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1.0 - 5.0 years
2 - 4 Lacs
Bengaluru
Work from Office
About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Amulya G HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432435/Whatsapp @6366979339 amulya.g@blackwhite.in | www.blackwhite.in
Posted 1 week ago
12.0 - 22.0 years
22 - 37 Lacs
Ahmedabad, Mumbai (All Areas)
Work from Office
Role & responsibilities Client Services Operations of Revenue Cycle Management, Medical billings primary responsibilities will be to oversee the operations of the client services department and ensure that all client needs are being met in a timely and efficient manner. You will also be responsible for Project Transitions, Client Management and Cost Efficiency for your teams. Managing a team of client services representatives, SMEs and Leaders, ensuring that they are meeting performance standards and providing excellent customer service. Developing and implementing strategies for improving operational efficiency and increasing client satisfaction. Collaborating with other departments within the company, such as claims processing and provider relations, to ensure that client needs are being met and that issues are being resolved. End to end Client Management - right from project metrics, client satisfaction, handling escalations to invoicing Preferred candidate profile End to End client / project management, Client Onboarding, Billings, Dental experience is must Experience: At least 14 years of experience in client services, customer service, or operations management, preferably in the healthcare industry. Leadership: Proven experience managing and leading a team of client services representatives and the ability to provide guidance and support to team members to improve their performance. Interested candidates can share their profile at hr32@hectorandstreak.com
Posted 1 week ago
2.0 - 7.0 years
5 - 8 Lacs
Mysuru, Bengaluru
Work from Office
Mysuru, Karnataka, 570017 Onsite Mon-Frid: 5:30pm-2:30am IST AR Specialist–Resolve physician claim denials, follow up 2-7 yrs physician AR denials, medical billing req. Walk-In Interviews M - F 10 am - 4 pm. https://strivanthealth.com/careers
Posted 1 week ago
1.0 - 6.0 years
2 - 5 Lacs
Chennai
Work from Office
Minimum 1 Year of experience in AR Calling Looking for Immediate joiner or Notice period 15 Days Accepted Salary - Best in Industry Two way cab Mode of interview - Virtual / Walk in Work Location - Chennai Regards, Muthu Hr 9361304375 / 9342780488
Posted 1 week ago
1.0 - 3.0 years
1 - 3 Lacs
Hyderabad
Work from Office
Job Summary Join our dynamic team as a PE-Ins Claims specialist where you will leverage your expertise in the Life and Annuity domain to enhance our claims processing efficiency. With 1 to 3 years of experience you will play a crucial role in ensuring accurate and timely claims management. This is an office-based role with night shifts offering an opportunity to make a significant impact in the insurance industry. Responsibilities Analyze and process insurance claims in the Life and Annuity domain to ensure accuracy and compliance with company policies. Collaborate with cross-functional teams to streamline claims processing and improve overall efficiency. Utilize domain knowledge to identify discrepancies and resolve issues in claims documentation. Maintain detailed records of claims activities and ensure all data is accurately entered into the system. Provide exceptional customer service by addressing inquiries and resolving claims-related concerns promptly. Assist in the development and implementation of claims processing procedures to enhance workflow. Monitor claims trends and provide insights to management for strategic decision-making. Ensure adherence to regulatory requirements and company standards in all claims processing activities. Participate in training sessions to stay updated on industry trends and best practices. Support team members in achieving departmental goals and objectives through effective collaboration. Contribute to continuous improvement initiatives by providing feedback and suggestions for process enhancements. Prepare reports and presentations on claims performance metrics for management review. Engage in professional development opportunities to enhance skills and knowledge in the Life and Annuity domain. Qualifications Possess strong analytical skills with a keen attention to detail in claims processing. Demonstrate proficiency in Life and Annuity domain knowledge with a focus on claims management. Exhibit excellent communication and interpersonal skills for effective collaboration. Show adaptability to work night shifts and manage time efficiently in a fast-paced environment. Display a proactive approach to problem-solving and decision-making in claims handling. Have a customer-centric mindset with a commitment to delivering high-quality service. Be familiar with insurance regulations and compliance standards relevant to the Life and Annuity domain. Certifications Required Certification in Life and Annuity Claims Management or equivalent is preferred.
Posted 1 week ago
1.0 - 4.0 years
2 - 6 Lacs
Chennai
Work from Office
We are Hiring Candidates who are experienced in AR Calling specialized in Hospital Billing (International Voice only) for Medical Billing in US Healthcare Industry. Role & 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 HOSPITAL BILLING REQUIRED ONLY IMMEDIATE JOINERS PREFERRED. 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: Elakkia HR - 6379410644 (Share resume and Photo through whatsapp) Mail id: elakkia.kanniya@accesshealthcare.com
Posted 1 week ago
1.0 - 4.0 years
3 - 5 Lacs
Chennai
Work from Office
Med-Metrix - AR caller HB (Hospital Billing) walk-in interview Interview date: July (22nd To 24th) 2025 Walk-in time: 3:30 PM to 6 PM Interview Address : 7th Floor, Millenia Business Park II, 4A Campus,143, Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Contact Person : Subash Contact Number : 9791854171 Mail : spalani@med-metrix.com Preferred candidate profile : AR Caller (1 to 3) Years - (US Health care) Hospital Billing (HB) With minimum 1+ year's of Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers) Experienced on medical billing/ AR Calling. Background in calling insurance (Payer) to verify claim status and payment dispute. Must be amenable to work night shifts. Note : Please mention Subash at the top of the resume while stepping in for interview ! Perks and benefits : CAB Facility (Two way) Incentives Salary good in the Industry Captive Organization
Posted 1 week ago
1.0 - 5.0 years
3 - 5 Lacs
Mohali
Work from Office
Walk-In Drive | Mohali | 21st26th July We’re hiring professionals from RCM for: Eligibility Verification & Benefits Verification Prior Authorization Location: Mohali, Punjab Experience: Min 1 Year | Job Summary: We are hiring skilled RCM professionals for our **Mohali office** to handle Eligibility & Benefits Verification and Prior Authorization tasks. Join us to grow your healthcare career and make an impact! Key Responsibilities: * Verify patient insurance eligibility and benefits via payor contact/portals. * Initiate and complete prior authorization requests for medical services. * Follow up with insurance companies on approval/denial status. * Document authorization details accurately in systems. * Analyze medical records to interpret diagnoses and treatment plans. * Resolve discrepancies and escalate complex cases. * Ensure timely completion of tasks with quality compliance. Requirements: * Minimum 1 year RCM experience in EVBV or Prior Authorization. * Strong communication & analytical skills. * Flexible to work night shifts. Work Location: Mohali, Punjab Contact: HR Suraj Gupta | 8898807421 Apply now or walk in directly!
Posted 1 week ago
3.0 - 5.0 years
4 - 5 Lacs
Bengaluru
Work from Office
Job Title : Officer – Revenue Cycle Management (RCM) Positions Open - 10 Location: Bengaluru, India Department: Finance / Billing Reports to: RCM Manager Experience Required: Minimum 3 years in US medical billing (Radiology preferred) Job Summary The Accounts Officer – RCM will be responsible for reconciling CPT codes for radiology studies and supporting the creation of accurate invoices for submission to client facilities. The role requires strong attention to detail, knowledge of radiology procedures and coding, and the ability to work collaboratively with internal clinical and billing teams. The officer will also assist in maintaining billing compliance, tracking receivables, and ensuring the overall efficiency of the revenue cycle process. Key Responsibilities - Review and reconcile CPT codes associated with radiology study reports for accuracy and completeness. - Coordinate with radiologists, technologists, and operations staff to resolve any discrepancies in study data or missing documentation. - Prepare and compile invoices to be submitted to partner facilities based on contracted billing schedules and fee structures. - Validate invoice line items against modality type, study volume, and applicable rates. - Track submission status and follow up on invoice approvals and payment receipts. - Maintain and update billing logs, reconciliation sheets, and monthly facility billing records. - Work with the finance team to ensure all billables are accounted for and revenue is recorded accurately. - Escalate and resolve issues related to underpayment, rejected invoices, or coding errors. - Generate periodic reports on invoice status, aging, collections, and reconciliation metrics. - Ensure compliance with HIPAA, payer-specific guidelines, and company billing protocols. Required Qualifications - Bachelor’s degree in Accounting, Finance, Business Administration, or a related field. - Minimum 3 years of experience in US medical billing, preferably with exposure to radiology practices. - Strong understanding of CPT, ICD-10, and HCPCS coding—especially for diagnostic imaging. - Experience working with billing/invoicing tools and RCM platforms (e.g., Kareo, Advanced MD, eClinical Works). - Proficiency in Microsoft Excel (including VLOOKUP, pivot tables, basic formulas). - Familiarity with EDI formats (837P, 837I, 835) and US healthcare billing standards. - Strong analytical, organizational, and problem-solving skills. - Excellent written and verbal communication skills. - Ability to work independently and across time zones with a high degree of accuracy Compensation & Benefits Benefits: As per policy - Includes Paid Time Off, Flexible Shift, Potential for long-term growth within the finance and RCM team *Max exp* – 5 to 6 years *Do we provide cab?* – currently no. *Shift timings* - Flexible Shift – Day & Night Shift (no female candidates for night shift) *Working Days & Week offs* – Flexible (different for all) it will be 6 days working – week offs will be communicated problem-solving skills. - Excellent written and verbal communication skills. - Ability to work independently and across time zones with a high degree of accuracy.
Posted 1 week ago
1.0 - 5.0 years
2 - 5 Lacs
Chennai
Work from Office
Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! Job Openings AR Caller & AR Analyst (Hospital Billing - US Healthcare BPO) Experience: 1 to 6 years Location: Velachery, Chennai Notice Period: Immediate to 15 Days Open Positions: 1. AR Caller Hospital Billing (Night Shift) 2. AR Analyst Hospital Billing (Day Shift) Job Requirements: Experience in US Healthcare - Hospital Billing (RCM Process) Hands-on experience in AR Calling / AR Analysis Strong communication and analytical skills Willing to work in respective shifts (Night/Day) Work Location: Velachery, Chennai Notice Period: Immediate Joiners Preferred / Max 15 Days Interested candidate contact or share your updated resume to 8925808597 [Whatsapp] Regards, Kayal HR 8925808597
Posted 1 week ago
1.0 - 4.0 years
2 - 3 Lacs
Hyderabad
Work from Office
Hiring for US Healthcare (B2B) Voice / Blended Process Graduate with 1 year customer service exp can apply Salary upto 3.30 LPA Location- Uppal 5 Days working Both side cab Fixed shifts (6:30 pm - 3:30 am) Contact Vanshita- 9910807579 Required Candidate profile Candidate must have good communication Skills. Candidate should have good typing speed. Candidate should be comfortable to work in fixed night shifts. Perks and benefits Incentives
Posted 1 week ago
1.0 - 3.0 years
2 - 3 Lacs
Kolkata
Work from Office
1. Good Knowledge about RCM industry is required 2. AR and Verification knowledge in RCM - min 1yr / 1.5 yrs 3. Relieving letter is mandatory 4. Immediate joiners are preferred 5. No female candidates 6. Only WFO Annual bonus Health insurance
Posted 1 week ago
2.0 - 5.0 years
3 - 5 Lacs
Hyderabad
Work from Office
We are seeking a dynamic and results-driven recruiter to join our team in Hyderabad. The ideal candidate will specialize in sourcing, screening, and onboarding top talent for Revenue Cycle Management (RCM) and IT roles. This position requires a proactive individual with excellent communication skills and a strong understanding of recruitment strategies in the healthcare and technology sectors. Key Responsibilities Talent Acquisition: Manage end-to-end recruitment processes, including job postings, candidate sourcing, screening, interviewing, and onboarding. Candidate Sourcing: Utilize job boards, social media platforms, and professional networks to attract qualified candidates. Industry Expertise: Stay updated on trends in RCM and IT to identify and engage top talent. Collaboration: Work closely with hiring managers to understand job requirements and develop effective recruitment strategies. Employer Branding: Enhance the companys employer brand through engagement with universities, job fairs, and online platforms. Compliance: Ensure adherence to employment laws and company policies during the recruitment process. Qualifications - Bachelors degree in human resources, Business Administration, or a related field. - Minimum of 3 years of experience in recruitment, preferably in RCM and IT sectors. - Strong understanding of healthcare and IT roles, including technical competencies. - Proficiency in Applicant Tracking Systems (ATS) and recruitment tools like LinkedIn Recruiter. - Excellent communication, negotiation, and interpersonal skills. - Ability to work in a fast-paced environment and meet deadlines. Preferred Skills - Knowledge of RCM processes and IT technologies. - Experience in data-driven recruitment strategies and metrics analysis. - Familiarity with diversity hiring practices. Why Join Us? - Opportunity to work with a passionate team in a growing industry. - Competitive salary and benefits package. - Professional development and career growth opportunities. Job Types: Full-time, Permanent Pay: Up to 500,000.00 per year Benefits Food provided Health insurance Provident Fund Schedule Morning shift
Posted 1 week ago
1.0 - 6.0 years
2 - 7 Lacs
Hyderabad
Work from Office
We are hiring a Healthcare Recruiter with minimum of 1-5 years of experience for Workforce solutions. Job Responsibilities: As a Healthcare Recruiter, you will be responsible for the following duties: As a Healthcare Recruiter, your day-to-day activities will be working on the Healthcare Requirements of our clients and sourcing candidates from various job portals and networking websites. Perform searches for qualified candidates according to relevant job criteria, using computer databases, networking, internet recruiting resources, cold calls, media, and referrals. Leverage various job portals e.g., Dice, Monster, Career Builder, indeed, etc. Must have an excellent understanding of Healthcare, Hospitals, Medical and other institutions in medical fields. Engage with potential candidates as per client requirements, including skills, education, experience, and competency. Source and Screen resume for the open position of healthcare role assigned by TL/Manager. Understand job profiles and schedule interviews with clients, accordingly, need to recruit Registered Nurses, Licensed Practitioner Nurses, Medical Assistants, Physicians, etc. Making calls to the candidates and performing daily tasks like Screening and scheduling interviews. Regularly update the internal tools and adhere to the company policies and practices while hiring. Communicate employer information and benefits during the screening process with candidates. Required Skills: 1- 5 yrs experience in US Staffing Recruitment is Mandatory Candidates from the US Staffing industry with Hands on experience in sourcing and End to End Recruitment experiences. Ability to demonstrate Full Recruiting Lifecycle (gathering requirements, candidate prospecting, candidate screening, Negotiations, candidate submission, follow-up, Interview & On Boarding, etc.) Good command of verbal and written communication skills. Excellent Negotiation skills. Good in Relationship management with clients/vendors and consultants. Excellent analytical, presentation, and interpersonal skills. Should be highly adaptable to new technologies and business environments. Go-getter attitude. Team player. Interested candidates can reach us syed.cb@cielhr.com | 9394368397
Posted 1 week ago
2.0 - 5.0 years
2 - 3 Lacs
Bengaluru
Work from Office
We are looking for a highly skilled and experienced PDI Associate to join our team at Ekya Schools. The ideal candidate will have 2-5 years of experience in the field. Roles and Responsibility Collaborate with cross-functional teams to design and implement effective learning solutions. Develop and maintain high-quality educational content and materials. Provide training and support to teachers and staff on new technologies and methodologies. Evaluate student progress and provide feedback to improve outcomes. Participate in professional development opportunities to stay current with best practices. Foster positive relationships with students, parents, and community members. Job Requirements Strong understanding of IT Services & Consulting industry trends and technologies. Excellent communication and interpersonal skills. Ability to work effectively in a fast-paced environment and prioritize tasks. Strong problem-solving and analytical skills. Experience with project management tools and techniques. Familiarity with educational software and technology platforms. A graduate degree is required for this position. About Company Ekya Schools is a leading provider of innovative education solutions, committed to delivering high-quality education experiences to students. We focus on creating engaging and interactive learning environments that promote student growth and development.
Posted 1 week ago
1.0 - 6.0 years
1 - 4 Lacs
Bengaluru
Work from Office
We are looking for a skilled Payment Posting and Charge Entry - Rcm Executive to join our team at Prodat IT Solutions, with 1-6 years of experience in the field. Roles and Responsibility Manage payment posting and charge entry processes for accurate and timely payments. Coordinate with clients and internal teams to resolve payment-related issues. Develop and implement process improvements to increase efficiency and reduce errors. Analyze data to identify trends and areas for improvement in payment posting and charge entry. Collaborate with cross-functional teams to achieve business objectives. Ensure compliance with company policies and procedures. Job Requirements Strong knowledge of payment posting and charge entry processes. Experience working with RCM systems is required. Excellent analytical and problem-solving skills. Ability to work effectively in a team environment. Strong communication and interpersonal skills. Familiarity with industry standards and regulations.
Posted 1 week ago
10.0 - 15.0 years
8 - 17 Lacs
Gurugram
Work from Office
Job description GM Analytics Solutions, based at Gurgaon with exclusive tie up with US Healthcare company is currently seeking a experienced professional for the position of Manager of Revenue Cycle Management., proficient in US healthcare willing to work in Night shift. This position will be responsible for all staff and operations of core healthcare related revenue cycle functions including billing, posting, AR, collections, coding and credentialing for multiple providers and provider groups. Candidates should be highly motivated to face challenges of a rapidly growing organization and committed to service excellence. . Responsibilities include but are not limited to: Upholds teaches and enforces GM Analytics Solutions Core Values. Manages the staff and operations of the RCM department Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office. Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization of current processes and/or procedures. Develops and maintains strong relationships with US based team. Effectively manages relationships and business processes of all clients and owners. Develops, implements and effectively manages policies, processes and procedures that result in maintaining key performance indicators at or above/below goal levels, as set by the Director of RCM. Provides education and policy updates for staff on a regular and as needed basis. Establishes and conducts performance reporting for all clients. Works collaboratively with leaders of all departments to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the billing staff throughout account life cycle. Provides regular revenue management reports to management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability as soon as they are identified. Ensures compliance with government and commercial billing and medical record regulations and standards (USA) while maximizing reimbursement for patient claims. Manages operational expenses in accordance with the budget. Directs and oversees the development of operating and capital budget for the department. Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs. Holds responsibility for implementation and standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of systems for billing and accounts receivable management. Requirements and Qualifications: 10+ years of experience in US healthcare Revenue Cycle Management with at least 5 years in an Executive Leadership role MBA degree from a reputed university required Expert level proficiency in core healthcare revenue cycle functions including billing, posting AR, collections, coding and credentialing. Certifications in medical billing/coding preferred Proven ability to lead and manage multiple projects and drive the team to results. Excellent interpersonal, oral, and written communication skills Ownership driven and results oriented Strong Microsoft Office skills, specifically Excel and PowerPoint. Have a flair for numbers, work well with people, aggressively anticipate impacts of workload/issues to team deadlines and have a positive work attitude including willing to work some long hours. Competency Requirements: Must possess the following knowledge, skills, and abilities to perform this job successfully: Strong presentation skills with internal and external customers. Experience to handle large teams Communicate effectively and clearly. An analytical mind. Ability to stick to time constraints and meet deadlines. Negotiation skills and the ability to develop strong working relationships. Solutions-minded, compliance-minded and results-oriented. Excellent organization and planning skills with the ability to define, analyze and resolve issues quickly and accurately. Ability to juggle multiple priorities successfully. High-energy, the hands-on employee who thrives in a fast-paced work environment. Flexible, adaptable and can adjust to a rapidly changing and growing environment. Ability to develop both tactical and strategic solutions to business challenges. This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.
Posted 1 week ago
10.0 - 16.0 years
8 - 17 Lacs
Gurgaon/Gurugram
Work from Office
Job description GM Analytics Solutions, based at Gurgaon with exclusive tie up with US Healthcare company is currently seeking a experienced professional for the position of Manager of Revenue Cycle Management., proficient in US healthcare willing to work in Night shift. This position will be responsible for all staff and operations of core healthcare related revenue cycle functions including billing, posting, AR, collections, coding and credentialing for multiple providers and provider groups. Candidates should be highly motivated to face challenges of a rapidly growing organization and committed to service excellence. . Responsibilities include but are not limited to: Upholds teaches and enforces GM Analytics Solutions Core Values. Manages the staff and operations of the RCM department Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office. Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization of current processes and/or procedures. Develops and maintains strong relationships with US based team. Effectively manages relationships and business processes of all clients and owners. Develops, implements and effectively manages policies, processes and procedures that result in maintaining key performance indicators at or above/below goal levels, as set by the Director of RCM. Provides education and policy updates for staff on a regular and as needed basis. Establishes and conducts performance reporting for all clients. Works collaboratively with leaders of all departments to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the billing staff throughout account life cycle. Provides regular revenue management reports to management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability as soon as they are identified. Ensures compliance with government and commercial billing and medical record regulations and standards (USA) while maximizing reimbursement for patient claims. Manages operational expenses in accordance with the budget. Directs and oversees the development of operating and capital budget for the department. Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs. Holds responsibility for implementation and standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of systems for billing and accounts receivable management. Requirements and Qualifications: 10+ years of experience in US healthcare Revenue Cycle Management with at least 5 years in an Executive Leadership role MBA degree from a reputed university required Expert level proficiency in core healthcare revenue cycle functions including billing, posting AR, collections, coding and credentialing. Certifications in medical billing/coding preferred Proven ability to lead and manage multiple projects and drive the team to results. Excellent interpersonal, oral, and written communication skills Ownership driven and results oriented Strong Microsoft Office skills, specifically Excel and PowerPoint. Have a flair for numbers, work well with people, aggressively anticipate impacts of workload/issues to team deadlines and have a positive work attitude including willing to work some long hours. Competency Requirements: Must possess the following knowledge, skills, and abilities to perform this job successfully: Strong presentation skills with internal and external customers. Experience to handle large teams Communicate effectively and clearly. An analytical mind. Ability to stick to time constraints and meet deadlines. Negotiation skills and the ability to develop strong working relationships. Solutions-minded, compliance-minded and results-oriented. Excellent organization and planning skills with the ability to define, analyze and resolve issues quickly and accurately. Ability to juggle multiple priorities successfully. High-energy, the hands-on employee who thrives in a fast-paced work environment. Flexible, adaptable and can adjust to a rapidly changing and growing environment. Ability to develop both tactical and strategic solutions to business challenges. This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.
Posted 1 week ago
2.0 - 4.0 years
3 - 5 Lacs
Chennai
Work from Office
Hiring for AR Calling - Chennai Walk-in Location: A1 Block, Ground floor, Gateway Office Parks, 16, GST Road, Perungalathur, Chennai - 600 063, Tamil Nadu. Contact us: Manikandan - 9551070726 -manikandan.ravi1@sutherlandglobal.com Sandhiya - 7550106180 - sandhiya.haridass@Sutherlandglobal.com Job Role 1. Reviewing and analyzing claim form 1500 to ensure accurate billing information. 2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. 3. Familiarity with payer websites to verify claim status, eligibility, and coverage details. 4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. 5. Proficiency in using CPT range and modifiers for precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 2 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland. 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com " .
Posted 1 week ago
0.0 - 1.0 years
1 - 4 Lacs
Coimbatore
Work from Office
Looking to onboard a highly motivated and detail-oriented AR Associate with 0-1 years of experience to join our team in Coimbatore. The ideal candidate will have excellent communication skills and the ability to work effectively in a fast-paced environment. Roles and Responsibility Manage accounts receivable, including processing payments and resolving billing issues. Coordinate with clients to ensure timely payment and maintain accurate records. Identify and address denials by investigating root causes and resubmitting claims. Collaborate with internal teams to resolve account-related issues and improve processes. Analyze data to identify trends and areas for improvement in the accounts receivable process. Develop and implement strategies to reduce outstanding accounts and improve cash flow. Job Strong understanding of accounting principles and practices. Excellent communication and interpersonal skills. Ability to work in a team environment and meet deadlines. Proficiency in CRM software and Microsoft Office applications. Strong analytical and problem-solving skills. Ability to adapt to changing priorities and workflows. Experience working in an IT-enabled services or BPO industry is preferred. Company nameOmega Healthcare Management Services Pvt. Ltd. IndustryCRM/IT Enabled Services/BPO. JD
Posted 1 week ago
3.0 - 5.0 years
1 - 5 Lacs
Chennai
Work from Office
Looking to onboard a skilled Process Coach with 3-5 years of experience in the healthcare industry, preferably in coding or related fields. The ideal candidate will have a strong background in process coaching and excellent communication skills. Roles and Responsibility Develop and implement effective training programs for medical coders to enhance their skills and knowledge. Conduct regular assessments and evaluations to ensure compliance with industry standards and regulations. Collaborate with cross-functional teams to identify areas for improvement and implement changes. Provide feedback and coaching to medical coders to help them achieve their goals. Stay up-to-date with industry developments and best practices in medical coding. Analyze data and metrics to identify trends and opportunities for improvement. Job Minimum 3 years of experience in process coaching or a related field, preferably in the healthcare industry. Strong knowledge of medical coding principles and practices. Excellent communication and interpersonal skills. Ability to work effectively in a team environment. Strong analytical and problem-solving skills. Experience working with CRM/IT enabled services/BPO is an added advantage.
Posted 1 week ago
1.0 - 3.0 years
1 - 4 Lacs
Tiruchirapalli
Work from Office
We are looking for a highly skilled and experienced Executive - AR to join our team at Omega Healthcare Management Services Pvt. Ltd., located in Trichy I. The ideal candidate will have 1-3 years of experience in the field. Roles and Responsibility Manage and resolve accounts receivable issues efficiently. Coordinate with internal teams to ensure accurate billing and payment processing. Develop and implement effective strategies to improve cash flow and reduce bad debts. Analyze financial data to identify trends and areas for improvement. Ensure compliance with company policies and procedures related to accounts receivable. Collaborate with external parties to resolve disputes and negotiate payments. Job Strong knowledge of accounting principles and practices. Excellent communication and problem-solving skills. Ability to work in a fast-paced environment and meet deadlines. Proficiency in CRM software and Microsoft Office applications. Strong analytical and organizational skills. Ability to maintain confidentiality and handle sensitive information. Omega Healthcare Management Services Private Limited is a leading healthcare management services provider committed to delivering high-quality solutions to its clients. We focus on customer satisfaction and continuous improvement, making us a great place to work. For more information about this position, please contact us at 1382777 or email us at .
Posted 1 week ago
0.0 - 1.0 years
1 - 4 Lacs
Bengaluru
Work from Office
Looking to onboard a highly motivated and detail-oriented AR Associate with 0-1 years of experience to join our team in Bengaluru. The ideal candidate will have excellent communication skills and the ability to work effectively in a fast-paced environment. Roles and Responsibility Manage accounts receivable, including processing payments and resolving billing issues. Coordinate with clients to ensure timely payment and resolve any discrepancies. Maintain accurate records of all transactions and reports. Collaborate with internal teams to resolve account-related issues. Develop and implement effective strategies to improve cash flow. Analyze data to identify trends and areas for improvement. Job Strong understanding of accounting principles and practices. Excellent communication and interpersonal skills. Ability to work effectively in a team environment. Proficient in using computer software applications. Strong analytical and problem-solving skills. Ability to meet deadlines and work under pressure. Experience working in a CRM/IT Enabled Services/BPO industry is preferred. Omega Healthcare Management Services Private Limited is a leading healthcare management services company committed to providing high-quality patient care and services to its clients. We are a dynamic and growing company with a strong presence in the healthcare industry.
Posted 1 week ago
0.0 - 1.0 years
1 - 4 Lacs
Bengaluru
Work from Office
Looking for a motivated AR Associate to join our team in Bangalore. The ideal candidate will have 0-1 years of experience and be able to work effectively in a fast-paced environment. Roles and Responsibility Manage accounts receivable processes, including invoicing and payment follow-up. Analyze and resolve billing discrepancies and denials. Develop and implement effective collection strategies to minimize bad debt. Collaborate with internal teams to ensure accurate and timely billing. Identify and address areas for process improvement. Maintain accurate records of all interactions with clients. Job Strong understanding of accounting principles and practices. Excellent communication and problem-solving skills. Ability to work in a team environment and meet deadlines. Proficient in using CRM software and other relevant tools. Strong analytical and organizational skills. Ability to maintain confidentiality and handle sensitive information. Omega Healthcare Management Services Private Limited is a leading healthcare management services company committed to providing high-quality patient care and support. We are dedicated to delivering exceptional service and building long-term relationships with our clients and partners.
Posted 1 week ago
1.0 - 6.0 years
2 - 4 Lacs
Chennai
Work from Office
Location CHENNAI & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations 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 Procedures and surgeries. Role Prerequisites: Minimum 1 year and above experience in Prior Authorization ( Voice Process ) Good understanding of the medical terminology and progress notes How to Apply Apply through Naukri or Email your resume to: hr@bilozzrcm.com to schedule an interview with us. No Walk-in interviews conducted. Freshers are not eligible to apply for this position.
Posted 1 week ago
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