1263 Rcm Jobs - Page 4

We are looking for a Team Lead to manage and oversee Revenue Cycle Management (RCM) operations, ensuring customized solutions for specific accounts. This role involves handling individual workloads while supervising training, auditing, and monitoring team performance to ensure efficiency and accuracy in Accounts Receivable (AR) follow-ups and Denial Management . The Team Lead will also be responsible for maintaining seamless workflows, including payment collection and insurance carrier coordination , while supporting both clients and internal teams. Key Responsibilities: Team Leadership & AR Management: Lead a team of analysts and a team coach to reduce AR aging and optimize collections. Denial Management: Provide expertise in AR follow-ups and denial analysis to maximize recovery. Process Oversight: Supervise daily team activities, track progress, and ensure SLA commitments are met. Quality Assurance: Conduct quality checks on AR follow-ups and Explanation of Benefits (EOB) denial analysis before submission to clients. Client & Escalation Handling: Respond to client queries and manage first-level escalations effectively. Performance Monitoring: Track and maintain key metrics, including attendance, productivity, and workflow management . Process Improvement: Develop and implement strategies to enhance productivity and quality within the team. Training & Development: Mentor and supervise analysts, senior analysts, and new trainees , fostering strong AR follow-up skills. Pilot Projects & Knowledge Transition: Participate in new projects, ensuring smooth knowledge transfer to the team. Conflict Resolution: Work with managers to address and resolve team-related concerns effectively. Hands-on AR Work: Support follow-up tasks when required to ensure efficiency and completion of workflows. Trend Analysis: Identify patterns within portfolios to aid in collections optimization and drive better outcomes. Mandatory Skills & Qualifications: Experience: Minimum 7 + years in AR follow-ups, Denial Management, or Revenue Cycle Management (RCM) . Leadership: Strong mentoring and team management skills. Communication: Excellent verbal and written English proficiency. Detail-Oriented: High attention to accuracy and process compliance. Problem-Solving: Ability to multitask and handle multiple responsibilities effectively. Analytics: Strong analytical skills with a results-driven mindset. Process Improvement: Keen eye for enhancing workflows and quality standards in AR management. Industry Knowledge: In-depth understanding of healthcare RCM and insurance processes . Preferred Skills: Strong problem-solving abilities. Experience in training and mentoring team members. Proficiency in Microsoft Office (Word, Outlook, Excel). Excellent in MS Excel, Power Bi, MS PPT, other applications of MS Office . Very good in Reports Creation and Submission. Excellent Communication and Accent and experience in handling US clients and Providers . Share your resume along with your last three months' pay slips via WhatsApp Or Call @ 9841820311 David HR you can also email the CV to hr@acpbillingservices.com Work Location: ACP Billing Services Pvt LtdNO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark: Next to ICICI Bank Madhavaram Branch.

Dear Applicant, Excellent opportunity ! Position / Title : Executive - AR / Senior Executive - AR Responsibility Areas Role Description Overview: The User is accountable to manage day to day activities of Denials/Claims Processing/ AR follow-up/ Rejections with respect to Hospital Billing. Responsible for contacting insurance companies and patients to follow up on outstanding medical claims. Navigates complex billing and coding processes to ensure accurate reimbursement for healthcare services. Responsibility Areas: Should handle US Healthcare Hospitals/Facility Accounts Receivable. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. Ensure that the deliverables to the client adhere to the quality standards. Update Production logs. Ensure targeted collections are met on a daily / monthly basis To review emails for any updates. Identify issues and escalate the same to the immediate supervisor. Strict adherence to the Company/HIPAA policies and procedures. Desired Profile Sound have sound knowledge in all RCM concepts of US Healthcare Excellent Knowledge on Denial Management / AR Followup / Rejections. Should be proficient in calling the insurance companies. Expertise in working on UB04 Form Good knowledge on all Clearing Houses Should be good at using the web portals to close the non-calling denials Interested candidate please share your resume below mail id or share the resume on Whatsapp. Contact HR : Kavyashree Mail Id : Kavyashree.Poojary@omegahms.com or Whatsapp me @ 7353600981 Regards, Team HR

Key Responsibilities: Verify patients' insurance eligibility and benefits using online portals or by calling payers. Ensure accurate and complete documentation of insurance details in the system. Obtain prior authorizations and pre-certifications when required. Communicate with patients, insurance companies, and internal teams as needed. Handle insurance-related queries efficiently and in a timely manner. Follow-up with insurance companies for updates on pending verification or authorizations. Maintain confidentiality of patient information at all times.

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. Eligibility: Graduate with Minimum 1- 4 Years experience in Hospital Billing-Denial Management (RCM/AR Domain) & EPIC platform experience is 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 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 Role & responsibilities Must be a Graduate (10+2+3) Minimum 1-4 Years experience in Healthcare accounts receivable with (Denial Management) -Hospital Billing UB04 Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers) In-depth working knowledge of the various applications associated with the workflows Must possess proven experience in Hospital Billing-UB04 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. 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 Interview Venue: Optum (UnitedHealth Group) aVance; Phoenix Infocity Private Ltd, SEZ 3rd floor, Site-5; Building No. H06A HITEC City 2, Hyderabad-500081 Date: 10-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: Dress Code: Business Formals 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 If you have no experience in Hospital Billing-UB04

The Team Supervisor, Accounts Receivable will support the Manager (or above), Accounts Receivable in the development of department team members. The Supervisor will be responsible for assisting the Accounts Receivable Specialists with problematic claims and questions regarding processes, as well as assignments of work and meeting all KPI/SLAs for their assigned clients. The Supervisor will be responsible for implementing short and long term plans and objectives to improve revenue and denial trends. This includes working with insurance companies or government payers to identify reasons for unpaid or denied claims, as well as peers in other departments like Coding, Billing and Revenue Integrity. This position will have an oversight of all Human Resource functions for their team, including but not limited to hiring, terminations and performance management.. Job CompetenciesDecision Making Makes decisions by gathering, analyzing, and interpreting information; chooses the best course of action by establishing clear decision criteria, generating, and evaluating alternatives and making timely decisions. Strong problem solver and critical thinker. Coaching & Developing Others - Partners with individuals and supports their development of knowledge, skills, and abilities; empowers them to unlock their potential and maximize performance and growth knowing that developing you makes us better. Emotional Intelligence - Establishes and sustains trusting relationships by accurately understanding and interpreting ones own and others emotions and adapts behaviors to accomplish intended results. Courage Proactively confronts difficult issues and effectively participates in evaluating alternatives, makes hard choices and takes bold action in the face of opposition or fear. Refuses defeat. Creating an Inclusive Environment - Makes decisions and initiates action to ensure that policies and business practices leverage the capabilities and insights of individuals with diverse backgrounds, cultures, styles, abilities, and motivation. Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required, is proactive and pursues relentlessly. Influencing Uses effective persuasion techniques to gain acceptance of ideas and commitment to actions that support specific outcomes. Essential Job FunctionsCustomer Obsession - Consistently provide exceptional experience for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas - Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence - Execute at a high level by demonstrating our Best in KLAS Ensemble Difference Principles and consistently delivering outstanding results. Supervises the daily workflow of the department, monitoring progress to identify trends in denied payments by insurance companies, determining trends in unpaid claims and remediation solutions. Reviews Leadership No Touch Report if available to ensure all high dollar accounts are reviewed monthly. Reviews action logs daily and completed action logs pending to be verified. Conducts team huddles to efficiently cover new or evolving training focuses to encourage and develop team members, including sharing identified trends and solutions on unpaid and denied claims. Leads Team DIBS meetings and provides recap to team and leaders. Ensures adherence to the departmental budget, including overtime. Prepare monthly reports as requested. Establishes departmental goals with the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization. Ensures all team members meet productivity and quality standards. Meets with all associates 1:1 monthly to review current performance. Maintains and communicates any associate behavior, performance and attendance issues that may constitute a verbal or a correction action and/or performance improvement plan. Ensures timely completion and documents conversations in Workday. Reviews assigned associate's time management and approves timecards for payroll processing in a timely manner. Reviews Roster in Workday to ensure correct client, cost center and work location assignment. Collects, interprets, and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. Works with internal and external customers to make key decisions, impacting either the organization or an individual patient. Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation. Education, Certifications & Experience Bachelors degree in any discipline 5 - 8 years of experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal). Good knowledge of US healthcare, Revenue Cycle Management. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer groups and seniors. Preferred Certified Revenue Cycle Representative (CRCR).

Role & responsibilities We are looking for 10+ years of training and development experience with minimum of 5+ years of experience in training for RCM (Medical Coding, Account Receivables Process in Healthcare operations) Hands-on experience designing training for medical billing, coding, claims adjudication, or provider support services. In-depth understanding of RCM lifecycle and terminology (ICD, CPT, HCPCS, EOBs, etc.) Strong presentation and facilitation skills Proficiency in Learning Management Solutions (LMS) platforms. Preferred Certified Revenue Cycle Representative (CRCR). Graduate degree in Education, Business, or related field (Masters or professional certifications like CPC, AHIMA, Six Sigma is preferred).

Roles and Responsibilities Entering of patient demogrpahics and insruance information. Verifying Insurance Policy coverage from the webportal. Order Corrections for the screnrios : Changes in the calories, different product, Hospital Re-admit, discharge, patient expired. Delivery Worksheet : Orders are being picked from the Patient Medical records Monthly facility billing (PART A Report ) and MA reports are prepared and sent to the client. Develop understanding of client specifics and requirements File are split and renamed as per the client naming convention. Renamed Invoices are allocated to the users for further tasks Based on the Invoice, users should reconcile or enter the PO in the accounting application. Following up with clients on Invoice clarification Understand special situations and procedures that relate to the client we work on. Performs other duties as assigned. Desired Candidate Profile Education, Training, and Experience Required: Bachelors Degree or 3 year Diploma or equivalent is required. Medical Transcription experience is a huge plus Two (2) years of Medical Billing DME Billing, Charge Entry, Payment Entry experience is preferred; Equivalent combination of experience, education, and training that would provide the required knowledge and abilities. Knowledge/Skills: Knowledge of medical terminology; anatomy and ; English grammar and usage. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical billing clinical notes Ability to develop training materials, make group presentations, and to train staff Ability to exercise independent judgment; Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to competently use Microsoft Office Suite, particularly Word, Excel and Outlook. Ability to maintain confidentiality. Perks and Benefits As per market standards

Hiring Senior AR Caller ( Work from Office) Exp : 2 to 4 yrs Salary : 40 K Location : Bangalore Online Interview Skills: min 2 yrs in AR Calling Voice with denial process For Quick Response Whatsapp your CV :6369908968 - NANDHINI HR Required Candidate profile Skills : # Should have experience in AR Calling end to end denials # AR calling - Hospital Billing ( UB04) experience added as advantage # Ready to relocate bangalore # Looking immediate joiners

Responsibilities: * Manage AR calls, denials & US healthcare compliance. * Oversee RCM team performance & training. * Ensure accurate medical billing & claims processing. Health insurance Provident fund Office cab/shuttle

Greetings from AGS Health.! Job Title: Trainee Process Associate - AR Caller Process: International Voice Process Roles & Responsibilities: To address outstanding or assigned AR through analysis and phone calls by using available resources. Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment. To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager. To meet the established SLAs (service level agreements) for production and quality To update the outcome of the calls or analysis in a clear and coherent manner in the billing system To utilize the P & Ps (policies and procedures) established for the process and also stay updated with changes done with the P & Ps To improve the performance based on the feedback provided by the reporting manager / quality audit team. Qualification: Graduate fresher- BBA.,MBA, BA., B.Com., BCA., B.Sc (Physics, Chemistry, CS,MBA, MCA Maths)and 10+12+Diploma., Passed out year - 2019 to 2024 Please Note : B.E/B.Tech/ME/MTech & life science candidates - are not eligible to apply Interview Process Rounds of Interview: 1. HR Interview 2. Online Assessment - Grammar & Aptitude 3. Versant Test - Language Assessment 4. Operational/Technical Interview Shift Timing: 05:30 PM to 2:30 AM Or 7.00 PM to 4.00 AM Night Shift (US Shift) Should be flexible for both the shift. Transport : Two-way transport available based on boundary limits. Location: Hyderabad - western Pearl, Kondapur - should be flexible to work in any facility. Job Type: Full-time, Regular / Permanent Benefits: Saturday Sunday fixed Week Offs PF ESI Gratuity Health insurance. Performance bonus Competitive remuneration Free cab transport Required Skills: Good Verbal and Written Communication skills Should be comfortable working with Night shifts. Sound analytical skills Logical thinking Interested candidates can come to office directly for the interview Contact person - Bhaviri Roja

About The Role Job Title:? Team Leader ? DepartmentDelivery Quality About The Role Participate in client calls and understand the quality requirements both from process perspective and for targets Identifya method to achieve the quality targets and implement the same in consultation with operations manager / Team Manager Identifyerrors with high Inspection efficiency Provide face to face feedbackand alsosend emails with the type of errors etc. on daily basis as per protocol Ensure correction of the error by the respective Operations associate Coach employees to minimize errors and improve performance Provide inputs to the training team on common mistakes made to enhance training curriculum Test files/batches for new clients/processes to be processed as part of familiarization Generation of QA reportson a daily basis Attainment of Internal & External SLA as per Process Defined. Meet and exceed inspection efficiency score, calibration score, knowledge and skills score, inspection productivity rate and any otherappropriate metrics Recordidentifiederrors. This is an organizational record & can be used by the organization as itdeemsfit Job Specification Must be a graduate (Bachelors or Masters) Minimum of 6 Years of Professional and Relevant Experience inUS healthcare (RCM) in any of the following service lines Coding (Multi-specialty) Must have experience in Client and Stakeholder Management, Team Management. Good understanding of quality matrices Should have good understanding of quality tools Shift DetailsGeneral Shift / Day Shift Work ModeWFO Skills Skill Vendor Management Service Delivery Six Sigma Process Improvement Project Management Quality Assurance Outsourcing Business Process CRM Quality Management Education Qualification No data available CERTIFICATION No data available

face-to-face.Greetings from the OnQ India team! We are Hiring for Experienced AR Calling. 1+ Year of experience can apply Roles and Responsibilities Review eligibility and benefits verification for treatments, hospitalizations, and procedures. Review claims for accuracy and insurance compliance to obtain any missing information. Prepare, review, and transmit claims using billing software, including electronic and paper claim processing. Follow up on unpaid claims within standard billing cycle timeframes. Check insurance payments for accuracy and compliance with contract discount. Call insurance companies regarding any discrepancy in payments if necessary. Identify and bill secondary or tertiary insurances. Review accounts for insurance follow-up. Research and appeal denied claims. Update cash spreadsheets and run collection reports. Desired Candidate Profile Minimum 1+ years of experience in Medical Billing and Revenue Cycle Management. Knowledge of insurance guidelines, including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. Knowledge of medical terminology is likely to be encountered in medical claims. Familiarity with CPT and ICD-10 Coding. Knowledge and understanding of the patients health information confidentiality guidelines and procedures in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Effective communication skills for phone contacts with insurance payers to resolve issues. Experience working with billing software and/or practice management software. Perks and Benefits; One-way cab Food Allowance Self Transportation Allowance Retention Bonus up to 100,000/- (One Lakh) Potential Hybrid mode Other Details CTC: Good at Industry Mode of Interview: Virtual Interview and face to face. Office Location : Hyderabad Contact: +91 9154840954 WhatsApp: +91 9154840954 Email CV to jobs@onqindia.com

Dear Candidates Greetings From Q ways Technologies We are hiring for AR Caller & Senior AR Callers Process: Medical Billing Designation: AR Caller , Senior AR Caller Salary: As per standards Location: Chennai & Coimbatore Free Pick up and Drop Interview Mode: Virtual & Direct Should have good domain knowledge Experience in end to end RCM would be preferred more Should be flexible towards jobs and the requirements Should be a good team player Interested candidate can ping me in Whatsapp or can call directly Pls watsapp to the below given numbers. Number: 7397746206 - Priyanga (Ping me in Watsapp) Regards HR Team Qway Technologies RR Tower 3, 3rd Floor Guindy Industrial Estate Chennai

*Denial Management *Perform pre-call analysis & check status by calling the payer/ using IVR / web portal services for Hospital billing *Record after-call actions & perform post call analysis for the claim follow-up. *Resolve enquiries, complaints Required Candidate profile *Qualification: HSC/ 12th/ Under Graduates/Graduates *Experience: 01 to 4yrs *Good exposure to the US Healthcare Industry, Various Reports & Denial Management. *Open for night shifts

# 02 to 04 yrs Exp. in handling US Healthcare Medical Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *Qualification : HSC / 12th / Under Graduates / Any Graduates. *Good exposure to the US Healthcare Industry & Knowledge of various reports on Denial management, Global action etc.

# 02 to 04 yrs Exp. in handling US Healthcare of Hospital Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *02 to 04 Years experience in US Health care Hospital billing *Good exposure to US Healthcare Industry & various reports on Denial management, Global action etc. *Handling billing related queries

Roles and Responsibilities: Making outbound calls Handling denials, insurance follow-ups, and resolving AR-related issues Requirements: Candidates must have at least 1 year of experience in Accounts Receivable (AR) in the healthcare domain. Candidates should have prior experience in physician billing or hospital billing, with expertise in handling denials, following up with insurance providers, and resolving accounts receivable (AR) issues. Proficiency in understanding and using medical billing terminologies. Ability to articulate clearly and professionally with insurance representatives, healthcare providers, and patients. Candidates must demonstrate analytical thinking to identify and resolve AR issues. Ability to prioritize accounts and follow through on unresolved claims. Skills: Excellent verbal and written communication skills are essential. In-depth knowledge of the US healthcare revenue cycle management (RCM), including: Insurance verification Authorization follow-up Claims processing Denial management Familiarity with CPT, ICD-10, and HCPCS codes is preferred. Knowledge of payer policies (Medicare, Medicaid, commercial insurance) is a bonus. Proficiency in MS Office tools (Excel, Word) for reporting and analysis. Hands-on experience with healthcare billing software and tools (e.g., Epic, Athena, Kareo, or similar). Note: A notice period buyout can be considered based on the requirement. Timings: Fixed US Shift (6:30 PM - 3:30 AM IST) Fixed Saturday & Sunday Off Work from Office Interested candidates, please contact the below number: HR Vedanti - 9175991457

We are seeking a dedicated and experienced US Medical Billing specialist to join our team at Sage Healthy Global Pvt Ltd. located in Chennai, India. As a Charges and Payment Posting employee you would have specific duties related to handling charges and payments. Requirements: Bachelors degree in accounting & finance, or a related field. Proven experience in finance accounting and preferably worked in Charted Accounting firm. Strong communication, organization, and problem-solving skills. Ability to work collaboratively with cross-functional teams and manage multiple client accounts simultaneously. Proficiency in using relevant software and tools for documentation, reporting, and project management. Qualifications: Familiarity with various insurance plans, including private, Medicare, and Medicaid. Excellent attention to detail and accuracy in data entry and documentation. Strong analytical and problem-solving skills. Effective communication skills, both verbal and written. Ability to work independently and collaboratively within a team.

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. Job Responsibilities: Identify, analyze, and manage all issues about claims edits and rejects Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met. Review and analyze top edits and rejects with BSO global team every week. Identify the opportunities for edits and rejects that could be reduced Active participation in weekly calls; top edits and rejects review call with the onshore team Oversee monthly reporting, weekly DNFB, monthly performance deck, Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. Implement and maintain department compliance with new and existing policies and procedures. Ensure timely completion of month-end duties and perform other duties as assigned. Continually evaluate claim processing business and make suggestions for improvement. Knowledgeable in end to end revenue cycle management Reliable and punctual in reporting for work and taking designated breaks. What You Should Have to Qualify 8+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience. 4+ years of management experience leading or supervising billers. Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and professional communication. Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Strong attention to detail and keep a constant eye out for opportunities to improve efficiency. Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions. Have experience with hospital billing and Meditech software will be given preference. Ability to adapt to changing priorities and handle multiple tasks simultaneously. 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

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 industrys 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 were 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. About the role Needs to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. This role involves analyzing healthcare data and model on proprietary tools. Be able to take up new initiatives independently and collaborate with external and internal stakeholders. Be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What will you need: "ƒ"ƒ Graduate in any discipline (preferably via regular attendance) from a recognized educational institute with good academic track record Should have Live hands-on experience of at-least 2 year in Advance Analytical Tool (Power BI, Tableau, SQL) should have solid understanding of SSIS (ETL) with strong SQL & PL SQL" Connecting to data sources, importing data and transforming data for Business Intelligence." Should have expertise in DAX & Visuals in Power BI and live Hand-On experience on end-to-end project Strong mathematical skills to help collect, measure, organize and analyze data." Interpret data, analyze results using advance analytical tools & techniques and provide ongoing reports Identify, analyze, and interpret trends or patterns in complex data sets Ability to communicate with technical and business resources at many levels in a manner that supports progress and success. Ability to understand, appreciate and adapt to new business cultures and ways of working. Demonstrates initiative and works independently with minimal supervision. 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

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 industrys 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 were 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. About the role Needs to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. This role involves analyzing healthcare data and model on proprietary tools. Be able to take up new initiatives independently and collaborate with external and internal stakeholders. Be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What will you need: "ƒ"ƒ Graduate in any discipline (preferably via regular attendance) from a recognized educational institute with good academic track record Should have Live hands-on experience of at-least 2 year in Advance Analytical Tool (Power BI, Tableau, SQL) should have solid understanding of SSIS (ETL) with strong SQL & PL SQL" Connecting to data sources, importing data and transforming data for Business Intelligence." Should have expertise in DAX & Visuals in Power BI and live Hand-On experience on end-to-end project Strong mathematical skills to help collect, measure, organize and analyze data." Interpret data, analyze results using advance analytical tools & techniques and provide ongoing reports Identify, analyze, and interpret trends or patterns in complex data sets Ability to communicate with technical and business resources at many levels in a manner that supports progress and success. Ability to understand, appreciate and adapt to new business cultures and ways of working. Demonstrates initiative and works independently with minimal supervision. 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

Role & responsibilities Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc prior to making the call Preferred candidate profile Ability to work night shifts, Ability to speak to insurance rep and Analytical thinking Perks and benefits Regular Annual performance appraisals, be a part of growing organisation and get recognised for your hard work

Life-changing careers - Check out this open position at Novo Nordisk Job description Job description Are you an experienced medical professional and passionate about Clinical MedicalDoes being part of a growing, yet dynamic environment excite youIf yes, then you may be the one we are looking for as Clinical Medical Manager for Novo Nordisk India. Apply now! As a Clinical Medical Manager, you will be responsible for : Facilitate the execution of clinical trials related to New Therapy Areas (including CVD, CKD, NASH) by providing medical/scientific expertise and advice. Identify and map KOLs, investigators, and research center s within the relevant therapy areas. Collect early scientific insights and guidance by discussing relevant early development data with external medical and scientific experts. Contribute to delivering successful clinical trials (phase I-IV) in collaboration with clinical operations. Provide timely medical guidance and internal training to clinical staff. Engage in extensive scientific communication both internally and externally, requiring strong presentation skills. Performing ad hoc visits, Supporting attendance at investigator meetings, ensuring KOL inclusion in clinical trials and engaging key investigators to communicate trial results. Qualifications To be successful in this role, you should have the following qualifications: MD in any discipline with a strong clinical research/medical affairs background. 5 years of clinical or pharmaceutical industry experience with strong experience in human healthcare research either from university, CROs, or pharmaceutical industry. Expertise in therapeutic areas of relevance (CVD, CKD, NASH), preferably with authorship in peer-reviewed journals. Understanding of pharmaceutical drug development. Open to domestic and international travel in connection with site visits, congresses, and company events. Experience as a clinical trial investigator or sub-investigator. Understanding the specificities and nuances of the local healthcare infrastructure. The CMR (Clinical, Medical, Regulatory & Pharmacovigilance) team based in Bangalore. Our team is dedicated to driving clinical trials and providing medical/scientific expertise in New Therapy Areas. We work closely with KOLs, independent professional associations, and patient advocacy associations to ensure the successful execution of clinical trials. The atmosphere is collaborative and dynamic, with a strong focus on scientific excellence and patient outcomes. Novo Nordisk is a leading global healthcare company with a 100-year legacy of driving change to defeat serious chronic diseases. Building on our strong legacy within diabetes, we are growing massively and expanding our commitment, reaching millions around the world and impacting more than 40 million patient lives daily. All of this has made us one of the 20 most valuable companies in the world by market cap. Our success relies on the joint potential and collaboration of our more than 72,000 employees around the world. We recognize the importance of the unique skills and perspectives our people bring to the table, and we work continuously to bring out the best in them. Working at Novo Nordisk, we re working toward something bigger than ourselves, and it s a collective effort. Join us! Together, we go further. Together, we re life changing. To submit your application, please upload your CV and motivational letter online (click on Apply and follow the instructions). Internal candidates are kindly requested to inform their line Managers before applying. It has been brought to our attention that there have recently been instances of fraudulent job offers, purporting to be from Novo Nordisk and/or its affiliate companies. The individuals or organizations sending these false employment offers may pose as a Novo Nordisk recruiter or representative and request personal information, purchasing of equipment or funds to further the recruitment process or offer paid trainings. Be advised that Novo Nordisk does not extend unsolicited employment offers. Furthermore, Novo Nordisk does not charge prospective employees with fees or make requests for funding as a part of the recruitment process. We commit to an inclusive recruitment process and equality of opportunity for all our job applicants. At Novo Nordisk we recognize that it is no longer good enough to aspire to be the best company in the world. We need to aspire to be the best company for the world and we know that this is only possible with talented employees with diverse perspectives, backgrounds and cultures. We are therefore committed to creating an inclusive culture that celebrates the diversity of our employees, the patients we serve and communities we operate in. Together, we re life changing.

Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

Job Title Manager Department Delivery Quality Job Summary As a Manager or Senior Manager - Delivery Quality , you will lead a team focused on ensuring the highest standards of quality across all deliverables and processes related to the product or service delivery. You will collaborate with cross-functional teams, monitor project health, implement continuous improvement initiatives, and ensure that all customer requirements and expectations are met or exceeded in every delivery. Key Responsibilities Quality Management Ensure that all delivery processes are aligned with organizational standards and customer expectations. Monitor and assess the quality of products and services at every stage of delivery. Process Optimization Identify, recommend, and implement process improvements to enhance delivery performance, reduce defects, and increase overall efficiency. Team Leadership Manage and mentor a team of quality assurance professionals, fostering a culture of accountability, performance, and continuous learning. Cross-Functional Collaboration Work closely with project managers, delivery teams, and other stakeholders to ensure the integration of quality measures throughout the project lifecycle. Risk Management Identify and mitigate risks that could impact the quality of deliverables, ensuring that issues are resolved proactively. Reporting & Analytics Develop and maintain key performance indicators (KPIs) to track and report on quality-related metrics. Prepare reports for leadership to highlight progress and areas for improvement. Customer Satisfaction Ensure that the delivery meets customer expectations and aligns with agreed-upon quality criteria. Handle customer feedback and ensure appropriate corrective actions are taken. Training & Development Provide coaching and training to team members and other relevant stakeholders to build quality awareness across the organization. Audit & Compliance Conduct regular audits of deliverables and ensure compliance with industry standards, certifications, and regulatory requirements. Qualifications Education Bachelor s degree or Master s degree. Certifications like Six Sigma, Lean, etc are a plus. Experience 10 to 15 years of experience in quality management, project delivery, or a similar role, with at least 5 to 8 years in a managerial position. Experience in US healthcare RCM is a must Skills Strong knowledge of delivery management and quality assurance methodologies. Proficient in process improvement tools and techniques (e.g., Six Sigma, Lean). Experience working with cross-functional teams and managing multiple stakeholders. Excellent communication and interpersonal skills. Data-driven approach to decision-making and problem-solving. Ability to analyze and interpret complex data sets to drive improvements. Certifications Six Sigma, Lean, PMP, or other relevant quality or project management certifications are highly desirable. Multi-specialty Domain Desirable Attributes Strong leadership capabilities, with the ability to inspire, mentor, and develop teams. A proactive approach to problem-solving, with a keen eye for detail. Strong customer focus with a commitment to delivering high-quality results on time and within scope. Ability to manage change and navigate complex situations with a positive and adaptable mindset.