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1 - 6 years
2 - 6 Lacs
Navi Mumbai
Work from Office
#FOLLOW-UP WITH MEDICAL INSURANCE PAYERS REGARDING THE STATUS OF OUTSTANDING CLAIMS #PROFICIENT IN COMPLETING AND SENDING CLAIM FORMS ACCORDING TO UB04,CMS& THIRD-PARTY PAYER GUIDELINES #STRONG KNOWLEDGE OF END TO END DENIAL MANAGEMENT PROCESSES Required Candidate profile 1 TO 4 YEARS EXP. AR CALLING PROCESS(CMS1500)EXP. IN COMP. & SUB. CLAIM FORMS ACC. TO CMS & THIRD-PARTY PAYER GUIDELINES STRONG FOCUS ON SERVICE EXCELL. WHEN DEALING WITH PATIENTS,CLIENTS & COMP. EMP. Perks and benefits #BEST SALARY, INCENTIVE PLANS #VIRTUAL INTERVIEWS
Posted 1 month ago
- 5 years
2 - 4 Lacs
Gandhinagar, Ahmedabad
Work from Office
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. NO SALES-NO TARGET Walk in-9/5/25
Posted 1 month ago
1 - 4 years
2 - 5 Lacs
Hyderabad
Work from Office
Role & responsibilities Perform outbound calls to insurance companies for claim status and eligibility verification. Handle denial management and take corrective actions. Follow up on unpaid/denied claims and resolve issues to ensure timely payment. Maintain accuracy in documentation and meet productivity targets. Preferred candidate profile Minimum 1 year of experience in AR Calling (US Healthcare). Good knowledge of denial codes and RCM cycle . Excellent communication skills (spoken and written English). Willing to work from the Hyderabad office. Interested? Contact Aslam to apply: Email: aslam@manningconsulting.in Phone: 88909 36366
Posted 1 month ago
1 - 6 years
1 - 5 Lacs
Noida, Gurugram
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. 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. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivable. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : 10-May-25 (Saturday) Walk in Timings : 11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Person: Arpita Mishra 8840294345, Keshav Kaushal 9205669978 Desired Candidate Profile: Candidates must possess good communication skills. Only Immediate Joiners & Candidates having relevant experience US Healthcare AR Caller/Follow UP can apply. Provident Fund (PF) Deduction is mandatory from the organization worked. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development and engagement programs, R1 offers a transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.
Posted 1 month ago
1 - 5 years
3 - 5 Lacs
Gurugram
Work from Office
We are hiring graduates with at least 1 year of experience in eligibility verification or payment posting. This is a full-time role. Fixed Saturday and Sunday off. Cab facility and meals are provided. Required Candidate profile Good communication skills are required. Candidates should be familiar with US healthcare processes.
Posted 1 month ago
6 - 8 years
7 - 13 Lacs
Hyderabad
Work from Office
We are Looking for Team Leads in RCM Department. Please find the details below. Job Description Responsible for supervising the team to work on assigned cases Monitor Team's production and SLA delivery Keep a record of client KPIs and team's performance against the KPIs Monitor the issue logs raised by the client partners and review each issue log prior to being escalated to the customer Provide subject matter expertise on Accounts Receivable processes Manage and handle effectively escalations raised by the clients Provide mentorship, training and coaching to the team Adhere to organizational policies and procedures Lead by example by demonstrating the highest standards of ethical behavior Monitoring and reporting team performance as needed Keep the Standard Operating Procedures updated and establish due control mechanisms Work with quality and business transformation team to identify, recommend and implement process improvement projects Job Requirements To be considered for this position, applicants need to meet the following qualification criteria: 6 to 8 years of revenue cycle service delivery management experience Account team leadership experience leading 20+ individuals Demonstrated expertise in problem-solving and revenue cycle transformation (for e.g. improvement in % of collections, growth of the client account team size etc.) Performance record of achievement with great people management & leadership skills Strong knowledge of US revenue cycle management for Physician Practices and Hospitals Proven track record in problem solving and improving process efficiency through strong analytical and problem-solving skills Excellent written & verbal communication skills Strong leadership skills with an ability to motivate direct reports Develop the team's talent, drive employee retention and engagement Relevant Experienced Candidates can reach us on npeddalingannagari@primehealthcare.com / 9154957481.
Posted 1 month ago
1 - 3 years
1 - 3 Lacs
Chennai
Work from Office
Role & responsibilities: Perform Accounts Receivable (AR) activities within the medical billing field, with 1-3 years of experience, ensuring timely follow-up on unpaid claims. Collaborate effectively within a team environment focused on processing medical billing transactions, actively contributing to achieving team goals. Need to do AR follow-ups, aiming to resolve outstanding claims efficiently. Demonstrate proficiency in AR analysis, meticulously examining billing accounts to identify discrepancies, unpaid claims, and billing errors. Adhere to all business rules provided by clients, ensuring accurate processing of transactions while meeting stipulated turnaround times. Maintain AR billing claims/accounts at an acceptable level by implementing strategic approaches to resolve outstanding balances and reduce AR aging. Uphold a high standard of accuracy in AR processes, consistently striving for excellence in AR calling and analysis tasks to optimize revenue cycle management Preferred candidate profile: Must have 1 to 3 years of relevant experience and should be willing to Join immediately. Perks and benefits: ESI & PF benefits, Accidental & Life Insurance, Shift Timing: 8am - 5pm, Only 2 Saturdays working in a month. Job Location: Perungudi, Chennai.
Posted 1 month ago
1 - 5 years
3 - 5 Lacs
Bangalore Rural, Bengaluru
Work from Office
Openings for AR caller Physician/Hospital Billing and Denials Exp : 1 to 6yrs Salary : 25k to 43k Location : Bangalore Interested candidates forward CV to arunsms210@gmail.com or Whatsapp Arun @ 9361434290
Posted 1 month ago
1 - 5 years
2 - 5 Lacs
Noida, Ghaziabad, Greater Noida
Work from Office
Role & responsibilities: Technical Skills: 1. Medical Billing Systems: • Familiarity with popular billing software such as Epic, Cerner, Meditech, NextGen, ClinicalWorks, Modmed, or PHIMed. • Experience with HCFA-1500 forms, UB-04 forms, and other insurance-specific claim forms. 2. Domain Knowledge: • Handle medical billing processes for various insurance types, including Medicare, Medicaid, HMO, commercial insurance, and Workers' Compensation. • Experience in denials management, including identifying denial reasons, appeals process, and follow-up to resolve denials promptly. • Strong understanding of insurance types, including Medicare, Medicaid, HMO, commercial insurance, and Workers' Compensation. • Proficiency in CPT, ICD-10, and Modifiers to assign correct codes and ensure compliance with coding standards. • Demonstrate a basic understanding of revenue cycle management to optimize billing procedures and revenue generation. • Manage denials effectively by identifying reasons for denials, initiating appeals, and following up to ensure resolution and minimize revenue loss. 3. Claim Submission & Denial Management: • Proficient in claim submission through EDI (Electronic Data Interchange) or other methods. • Experience managing claim denials and rejections, appealing denied claims, and identifying the reason behind denials. • Ability to correct errors in coding or documentation to ensure proper reimbursement. 4. Compliance & Regulations: • Deep understanding of HIPAA regulations to ensure patient confidentiality and compliance. • Awareness of insurance payer guidelines, federal/state regulations, and any updates to medical billing practices. • Knowledge of Medicare/Medicaid billing guidelines and commercial payer contracts Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications. Perks and benefits: Mention available facilities and benefits the company is offering with this job.
Posted 1 month ago
1 - 4 years
2 - 5 Lacs
Pune
Work from Office
Must have relevant experience in SAP SF with 2 Modules at least. EC, PMGM, Recruitment. 1 End-to-end Implementation is a must. Immediate opening for Pune and Mumbai location.
Posted 1 month ago
12 - 15 years
15 - 22 Lacs
Hyderabad
Work from Office
Job Title: Manager Account Management Location: Hyderabad Company Description Sutherland is seeking an organized and goal-oriented person to join us as a Manager - Account Management. We are a group of driven and supportive individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you! Job Description: 12+ years of experience in Physician RCM in US healthcare. A minimum of 5 years of managerial experience. Must have managed Physician RCM AR follow up Teams & Billing teams with a minimum team size of 80. Having experience in managing AR follow up (Physician) Teams & Physician Billing teams Thorough understanding on RCM functions (AR Follow up/ Charges/Claims/Eligibility/ Authorization/Payment posting/Credit balance). Exposure to client interactions and experience conflict resolutions pertains to Process/People Management. Excellent Written & Verbal communication skills. Driving KPI’s as per expectations. Understanding & able to present different Dashboards. Exposure power BI /Tableau is an added advantage. Must be innovative/Flexible/progressive. 100% work from Office and work in Night shifts (Flexible towards shift timings). Good with Reporting knowledge and able to prepare presentations. Required People/Process management skills. Experience in Modmed RCM System is an added advantage. Exposure to Automations. Excellent people management skills. Support Client Partner and Delivery head on Account’s strategic initiatives - Develop strategies or solutions specific to account’s priorities, pain points, or to develop relationship Conduct company, executive, and industry specific research insights and prepare the account leadership for their client’s meetings Program manage account’s growth office – Support & track opportunities to the closure, help account leadership team with business case Enable and drive the development of strategic account plans, embedding best practice account management principles, including facilitation of account workshops Drive financial account planning – Annually & Quarterly Update CRM with Opportunities and the progress Track and report account financials & opportunities. Provide regular pipeline forecasts and business health checks to Senior leaders of the account Understanding of business operations and ability to plan, prioritise, multitask, and manage a significant workload under pressure with excellent attention to detail Weekly, Monthly & Quarterly Health checks on Account’s growth & Key Initiatives Developing strong relationships with internal stakeholders across the firm Regular connects with Delivery Portfolio leads on Growth & Delivery aspects of the account Prepare success stories upon Project completion, articulating the key benefits & business value delivered to the client
Posted 1 month ago
1 - 6 years
1 - 5 Lacs
Noida, Gurugram, Delhi / NCR
Work from Office
Job description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. 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. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivable. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Days : Saturday ( 10th May 25 ) Walk in Timings : 11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 9, 7th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Person: Arpita Mishra 8840294345, Keshav Kaushal 9205669978 Desired Candidate Profile: Candidates must possess good communication skills. Only Immediate Joiners can apply. Provident Fund (PF) Deduction is mandatory from the organization worked. Candidates not having Healthcare experience shouldnt have more than 24 Months Exp. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development and engagement programs, R1 offers a transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.
Posted 1 month ago
1 - 4 years
2 - 5 Lacs
Chennai
Work from Office
Dear Candidates, Hiring for IV Caller/EV Caller at Chennai Qway Technologies Process: IV Calling ( EPIC SOFTWARE ) Exp: 1 to 4 Yes Domain: US Healthcare Shift: EST timing (5:30 to 2:30 AM) Location: Guindy (Chennai) Required Skills Looking for candidate with end to end experience in IV/EV Calling ( EPIC SOFTWARE ) Should be a good team player Flexible towards shift timing Interested pls ping me in watsapp Contact Number: 8610529763 Regards HR Team Qway Technologies
Posted 1 month ago
2 - 4 years
2 - 4 Lacs
Chennai
Work from Office
Dear Candidates, We are hiring Credit Balance Executive, Process: US healthcare Exp: 1 to 4 Yrs Shift: EST Location: Guindy Free pickup and drop will be provided Required Skills We need person with end to end experience in Credit Balance process Experience in US healthcare is must Flexible towards shift timing and weekend supports Interested pls share me your resume to below watsapp number Number: 8610529763 Regards HR Team Qway Technologies
Posted 1 month ago
1 - 6 years
2 - 5 Lacs
Chennai
Work from Office
Urgently Required AR Callers !!! . Min 1 year Exp in AR calling in Pre Auth & EV calling For more details contact: Nihila - 7305155582 Varshini - 7305188863 Varalakshmi - 6385161155 Vinothini - 6385161134 Required Candidate profile Salary & Appraisal - Best in Industry. Excellent learning platform with great opportunity. Only 5 days working (Monday to Friday) Two way cab will be provided. Dinner will be provided.
Posted 1 month ago
1 - 4 years
2 - 4 Lacs
Chennai
Work from Office
Greetings from e-care India!!! We are looking for AR Analyst/ Sr. AR Analyst with 1 to 4 Years of Experience from Medical Billing Domain. Job Role: AR Analyst / Sr.AR Analyst Shift: Night Shift. Job Essentials: Good oral & Written Communication Work Experience in Denials Management Experience in Taking Actions for the Denials AR Callers who have taken action for Denials can also apply Work from Office Work Benefits: Fixed Take Home + Monthly Incentives. Saturdays and Sundays will be fixed Week Off Cab drop (Home drop for Female) Free refreshments. *** Contact Person: Srinivasan P N (HR Team) Interested candidates can walk-in directly to the below mentioned venue from 08th May 25 to 09h May 25 between 11:00 a.m. to 5:00 p.m. Venue e-care India 2nd Floor B R Complex 27 woods Road Chennai 2 Landmark: Diagonally Opposite to spencer plaza / Near LIC Metro station Or Share your resume through WhatsApp @ 9345041089 to schedule your interview
Posted 1 month ago
4 - 7 years
4 - 6 Lacs
Chennai
Work from Office
Experience: 4 to 7 years Shift Timings: 4:30 PM to 1:30 AM IST Mode of Work: Work From Office Work Location: Chennai Interested candidates contact Daniel @ 8122835582 (Call is not answered kindly WhatsApp) / Email - hr@cmpmsglobal.com Preferred Skills: Should have good Verbal and Written communication skills Candidates should have strong knowledge of Denial management. Role & responsibilities: Candidates should have experience in AR Calling, denial management, Web Portals, and Denial Claims! Follow up with the payer to check on the claim status. Follow up on unpaid or denied claims, resubmitting claims as necessary, and appealing claim denials when appropriate. Stay updated on changes in healthcare regulations, insurance policies, and billing procedures. Perks and Benefits Salary & Appraisal - Best in Industry Complementary Meal Pass Travel Allowance Health insurance Paid time off Quarterly Rewards & Recognition Program
Posted 1 month ago
- 5 years
1 - 2 Lacs
Gandhinagar, Ahmedabad
Work from Office
NO SALES , NO TARGET JOB Hiring For AR Caller In US Healthcare(Blended Process) #Shift: US Shift #5days working #Salary: 20k CTC #Location: Ahmedabad, Gujarat >> Fresher Also Apply << >> Fluent English Required <
Posted 1 month ago
3 - 6 years
0 - 0 Lacs
Chennai
Work from Office
We're hiring Process Specialists with 3–6 yrs experience in US Healthcare. Must have strong knowledge in VOB, Eligibility Verification & Prior Authorization. Hands-on RCM experience required. Night shift role.
Posted 1 month ago
3 - 8 years
15 - 30 Lacs
Bengaluru
Hybrid
Position Title : Actimize Developer Location : Bengaluru, India Key Responsibilities Design, develop, and enhance AML systems using NICE Actimize (CDD/WLF/AIS). Collaborate with global teams for requirement gathering and implementation. Handle system integration, testing, and production support. Troubleshoot BAU issues and provide L2/L3 support. Participate in full SDLC processes, including documentation and deployments. Key Skills Required Actimize Modules : CDD, WLF, ActOne, AIS CDD Skills : Risk scoring, threshold setting, daily processing, custom risk factors WLF Skills : Watchlist management, screening, entity data, risk scores Technical Stack : Shell scripting, Oracle SQL, Actimize Delivery Manager Other : Full SDLC, Linux basics, experience in upgrades, production support
Posted 1 month ago
1 - 5 years
1 - 4 Lacs
Pune
Work from Office
Greetings from Vee Healthtek....! We are hiring AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Location - Pune Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Bhagyashree V Contact Number - 9741406191 Mail Id - Bhagyashree.v@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon every month * Incentives based on performance
Posted 1 month ago
- 5 years
1 - 2 Lacs
Ahmedabad
Work from Office
NO SALES , NO TARGET JOB Hiring For AR Caller In US Healthcare(Blended Process) #Shift: US Shift #5days working #Salary: Up to 20K CTC #Location: Ahmedabad, Gujarat >> Fresher Also Apply << >> Fluent English Required <
Posted 1 month ago
3 - 5 years
2 - 5 Lacs
Pune
Work from Office
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
Posted 1 month ago
1 - 5 years
1 - 4 Lacs
Pune, Chennai, Tiruchirapalli
Work from Office
Greetings from Vee Healthtek....! Hiring AR Callers at Trichy location We are hiring AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Location - Trichy ,Chennai, Bangalore Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Bhagyashree V Contact Number - 9741406191 Mail Id - Bhagyashree.v@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon every month * Incentives based on performance
Posted 1 month ago
- 5 years
2 - 4 Lacs
Gandhinagar, Ahmedabad
Work from Office
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-09/05/2025
Posted 1 month ago
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Revenue Cycle Management (RCM) is a crucial aspect of the healthcare industry in India, ensuring that healthcare providers receive proper reimbursement for services rendered. The demand for RCM professionals in India is on the rise, with many opportunities available for job seekers in this field.
The average salary range for RCM professionals in India varies based on experience and location. Entry-level positions typically start at around ₹2-4 lakhs per annum, while experienced professionals can earn upwards of ₹8-12 lakhs per annum.
In the RCM field, a typical career path may progress as follows: - RCM Analyst - RCM Team Lead - RCM Manager - RCM Director
In addition to expertise in RCM, professionals in this field are often expected to have skills in: - Medical coding - Healthcare billing systems - Data analysis - Communication skills
As you explore opportunities in the RCM job market in India, remember to showcase your skills and experience confidently during interviews. Prepare thoroughly and demonstrate your knowledge of the field to stand out as a top candidate. Best of luck in your job search!
Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.
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