outstanding claims. Ensure adherence to SLAs and compliance standards. Provide coaching, feedback, and performance evaluations to team members. Conduct regular team meetings, training sessions, and performance reviews. Collaborate with the Quality and Training team for continuous improvement. Work closely with the Operations Manager to drive process enhancements and meet business goals. Requirements: Minimum 1 year of experience as a Team Lead in RCM Accounts Receivable. Overall 5+ years of experience in RCM, with strong exposure to AR follow-up and denial management. Excellent understanding of the US healthcare revenue cycle process. Proficient in MS Excel, reporting tools, and RCM systems (e.g., Athena, EPIC, Kareo, etc.). Strong leadership, communication, and problem-solving skills. Ability to multitask, prioritize, and meet deadlines in a dynamic environment. Flexible to work in night shifts Timings: Fixed US Shift (6:30 PM - 3:30 AM IST) Work from Office Interested candidates, please contact the below number: HR Vedanti - 9175991457

Greetings from E-care India Pvt Ltd!!!Whats App We are looking for Experienced AR Callers!! Designation : Executive AR Caller / Senior AR Caller. Job Responsibilities : - Min of 1 Year to 3 years into AR calling experience is required. - Knowledge into Healthcare concept is mandatory. - Knowledge on Denial management. - Good communication skills. - Understand the client requirements and specifications of the project. Job Benefits: - J oining Bonus - Attractive Attendance and performance incentives. - Free one-way cab drop facility for all employee and home drop for women employees - Fixed Week off. - Medical Insurance will be covered. - Free refreshments will be provided. - Reward & Recognition practice. Interested and Suitable candidates can send your resume through WhatsApp along with the below mentioned information @ 9344624861 Name: Position applying for: AR Calling Current company: Current Salary: Expected Salary: Notice period: Current Location: **Note: Mention you're looking for AR calling position in the WhatsApp message along with the updated resume while Sending. Interviews will be happening through Gmeet only.

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 PowerPointQualifications: 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.

Roles and Responsibility Manage accounts receivable, including processing payments and resolving outstanding balances. Coordinate with patients, insurance companies, and other healthcare providers to ensure timely payment. Analyze and resolve billing discrepancies and denials. Maintain accurate records of patient information and payment history. Collaborate with the healthcare team to ensure seamless communication and coordination. Identify and implement process improvements to increase efficiency and reduce errors. Job Requirements Strong understanding of healthcare billing and payment processes. Excellent communication and interpersonal skills. Ability to work in a fast-paced environment and meet deadlines. Proficient in using computer software applications, particularly CRM systems. Strong analytical and problem-solving skills. Ability to maintain confidentiality and handle sensitive information. Experience working in a BPO or IT-enabled services company is preferred.

Work timings : Monday to Friday : 8am -4:30 pm/10am-6:30pm /11:30am-8 pm (Shifts) Reports to: Head of Operations Mumbai Overall Role Objective: To provide the skills to handle the processing of tasks generated by PRNs Operations Job Purpose: Processing, proofing and distributing copy to domestic and international circuits via wire, for Journalists web service, Internet, fax and email, ensuring a timely and accurate transmission. Quality checking all orders and distributions to guarantee a high standard of service delivery. Account managing the successful completion of orders Providing clients with an excellent service that exceeds their expectations and is in line with corporate strategy. Adhering to all departmental Standard Operating Procedures at all times. Providing a high standard of ROI reporting to add value to our products. Key Result Areas: 1 . Distribution: Output clients copy in timely fashion Ensure accurate distribution to correct circuit at specified time Monitor and chase return of requested translations for onward distribution Ensure that all information uploaded to us for Journalists is uploaded with relevant industry, subject and geography coding Upload graphics and linked documents onto us for Journalists, and the PR Newswire websites 2. Editorial: Ensure accuracy, attribution and acceptability of clients copy Ensure regulatory headline and content accuracy of clients copy Assist with formatting or document conversion queries 3. Client Relations Promote a client-focused culture at all times Instigate initiatives and processes to build, develop and maintain excellent business relationships Understand clients needs and objectives Attend meetings and social evenings with clients where necessary Act as initial contact and take responsibility for all client queries and complaints. Follow standard escalation procedures at all times Maintain an excellent knowledge of all our products and services. Liaise with Secondary Information Providers (SIPs) to ensure accurate and expedient transmission Liase with regulatory bodies Provide consultative service - advise clients on available and appropriate circuits Provide editorial advice to maximise potential pick-up of press release copy Maintain and develop relations with internal clients to achieve excellent service delivery 4.Quality and Administration: Ensure all jobs are assigned, distributed and fulfilled correctly Ensure all jobs and related correspondence/activities are accurately logged in the workflow management system Focus on quality standards and timelines to achieve team targets and objectives, and to maintain high visibility for the team within the company Maintain company websites ensuring incoming service feeds are accurately mapped 5 Client/Affiliate Liaison Liaise between translation agencies and client to ensure customer satisfaction with translation service Advise on distribution receipt and clear times Look for any up-selling opportunities Liaise with affiliates to ensure accurate and expedient transmission Provide consultative service - advise clients on available and appropriate circuits Maintain and develop relations with internal clients to achieve excellent service delivery 6.Competencies, Attributes, Knowledge: Experience in an editorial/proof-reading role Excellent inter-personal skills with all levels of company personnel and clients Ability to closely follow all policies and procedures Good team player. Self-motivated, disciplined and able to remain corporately focused Have the energy and drive to work under pressure to hit tight targets Excellent organisation and time-management skills with a high attention to detail Flexibility around team shift patterns An excellent standard of spoken, written and reading English At least one other Indian language written and oral other than Hindi, is also considered highly desirable Well presented and businesslike High level of ability on communicating verbally with clients

Our Client is the premier global provider of multimedia platforms that enable marketers, corporate communicators, sustainability officers, public affairs and investor relations officers to leverage content to engage with all their key audiences. Job Profile Work towards and achieve daily, weekly and monthly business salestargets and set KPIs To achieve agreed call targets by being a self-starter who is motivated to consistently pick up the phone, engage with clients, build relationships and close sales To hit agreed revenue targets by converting sales opportunities through making outbound calls to new B2B clients across India Ensure you are quickly able to understand a clients structure and the key decision makers within the organisation Develop and sustain relationships with potential and existing clients Creating customer call-backs and following up on referrals Advise clients on all products to educate and generate leads Pass on any Domestic leads to the relevant BDM Candidate Profile 1-4 years of prior experience in sales phone based environment Ability to cross-sell, up-sell and identify international opportunities Target driven and ability to work under sales pressure environment Highly developed communications skills to work directly with customers, employees and management. Excellent English Communication Oral and Written. Additionally sound knowledge of Hindi. Excellent listening Skills Strong negotiation and influencing skills If interested, please share your updated profile

Roles & Responsibilities: Execution and Delivery: Manage a portfolio of 5-10 clients amounting to 8K-12K hours. Responsible for Performance Management and Development of 8-10 team members. First level escalation for issues/concerns. Planning: scope discussion, staffing and resourcing, expectations. Performing Risk Assessment and Scoping. Leading Walkthrough calls and Documentation. Final QA review of deliverables, Review of test procedures and test descriptions on a periodic basis. Participate in status calls and provide regular updates, including time taken. Resolve any questions/clarifications. Ensure compliance with the BIG 4 Risk Management policy. Responsible for Performance Assessment of the team assigned, including 1 on 1 discussions. Training: Participate in continuous knowledge enhancement/knowledge sharing sessions; develop training content; deliver trainings; comply with the firms CPE requirements. Scheduling: Ensuring that work schedules are kept updated, thereby ensuring sufficient work to meet utilization criteria.

Role & responsibilities We are seeking a dynamic and experienced Sr Team Manager to join our team in Hyderabad, India. As a Sr Team Manager, you will play a crucial role in overseeing, coaching, and developing our Customer Care team to deliver exceptional service and support to our customers and partners. Lead and manage a team of 50-60 Customer Care associates, ensuring high-quality service delivery and issue resolution Analyze large data sets and provide inputs to tackle any potential challenges proactively Monitor and optimize email/call volume, backlogs, and team performance metrics to maintain and improve service quality Coach and develop Team Managers to enhance their leadership skills and team management capabilities Collaborate closely with the Training department to implement effective training programs and initiatives Oversee agent goal-setting practices and conduct regular performance evaluations Handle escalated customer issues and provide expert-level problem resolution Develop and implement strategies to improve team efficiency, productivity, and customer satisfaction Analyze key performance indicators (KPIs) and create action plans to address areas needing improvement Foster a positive and collaborative work environment that promotes team growth and success Preferred candidate profile Bachelor's or Associate's degree preferred Proven experience managing a large team (50+ members) in a customer service environment SQL and Advanced Excel knowledge preferred Develop, optimize, and maintain complex Excel models, Macros, and VBA scripts to automate data processing and reporting. Analyze large datasets, identify trends, and provide actionable insights to drive business efficiency. Create visually compelling and data-driven presentations for leadership and stakeholders. Work with cross-functional teams to gather data requirements and translate them into automated solutions. Perform data validation, cleaning, and structuring for accurate reporting. Generate dashboards, reports, and trackers using Excel, PowerPoint, and other visualization tools. Identify opportunities for process improvements and automation within business workflows. Proficiency in Microsoft PowerPOint Strong leadership skills with the ability to motivate and inspire team members Excellent time management and organizational skills Proficiency in analyzing and interpreting performance metrics and KPIs Outstanding communication and interpersonal skills Demonstrated problem-solving abilities and strategic thinking Experience in performance management and employee development Ability to thrive in a fast-paced, dynamic environment Proficiency in customer service software and tools Strong decision-making skills and the ability to handle high-pressure situations Commitment to fostering a collaborative and supportive team culture

Greetings from Vee Healthtek....! Hiring Experienced AR Caller US Healthcare Location: Bangalore/Hyderabad Shift: Night Shift (US Process) Job Description: We are hiring experienced AR Callers to join our growing team in Chennai and Bangalore. If you have solid knowledge of the US healthcare RCM process and are looking for a great work environment with exciting perks we want to hear from you! Responsibilities: Follow up with US insurance companies on outstanding medical claims Analyze and resolve claim denials, rejections, and underpayments Maintain accurate documentation in the billing system Meet daily/weekly productivity and quality targets Collaborate with the team to improve AR performance Requirements: Minimum 1 year of experience in AR Calling (US healthcare) Strong communication and analytical skills Knowledge of denial management and revenue cycle process Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200rs worth food coupon every month * Incentives based on performance Interested candidate can reach Vilashini HR@8925866801 or vilasini.v@veehealthtek.com

Reports to (level of category) : Manager - Operations 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)

Key Responsibilities: Lead and support end-to-end implementations and support projects for SAP SuccessFactors RCM and ONB (1.0 & 2.0). Conduct requirement gathering workshops, business process mapping, and deliver tailored solution designs. Oversee system configuration, integration, and deployment, ensuring alignment with best practices and client requirements. Provide AMS (Application Management Services) and post-go-live support, resolving issues and enhancing system performance. Collaborate closely with HR, IT, and business teams to facilitate seamless system adoption and process transformation. Act as a trusted advisor, recommending enhancements, process improvements, and system optimizations. Manage data migration, UAT (User Acceptance Testing), and post-go-live activities. Stay abreast of SAP SuccessFactors innovations, release updates, and industry trends. Ensure all project deliveries are aligned with agreed timelines, budgets, and quality standards. Leverage knowledge of HR analytics and recruitment KPIs to drive insightful reporting and decision-making. Understand and manage API integrations within the SuccessFactors ecosystem. Required Qualifications: 2-4 years of hands-on experience in SAP SuccessFactors RCM and ONB implementations and support. Certified in SuccessFactors Recruiting Management (RCM) and Onboarding 2.0 Proven experience in AMS support and handling post-go-live environments. Strong knowledge of end-to-end HR and recruitment processes. Excellent communication, stakeholder management, and documentation skills. Ability to work independently and in a collaborative team environment

Job description : Overview : We are seeking an experienced and detail-oriented Accounts Receivable Associate (AR Caller) to join our dynamic team. The successful candidate will be responsible for handling and resolving claims, managing account receivables, and ensuring prompt collections in line with US healthcare policies and regulations. 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. Documentation: Maintain accurate records of communications, actions taken, and status updates on patient accounts using company software systems. Compliance: Ensure adherence to HIPAA guidelines and US healthcare regulations during all interactions and processes. Reporting: Prepare and submit daily/weekly/monthly reports to management on claims status, denials, and collections achieved. Requirements : - Proven experience (2-5 Years) working in accounts receivable within the US healthcare industry. - Calling experience on Denial Management - Physician Billing/Hospital Billing. - Knowledge of insurance claim submission and reimbursement processes (Medicare, Medicaid, commercial insurance). - Experience with electronic medical records (EMR) and billing systems (e.g., Epic, Cerner, Meditech). - Excellent analytical and problem-solving skills. - Ability to prioritize and manage multiple tasks in a fast-paced environment. - Proficient in Microsoft Office Suite (Excel, Word, Outlook). - Strong interpersonal and communication skills, both verbal and written. - Should be comfortable working from office and in Night shifts. Benefits : - 5 Days Working. - Both side Cab Facility. - PF & Health insurance - Performance bonus - Professional development and training opportunities. - Collaborative and supportive work environment. Note: Immediate joiners preferred. *Interested Candidates can reach-out to below mentioned details : Contact Person : Lalit Bisht Contact Number : 8375974434 Email ID : lalit.bisht@rsystems.com

Dear Freshers, Greetings From Vee HealthTek Private Limited....!! AR Calling @Hyderabad Process - US Process (Healthcare) Designation: AR Caller Trainee Shift - Night (5:30 PM to 2.30 AM) Qualification: Any graduates can apply (Including 2025 Pass out graduates with every sem marksheet) Location - 9th Floor, Vaishnavi's Cynosure, 2-48/5/6, 9C & 9D, Gachibowli Rd, Opp. RTTC, Telecom Nagar Extension, Gachibowli, Hyderabad, Telangana 500032 ***Note: 2025 pass-out those who completed the final semester exams without any standing arrears or Backlogs can apply. *** Benefits: *Free cab for both pickup and drop from office location to 20km Radius.*Night shift Allowance* Free Food coupons Required Skills: Willing to work in US Shift (Night Shift) Excellent communication in English Excellent oral communication and listening Skills is mandatory. Good to have analytical presentation and communication skills. Any International voice process background will be given high priority for AR Calling. Candidates with 0-1 yr of experience in BPO (Domestic & International) can also attend. Flexibility towards work & ability to adapt organization culture. Interested Candidates can reach out to the below mentioned contact Number Contact Person Nivetha HR 9047770653

SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer

SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer

Role Description Business Risk Advisory Practice This role in Business Risk Advisory practice is mission critical and requires multi-dimensional capabilities. This role will play a critical role in building the practice in southern region. The role holder will identify business opportunities within their immediate clients business or across an industry in southern region. This role is responsible for growing existing accounts and attracting new business. The incumbent will develop a deep understanding of clients business and build lasting relationships with client personnel. The role holder will demonstratetechnical competence in their product group and industry, understand clients perspective and become the de-facto go-to-person. The incumbent will be responsible for serving clients and ensuring outstanding quality execution of projects. This role will develop contacts within the business community and serve as ambassador in the market. Basis their credibility, the best-fit candidate is expected to attract, develop and retain the best of talent. Key Responsibilities Identify and evaluate clients risk areas covering all significant processes and provide comprehensive input to the development of a risk-based annual internal audit plan. Supervise a team of internal audit personnel across different client engagements. Plan, organize, direct and monitor internal audit operations, including overall quality of deliverables, processes and completion of projects within budgeted timeline. Oversee billing and collections. Develop relevant audit programs & procedures including Risk & Control Matrix (RCM). Manage performance of audit procedures. This includes identifying and defining issues, developing criteria, reviewing and analyzing evidence, and documenting client processes and procedures. Demonstrate technical competence in related domain. Communicate the results of assignments through written reports and oral presentations on a timely basis to engagement director as well as client management. Assist engagement director with identification for any new firm services at existing or new clients. Prepare & track proposals and conduct proposal meetings with clients. Develop and engage team through individual contacts and group meetings. Assist with hiring, training, and evaluation of staff and take effective actions to address performance matters. Desired profile Strong relevant business practice management experience in a related field (Business Risk), preferably in professional services and/or industry. Qualified Chartered Accountant or an MBA from a premium business school Understanding of business processes and internal control concepts (COSO, COBIT); knowledge of process gaps identification and auditing methodologies (including flowcharting), IT Infrastructure, Sarbanes-Oxley Act provisions and methodologies for achieving compliance Proficient in Microsoft Office suite applications Key Personal Attributes Ability to think laterally, showcase business acumen and well versed in current trends and developments across business & economy A good blend of creative thinking and rigorous analysis in solving business problems Demonstrated excellent leadership and interpersonal skills. Excellent project management and client relationship skills. Proven business development skills. Must be able to maintain a professional demeanor in times of high stress. Must work well in a team-oriented environment as well as independently. Prior management and direct supervisory experience in a team environment required. Demonstrated mentoring and people development skills Excellent communication and presentation skills. Excellent time management skills. Must have ability to multi-task. Ability to travel as necessary to meet client needs

Hiring: Team Lead Revenue Cycle Management (RCM) Location: Kothrud, Pune Shift: Day/Night | Work Mode: Work from Office Salary: As per experience and industry standards We are looking for a Team Lead with 35 years of experience in Revenue Cycle Management, including claim submission, denial management, AR follow-up, and team handling. Key Responsibilities: Lead and manage a team of RCM specialists Handle claim submissions, payment posting, and denial resolutions Work on AR reports and improve cash flow Ensure compliance with payer and healthcare regulations Generate reports and drive process improvements Requirements: 35 years of RCM/medical billing experience Strong knowledge of CPT, ICD-10, HCPCS, and insurance guidelines Good communication and leadership skills Graduation or diploma preferred Apply now and grow your career in RCM with us. CONTACT: Sanjana- 9251688426

Job Title:AR Caller Experience: 1 to 5 Years Location:Mumbai Billing Type:Physician Billing Interview Mode: Virtual Looking for immediate joiners Salary:Up to 38,000 (Take-Home) Transportation:One-way drop cab provided Contact: Suvetha – 9043426511

Generate and analyze AR reports to identify trends and areas for improvement. Follow up on submitted claims, monitor unpaid claims, and identify underpaid and unbilled claims, ensuring all necessary corrections and documentation are completed. Excellent skills in analyze and resolve denied claims, identify reasons for denials, and implement strategies to minimize future denials. Review Explanation of Benefits (EOB) / Electronic Remittance Advice (ERA) denials, along with patient history notes, to understand and resolve discrepancies in claims. Perform pre-call analysis and check status by calling the payer or using IVR Actively contact insurance companies to inquire about the status of pending claims and resolve any issues. Good knowledge about insurance policies, billing codes, and denial reasons to effectively resolve issues and secure payment Exposure in multiple specialties and billing software. Walk-In Between : Monday to Friday : 03.00 PM to 09.00 PM Location: A7, Industrial Estate, Mogappair West, Chennai, Tamil Nadu 600037. Call HR @ 9176359249 / 9150941118 to confirm your interview time or to know more about us.

Review the providers claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claims status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers. Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be Document actions taken into the claims billing system. Meet the established performance standards daily. Improve skills in CPT codes and DX Codes. Make collections with a convincing approach. Good understanding of the US Healthcare revenue cycle and its intricacies Shift Timing: Night shift (US Shift) (5.30 PM - 2.30 AM IST) Shift Days: Monday - Friday Salary: Upto 28K CTC {Including Night Shift Allowance} Any Graduate can apply Minimum 1 year experience in the related field