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1 - 5 years

2 - 5 Lacs

Pune, Nagpur, Navi Mumbai

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Role: Credentialing Specialist, US Healthcare Location: Pune/Mumbai/Nagpur (Work from Office) (Address details mentioned below) Company Profile: First Insight is a software product development and revenue cycle management company based in Portland, Oregon (USA). It has its India development and service delivery centres in Pune, Mumbai and Nagpur. Its expertise and domain lies in healthcare and insurance. Its a forward thinking, visionary company that provides high quality software solutions, services, support and training to nearly a thousand optometric and ophthalmic practices in the United States. It has carved a niche in the healthcare industry with its practice management and electronic health records software, support, e- commerce solutions and revenue cycle management services. To know more about First Insight, please visit @ www.first-insight.com Following would be the Duties/Responsibilities for Credentialing Specialist: Maintain individual provider files to include up to date information needed to complete the required federal and commercial payer credentialing applications. Maintain an internal provider grid to ensure all information is accurate and logins are available. Update each provider's CAQH database file timely according to the schedule published by CMS. Tracks expiration dates and maintains current state licenses, DEA certification, malpractice coverage and any other required documents for all providers. Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance Track all expired provider certification. initiate re-credentialing application as requested by insurance companies. Follow up with providers for missing information or documents. Complete revalidation requests issued by federal payers. Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid Complete re-credentialing applications for commercial payers. Work closely with the billing staff to identify and resolve any denials or authorization issues related to provider credentialing. Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. Streamline the credentialing process by efficiently collecting all necessary documentation, including accreditation, membership, and facility privileges (e.g., License, NPI letter). Guide and support providers in completing payer forms, ensuring strict compliance with payer expectations. Address provider inquiries regarding the progress of the credentialing process promptly and professionally. Proactively notify clients of new regulations, impending certificate expirations, reapplications, and any deficiencies in credentialing requirements. Qualifying Criteria: At least 1+ year of experience in Credentialing process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary: Remuneration will be at par with the best industry standards ; will not be a constraint for the right candidate. Perks & Benefits : Attractive Incentives Plan Travelling Allowance Mediclaim Monthly Rewards Interested Candidate can also share their resumes directly to the recruiters below: Rohit Ghate - 7888025217 rohitghate@first-insight.com Address details: Registered Office Address- Pune: First Insight Software Solutions (I) Pvt. Ltd., 2nd Floor, Server Space, AG Technology Park, Off ITI Road, S. No.127/1A, Plot No.8, Aundh, Pune 411 007 Mumbai: Unit No. 302, 3rd Floor, New Technocity, Plot No. X-4/5A, TTC Industrial Area, Mahape MIDC, Navi Mumbai - 400 710 Nagpur: Unit No. 201, 2nd Floor, Wing - C, VIPL IT Park, Plot No. 28, MIDC IT Park, Gayatri Nagar Road, Parsodi, Nagpur - 440 022

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1 - 5 years

1 - 4 Lacs

Bengaluru

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Greetings from Vee Healthtek....! Hiring AR Callers at Bangalore location We are hiring AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Location - Bangalore (Manyata tech park) 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 - 6 years

0 Lacs

Pune

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Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Shweta Thombare Contact : 7031257111 Email : shweta.thombare@in.credencerm.com

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0 - 1 years

2 Lacs

Mumbai

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Role & responsibilities: Reviews and analyze outstanding insurance claims, to get physician efforts paid. Identify trends and communicate findings/ errors to appropriate stakeholders in an effort to educate and eliminate future errors. Has to work in medical bill denials You will be a liaison between Insurance companies and the Physicians in the US Your key activity will involve Calling the Insurance companies to clear/settle the claims raised by the Providers. This will help generate Revenue and maximize Cash for the Providers. Parallelly, you will also have the following non-calling tasks: Analyze why claims have been denied by the Insurance companies, verify its authenticity, understand causes and resolve them .Ensure claims are followed up as per assigned ticklers within the stated time line. Preferred candidate profile: Educational Qualification: Graduation is mandatory. Skills: Excellent communication skills, both written and verbal. Perks and benefits: Work Schedule: 5 working days, 2 days off (Saturday and Sunday). Shift Timings: 8:30am to 5:30pm Performance Incentives: Opportunity to earn performance-based incentives. Training: Comprehensive training will be provided. Interested candidates can apply on below Whatsapp or Email your updated resume HR Rushabh Chavan - 9619126788 Email ID - rushabh.chavan@ikshealth.com HR Harshal Mhatre - 8879583401 Email ID - harshal.mhatre@ikshealth.com

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5 - 8 years

7 - 11 Lacs

Pune

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Required for Credentialing - Team Lead or Asstt Manager Oversee the complete credentialing lifecycle for healthcare providers, including initial credentialing, recredentialing, ongoing monitoring Good exp in CAQH, PECOS applications Required Candidate profile Experience in Medicare, Medicaid, and Commercial insurance Ensure compliance with accreditation bodies, government regulations, payer requirements, and organizational policies

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9 - 12 years

7 - 11 Lacs

Hyderabad

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Greetings from Elico Healthcare Services Pvt Ltd!!! We are looking for candidates who are having experience in Medical Coding (US Healthcare Industry). Position : Manager for Medical coding RCM . Experience: 9 to 12 years Job Location : Hyderabad(Sanath Nagar) Looking for immediate joiners Job description: Extensive experience in multi-specialty coding, including: Emergency Department (ED) coding Inpatient and Professional Fee (Pro Fee) coding Surgical Coding Evaluation and Management (E/M) coding Outpatient (OP) coding Key Responsibilities : Team Management: Lead, mentor, and supervise a team of medical coders to ensure optimal performance and professional growth. Quality Assurance: Monitor and evaluate coding accuracy and productivity. Implement quality control measures to maintain high standards. Compliance: Ensure adherence to all coding guidelines, regulations, and compliance requirements. Stay updated with changes in coding practices and regulations. Training and Development: Develop and conduct training programs for coding staff. Provide ongoing education and support to ensure coding accuracy and compliance. Coding Processes: Oversee the coding workflow, ensuring timely and accurate coding of medical records. Implement and streamline coding processes for efficiency. New Process Transition Management: Lead and manage the transition of new coding processes and systems, ensuring smooth implementation and minimal disruption to operations. Day-to-Day Operations: Oversee daily coding operations, ensuring all tasks are completed efficiently and effectively. Client Handling: Manage client relationships, handle client inquiries, and conduct regular client calls to address concerns and provide updates. Reporting: Prepare and present regular reports on coding activities, performance metrics, and compliance status to senior management. Collaboration: Work closely with other departments, including billing, auditing, and clinical teams, to ensure seamless integration and communication. Manage a team size ranging from 50 to 100. nterested candidates please share your updated resumes across careers @elicohcs.com/9866005442 Address: Elico Healthcare Services Ltd B-91,APIE, Gate No. 6, Sanath Nagar,Hyd Near Bharat nagar MMTS Railway station. Regards, HR Team

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3 - 8 years

3 - 8 Lacs

Chennai

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Role & responsibilities * Develop a growth strategy focused both on financial gain and customer satisfaction * Conduct research to identify new markets and customer needs * Arrange business meetings with prospective clients * Prepare sales contracts ensuring adherence to law-established rules and guidelines * Must have US healthcare (RCM) work experience in Business Development. We have openings for the below mentioned job role: 1) Business development Manager 2) Business development Asst.Manager 3) Business Development Team Lead 4) Data Miner 5) Digital Marketing-All Roles Preferred candidate profile Must have US healthcare (RCM) work experience in Business Development. Shift Timing: 5:30PM to 2:30AM (WFO) Work Location - Adyar, Chennai Exp:2 yrs to 15 yrs Please reach to karthik HR -8056063622 Perks and benefits * Two way cab is provided * Salary - Best in the industry * PF Contribution * Health Insurance coverage * Performance Incentives provided meeting the eligibility criteria

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1 - 6 years

2 - 6 Lacs

Chennai

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We are Hiring Candidates who are experienced in AR Calling specialized in Denial Management (International Voice only) for Medical Billing in US Healthcare Industry. *Roles and Responsibilities* Reviews the work order. Follow-up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in-case of rejections. Ensure deliverables adhere to quality standards. *Candidates with excellent communication and strong knowledge in Denial Management can apply.* ONLY IMMEDIATE JOINERS PREFERRED. Denial Management experience required. Ability to work in night shift - US shift Cab provided (both pick up and drop) 5 days work (Weekend fixed OFF) Job location : Chennai Candidates from Anywhere in Tamilnadu can apply. Share your updated resume and photograph. Contact: Nivedha - 9994776957 (Call/WhatsApp) nivedha.s8@accesshealthcare.com

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0 - 1 years

1 - 2 Lacs

Noida

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Greetings from Corrohealth!!! We have huge openings for AR Callers. Profile - AR Calling Position - Executive Job Location - Noida Experience - Fresher or Having 9 months experience Shift - Night Shift Both Way Provided if the Location is Between 40 Km Radius. 5 Days Working cab and Meal Facility Provided. Work from Office only. Interested candidate kindly Reach out. Email: Manish2.singh@corrohealth.com Manish Singh HR- 8882728596(Call/WhatsApp).

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13 - 23 years

12 - 17 Lacs

Thane, Mumbai (All Areas)

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Their key duties and responsibilities include: Managing and supervising the daily operations of the revenue cycle team Ensuring all billing and collection procedures adhere to legal and health insurance policies Developing strategies to improve and accelerate the revenue cycle process Overseeing the registration, billing, and collection processes Identifying issues in the revenue cycle process and implementing solutions Preparing and presenting reports on the status of accounts and collections Training, guiding, and evaluating performance of revenue cycle staff Collaborating with other departments to ensure smooth and accurate billing operations Maintaining up-to-date knowledge of coding, billing, and regulatory standards Negotiating with health insurance companies on payment and billing issues Ensuring patient confidentiality and data privacy in compliance with relevant laws

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7 - 10 years

9 - 12 Lacs

Hyderabad

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Strong Knowledge of MS Office, Analytical skills mandatory Excellent Personal and Interpersonal skills; Quick Decision making & problem-solving abilities US Healthcare Domain knowledge and Awareness Ability to adapt fast paced work culture and deliver results Stakeholder Management, Time Management, Report Management, Work Management, People Management, Process Management (New & Old Process) etc. and not limited to this only Should be able to adapt (Unlearn & Learn) as per the Organizational and Business Requirements and work on successful implementation Understanding of criticality of defined SLAs and delivering the results To constantly evaluate and adopt measures to improve service levels to meet changing business and client requirements To schedule resources according to customer estimates to deliver the SLAs and to dynamically adjust the resources whenever necessary to maintain the SLAs Clear understanding of KRAs and thrive results in line with the desired goals and expectations Must have chaired Performance Evaluation and Management Should possess basic understanding of general policy and procedures of day-to-day operations as per market standards Proactive approach, excellent work ethics Optimizing resource utilization Should have excellent communication skills Should have excellent RCM Knowledge Should have excellent people management skills Position required employees to Work from Office location - HYD Shift timings:- 9PM- 6AM

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7 - 12 years

0 Lacs

Bengaluru

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Job Requirements 10+ yrs of relevant technical field experience required. Experience with maintenance planning and scheduling tools, control of work and safety processes. Understanding of RCM and FMEA. The requirement demands strong organizational and communication skills, technical ability and a strong personal commitment to Health, Safety and Environmental performance. Excellent facilitation skills with ability to communicate effectively with all levels of the project and operations teams. Experience of materials management. Self-motivation and ability to work both independently and as a productive member of a team. Work Experience Must have experiences/skills Demonstratable experience working in maintenance and understanding the principles of a CMMS, in particular: development of job plans (planned maintenance, condition monitoring and operator rounds/basic care activities) Facilitating and validating site critical equipment against T&P guidance. comprehensive understanding of application of equipment strategies for maintenance execution development of task lists development of work instructions understanding and development of equipment criticality analysing master tag register reading P&IDs Knowledge of packaging and nesting for maintenance activities Building and development of functional location and asset hierarchy Practically aligning existing CMMS data to the future SAP environment.

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3 - 5 years

1 - 5 Lacs

Bengaluru

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Dear All, Greetings from Omega Healthcare Company. WE ARE HIRING !! Role : AR Caller/ Senior AR Caller Experience : 1 - 6 years Location : Bangalore Shift : Night Notice period : immediate joiner Interested candidates can share your cv to Kavyashree.Poojary@omegahms.com or connect on 7353600981. Roles and Responsibilities: - Should have experience in handling US Healthcare Medical Billing. - To work closely with the team leader. - Ensure that the deliverables to the client adhere to the quality standards. - Responsible for working on denials, prior authorization, eligibility verification, rejections, making required corrections to claims. - Calling the insurance carrier & documenting 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. Desired Candidate Profile: - Sound knowledge in Healthcare concept. - Should have 3 to 6 years of Account Receivable experience. - Excellent knowledge of Denial management. - Excellent knowledge of Physician Billing/Hospital Billing. - 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 when required. - Prepare and maintain status reports. Perks and Benefits: - 5 Days Working - 2-way cab facility - Provident Fund - Gratuity - GLTI - Incentives - Medical Insurance Fresher and non relevant experience applicant please ignore! Regards, Kavyashree Poojary - TA Team Omega Healthcare Pvt Ltd

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1 - 3 years

2 - 5 Lacs

Pune

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Required candidates for Payment Posting

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1 - 3 years

2 - 4 Lacs

Pune

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Required candidates for Pre Auth Prior Authorization

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1 - 3 years

2 - 5 Lacs

Pune

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Require claim submission candidates Paper Submission

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7 - 12 years

9 - 14 Lacs

Hyderabad

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Project Role : Solution Architect Project Role Description : Translate client requirements into differentiated, deliverable solutions using in-depth knowledge of a technology, function, or platform. Collaborate with the Sales Pursuit and Delivery Teams to develop a winnable and deliverable solution that underpins the client value proposition and business case. Must have skills : SAP SuccessFactors Employee Central Payroll Good to have skills : SAP SuccessFactors Employee Central, No Function Specialty Minimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Solution Architect, you will translate client requirements into differentiated, deliverable solutions using in-depth knowledge of a technology, function, or platform. Collaborate with the Sales Pursuit and Delivery Teams to develop a winnable and deliverable solution that underpins the client value proposition and business case. Roles & Responsibilities: Expected to be an SME Collaborate and manage the team to perform Responsible for team decisions Engage with multiple teams and contribute on key decisions Provide solutions to problems for their immediate team and across multiple teams Lead the design and implementation of SAP SuccessFactors Employee Central Payroll solutions Provide technical guidance and expertise to project teams Ensure alignment of solutions with client requirements and business objectives Professional & Technical Skills: Must To Have Skills:Proficiency in SAP SuccessFactors Employee Central Payroll Strong understanding of SAP SuccessFactors Employee Central Experience in configuring and customizing SAP SuccessFactors solutions Knowledge of integration with other SAP modules Hands-on experience in leading SAP SuccessFactors implementation projects Additional Information: The candidate should have a minimum of 7.5 years of experience in SAP SuccessFactors Employee Central Payroll This position is based at our Hyderabad office A 15 years full time education is required Qualifications 15 years full time education

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7 - 12 years

9 - 14 Lacs

Jaipur

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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 : General Electric (GE) Application Performance Management (APM) Good to have skills : No Function Specialty Minimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your day will involve overseeing the application development process, collaborating with team members, and ensuring project success. Roles & Responsibilities: Must have an exposure to client facing roles for requirements gathering business analysis and delivery management. Must have a business experience on APM functionalities - criticality analysis, RCA, RCM, FMEA, Asset Strategy, Mechanical Integrity (RBI, Inspections, Thickness Monitoring), IOWs, HAZOP, SIS Management, KPIs, System Integrations. Must have hands on experience on APM architecture, APM functionalities and related system integrations. At least one end-to-end project execution of APM implementation and system integrations around it with SAP, Process historian and any other systems to cater to reliability & integrity functions Expert knowledge in building n-tier applications and their maintenance with good expertise in C#, ASP.Net, Vb.Net, MS SQL Server, SSRS, SSAS, .Net Framework 3.5, web services,GE APM , Oracle 10g Excellent communication and interpersonal skills clear understanding of business rules in GE-APM Professional & Technical Skills: Experience in Working on GE-APM platform with version v4.3+. Extensive knowledge on technical areas of Meridium APM as below. Policy – Expertise in setup & optimize workflow, handle complex logic. Family Policy – Entity level validation & logic implemented using family policy taking care not to affect performance of tool. State Management – Help business to setup workflow by using the state management along with security scope. Dashboard, Widgets & Hyperlinks Design – Designing of custom dashboard, widgets & add hyperlink to provide easy navigation in to application. Data Loaders creation & execution – Created custom data loaders to insert, update & delete record, link family using relationship loader. Queries, Sub-Queries – Created various queries to provide data to reports, dashboards & alerts that fetch data from families & other queries with input parameters. Conditional Alerts – Hands-on experience of create & configure alerts to notify users based on respective work area scope. R Script – While working on policy implementation, developed R script programs to accommodate complex looping & conditional logic. Recommendation – Deliver the recommendation workflow to business to streamline the acknowledge, approval & mitigation action plan. AHM & Health indicators – Help end users to configure & monitor the assets health using AHM module. Configuration (Family, field, Import/Export etc) – As a developer, create, edit entity family, fields & field behavior, create, deploy packages using import export functionality Additional Information: 15 years full time education is required. Qualifications 15 years full time education

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1 - 2 years

2 - 4 Lacs

Chennai

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Greetings from Elico Healthcare Services Ltd!!! We are looking for candidates who are experience in AR calling for Medical billing US Healthcare Industry. Job description: Designation : AR caller /Sr.AR caller Experience : 1 to 3 Years Location : Chennai (Guindy) Cab: Only drop facility (Free) + One way Travel allowance Salary : Up to 37k TH + Incentives Shift Timings 5:30PM to 2:30 AM / 7:30PM to 4:30Am. NP :Immediate joiners MAIN DUTIES & RESPONSIBILITIES: Understand Revenue Cycle Management (RCM) of US Health-care providers Basic knowledge on Denials and immediate action to resolve them Follow up on the claims for collection of payment Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables Should be able to resolve billing issues that have resulted in delay in payment Minimum 1 year of experience in AR calling - Physician billing is mandatory. Interview Details Monday to Friday Interview timings: 4PM to 7PM Address: No 10 Bristol I T Park South Phase 8th Floor, Thiru Vi Ka Industrial Estate-Guindy, Chennai - 600032, Near Maruti Service Centre & Behind Olympia Tech Park. Thanks & Regards Kalaiyarasu.R -HR 9791110125

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5 - 10 years

6 - 9 Lacs

Noida

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(Kindly Contact @ 8448838618/ 9953910998/ recruitment@caplineservices.com) Role & responsibilities Hands-on experience in handling operational activities and managing teams Timely escalations to mitigate risk of losing clients Oversee daily AR operations, ensuring timely and accurate billing, invoicing, and collections. Monitor and manage outstanding receivables, following up on overdue accounts. Preparing process related documents including but not limited to process updates, reference document Performance evaluation of team members, identifying performance gaps and timely escalations to the HR Overseeing the activities and performance of your team by tracking goals, setting individual targets, and facilitating the ongoing training of the members Utilize strong analytical ability to evaluate end-to-end customer experience across multiple channels and customer touch points Work on feedback from the clients share and celebrate positive reviews and identify the cause and resolve it in case of negative reviews Promoting the organization's services Understand our ideal customers and how they relate to our services Preferred candidate profile Bachelors degree is mandatory Candidates with excellent written and verbal communication skills and good academic background The business is aligned with US business hours, therefore working in night shifts or 24 hrs rotational shifts in India is compulsory Candidates with 1 years of experience as an TL or AM from BPO/KPO industry Tech savvy, creative and research skills will be highly appreciated. Experience in customer relationship management Experience in managing and directing a team Good analytical skills with a detail oriented mindset Perks and benefits Health Insurance Coverage Disability Insurance Leave Encashment Sat & Sun fixed weekend off Reward & Recognition Employee Engagement Paid holidays and sick time

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7 - 12 years

9 - 14 Lacs

Chennai

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Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : SAP SuccessFactors Employee Central Payroll Good to have skills : NA Minimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Developer, you will design, build, and configure applications to meet business process and application requirements. Your typical day will involve collaborating with teams to develop solutions that align with business needs and requirements. Roles & Responsibilities: Expected to be an SME Collaborate and manage the team to perform Responsible for team decisions Engage with multiple teams and contribute on key decisions Provide solutions to problems for their immediate team and across multiple teams Lead and mentor junior professionals Conduct regular team meetings to ensure alignment on project goals Stay updated on industry trends and best practices to enhance team performance Professional & Technical Skills: Must To Have Skills:Proficiency in SAP SuccessFactors Employee Central Payroll Strong understanding of payroll processes and configurations Experience in designing and implementing payroll solutions Knowledge of integration with other SAP SuccessFactors modules Experience in troubleshooting and resolving payroll issues Additional Information: The candidate should have a minimum of 7.5 years of experience in SAP SuccessFactors Employee Central Payroll This position is based at our Chennai office A 15 years full-time education is required Qualifications 15 years full time education

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1 - 4 years

1 - 5 Lacs

Chennai, Bengaluru, Hyderabad

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Vacancies - AR associate - AR senior associate Hospital Billing UB 04 - UB-04 claim form software Required EPIC Cerner ModMed salary - 40th - (20-30 %hike Based on interview and skills) Night Shift cab - one way hitech city - Work Location virtual interview HR Round ops 1 op2

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2 - 4 years

4 - 9 Lacs

Bengaluru

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Healthcare Consulting- RCM Analyst 2-3 years Bangalore Candidates need to be from the healthcare consulting background for both RCM and Supply chain. Also, excel knowledge is a nonnegotiable ask. Shift: Candidates will mostly work in shift B(2pm-11pm), however they should be flexible with shift C(5pm-2am) as well as the timing may spill over. Position Summary As a Healthcare Consulting Analyst, you will have the opportunity to engage in meaningful, impactful, and challenging work. Through use of innovative problem solving and analytical thinking, you will collaborate with team members to propose unique solutions for a wide range of clients across the Healthcare Industry. Joining the Huron team means that youll help our clients stabilize business operations today and create tomorrows growth by implementing revenue enhancement and cost containment programs, upgrading technology systems, creating stronger leaders, and improving outcomes for patients. RESPONSIBILITIES: As a Healthcare Consulting Analyst, some of your responsibilities may include: - Analyzing quantitative and qualitative data; communicating synthesized results to senior internal team members - Conducting metric analyses and distributing reports - Supporting project kick off activities - Preparing meeting materials and notes - Collaborating with internal team members during projects, including presenting key takeaways, communicating project updates, and organizing overall project logistics - Updating workplans to support overall project timelines CORE QUALIFICATIONS: - Bachelor's degree required - 2 to 3 years relevant project implementation or process improvement experience in a team-based environment, preferably within healthcare operations or consulting - Proficient in Microsoft office (Word, PowerPoint, Excel) - Strong written and verbal English skills - Effective critical thinking, problem-solving, and analytical skills; attentive to detail - Located in or near Bangalore; role requires individual in office PREFERRED EXPERIENCE (Revenue - RCM): - Relevant hospital or physician revenue cycle experience supervising a department and/or team-based projects with a focus on process improvement initiatives and change management, OR - Project leadership and workplan management experience within a consulting firm setting with a focus on hospital or physician revenue cycle, denials management, revenue integrity, or patient access services PREFERRED EXPERIENCE (Supply Chain): - Relevant Supply Chain consulting experience within the healthcare sector, focusing on cost reduction, efficiency improvements, and compliance with industry standards OR - Relevant Hospital Supply Chain operations experience supervising a department and/or team-based projects with a focus on process re-engineering/process improvement initiatives OR - Project leadership and workplan management experience within a consulting firm setting with a focus on cost reduction, process improvement and/or supply chain services Thanks with regards, Ritu Bhomia 300plusconsultant No:- 7428010236

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1 - 5 years

3 - 5 Lacs

Chennai, Bengaluru, Hyderabad

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This is Uma from Maintec technology we are hiring AR Calling its denial management, voice process provider side physician billing and hospital billing Note:Its completly US Health care Voice Process Providerside Physician Billing-CMS-1500 Hospital Billing-UB04 Need proper documents Note:Need PF Accounts ND Releaving letters Mandratory Vacancies: R1RCM UNISLINK GEBBS All are walkin interviews who all are ready to job change please contact me and whats app your resume 9515464576 S.Umadevi 9515464576 umadevi.s@maintec.in

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1 - 6 years

2 - 6 Lacs

Gurgaon, Noida

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Job Category: AR Follow up Job Type: Full Time Job Location: Gurgaon / Noida Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies. Essential Duties and Responsibilities: Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months. Qualifications: A minimum of 6 months experience in AR Follow-up / Denial Management Undergraduates / Graduates with 1 - 6 years of AR Follow-up experience Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Company Profile (for recruiting purposes only) Short paragraph describing the company If interested , please send your job application to aaryika@r1rcm.com along with the below details: Total Experience : Current Organization : Current Annual CTC : Expected CTC : Notice Period :

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Exploring RCM Jobs in India

Revenue Cycle Management (RCM) is a crucial aspect of the healthcare industry in India, ensuring that healthcare providers receive proper reimbursement for services rendered. The demand for RCM professionals in India is on the rise, with many opportunities available for job seekers in this field.

Top Hiring Locations in India

  1. Bangalore
  2. Mumbai
  3. Delhi
  4. Hyderabad
  5. Chennai

Average Salary Range

The average salary range for RCM professionals in India varies based on experience and location. Entry-level positions typically start at around ₹2-4 lakhs per annum, while experienced professionals can earn upwards of ₹8-12 lakhs per annum.

Career Path

In the RCM field, a typical career path may progress as follows: - RCM Analyst - RCM Team Lead - RCM Manager - RCM Director

Related Skills

In addition to expertise in RCM, professionals in this field are often expected to have skills in: - Medical coding - Healthcare billing systems - Data analysis - Communication skills

Interview Questions

  • What is Revenue Cycle Management and why is it important? (basic)
  • Can you explain the difference between ICD-10 and CPT coding? (medium)
  • How do you ensure compliance with healthcare regulations in RCM? (medium)
  • What experience do you have with electronic health record (EHR) systems? (basic)
  • How do you handle denials and appeals in the revenue cycle process? (advanced)
  • Can you walk us through a successful RCM process you implemented in your previous role? (medium)
  • How do you stay updated on changes in healthcare billing and coding regulations? (basic)
  • What metrics do you track to measure the success of an RCM operation? (medium)
  • How do you handle communication with patients regarding billing inquiries? (basic)
  • Have you ever dealt with a difficult insurance company in the RCM process? How did you handle it? (medium)
  • What software programs are you proficient in for RCM tasks? (basic)
  • How do you prioritize tasks in a fast-paced RCM environment? (medium)
  • What strategies do you use to reduce accounts receivable days in the revenue cycle? (advanced)
  • How do you ensure accuracy in patient demographic information for billing purposes? (basic)
  • Can you explain the concept of clean claims in RCM? (medium)
  • How do you handle disputes with payers in the revenue cycle process? (advanced)
  • What are some common challenges you face in RCM and how do you overcome them? (medium)
  • How do you ensure data security and confidentiality in RCM operations? (basic)
  • Describe a time when you had to train others on RCM processes. How did you approach it? (medium)
  • What steps do you take to prevent revenue leakage in the billing process? (advanced)
  • How do you handle changes in healthcare regulations that impact RCM operations? (medium)
  • Can you discuss a time when you had to lead a team through a challenging RCM project? (advanced)
  • How do you approach continuous process improvement in RCM operations? (medium)
  • What do you think sets you apart from other candidates applying for this RCM position? (basic)

Closing Remark

As you explore opportunities in the RCM job market in India, remember to showcase your skills and experience confidently during interviews. Prepare thoroughly and demonstrate your knowledge of the field to stand out as a top candidate. Best of luck in your job search!

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