1266 Rcm Jobs - Page 48

Job description JD for Senior AR Caller : OPENINGS FOR AR callers / Senior AR Callers Immediate Joining !!! Notice Period (15 Days) Maximum Mode of Interview: In-person/ virtual Availability: Work from office Eligibility: Candidates holding 1 to 5 Years of Experience into Medical Billing Domain as AR Caller can only apply for this position. Industry - Medical Billing Domain - US healthcare Shift Timing - 6:30 PM - 3:30 AM Working Days - 5 days (Fixed weekend Off) Process - AR Calling(Denial Management) Job Description: Calling Insurance Company on behalf of Doctors / Physician for claim status. Follow-up with Insurance Company to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverable adhere to quality standards. Benefits: Salary & Appraisal - Best in Industry Monthly Performance Incentives up to Rs. 17000/- Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Medical Insurance Coverage Referral Bonus Upfront Leave Credit Only 5 days working (Monday - Friday) Two way drop cab facility for female employees Contact Details: Harini P Email id: harinip@prochant.com Contact No : 887045963

1 to 4 years of experience as AR-Voice in US Medical Billing process (Physician) Knowledge of the end-to-end billing process, including insurance follow-up, and denials management. Strong communication and problem-solving skills Call:- 9172726408

Greetings from Legacy Med Pvt Ltd We are the leading Revenue Cycle Management Company We are hiring for AR Callers & SR. AR Callers for Chennai Location Job profile : Making call to the Insurance company Checking on claims for which we don't have EOB Making follow-ups on corrected claims and appeals. Working on denial according to non-denial management. End-to-End Denials PB - CMS 1500/HB - UB04 Experience: A Candidate should have a minimum 1 Year of Strong Experience in Denial Management working with a leading Medical billing company Immediate Joiners Preferred Benefits: Pick up and Drop Transport Allowance Night meal pass ( Sodexo ) Referral Bonus Attendance Bonus Ready To Relocate Interested candidates can call or WhatsApp to Poovarasan - 6381975345 / poovarasan.sampath@legacyhealthllc.com

Excellent Knowledge in Denials Can perform HIPAA compliant auto Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing Fixed shifts post the training 8:15 min login Cab Provided Required Candidate profile Good verbal communication, written communication and presentation skills Ability to consistently execute and accomplish tasks within deadlines Basic knowledge of MS Office

U.S Health Insurance for Medical Billing, Demo & Charge Entry Process. Review and audit claims, Rebilling. The candidate will be responsible for reviewing and auditing medical claims, handling charge entries.

JD, Role: Client Relations Manager Min 8 Years Exp Sal: As per norms Preferably Female Must have Min 3 Years in Client Relationship. Chennai, Immediate Joiners Regards, JS4U Team 7338960689

Process Management: Oversee end-to-end operations for the healthcare process, ensuring adherence to SLAs, quality standards, and compliance guidelines (HIPAA, US/UK healthcare regulations). \ Required Candidate profile Escalation Management: Handle client and internal escalations effectively, providing resolutions in a timely manner.

Profile Description: This role of a Portfolio Leader would be to lead a team of BI Professional and help transform information & data into insights and thereby enable data based decision support for operations leaders to improve cash outcomes. The role will also focus on Cost Optimization and Client Management. Key Responsibilities: Process : Monitor the SLAs and update the stakeholders proactively on the trends Responsible for identifying gaps in the metrics defined by the team and identifying trends within data sets Identifying cash escalations / Global issues and resolving them with the Operations and Client to accelerate cash. Identify new use cases for statistical modeling and Automations Responsible for client & C suite facing reports & metrics to drill down analysis and automation Identify Key Improvement Area providing domain specific updates and Monitor current cash trend and forecast cash using business intelligence tools Manage all reporting activities for all key business metrics for internal and external customers ensure delivery of accurate reports on time every time Provide deep dive data analysis and insights on sub optimal performance on key RCM metrics Manage ad hoc requests for RCM and enterprise level metrics analysis and reports from leadership and operational stakeholders Engage in new transitions to set up seamless reporting systems People : Support and Improve Performance through tracking, feedback and Coaching Accountable to check attrition within the team through timely identification and retention of probable exits in the team Ensure an engaged and motivated workforce through timely appreciations and reward mechanisms Ensuring a Learning culture through 100% Training program coverage for members in the Team. Develop the skills of the BI team through continuous training and skill development workshops Support and manage your team’s project priorities, deadlines, and deliverables. Ensure 100% compliance of the BI/MIS team to all applicable compliance requirements Updates and maintains own expertise, shares this with colleagues and contribute to a positive work environment Client : Schedule monthly collaboration meets with team and Operations process updates, key metrics, cash dip analysis and Ad Hocs analysis requests. Engage with client leadership, understand their business requirements and aim to resolve those through data reporting and analytics – ex: identify shift in patterns of coding patterns for providers, looking at billing practices and revenue integrity, run under/over payment reports (Margin Only) Manage conflicting priorities and working relationships effectively Client MBR reporting Set-up process KPI reporting systems for new clients Financial : Constantly look for and execute report automation opportunities to achieve cost reduction and accuracy improvement Support small to medium complexity automation of processes in service delivery Qualifications: Graduation in any stream is a must. Post Graduate in Business Administration/Analytics/Engineering OR Statistics would be preferred Role Prerequisites: Overall experience of 7 to 10 years is a must out of which one should have a minimum of 4 years of experience in handling reporting & analytics. A relevant experience of 5+ years in the US healthcare RCM is a must (Only for Margin) 3 plus years of experience in managing a team of reporting analysts is a must Functional Competencies: Strong inclination towards numbers, excel spreadsheets, formulae, queries & S/W applications would be a must Knowledge across any RCM function (Only for Margin) Experience and Knowledge of Project Management would be preferred Certification in statistics and data science would be preferred Excellent Communication Skills Detail Orientation Excellent Stakeholder Management skills - Ability to interact with senior leadership/clients and manage expectations effectively Ability to deliver high impact amid complexity, ambiguity and competing priorities Behavioural Competencies: Team Work Communication Customer Centricity Achievement Orientation Developing Others Impact & Influence Analytical Thinking

Immediate joiners required for Gurgaon and Noida Based MNC's: Call Now to get hired:: Manya: 6386120495 Shruti: 9236004664 In case not able to connect WhatsApp your resume @ 9696704188 Direct Interview with Company HR's *No Placement Charges* Required Candidate profile 1:Any Grad/Ug 2:Fresher/Experienced (Must have relevant Documents) 3:24x7 Shifts//Cabs in odd hours 4:Immediate Joiners Preferred 5:Salary CTC 2-5 LPA (16-35K In-hand) 6:Excellent Communication Skills Perks and benefits PF ESIC PLI's TA Appraisals Medical Insurance Cabs

AR Caller (Night shift - no cab) 0.6 to 6 years experience Good knowledge in Denials, appeals, rejection/claims, correspondence Knowledge in RCM & AR fundamentals Sat & Sun fixed week off

Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization with Surgery/Orthopedic Experience Good understanding of the medical terminology and progress notes Interested candidates please Contact - HR Team - Mansoor.Shaikbabu@omegahms.com or 8618695697 linkedin.com/in/mohammedmansoor8618695607 Regards Mohammed Mansoor Ph: 8618695607 link in : linkedin.com/in/mohammedmansoor8618695607

Greetings from Annexmed!!! We have huge openings for AR Caller / Senior AR Caller Mode of Interview: Virtual Domain: US Healthcare - Medical Billing Shift Timing: Night Shift 6:00 PM - 3:00 AM (Sat & Sun fixed off) Job Location: Perungudi, Chennai Notice period: Immediate joiner Job Description: AR Caller / Senior AR Caller * Calling Insurance Company on behalf of Doctors / Physician for claim status. * Follow-up with Insurance Company to check status of outstanding claims. *Minimum 1 year of experience in AR calling Denial management. *Experience in Physician & Hospital Billing , Athena Benefits: 1. Salary & Appraisal - Best in Industry 2. Excellent learning platform with great opportunity to build career in Medical Billing 3. Upfront Leave Credit 4. 5 days working. 5. Medical Insurance 6. Pick up & Drop facility for both male and female Interested can reach out to 9600316324- Indumathi - HR

Operations - Manage a team of 250+ FTE engaged in RCM Account Receivable which includes 90 days AR, AR Days, Quality and Productivity Solid people management skills - Responsible for all people related metrics

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : SAP SuccessFactors Employee Central Payroll, SAP SuccessFactors Employee Central Time Off Good to have skills : NA Minimum 12 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Payroll SME, you will manage the delivery of large, complex technology projects using appropriate frameworks and collaborating with sponsors to manage scope and risk. You will drive profitability and continued success by managing service quality and cost and leading delivery. Additionally, you will proactively support sales through innovative solutions and delivery excellence. Roles & Responsibilities: Expected to be a SME with deep knowledge and experience in EC payroll. Multi Country payroll expertise and experience. Should have influencing and Advisory skills. Engage with multiple teams and responsible for team decisions. Expected to provide solutions to problems that apply across multiple teams, and provide solutions to business area problems. Lead the technology delivery of large and complex projects. Collaborate with sponsors to manage scope and risk. Manage service quality and cost to drive profitability and success. Proactively support sales through innovative solutions and delivery excellence. Professional & Technical Skills: Must To Have Skills:Proficiency in SAP SuccessFactors Employee Central Payroll. Strong understanding of project management frameworks. Experience in managing large and complex technology projects. Excellent leadership and communication skills. Good To Have Skills:Experience with SAP SuccessFactors modules. Additional Information: The candidate should have a minimum of 12 years of experience in SAP SuccessFactors Employee Central Payroll. This position is based at our Bengaluru office. A 15 years full-time education is required. Qualifications 15 years full time education

JD for Senior AR Caller - ELIGIBILITY VERIFICATION AND PRIOR AUTHORIZATION: OPENINGS FOR Senior AR Callers (Eligibility Verification and Prior Authorization) Immediate Joining !!! Notice Period (15 Days) Maximum Mode of Interview: In-person/ virtual Availability: Work from office Eligibility: Candidates holding 1 to 3 Years of Experience into Medical Billing Domain as EVPA AR Callers can only apply for this position. Industry - Medical Billing Domain - US healthcare Shift Timing - 6:30 PM - 3:30 AM Working Days - 5 days (Fixed weekend Off) Process - AR Calling (Eligibility Verification and Prior Authorization) Benefits: Salary & Appraisal - Best in Industry Monthly Performance Incentives up to Rs. 8000/- Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Medical Insurance Coverage Referral Bonus Upfront Leave Credit Only 5 days working (Monday - Friday) Two way drop cab facility for female employees Contact Details: HARINI P Email id: harinip@prochant.com Contact No : 8870459635

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Callers with minimum 6 months of experience into Medical Billing Domain. Basic Requirements: Experience:0.6 Years to 4 Years Salary:Best in Industry Work Mode:WFO Location: Vepery\Velachery Notice Period: Immediate Joiners Shift: Night Key Responsibilities: Follow up on unpaid or denied claims with insurance companies. Resolve billing discrepancies and ensure accurate payment processing. Maintain up-to-date records of communications and account statuses. Verify insurance details and submit claims per payer guidelines. Address patient and provider inquiries in a professional manner Interested candidate contact or share your updated resume to 8925808594 [Whatsapp] Regards Selvi S 8925808594

Huge Openings for Physician Billing & Hospital Billing AR Callers, AR Quality Analyst, Credit Balance RCM US Heath care Hospital Billing AR Callers :- Eligibility :- Min 1+ yrs of Experience in Hospital Billing (UB04) AR Calling Package :- Upto 40K Take-home Location :- Hyderabad Qualification :- Inter & Above 2 Way Cab Preferred Immediate Joiners, Relieving is not Mandate Physician Billing AR Callers :- Eligibility :- Min 1+ yrs of Experience in Physician Billing AR Calling Package :- Upto 40K Take-home Locations :- Hyderabad, Chennai, Mumbai Qualification :- Inter & Above 2 Way Cab Preferred Immediate Joiners AR Quality Analyst :- Eligibility :- Min 4+ yrs of Experience in AR Calling and as a AR QA Min 6 Months Of On or off Papers is Mandate Package :- Upto 47K Take-home Qualification :- Inter & Above Location :- Hyderabad 2 Way Cab Preferred Immediate Joiners, Relieving is not Mandate Credit Balance ( Overpayment & Refund Process ) :- Eligibility :- Min 1+ yrs of Experience in Credit Balance ( Overpayment & Refund Process ) Package :- Upto 40K Take-home Location :- Hyderabad Qualification :- Inter & Above 2 Way Cab Preferred Immediate Joiners, Relieving is not Mandate Interested candidates can share your updated resume to Email ID :- suvarna2508kondepogu@gmail.com HR Suvarna - 7095162832 (share resume via WhatsApp ) Refer your friend's / Colleagues

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Analyst with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience: 1 Year to 5 Years Specialties :AR Analyst Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Shift: Day Location: Vepery\Velachery Key Responsibilities: Review and appeal denied invoices and claims Investigate and address reasons for rejected payments Track overdue accounts and manage collections Review AR reports to identify trends and issues Keep detailed records of all transactions and resolutions Interested candidate contact or share your updated resume to 8925808594 [Whatsapp] Regards, Selvi S 8925808594

Dear Candidates, Greetings from "AGS health" Job Summary: Ensure quality driven follow-up activities and resolution of accounts is carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts. Interact by phone and check Internet based portals of the insurance companies in US to procure status of the claim followed by appropriate activities to address open AR. The key functions of an AR Executive are to ensure the below responsibilities are carried out to the best of his/her ability in the interest of the organization and client. Key Responsibilities: To address outstanding or assigned AR through phone call and analysis 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 and 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. Job Title - Junior Process Associate / Process Associate level 1 Department - Accounts Receivable Location - Chennai Employment Type Full-time Qualifications: Education - 10+2, Graduation not mandatory Experience - Min.1 year to 2 years of provider side AR calling experience in PB/HB Skills: Good verbal and written communication skills Domain knowledge on various billing terminologies & processes Attention to detail Logical thinking Benefits: Competitive remuneration + annual performance-based bonus Monthly performance-based incentives Health Insurance Interview Process: HR Interview round Assessment based on the scope Operations panel round IF interested, please share your resume to the following WhatsApp number: 9944111942 Regards Sarath AGS Health - HR Team.

Greetings from myAvtar!!! Congratulations! Your Resume has been short listed for position of Senior Program Manager - Healthcare Reimbursement with one of our Reputed Healthcare clients for Gurgaon Location. Job Description: What you will do: • To design, analyze and maintain healthcare reimbursement models to ensure the revenue estimation is in-line with the contracts. • To perform various analytical reviews and deep-dives (root cause analysis) on client-specific healthcare reimbursement methodology to ensure accuracy of revenue projections and actual collections. • To report/highlight the exceptions in reimbursement method by building contract models for Hospital charges. • To effectively communicate the findings/ observations with recommended action to US team/clients. • Maintain MIS related to analysis, Accuracy and coverage report for maintenance databases. • Handling client calls and communicating effectively for task deliverables and site maintenance. What will you need: • Graduate degree Preferably in Statistics\ Mathematics\ Economics\ Commerce\Finance from a reputed educational institute. • Good analytical and algorithm building skills, having experience to build contract models for hospital charges to calculate expected reimbursement. • Skills to read, understand and interpret reimbursement contracts between hospitals and insurance providers. • Experience/knowledge of various US healthcare reimbursement methods like MS DRG weightage, Multipliers, % of charges, outliers, Grouper fee schedule etc. • Good Communication Skills (both written & verbal). • Preferable - 1-3 years of experience in US healthcare. • Having good knowledge about RCM cycle and denial management.

Description: Responsible for calling Insurance companies (in US) on outstanding Accounts Receivable Sound knowledge of U.S. Healthcare Domain (Provider side) Should have knowledge of the entire RCM Required Candidate profile Previous exp. in AR calling preferred. Perks and benefits Health Insurance Paid Leave PF ESIC

Exp: 1 to 3 years Loc: Noida Salary: 45K Skills: Denial Management, Good communication skills Looking for immediate joiners or 15 days notice period acceptable Cab facility available Contact us: Geetha S 9344502340

RCM Implementation Sucessfactors Project

Hiring AR Caller/Sr.Caller • Educational : Any Degree • Experience: 1 + years in AR Calling and Denial Management • Salary : Good in industry • Job Location : Chennai, Noida, Bangalore, Pune, Hyderabad Contact – Sangeetha S- 6379093874 (What's app)

Hiring for Walkin 12 - 24 months 4.2 LPA Graduate US Healthcare, RCM, DME, AR Calling, Denial Management, Medical Billing, Voice Process, Outbound calls, Medical Billing, NP-15 days max (Preferably Immediate joiner) Karishma.imaginators@gmail.com Required Candidate profile Execellent Communication Claims Processing, Credit Collection, Payment Collection, Healthcare, Medical Coding, Problem Solving, Denial Handling, Revenue Cycle Management