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1.0 - 4.0 years
2 - 4 Lacs
Bengaluru
Work from Office
WE ARE HIRING!!!! AR CALLERS (Hospital Billing) Experience: 1- 4 yrs Location: Bengaluru salary: Max upto 40k Shift: Night shift Interview mode: Virtual TOW WAY CAB Required Candidate profile VOICE PROCESS AND END TO END DENIALS EXPERIENCE IS MANDATORY Contact: SUBHIKSHA, HR - 9626256724
Posted 1 month ago
1.0 - 5.0 years
1 - 4 Lacs
Chennai
Work from Office
Greetings from Global Healthcare Billing Partners !! Hiring AR Analyst-Experienced (US healthcare) @ Global Health care billing partners!!! Exp Required: 6Months - 5Years of exp in AR Analyst JOB LOCATION: Velachery-Chennai. Shift- Night shift Job description: 1. Should have 6 months-5 years Experience in AR Analyst. 2.Good Knowledge of RCM and Denial management. 3. Follow up on the claims for collection of payments. 4. Analyze medical claims and resolve issues. 5.Willingness to work in Any Shift. (Day / Night) In these roles you will be responsible for: -Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. - Analyzing medical insurance claims for quality assurance - Resolving moderately routine questions following pre-established guidelines ACADEMIC AND PROFESSIONAL BACKGROUND Any graduate with good domain knowledge(Graduation must) Minimum 6months experience in AR Analyst Interested candidate contact or share your updated resume to 8925808597[Whatsapp] Regards, KAYAL HR GLOBAL HEALTHCARE
Posted 1 month ago
1.0 - 6.0 years
1 - 5 Lacs
Chennai, Bengaluru, Mumbai (All Areas)
Work from Office
Urgent Opening for AR Caller/SR AR Caller Job Loc:Chennai, Trichy, Bangalore, Pune,Mumbai Exp:1yr-4yrs Salary: upto 40k Max Skills:Any Billing ,Denials NP: Immediate joiner INTERESTED CALL- 9659451176 HR Dhivya
Posted 1 month ago
1.0 - 3.0 years
0 - 3 Lacs
Chennai
Work from Office
Mega Walk-in Drive for International Voice Process ||Experienced Chennai. Walk-in Date: 2nd Jul 25 Contact Person: Shinaz Designation: Associate Work location: Navalur (ETA) Interview Venue: HCL Technologies, Gate 1, Tower 4, Ground Floor, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119 Shift: Night Shift(US Shift) Open Position: 10 Time: 11am - 2pm JOB SUMMARY Client Support-Voice KEY WORDS Excellent Verbal and Written Communication Skills, Any Customer Support(Voice). SKILLS AND COMPETENCIES Strong verbal and written communication skills Should possess neutral accent and good adoption to US culture. Ability to resolve provider queries in the first point of contact. Focus on delivering a positive customer experience Should be professional, courteous, friendly, and empathetic Should possess active listening skills Good data entry & typing skills Ability to multi task. Capable of handling fast-paced, innovative, and constantly changing environment Should be a team player. Ability to contribute to the process through improvement ideas. FORMAL EDUCATION AND EXPERIENCE Graduation (any stream) 0.6 months - 24 months of process experience in AR Calling & Any International Customer Support .
Posted 1 month ago
1.0 - 6.0 years
1 - 5 Lacs
Bengaluru
Work from Office
EXP : 1TO 6 YEARS IN AR Analyst ( DENIALS) SALARY : 40 CTC LOCATION : BANAGALORE PHYSICIAN BILLING OR HOSPITAL BILLING INCENTIVES AVAILABLE INTERSTED CAN SHARE CV TO 9356775532 Keerthana
Posted 1 month ago
4.0 - 8.0 years
4 - 9 Lacs
Hyderabad
Work from Office
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a set of employee benefits and engagement activities. Designation Operations Manager Role Objective Complete oversight of Operations, Training and Compliance for the aligned teams. Essential Duties and Responsibilities: Manage the FCC inventory for aligned clients. Work towards a resolution to reduce the return rate and increase completion%. Driving results to achieve business metrics. Ensuring timely delivery of projects/assigned reports. Self-driven, People leader and result oriented. robust Engage the team create IDPs and groom them for growth opportunities. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Identify and Implement automation/performance improvement strategies. Manage and maintain shrinkage and attrition within organization defined goals. Ensuring and driving adherence of company policies along with Compliance. Inter-department and Intra-department coordination with multiple stakeholders. Skills Required: Should have thorough understanding front end RCM process, Identify and implement strategies for Process improvement, Must be able to Ensure timely delivery of assigned projects/reports, Ensuring and driving adherence of company policies along with Compliance, Inter-department and Intra-department co-ordination with multiple stake holders, Initiatives for productivity and quality improvement, Should have excellent Analytical & and proficiency with MS Word, Excel, and PowerPoint.Should have excellent communication, personal, Interpersonal and Presentation skills Must have excellent knowledge of RCM functions Good to have exposure towards edit, rejects, CCR and DNFB and other KPI's of the project, Should have good People management & decision-making skills. Pre requisite : Should have ability to drive action plans & strategies Should have knowledge of Capacity & Inventory management Should be able to drive results to achieve Business Metrics Ensuring timely delivery of projects/reports Ensuring and driving adherence of company policies along with Compliance Controlling Absenteeism and Attrition within Organization defined goals Initiatives for Productivity and Quality Improvement Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
3 - 7 Lacs
Gurugram
Work from Office
Role Objective:Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities:Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention.Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal)Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.Ability to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targets.Ability to effectively prioritize individual and team responsibilities.Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
7.0 - 12.0 years
3 - 7 Lacs
Noida, Gurugram
Work from Office
Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Roles & Responsibilities Develop and implement databases, data collection systems, data analytics and other strategies that optimize efficiency and report qualityMaintain integrity, consistency and accuracy of database and reportsIdentify, analyze, and interpret trends or patterns in complex data setsExperience in analyzing data to draw business-relevant conclusions and in data visualization techniques and toolsA track record of following through on commitments.Excellent planning, organizational, and time management skills.Work with management to prioritize business and information needsStrong written and verbal communication skills including Excellent documentation skills.A minimum of 7 years of experience in business analysis or a related field.Processing confidential data and information according to guidelines.Interpersonal and strong communication skillsLeading and managing a team of employees.Setting goals and objectives for the team.Providing guidance and support to team members.Ensuring team members have the necessary resources.Resolving conflicts and fostering a positive work environment. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
0.0 - 1.0 years
1 - 4 Lacs
Hyderabad
Work from Office
Non Certified Fresher About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Education: * B.Pharmacy/M.Pharmacy/Pharma-D * BSC/MSC in Nursing * BPT / BHMS / BAMS * Candidates should be 2024/2023/2022 passed outs *Should have 60% (CGPA 6.5) and above throughout the academics Other Skills: * Should possess good clinical knowledge and have wide awareness around anatomy, pharmacology and disease process * Good analytical and problem-solving skills * Ability to work independently and be flexible to work in shifts (WFO) * Good verbal and written communication Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
3 - 7 Lacs
Hyderabad
Work from Office
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective:Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities:Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention.Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal)Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.Ability to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targets.Ability to effectively prioritize individual and team responsibilities.Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
6.0 - 11.0 years
3 - 7 Lacs
Hyderabad
Work from Office
Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Associate Operations Manager - Training Role Objective To manage and oversee the effective delivery of training programs, ensuring alignment with operational requirements and driving continuous improvement in quality and efficiency . Essential Duties and Responsibilities: Manage effective training delivery as per the operational requirements. Work in new project transitions along with operations to design the onboarding and training workflows as required. Publish quality trends analysis and ensure the delivery of timely webinars based on mitigation plans designed to improve quality for inpatient/outpatient work groups. Possess multi-dimensional/multi-specialty coding awareness to effectively address varied customer requirements. Work closely with operations and quality teams to build uniform coding workflows across specialties. Drive process improvement initiatives by self and through the team to implement quality and cost-effective training strategies for the business. Collaborate with onshore training counterparts to ensure proper training practices are followed across the board and drive uniformity between onshore and global teams. Handle client escalations related to knowledge gaps and design remedial education plans to derive effective outcomes. Strategize for effective training team building to handle all aspects of the coding business across specialties. Create a strong knowledge bench and provide ease of use for operations during their project alignments. Participate in client calls, meetings, and knowledge transfer (KT) sessions. Certification: Must be certified by AAPC or AHIMA. CPC, CIC, CRC, or CCS certification is mandatory. Skill Set: Ability to lead and manage a team effectively. Excellent verbal and written communication skills to interact with team members and other stakeholders. Ability to analyze coding information and identify trends or issues. High level of accuracy in reviewing and entering coded information. Ability to adapt to changes in coding rules and healthcare regulations. Proficiency in using MS Office applications and other required applications. Strong problem-solving and analytical skills. Ability to create presentations and work on RCA of error reports. Quick learner of technology with a better understanding of tools. Pre-requisite: Strong knowledge of medical coding with at least 6 years of experience. Certification by AAPC/AHIMA is required. CPC/CIC/CRC/CCS certification is essential. Prior experience in training roles is a plus. Previous experience in team handling, particularly in quality or operational roles, is an added advantage. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
1.0 - 6.0 years
2 - 6 Lacs
Chennai
Work from Office
About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 7.0 years
2 - 5 Lacs
Noida
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transforming 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- Medical CoderWe are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations.Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests.Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active.:Education Any Graduate.3 to 7 Years experience in Medical Coding.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Skilled in assigning ICD-10 & CPT codes.Solid oral and written communication skills.Able to work independently.Flexible to work from office and home as required by the business. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
0.0 - 1.0 years
2 - 5 Lacs
Chennai
Work from Office
Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, 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:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active.:Education Any Graduate.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Familiarity with ICD-10 & CPT codes and procedures.Solid oral and written communication skills.Able to work independently. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
3 - 7 Lacs
Hyderabad
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 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. JOB Description Analyze current situation, identify improvement opportunities and recommend measures to re-engineer processes (As-Is To be) Set up and manage transactional quality frameworks in a clinical context including quality assessment checklists (for quality assurance leaders), identify CTQ quality metrics, create periodic quality reports. Be able communicate fluently with US customers and answer their queries/concerns. Act as a change agent and work closely with the operations to optimize Customer value in multiple client engagement. Work with delivery and training functions to create feedback loops from quality assessment to training and operations management. Create quality frameworks to drive process excellence in a clinical context using DMAIC, lean six sigma, or other process suitable quality methodologies. Ability to work with teams across specialties. Demonstrated ability to lead & motivate a team to achieve business unit goals. High degree of integrity, work ethic and analytical abilities Track record of delivering high quality services Relationship with key decision makers in target market Will be an added advantage if the candidate has exposure to BOT/ Automation implementation. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
0.0 - 1.0 years
1 - 4 Lacs
Hyderabad
Work from Office
Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, 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:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active.:Education Any Graduate.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Familiarity with ICD-10 & CPT codes and procedures.Solid oral and written communication skills.Able to work independently. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
1.0 - 4.0 years
3 - 6 Lacs
Hyderabad
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 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. Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.Essential Duties and ResponsibilitiesFollow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months. Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
1.0 - 6.0 years
3 - 7 Lacs
Chennai
Work from Office
Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Associate Operations Manager Role Objective The role objective of a Surgery Coding Associate Operations Manager is to oversee and ensure accurate coding of surgery medical records, maintain compliance with coding guidelines and regulatory requirements, and provide guidance and support to the coding team to achieve operational efficiency and quality standards. Essential Duties and Responsibilities: As a Team LeaderLeading and managing the Surgery coding team, including allocating inventory, monitoring performance, and ensuring adherence to deadlines. Quality AssurancePerforming coding audits to ensure accuracy, compliance with coding standards (e.g., ICD-10-CM and CPT), and adherence to regulatory guidelines. Training and MentorshipProviding training, guidance, and support to team members to enhance their skills and address coding-related queries. Compliance OversightEnsuring coding practices meet organizational policies, payer requirements, and federal regulations. CollaborationWorking with clinical staff, billing teams, and management to resolve discrepancies, clarify documentation, and optimize reimbursement processes. ReportingPreparing and presenting reports on team performance, productivity, and quality metrics for leadership. Process ImprovementIdentifying areas for process improvement and implementing strategies to enhance efficiency and accuracy in coding workflows. Certification & EducationAny certification from AAPC or AHIMA and Any Bachelors degree in education Skill Set Candidate should be certified from AHIMA/AAPC (should be currently active). Candidate must have 1 year experience working in Surgery with EM 10+ years of Coding experience and 3-4 years of experience in Management role Excellent process knowledge and domain understanding relating to Surgery coding as per R1 standard. Ability to co-ordinate multiple projects and initiative simultaneously Self-driven, Excellent personal and interpersonal skills, active listener, and excellent communication skills Ability to manage day-to-day production related activities Ability to handle a team of 25+ coders. Good analytical and process improvement skills Ability to drive action plans and strategies. Adaptive and should have learning agility Flexible to work from office in Mid shift (1 PM to 10 PM) as required by the business. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
2 - 6 Lacs
Hyderabad
Work from Office
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. DesignationAssistant Operations ManagerReports to (level of category)Manager - OperationsRole ObjectiveFollow 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 ResponsibilitiesEstablishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal)Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
2 - 6 Lacs
Hyderabad
Work from Office
DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
1.0 - 6.0 years
3 - 7 Lacs
Chennai
Work from Office
Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Associate Operations Manager Role Objective The role objective of an Outpatient Coding (ED profee & Facility, Multispecialty EM, Ancillary etc.) Associate Operations Manager is to oversee and ensure accurate coding of Outpatient Facility medical records, maintain compliance with coding guidelines and regulatory requirements, and provide guidance and support to the coding team to achieve operational efficiency and quality standards. Essential Duties and Responsibilities: As a Team LeaderLeading and managing the Surgery coding team, including allocating inventory, monitoring performance, and ensuring adherence to deadlines. Quality AssurancePerforming coding audits to ensure accuracy, compliance with coding standards (e.g., ICD-10-CM and CPT), and adherence to regulatory guidelines. Training and MentorshipProviding training, guidance, and support to team members to enhance their skills and address coding-related queries. Compliance OversightEnsuring coding practices meet organizational policies, payer requirements, and federal regulations. CollaborationWorking with clinical staff, billing teams, and management to resolve discrepancies, clarify documentation, and optimize reimbursement processes. ReportingPreparing and presenting reports on team performance, productivity, and quality metrics for leadership. Process ImprovementIdentifying areas for process improvement and implementing strategies to enhance efficiency and accuracy in coding workflows. Certification & EducationAny certification from AAPC or AHIMA and Any bachelors degree in education Skill Set Candidate should be certified from AHIMA/AAPC (should be currently active). Candidate must have 1 year experience working in ED & Multispecialty EM 10+ years of Coding experience and 3-4 years of experience in Management role Excellent process knowledge and domain understanding relating to Outpatient Facility coding as per R1 standard. Ability to co-ordinate multiple projects and initiative simultaneously Self-driven, Excellent personal and interpersonal skills, active listener, and excellent communication skills Ability to manage day-to-day production related activities Ability to handle a team of 25+ coders. Good analytical and process improvement skills Ability to drive action plans and strategies. Adaptive and should have learning agility Flexible to work from office in Mid shift (1 PM to 10 PM) as required by the business. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
5.0 - 10.0 years
3 - 7 Lacs
Hyderabad
Work from Office
JD for Medical Coding Process TrainerOP Education Any Graduate. Currently working as Process Traine.r/QA /SME/Team leader/Group Coordinator will be added advantage. Candidate should possess minimum of 5+ years of experience in medical coding in coding/auditing/training role. Candidate should be certified in medical coding at AAPC or AHIMA accreditation (should not be recently certified). Candidate should have high level proficiency in coding/auditing of professional side coding in areas like E/M and its specialties (like Family medicine, internal medicine, hospitalist, various physician specialties), surgery (professional side) and/or physician denials. Multispecialty E/M proficiency will be an added advantage. Knowledge in RCM workflows and terminologies and previous coaching/training experience will be an added advantage. Conducting new hire trainings on work type for onboarded resources (experienced & freshers) across the locations. Floor support to coders during transitions & Prebill phase to ensure meeting on quality standards. Regular audit feedbacks and coding queries resolution. Running OP training bootcamps based on the patient type. Conducting focused trainings basis TNI for coders & QR s under QIP (Quality Improvement plan). Publishing monthly coding articles, newsletters & hot topics for enhancing coders knowledge & expertise. Ensuring timely completion of Onboarding compliance trainings for newly onboarded coders. Collating AAPC certification information & sharing with management for timely renewals. Participating in client call, meetings & KT sessions. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
3 - 7 Lacs
Noida
Work from Office
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention.Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics. Qualifications: Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.Ability to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targets.Ability to effectively prioritize individual and team responsibilities.Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
2 - 6 Lacs
Noida
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 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. DesignationAssistant Manager Reports to (level of category)DM/Manager - Operations Role Objective Cash Posing is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (Cash Posting), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis No Planned leaves for next 6 months Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial 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. Subject matter expert in Cash Posing Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and small Company Profile (for recruiting purposes only) Short paragraph describing the company R1 RCM (NYSEAH) is a leading provider of services and technology to healthcare providers.Our mission is to help our healthcare clients strengthen their financial stability and deliver better care at a more affordable cost to the communities they serve, increasing healthcare access for all.Our distinctive operating model that includes people, process, and sophisticated integrated technology helps our customers realize sustainable improvements in their operating margins and improve the satisfaction of their patients, physicians, and staff. Our customers typically are multi-hospital systems, including faith-based or community healthcare systems, academic medical centers and independent ambulatory clinics, and their affiliated physician practice groups. R1 RCM offers a continuum of offerings to service our clients' needs. These offerings includeProvider Business Solutions (PBS), which improves the entire revenue cycle of our provider clients, unlike competing services that address only a portion of the revenue cycle or focus solely on cost reductions; Physician Advisory Services ("PAS"), which works closely with the hospital medical staff, case management, and senior leadership to strengthen compliance, limit denials, improve revenue integrity, and improve efficiency; and Population Health Solutions (PHS), which spans the entire healthcare delivery continuum and enables providers to manage the health of their patient populations by delivering higher-quality care while reducing aggregate cost of care. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 - 6.0 years
2 - 6 Lacs
Gurugram
Work from Office
DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 1 month ago
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