3229 Rcm Jobs - Page 44

Requires Team lead for Trainers and trainers in Client Services in International BPO Team lead experience of 1 yr or 4 -5 years in training required Contact 8977711182 Required Candidate profile Extensive knowledge of the US healthcare industry specifically payer operations and/or provider office operations, knowledge of claims processing system US shift , WFO

Educational Requirements MBA,MCA,MTech,Bachelor of Engineering,BCA,BTech Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead an...

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Ass...

Roles and Responsibilities Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM). Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences. Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes. Analyze data trends and develop strategies to improve denial rates and reduce write-offs. Ensure compliance with regulatory requirements and industry standards for RCM best practices. Desired Candidate Profile 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR system...

Job description 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 Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatoryrequirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation s...

Job Summary: The Pre-Registration / Eligibility Verification Associate is responsible for gathering and verifying patient insurance information prior to service. This role ensures timely and accurate verification of eligibility and benefits to support clean claim submission and minimize denials. Key Responsibilities: * Perform pre-registration of patients by collecting demographics and insurance details. * Verify insurance eligibility and benefits using payer portals, phone calls, or clearinghouses. * Accurately enter and update patient information in the system. * Communicate with patients regarding coverage, co-pays, deductibles, and out-of-pocket estimates. * Identify and escalate coverag...

Immediate Requirement AR Caller Denial management Physician Billing & Hospital Exp: 1yr to 5yrs Salary: 48k Location: Bangalore & Noida Interested candidate Please drop CV to gayathri.srinivasan@geniehr.com or ping me on 7339094334

Immediate Requirement AR Caller Physician and Hospital Billing CMS1500 and UB04 Location:Bangalore Exp: 1yr to 5yrs Salary: 45k Interested Candidates Please Drop Updated CV to gayathri.srinivasan@geniehr.com or ping me on 7339094334

Overview : We are seeking an experienced and detail-oriented Accounts Receivable Associate (AR Caller) to join our dynamic team. The successful candidate will be responsible for handling and resolving claims, managing account receivables, and ensuring prompt collections in line with US healthcare policies and regulations. Responsibilities : Claims Management: Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management: Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication: Effectively communicate with insurance companies, healthcare providers, and...

Job Summary: We are hiring AR Callers for the US Healthcare process. The ideal candidate should have experience in accounts receivable follow-up, dealing with insurance companies in the US, and excellent communication skills. Key Responsibilities: Follow up with insurance companies for unpaid or underpaid claims Review patient bills and resolve insurance denials Maintain daily productivity and quality standards Work on aging reports and maintain documentation Collaborate with team leads to meet client expectations Ensure adherence to HIPAA and compliance guidelines Requirements: Minimum 6 months of experience in AR calling (Medical Billing US Healthcare) Excellent communication skills (verba...

WE ARE HIRING FOR EXPERIENCED AR CALLERS NO FRESHERS!!! FOR VOICE PROCESS ONLY NIGHT SHIGT 40K MAX TAKE HOME VIRTUAL INTERVIEW 2 WAY CAB WITHIN 25 KM RADIUS CHENNAI, TRICHY AND BENGALURU CONTACT (SUBHIKSHA) - 9626256724

You are a skilled Business Analyst with deep expertise in the healthcare provider domain, particularly in Electronic Medical Records (EMR), Hospital Information Systems (HIS), patient experience management, and value-based care models. Your role will involve acting as a critical bridge between business stakeholders and the IT delivery team to define and shape solutions that enhance patient care and operational efficiency. Your responsibilities will include business engagement and analysis, requirements gathering and documentation, solution collaboration, as well as validation and rollout of solutions within the healthcare provider domain. To excel in this role, you should have at least 10 ye...

Medical Coding Trainee Job Category: Healthcare Job Type: Full-Time Job Location: Bangalore Experience: 0-1 years Salary: 3-6 LPA CTC Position Summary We are looking for a Medical Coding Trainee with 0-1 years of experience to join our payment integrity team in Bangalore. This is a vital role focused on converting healthcare guidelines into system-readable configurations. You will be responsible for comprehensive testing and collaborating with cross-functional teams to ensure the accuracy and quality of our medical policy content. This role is ideal for a passionate individual with strong analytical skills and a desire to contribute to the healthcare sector. The work mode for this position i...

Job Description: We are hiring AR Callers with Denial Management experience for our US healthcare process. The role involves following up with insurance companies in the US to resolve denied claims and ensure accurate payment posting. Responsibilities: Make outbound calls to insurance companies to follow up on denied or unpaid claims. Review EOBs (Explanation of Benefits) and identify reasons for denials. Take corrective action by providing necessary documents or information to get claims paid. Work closely with the billing team to resolve discrepancies. Maintain accurate records of calls and claim status in the system. Meet daily/weekly productivity and quality targets. Requirements: 14 yea...

As a Business Analyst at our company, you will be required to leverage your expertise in the healthcare provider domain, specifically focusing on Electronic Medical Records (EMR), Hospital Information Systems (HIS), patient experience management, and value-based care models. Your role will be crucial in facilitating communication between business stakeholders and the IT delivery team to develop solutions that enhance patient care and operational efficiency within the healthcare sector. You should have a minimum of 10 years of experience as a Business Analyst in the healthcare provider/Hospitals domain, with a strong understanding of EMR/EHR systems, HIS modules, and patient engagement digita...

As a valued member of the Infosys delivery team, you will be responsible for collaborating with clients to resolve quality assurance issues and ensuring their utmost satisfaction. Your key duties will include comprehending requirements, designing and reviewing solutions, validating architectures, and delivering top-notch service offerings in the technology sector. Furthermore, you will play a crucial role in project estimation, contribute to solution delivery, conduct technical risk assessments, oversee code reviews and unit test plan evaluations. Your leadership will be instrumental in guiding your teams towards creating optimized, high-quality code deliverables, promoting continuous knowle...

3+ years of hands-on experience in core Provider RCM Overall experience includes a minimum of 1 year or more as SME, Asst. Team Lead, Team Lead , QA, QA Lead, etc. Strong understanding of RCM Processes and best practices Proven expertise in the AR follow up functions in multispeciality setup Knowledge of other related RCM functions is a must Advanced excel skills Exceptional written, verbal and interpersonal communication skills required. Able to work during US night shifts

You will be responsible for AR calling and medical billing in the US healthcare industry with 4-8 years of experience, based in Pune. Your expertise in US medical health and billing will be crucial, with an open salary budget for the ideal candidate. Candidates from BPO or back office backgrounds, accustomed to night shifts, are preferred. Your role will involve handling various aspects of medical billing, including verifying eligibility, obtaining prior authorizations, and following up on submitted claims. A strong understanding of different insurance plans is essential. Basic knowledge of Revenue Cycle Management (RCM) is required to excel in this position. Previous experience in AR callin...

You have excellent domain expertise and process knowledge about Revenue Cycle Management (RCM) for Hospital facilities and Physicians. You possess a deep understanding of the differences between Facility hospital and Physician coding, particularly in the specialties of E&M-IP/OP. Your knowledge includes EM IP/OP, APC for optimizing reimbursement, UHDDS and guidelines, Level of service determination emphasizing Physical Examination & Medical Decision Making in Documentation guidelines, and hospital E&M coding for initial/subsequent visits. Additionally, you have a good understanding of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Trea...

As an individual with excellent domain expertise and process knowledge in Revenue Cycle Management (RCM) for Hospital facilities and Physicians, you possess a deep understanding of the differences between Facility hospital and Physician coding, particularly in specialties such as E&M-IP/OP. Your knowledge extends to EM IP/OP, APC optimization for reimbursement, UHDDS and guidelines, Level of service determination, Physical Examination & Medical Decision Making in Documentation guidelines, as well as hospital E&M coding for initial and subsequent visits. Your proficiency also includes a solid grasp of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative a...

Role: We are seeking a meticulous and organized Payment Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting payments received from insurance companies and patients, ensuring the integrity of financial data and contributing to the overall efficiency of the revenue cycle. Responsibilities: Payment Entry: Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks. Reconciliation: Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies. Claims Management: Review and resolve any payment dis...

You will be responsible for leading and optimizing the operation and maintenance of all utility systems including low-pressure boilers, chillers, AHUs, air compressors, and ETP/WTP. Your role will involve driving energy-efficiency and reliability improvements through predictive maintenance, Kaizen, and best practice standards. It is essential to ensure full compliance with safety, environmental, and statutory (IBR, PCB, PESO) requirements while keeping the Energy budget under control. You should have a good understanding of TPM/WCM and safe working operations. Your responsibilities will also include tracking the implementation of nonconforming items in food safety audits to prevent quality e...

Responsibilities Lead and optimize operation & maintenance of all utility systems (low-pressure boilers, chillers, AHUs, air compressors, ETP/WTP). Drive energy-efficiency and reliability improvements via predictive maintenance, Kaizen and best?practice standards. Ensure full compliance with safety, environmental and statutory (IBR, PCB, PESO) requirements. Ensure Energy budget stays within control. Well versed with the knowledge of TPM/WCM along with the safe working operations Tracking implementation of nonconforming items in food safety audits, eliminate the quality event to occur Follow up and guide departmental objectives through; on the major challenges of KPI setting up improvement gr...

Experience: 1 to 4 years in RCM and Denials Salary: upto 40k (based on experience) Location: Chennai and Bangalore Night shift only Work from office only Releiving letter not mandatory Immediate joiners are preffered contact: Nandini-HR-9750358650

As an ideal candidate for this position, you will be responsible for understanding the Internal Control Framework (ICF) modelled using the COSO framework for various processes such as P2P, O2C, etc. You will be tasked with documenting Risk Control Matrix (RCM), Standard Operating Procedures (SOPs), and Test scripts for Controls Identification, assessment, and monitoring of risks will be essential aspects of your role, requiring the development of a comprehensive risk management plan and strategy. Your duties will also include monitoring the progress of engagements, managing risks, and ensuring that key stakeholders are consistently informed about progress and expected outcomes. You will be w...