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4.0 - 5.0 years

3 - 8 Lacs

Hyderabad

Hybrid

We are hiring for SAP SuccessFactors with one of Big 4 clients. Interested candidates, kindly share your resume to k.arpitha@dynpro.in Qualifications Required Computer science graduate 4 5 years of relevant work experience Technical Skills At least 4-5 years’ experience in business analysis, requirements management and SuccessFactors Talent. At least two full life-cycle SAP SuccessFactors integration implementation. experience on SuccessFactors integration with CPI, Integrated with third party system, SuccessFactors Integration center system and SuccessFactors Intelligent service center. Experience SuccessFactors modules (Recruitment/Employee Central), end to end integrations including requirements gathering (functional specifications), configuration design, configuration, and testing is preferred. Responsible for creating documentation including requirement User Stories, Acceptance Criteria, Feature Description PowerPoint decks, Process Flows and Analysis Models, Journey Maps, Wireframes and User Guides. Should manage the Product Backlog for a Product, working with the onsite BSA and Engagement Manager to prioritize requirements. Good analytical and problem-solving skills.

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7.0 - 12.0 years

7 - 16 Lacs

Chennai

Work from Office

Job Title: Quality Manager Multispecialty Coding Location: Chennai Experience Required: Minimum 3 years at AM level Employment Type: Full-time Industry: Healthcare / Medical Coding / Revenue Cycle Management Job Summary: We are hiring a Quality Manager Multispecialty Coding with proven experience in auditing, compliance, and team quality oversight . The ideal candidate should be currently at the Assistant Manager level with strong auditing skills across multiple specialties. Key Responsibilities: Perform quality audits across multispecialty medical coding (IP, OP, ED, Surgery, Radiology, etc.) Monitor coder performance and provide detailed feedback to improve accuracy and compliance Handle a team of quality analysts and support coders through structured audit reports and training Ensure adherence to client guidelines, CMS regulations, and internal quality benchmarks Prepare audit trend analysis and recommend process improvements Coordinate with training and operations teams for audit calibrations and corrective action plans Candidate Requirements: Minimum 3 years of experience at the AM level in medical coding quality Strong exposure to multispecialty coding audits and standards Certification preferred: CPC, CCS, or equivalent (AHIMA/AAPC) Excellent communication, analytical, and documentation skills Experience in team handling, quality metrics, and RCA analysis Why Join Us? Competitive compensation and incentive structure Dynamic and growth-focused work environment Opportunities for career advancement Health benefits and skill development programs How to Apply: Send your updated CV to kishorekumar.rajendran@collarjobskart.com or react out @ +91-9789013148

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0.0 - 5.0 years

1 - 3 Lacs

Ahmedabad

Work from Office

Location- Ahmedabad Shift Timing: US Shift (Night Shift) Facilities - Cab Facilities 5 days’ Work-Week Saturday, Sunday fixed off Freshers & Experienced both can apply

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1.0 - 4.0 years

1 - 6 Lacs

Hyderabad, Chennai, Bengaluru

Work from Office

Openings for AR Callers / AR Calling Experience: 1+ Years Skill: CMS1500, UB04 & Denial Management. Mode: WFO Salary: Best in Market + CAB + Allowances Preferred: Immediate - 15 days For Scheduling the Interview Contact: Karthik – 8778051891

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3.0 - 8.0 years

3 - 6 Lacs

Mohali, Pune, Bengaluru

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Greetings from Vee Healthtek...! We have an Immediate Opening for Quality Analyst - AR (US Healthcare) Note - Looking for on papers QA Designation: Quality Analyst/ Senior Quality Analyst Department: Medical Billing Experience: 3+Years Location: Mohali Skills required: Good Domain Knowledge Good Oral & Written Communication skills Proficient in MS Word/Excel Excellent analytical skills with understanding of health care claims processing. Ability to multi-task Willingness to be a team player and show initiative where needed. Willingness to work in Flexible Shifts On Papers Quality Analyst is Appreciable Roles & responsibilities: Ensure all Quality parameters are met by removing errors. Work towards Service Levels and meet the productivity and quality requirements. Counsel the team members on quality issues. Document all errors and feedback given to each team membe r in the prescribed format. Ensure all client updates are recorded and shared across the team. Execute quality check are done as per the latest updates. Ensure timely communication with the clients. Identify and update your supervisor on the training requirements of your team. Interested candidates can reach out to Name - Bhagyashree V Contact Number - 9741406191 Mail Id - bhagyashree.v@veehealthtek.com

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7.0 - 10.0 years

10 - 20 Lacs

Salem, Chennai, Coimbatore

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Hi connections, We are hiring for Senior SAP SuccessFactors Consultant Chennai / Coimbatore / Salem (Work from Office 5 Days) US Shift | Full-Time | Immediate Joiners Preferred Experience Required: 7+ Years in SAP SuccessFactors Sierra Digital Inc. is looking for a highly experienced SAP SuccessFactors Consultant Apply now: s.shivakumar@sierradigitalinc.com

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2.0 - 5.0 years

4 - 9 Lacs

Chennai

Work from Office

Artificial Intelligence (AI) Developer U.S. Healthcare Back Office (Predictive Analytics & Workflow Automation) Location: Chennai, India Department: Technology & Innovation Healthcare RCM Employment Type: Full-Time Position Overview: We are seeking an experienced and driven AI Developer to join our Chennai-based team supporting U.S. healthcare clients. This role focuses on using Artificial Intelligence to drive predictive analytics and workflow automation across key functions in the healthcare revenue cycle management (RCM) and back-office operations. You will play a critical role in transforming healthcare operations through smart automation, denial prediction, payment forecasting, and task prioritization. Key Responsibilities: Predictive Analytics Build machine learning models to: Predict insurance claim denials, delayed payments, and bad debt risk. Forecast cash flows, aging trends, and payer response patterns. Collaborate with RCM SMEs to validate and enhance model accuracy and relevance. Workflow Automation Develop AI logic to automate: Charge validation, claim edits, denial routing, and follow-up assignment. Integrate predictive models into production workflows to support real-time decision-making and task prioritization. Data Integration & Engineering Design and maintain ETL pipelines pulling data from: Practice management systems, clearinghouses, EHRs, and payer portals. Work with ANSI X12 transactions (837, 835), HL7, and FHIR standards to build structured datasets for model training. NLP for Medical Documents Apply NLP to extract and classify information from clinical notes, denial letters, appeal documentation, and billing memos. Model Deployment & Feedback Deploy, monitor, and retrain models based on performance in live production environments. Build dashboards for operational teams to act on predictive insights. Compliance & Governance Ensure all AI and data practices adhere to HIPAA, client-specific security requirements, and U.S. healthcare compliance norms. Required Qualifications: Bachelor’s or Master’s degree in Computer Science, Data Science, or a related field. 2–5 years of experience in AI/ML development, ideally in the U.S. healthcare or RCM domain. Strong Python skills and experience with libraries such as Scikit-learn, TensorFlow, and Pandas. Solid understanding of healthcare RCM workflows including denials, AR follow-up, and claim lifecycle. Familiarity with U.S. medical coding systems: ICD-10, CPT, HCPCS, and claim formats (837/835). Preferred Qualifications: Experience with RPA tools (UiPath, Automation Anywhere) or custom automation frameworks. Working knowledge of NLP libraries (spaCy, NLTK, Hugging Face). Familiarity with EHR platforms (Epic, eClinicalWorks, Athenahealth). Experience deploying AI solutions on cloud platforms (AWS, Azure, GCP). Interested pls share your updated resume to below email ID or whatsapp: Email ID: azarudeen@qwayhealthcare.com Number: 7397746136 Regards HR Team Qway Technologies

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1.0 - 5.0 years

1 - 4 Lacs

Hyderabad, Chennai, Bengaluru

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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 - 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

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1.0 - 5.0 years

3 - 8 Lacs

Bengaluru

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Job description We are urgently hiring Patient Callers for our growing US Healthcare process team. The ideal candidate must have prior experience in customer support, preferably in a US-based voice process. Key Responsibilities: Handle inbound and outbound calls with US-based patients professionally and empathetically. Respond to patient queries related to their accounts, appointments, and billing details. Document detailed and accurate notes in patient accounts after every interaction. Resolve general inquiries and ensure a high level of patient satisfaction. Collaborate with internal teams to escalate and resolve complex issues. Requirements: Minimum 1 year of experience in a customer care role, preferably in a US healthcare process. Candidates with AR Calling experience and excellent communication skills are also encouraged to apply. Strong verbal and written communication skills in English. Willingness to work in US night shifts. Ability to join immediately is highly desirable.Role & responsibilities

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2.0 - 7.0 years

0 - 3 Lacs

Pune

Work from Office

AR Caller / Senior AR Caller Department: Revenue Cycle Accounts Receivable Reporting To: Team Lead – Accounts Receivable Location: Pune (Work from Office) Job Type: Full-Time, Permanent Shift: US Shift / India Night Shift Role Overview: The AR Caller / Senior AR Caller will be responsible for managing Accounts Receivable (A/R) for US healthcare providers. The role involves calling insurance companies in the US to follow up on outstanding claims, resolving denials, and ensuring timely reimbursement. Senior AR Callers are additionally expected to support junior team members and lead process training as needed. Key Responsibilities: Review assigned claims and verify their status through phone calls, IVR systems, or web portals Call insurance companies in the US to follow up on outstanding A/R Identify and resolve issues such as denials, rejections, or underpayments Record detailed call notes and update actions on the client’s revenue cycle platform Initiate corrective measures by submitting required documents to payers Meet quality and productivity benchmarks as defined Understand and resolve denial codes and provide appropriate follow-ups Perform claim submissions via Electronic, Paper, or Direct Data Entry (DDE) Use client-specific call note standards for accurate documentation Additional Responsibilities for Senior AR Caller: Mentor and assist junior team members with queries and production improvement Train new or existing team members on client-specific processes Support the team lead with process improvements or escalations Job Requirements: For AR Caller: Minimum 1 year of experience in AR calling for US healthcare provider market For Senior AR Caller: Minimum 4 years of experience in AR calling for US healthcare provider market Strong understanding of Revenue Cycle Management (RCM) and Denial Management Familiarity with US healthcare insurance plans, HIPAA guidelines, Worker’s Comp, and No-Fault Prior experience with medical billing software preferred; client-specific training will be provided Excellent verbal and written communication skills in English Strong MS Office skills and ability to multitask effectively Excellent phone etiquette and documentation skills Education & Certification Requirements: Undergraduate, Graduate, and/or Postgraduate degree in any discipline

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15.0 - 20.0 years

10 - 14 Lacs

Coimbatore

Work from Office

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : SAP SuccessFactors Employee Central Payroll Good to have skills : SAP SuccessFactors Employee Central Time OffMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Payroll SME, you will manage the delivery of large, complex technology projects using appropriate frameworks and collaborating with sponsors to manage scope and risk. You will drive profitability and continued success by managing service quality and cost and leading delivery. Additionally, you will proactively support sales through innovative solutions and delivery excellence. Roles & Responsibilities:- Expected to be a SME with deep knowledge and experience in EC payroll.- Multi Country payroll expertise and experience.- Should have influencing and Advisory skills.- Engage with multiple teams and responsible for team decisions.- Expected to provide solutions to problems that apply across multiple teams, and provide solutions to business area problems.- Lead the technology delivery of large and complex projects.- Collaborate with sponsors to manage scope and risk.- Manage service quality and cost to drive profitability and success.- Proactively support sales through innovative solutions and delivery excellence. Professional & Technical Skills: - Must To Have Skills: Proficiency in SAP SuccessFactors Employee Central Payroll.- Strong understanding of project management frameworks.- Experience in managing large and complex technology projects.- Excellent leadership and communication skills.- Good To Have Skills: Experience with SAP SuccessFactors modules. Additional Information:- The candidate should have a minimum of 18 years of experience in SAP SuccessFactors Employee Central Payroll.- This position is based at our Pune office.- A 15 years full time education is required. Qualification 15 years full time education

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6.0 - 10.0 years

6 - 9 Lacs

Bengaluru

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Job Title Billing RCM Team Lead Summary of Duties : Maintaining the team productivity / Quality which includes charges / Payment posting and Accounts receivables , monitoring the calls and giving solutions for the team’s problems and assisting them in all areas. Must have strong AR knowledge in approaching the AR aging report. Must have internal medicine/ Family practice specialty knowledge. Flexibility to work based on the work schedule Skills / Roles & Responsibilities Tasks includes below but not limited to 1. Medical Terminology knowledge 2. Ability to operate a computer, phone, and basic office equipment 3. Typing skills is must and able to type fast 4. Clear communication skill is mandatory 5. Must be good in excel and reporting 6. Must know how to plan to work on Accounts Aging report 7. Assisting team on their clarifications and used to work on the client deliverables within TAT. 8. Attention to detail and organizational skills evident in the preparation of accurate weekly and monthly reports within tight deadlines to team and to client. 9. Accountable for maintaining the KPI metrics, Team productivity and Quality. 10. Duties include making a work plan every day, running reports, creating spread sheets, resolving issues bought forward by team, and ensure the smooth operations of our billing practice. Educational Qualification Any degree

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5.0 - 10.0 years

5 - 9 Lacs

Navi Mumbai, Mumbai (All Areas)

Hybrid

Role & responsibilities : Assistant Manager in Payment Posting: Posting Payments: Manually or electronically applying payments to the correct customer accounts and invoices. Data Entry: Accurately entering payment information into the accounting system. Reconciliation: Comparing payments to the company's records to ensure accuracy and identify any discrepancies. Discrepancy Resolution: Investigating and resolving any issues or discrepancies related to payments. Record Keeping: Maintaining accurate records of payments, adjustments, and other relevant information. Support to the Manager: Assisting the Manager in managing the payment posting process, including training, workflow, and project management. Compliance: Ensuring that all payment posting activities adhere to company policies and procedures, and any relevant regulations. Communication: Communicating with internal and external parties (e.g., customers, insurance companies) regarding payments and any related issues. Preferred candidate profile -From healthcare & RCM industry. I nterested candidate can share CV on pojha@harriscomputer.com

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10.0 - 15.0 years

4 - 8 Lacs

Pimpri-Chinchwad, Panvel, Pune

Work from Office

REPCO HOME FINANCE LTD (Promoted by REPCO Bank - Govt of India Enterprises) Corporate Office: 3rd Floor, Alexander Square, New No: 2(Old No 34&35) Sardar Patel Road, Guindy, Chennai - 600032 PH: 044 42106650 HRD PH: 9962235359,7823942864 __________________________________________________________________________________ Repco Home Finance Limited (RHFL) established in the year 2000, a housing finance company (HFCs), registered with National Housing Bank and regulated by Reserve Bank of India is inviting applications for RECRUITMENT OF REGIONAL COLLECTION MANAGER (RCM) FOR PUNE REGION. Post Code: REGIONAL COLLECTION MANAGER JUNE 2025 Position: CHIEF MANAGER Location: Regional Office - PUNE Profile: To oversee and manage the collections and recovery efforts within the assigned region, ensuring the achievement of collection targets, minimizing delinquency rates, and maintaining the quality of the loan portfolio in compliance with relevant laws, including the Securitisation and Reconstruction of Financial Assets and Enforcement of Security Interest (SARFAESI) Act. For Chief Managers: 1. Any graduation (10+2+3 format) from a UGC recognized university. Post-graduation & professional qualification shall be given additional weightage. 2. Age not exceeding 38 years as on 01-06-2025 (relaxation generally up to 50 years of age can be considered based on commensurate, relevant prior experience for deserving cases based on Management discretion). 3. Minimum 10 years of experience (for age not exceeding 38 years) in collections and recovery in the HFCs/Banks/NBFCs. For further age relaxation, commensurate additional experience would be required. 4. Presently holding a role in the cadre now equivalent to or not lower than that of Manager / Senior Manager cadre. 5. Candidates have to specify in the Bio Data form for which position they are applying (Chief Manager) followed by the desired location. 6. Fluency in respective regional language (read, write & speak) and Hindi besides English is must. 7. Early joining will be preferred. 8. For recruitment in all cadres, external candidates applying, having pending disciplinary action against them at the time of applying for the position or having been punished under disciplinary proceedings in last 5 years will not be considered eligible. All appointments are subject to satisfactory reference / background verification. 9. Candidates terminated by any previous employers are not eligible to apply. Job Description: • • Tracking & controlling the delinquent of accounts under all buckets. Initiate actions under the SARFAESI Act, including issuing demand notices, taking possession of secured assets, and selling assets to recover dues. Address and resolve customer grievances related to collections and recovery. • Coordinate with legal and compliance teams to ensure adherence to regulatory requirements, including the SARFAESI Act. • • Set performance targets for the regional team and monitor progress towards achieving them. Lead, mentor and manage the branch collections team, including recovery managers across regions. • • • • Review account allocations and collections targets by bucket wise in the region. Regular follow up with the default customers through a dedicated team. Regular visit to customer place for collection and ensure timely recovery of dues. Implement corrective actions to address delinquencies and reduce non-performing assets (NPAs). • Implement effective recovery strategies for overdue accounts, including legal actions where necessary. • • Regular follow up with delinquent customers to negotiate and facilitate repayment. Prepare and present regular reports on collection performance, recovery rates, and key metrics to senior management. • • • Ensure compliance with all regulatory and company policies related to collections and recovery. Work closely with the sales, credit, and operations teams to ensure a seamless and efficient collections process. Coordinate with external agencies and legal advisors for recovery actions. Key Competencies Required • • • • • • • • • • Strong leadership and team management skills. Excellent communication and negotiation abilities. Proficiency in data analysis and reporting. Thorough understanding of regulatory requirements and compliance. Ability to work under pressure and meet deadlines. High ethical standards and integrity. Strong problem-solving skills. Willingness to travel extensively within the region. Proficiency in regional language(s) is an advantage Good interpersonal skills with the ability to work collaboratively with clients and team members. • • Professionalism and ethical conduct in all dealings. Proficiency in MS-Office Pay & Perquisites: Based on Current CTC + Attractive incentives. PROBATION: 1 year How to Apply: Eligible candidates are requested to apply only as per the enclosed bio-data format (along with NOC if applicable and with detailed CV). Applications shall be sent by email/post/courier. Applications sent without the Bio Data format will not be considered. Applications in a sealed envelope super-scribing the Application for RECRUITMENT REGIONAL COLLECTION MANAGER (PUNE REGION) - JUNE 2025 shall be forwarded to the address as given below to reach the addressee on or before 5 pm on June 30th , 2025: By Post/ Courier to: By mail to: The DGM (HR) or recruitment@repcohome.com Repco Home Finance Limited (With scanned Bio Data format and detailed CV) 3rd Floor, Alexander Square New No. 2/Old No. 34 & 35 Sardar Patel Road, Guindy Chennai- 600 032. Contact Number: 99622 35359 Applications received after due date and without prescribed Bio Data format will not be considered. The shortlisting will be done as per the prescribed criteria and as per management discretion depending upon the number of applications received. The shortlisted candidates shall be called for further selection process subsequently. The date & venue & mode of the same will be communicated to the shortlisted candidates individually in due course. The Company reserves the right to accept/reject any/all applications and/ or modify any of the eligibility conditions without assigning any reason or even abandon the recruitment process. The Company also reserves the right to offer suitable cadre/emoluments to candidates as per its own discretion depending on profile, past experience and performance in the selection process etc. No further communication/ correspondence in this regard after submission of application will be entertained. Bringing external influence will lead to disqualification. For eligible candidates of Repco Group of Companies, NOC from the Competent Authority has to be obtained before applying for the above position. *****************************************************************************

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1.0 - 3.0 years

2 - 3 Lacs

Hyderabad

Work from Office

The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership. Primary Responsibilities: Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle Ensure all workflow items are completed within the set turn-around-time within quality expectations Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and leading to process improvements Perform other duties as assigned Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Proven experience in Physician Billing -CMS1500. Hospital Billing -UB04 Claims will be an added advantage Internal Required Qualifications: Should be a Graduate (10+2+3) 1- 2.5 Years and above experience in healthcare accounts receivable required (Denial Management) Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers) In-depth working knowledge of the various applications associated with the workflows Knowledge / Skills / Abilities: Solid knowledge and use of the American English language skills with neutral accent Ability to communicate effectively with all internal and external clients Ability to use good judgment and critical thinking skills; ability to identify and resolve problems Proficient in MS Office software; particularly Excel and Outlook Efficient and accurate keyboard/typing skills Solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information Graduate with Minimum 1-2.5 Years experience in AR Calling (Voice)-Denial Management (RCM/AR Domain) & EPIC platform experience is an added advantage! Interview Venue: Optum (UnitedHealth Group) aVance; Phoenix Infocity Private Ltd, SEZ 3rd floor, Site-5-Building No. H06A HITEC City 2, Hyderabad-50008 Date: 24-June-2025 Time: 11:00 AM Point Of Contact: Lakshmi Deshapaka Email: deshapaka_vijayalakshmi1@optum.com Things to Carry: Updated resume Government-issued photo ID (e.g., Aadhaar, Passport, or Driver's License) Passport-size photographs (2) Looking forward to seeing you and your referrals at the drive! Please Note: Entry will be allowed only after showing the physical copy of this interview invite Kindly Ignore if you have appeared for a walk-in drive with us in the last 30 Days & not open to night shifts

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3.0 - 6.0 years

3 - 6 Lacs

Hyderabad

Work from Office

The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership. This role is crucial for improving cash flow, reducing bad debt, and ensuring financial stability for healthcare providers by optimizing the revenue cycle process. Eligibility: Graduate with Minimum 3 - 6 Years experience in Physician & Hospital Billing-Denial Management (RCM/AR Domain); EPIC platform experience will be an added advantage! Primary Responsibilities: Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR Investigate and resolve denied, aged, or complex medical claims to maximize reimbursement. Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle Ensure all workflow items are completed within the set turn-around-time within quality expectations Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and leading to process improvements Perform other duties as assigned Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Proven experience in Physician Billing -CMS1500. Hospital Billing -UB04 Claims will be an added advantage Responsible for handling complex and escalated claims within the US Healthcare Revenue Cycle Management (RCM) process. Internal Required Qualifications: Should be a Graduate (10+2+3) 3 Years and above experience in healthcare accounts receivable required (Denial Management) Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers) In-depth working knowledge of the various applications associated with the workflows Required Knowledge / Skills / Abilities Qualifications: Solid knowledge and use of the American English language skills with neutral accent Ability to communicate effectively with all internal and external clients Ability to use good judgment and critical thinking skills; ability to identify and resolve problems Experience with revenue cycle software and electronic health record (EHR) systems. Proficiency in Excel, SQL, Power BI, or Tableau for reporting preferred Advance Excel and strong ability to analyze data, identify patterns. Understanding of CPT, ICD-10, HCPCS and payer billing reimbursement methods Proficient in MS Office software; particularly Excel and Outlook Efficient and accurate keyboard/typing skills Solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information Soft skills: Strong leadership, communication, and team management abilities. Excellent analytical, problem-solving, and decision-making skills. Strong understanding of US healthcare RCM processes (Billing, Coding, Denials, AR, Payments, Compliance) Strong knowledge of medical billing, coding (CPT, ICD-10, HCPCS), payer contracts, and reimbursement methodologies. Knowledge of regulatory compliance, including HIPAA and healthcare financial regulations. Knowledge of RCA tools and their effectiveness If you are passionate about healthcare and meet the required criteria, we encourage you to attend and share this opportunity with your friends or colleagues who might be interested. Interview Venue: Optum (UnitedHealth Group) aVance; Phoenix Infocity Private Ltd, SEZ 3rd floor, Site-5; Building No. H06A HITEC City 2, Hyderabad-500081 Date: 24-June-2025 Time: 11:00 AM Point Of Contact: Lakshmi Deshapaka Email: deshapaka_vijayalakshmi1@optum.com Things to Carry: Updated resume Government-issued photo ID (e.g., Aadhaar, Passport, or Driver's License) Passport-size photographs (2) Dress Code - Business Formals Looking forward to seeing you and your referrals at the drive! Please Note: Entry will be allowed only after showing the physical copy of this interview invite Kindly Ignore if you have appeared for a walk-in drive with us in the last 30 Days & not open to night shifts

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1.0 - 4.0 years

2 - 5 Lacs

Hyderabad

Work from Office

Greetings from Newport Medical Solutions! We are hiring candidate with AR Experience with immediate to 30 days notice period. Relevant experience candidates can share their resume on talentacquisition@newportmed.com or contact -Nafees(9121175384). Job Title: Associate/Senior Associate - Account Receivables Years of Experience: Min 1 to Max 4 years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location-Nsl 2, 5th floor, Arena Towers ,Uppal Hyderabad. Experience and Domain Requirements: AR callers with good experience of 1 to 4 Years RCM Experience (Physician Billing). Looking for AR callers with good experience in NextGen/Greenway/Advance MD/Other software is also considerable. Understanding of Provider Information & Patient Information as it impacts claim resolution. Knowledge of Clearing House Rejections/Denials and its resolution Knowledge of Payor Denials and Resolution Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing. Eligible candidates can contact on -Nafees ( 9121175384 )

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1.0 - 4.0 years

2 - 3 Lacs

Hyderabad

Work from Office

Responsibilities: * Manage AR calls, denial management & handling * Execute RCM processes with focus on denials * Ensure timely claims processing & revenue cycle optimization Health insurance Provident fund

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5.0 - 8.0 years

4 - 8 Lacs

Bengaluru

Work from Office

Position Summary: As a QA, you will be responsible for team handling, work allocation, client interactions and generate, distribute RCM metrics reports to the leadership team. Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role. JOB DETAILS: • Experience in handling a team / group of 15 to 20 FTEs • Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management & Correspondence review • Very good understanding of RCM metrics like Days in AR, Ageing above 90 days, Collections and bad debt • Periodically review teams performance and recommend performance improvement plan wherever required • Hands on in preparing daily, weekly & monthly operational metrics reports from the Practice Management/Billing System and workflow tool using MS-Excel • Identify trends and patterns from the generated reports and initiate action plan to resolve the AR issues • Responsible for work allocation / distribution to the team and monitor the team work • Create and maintain daily operational scorecards to track and report KPIs; assist in volume forecast and capacity planning as required • Generate and distribute management reports in accurate and timely manner • Perform data analysis for generating reports on periodic basis including adhocs • Establish a strong relationship with Team Managers by demonstrating the gaps, trends & patterns identified during the data/report compilation • Suggest ways of improving the process using Lean Six Sigma methodology and suggesting automation of repetitive processes • Able to interact with the client effectively • Willing to work in night shift / US timings QUALIFICATIONS: 5+ years of industry experience • 3+ year Experience in relevant billing functions is a must • Proficient in MS Excel and creating Excel macros • Strong ability to analyze raw data, draw conclusions and develop actionable recommendations • Ability to handle multiple tasks of reporting simultaneously • Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem solving and quantitative abilities. Solid verbal and written communication skills are required. Education/Certifications: • Graduate in any disclipline.

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6.0 - 11.0 years

5 - 10 Lacs

Hyderabad, Chennai

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Job Summary: We are looking for an experienced and driven Assistant Manager/Lead Talent Acquisition to manage end-to-end recruitment. The ideal candidate will be responsible for hiring healthcare, medical coder professionals, ensuring quality talent is brought on board in a timely and efficient manner. Key Responsibilities: • Manage the full-cycle recruitment process including sourcing, screening, interviewing, and onboarding candidates in the healthcare sector. • Partner with hiring managers to understand talent needs and create effective recruitment strategies. • Source candidates using job portals, social media, employee referrals, and healthcare-specific networks. • Ensure timely closure of open positions across functions. • Conduct initial screening and assess candidates’ skills, experience, and alignment with the organization’s culture. • Coordinate and conduct interviews, assessments, and reference checks. • Maintain recruitment metrics and dashboards for reporting and analysis. • Build and maintain a talent pipeline for critical and hard-to-fill healthcare roles. • Ensure a positive candidate experience and employer branding throughout the recruitment journey. • Stay updated on hiring trends, industry benchmarks, and best practices in healthcare recruitment. Requirements: • Graduate/Postgraduate in Human Resources, Business Administration, or related field. • 5-10 years of relevant experience in talent acquisition, preferably in the healthcare or hospital industry. • Proven track record in hiring healthcare professionals (RCM). • Strong interpersonal, negotiation, and communication skills. • Proficiency in using applicant tracking systems (ATS) and recruitment tools. • Ability to work in a fast-paced environment and handle multiple roles simultaneously. • Knowledge of healthcare industry is a plus.

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1.0 - 4.0 years

2 - 3 Lacs

Coimbatore

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We are currently seeking talented individuals for multiple openings in Payment Posting, Denial Specialist, and Demo & Charge Entry roles. Payment Posting Specialist (End-to-End Process) - 10 positions available Denial Specialist (End-to-End Process) - 10 positions available Demo & Charge Entry Specialist - 10 positions available We are looking for candidates who can join immediately.

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0.0 - 5.0 years

1 - 2 Lacs

Jaipur

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

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4.0 - 7.0 years

12 - 18 Lacs

Faridabad, Delhi / NCR

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Key Responsibilities: Lead internal audits across departments/business units Ensure compliance with J-SOX, ICFR, and RBI regulations Oversee Risk Control Matrix (RCM) updates and testing Report audit findings to senior management and the Audit Committee Collaborate with stakeholders to implement control improvements Share your CV at bhawana@symbiosisindia.net

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4.0 - 6.0 years

18 - 20 Lacs

Faridabad, Gurugram, Delhi / NCR

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Key Responsibilities: Lead internal audits across departments/business units Ensure compliance with J-SOX, ICFR, and RBI regulations Oversee Risk Control Matrix (RCM) updates and testing Report audit findings to senior management and the Audit Committee Collaborate with stakeholders to implement control improvements Share your CV at bhawana@symbiosisindia.net; deepshikha@symbiosisindia.net

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2.0 - 4.0 years

2 - 6 Lacs

Chennai

Work from Office

Roles and Responsibilities Identify and address denials by investigating root causes, appealing denied claims, and reducing write-offs. Handle patient billing processes from admission to discharge, ensuring accurate coding and timely submission of claims. Collaborate with internal teams (e.g., medical records, insurance verification) to resolve issues related to patient care and billing. Desired Candidate Profile 2-4 years of experience in AR calling Strong knowledge of RCM (Revenue Cycle Management), Denial Management, Medical Billing, AR Caller/SR.AR Caller skills. Excellent communication skills for effective negotiation with customers over phone calls. Job Location: (Chennai ) Work from Office (Night Shift) Key Skills Required: Good Communication Skills (English Verbal & Written) Basic Knowledge of Denial Management, RCM, CPT/ICD codes Understanding of US Healthcare Insurance Terms (Medicare, Medicaid, etc.) Ability to work in Night Shifts (US Timing) Shift Timings: Night Shift (6:30 PM 3:30 AM IST) | Monday to Friday Perks & Benefits: Attractive Incentives 2-Way Cab (Night Shift) Performance Bonus Health Insurance Career Growth & Internal Promotions Qualifications: Any Graduate / Diploma (Medical/Non-Medical) Prior experience in AR Calling / Voice Process preferred Need who have experinced in Denials(Physician & Hospital) If you have already attended Interview in Ventra Pls don't Attend!! How to Apply: Interested candidates please do contact HR Vinodhini(7904391931) only Whatsapp and send Your CV to this email : vinodhinihr.15@gmail.com mention sub: Applying for Ventra Note: Don't Forgot to Mention your last company,Take home salary and Expected salary We need Immediate Joiners only!!! *******Strictly NO Freshers********

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