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3.0 - 8.0 years
6 - 16 Lacs
bengaluru
Remote
Roles and Responsibilities Oversee and manage all aspects of the revenue cycle process, including billing, coding, collections, and reimbursement. Develop and implement strategies to optimize revenue capture and reduce claim denials. Monitor key performance indicators (KPIs) and prepare regular reports on revenue cycle metrics for senior leadership. Collaborate with clinical, administrative, and financial teams to streamline workflows and resolve revenue cycle issues. Lead, mentor, and train revenue cycle staff to achieve departmental goals and maintain high performance standards. Identify opportunities for process improvement and implement best practices to enhance efficiency and accuracy. ...
Posted 2 weeks ago
1.0 - 4.0 years
5 - 8 Lacs
gurugram
Work from Office
Neolytix is hiring an experienced Quality Associate AR for its US Healthcare Revenue Cycle Management team. This role is strictly for professionals with hands-on Quality experience in AR follow-up within the US Healthcare RCM domain . Profiles without AR-Quality experience in US Healthcare RCM will not be considered. Key Responsibilities Audit AR activities including insurance follow-ups, denial resolution, aging, and collections Review AR workflows for accuracy, compliance, and adherence to client SOPs Identify quality gaps and provide structured feedback to AR executives and team leads Perform root cause analysis and recommend corrective and preventive actions Track error trends and mainta...
Posted 2 weeks ago
1.0 - 5.0 years
0 Lacs
chennai, all india
On-site
Role Overview: You will be responsible for analyzing accounts receivable in the US Healthcare sector, specifically focusing on the end-to-end Revenue Cycle Management (RCM) process. Your key role will involve managing denials and claims efficiently while ensuring high-quality work output and production targets are met. Timely follow-up on outstanding accounts will be a crucial aspect of your daily tasks. As a valuable team member, your willingness to collaborate and contribute to the team's success will be highly appreciated. Key Responsibilities: - Analyze accounts receivable in the US Healthcare sector - Manage denials and claims effectively - Ensure high quality and production standards a...
Posted 2 weeks ago
10.0 - 15.0 years
25 - 30 Lacs
navi mumbai
Work from Office
Role & responsibilities: 1. Drive implementations of Coding solutions across the enterprise for both new and existing customers. 2. Lead all core change management, tech and compliance enablement activities to operationalize the Coding solutions. 3. Ensure the client departments, specialty HODs, provider and practice leaders are comfortable with the new service till they are in steady state. 4. Institute sustainable processes for steady state delivery. 5. Groom development of younger leaders for managing new client implementations independently. 6. Lead the constant evolution and deployment of the best-practices, specifically for: a) Documentation standards b) Configuration of end-products c...
Posted 2 weeks ago
10.0 - 14.0 years
20 - 25 Lacs
hyderabad, navi mumbai, coimbatore
Work from Office
Role Prerequisites: 10+ years experience in running core coding operations including having significant experience in coding audits, workflow assessments, onsite and remote client management is a must. Experience of managing and working on P&L of the business Functional Competencies: Should have knowledge of 2 or more coding specialties Strong expertise on ICD -10 and CPT with anyone of the specialties would be preferred Strong working knowledge of MS Office Tools OT G-suite is a must Detailed understanding of the end to end RCM cycle related to US healthcare and related key areas of measuring success would be preferred. Coaching and Feedback Skills Client Management Skills Good Reporting an...
Posted 2 weeks ago
0.0 - 2.0 years
0 Lacs
noida, gurugram
Work from Office
Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Interview Details: Interview Mode: Face-to-Face Interview Walk-in Date: 12-Dec-25 Walk in Timings: 1 PM to 3 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Please carry a copy of Updated Resume along with Aadhaar Card and...
Posted 2 weeks ago
1.0 - 6.0 years
1 - 4 Lacs
chennai, bengaluru
Work from Office
Hiring for AR Caller & Senior AR Caller Work Locations: Chennai & Bengaluru Both Hospital Billing & Physician Billing Salary best in industry both way cab will be provided Experience Required: 1 to 6 years (Denial Management) Job Responsibilities: Insurance Follow-Up Call insurance companies to check claim status and resolve payment issues. Denial Management Analyze and work on denied claims to ensure reimbursement. Claim Processing & Appeals Initiate and process appeals for underpaid or denied claims. Coordination with Teams Work closely with billing teams to ensure claim accuracy and quick resolution. Maintain Productivity & Quality Standards Meet daily/weekly targets for call volume and c...
Posted 2 weeks ago
1.0 - 5.0 years
4 - 7 Lacs
gurugram
Work from Office
- Must have experience in credentialing and should be an AR analyst to fix the Denial - Gurgaon Location, Both Side Cab, Only Work From Office, "NO Work from Home" - Net Salary Upto Rs.60,000 - What's app CV @ 85273 67908 Perks and benefits Incentive
Posted 2 weeks ago
5.0 - 10.0 years
4 - 6 Lacs
chennai
Work from Office
Job description: Firstsource Solutions Limited, an RP-Sanjiv Goenka Group company is a global leader providing business process solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology, Retail, and other diverse industries. With a global footprint across US, UK, India, Philippines, Mexico, Romania, Turkey, Trinidad & Tobago, South Africa, and Australia, they make it happen for their clients, solving their biggest challenges with hyper-focused, domain-centered teams and cutting-edge tech, data, and analytics. Firstsources inch-wide, mile-deep practitioners work collaboratively, leveraging UnBPO™ - their diff...
Posted 2 weeks ago
1.0 - 5.0 years
2 - 6 Lacs
gurugram
Work from Office
- Must have experience in credentialing and should be an AR analyst to fix the Denia - Gurgaon Location, Both Side Cab, Only Work From Office, "NO Work from Home" - Net Salary Upto Rs.45,000 - What's app CV @ 97117 08570 Perks and benefits Incentive
Posted 2 weeks ago
1.0 - 4.0 years
2 - 5 Lacs
kolkata, chennai, coimbatore
Work from Office
*Hiring for Ar caller - AR Calling Location - Chennai,Coimbatore,Hyderabad,Kolkata WFO US Night shift SPE : 1.5y CTC - SPE:Upto 5.5lpa Skills :RCM, Ar Caller/Revenue cycle management / Denial Management Interested candidates HR Raji@8828150388
Posted 2 weeks ago
1.0 - 6.0 years
5 - 14 Lacs
hyderabad, chennai
Work from Office
99400 84176Role & responsibilities : * Current Openings : - Ipdrg Coders - Chennai & Hyderabad ( 1- 10 Yrs ) - Ipdrg QA - Chennai & Hyderabad ( 3 - 12 yrs ) Medical Coder IPDRG :- Chennai & Hyderabad ( 1- 10 Yrs ) Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor :Chennai & Hyderabad ( 3- 12 Yrs ) Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and training ...
Posted 2 weeks ago
6.0 - 11.0 years
4 - 5 Lacs
hyderabad
Work from Office
NA
Posted 2 weeks ago
1.0 - 6.0 years
4 - 6 Lacs
pune
Work from Office
Mega walk-in drive from 22-Dec-25 to 24-Dec-25 at Cotiviti -Pune for US Voice Process Walk-In Date: 22-Dec-25 to 24-Dec-25 (Mon, Tue & Wed) Time: 10:00 AM - 4:00 PMVenue: Cotiviti India Pvt LtdPlot C, Podium Floor, Binarius/Deepak Complex,Opposite Golf Course, Yerwada, Pune- 411006. We are hiring for the US Healthcare Voice process at Cotiviti. Please refer to the information below and required skill set for the same. POSITION SUMMARY: The US Voice role involves a combination of administrative support, data validation, and communication with internal departments and external partners. POSITION REQUIREMENTS: Graduation mandatory. Prior International BPO Voice experience is mandatory. Excellen...
Posted 2 weeks ago
3.0 - 8.0 years
6 - 12 Lacs
pune
Work from Office
Cotiviti Hiring Subject Matter Expert (SME) Program: Coding Validation Educational Qualification : MBBS / BAMS / BHMS / BPT Certification : CPC certification is mandatory (CPC Pursuing Candidates can also apply. Relevant Experience : E&M or IPDRG Speciality candidates are preferrable Experience : Min 3+ Years Position Summary SME will be responsible for analyzing and interpreting the correct codes for the descriptions available on various medical procedures and diagnosis and other related medical coding as per the medical policy requirements, ensuring work delivery as per set expectations while maintaining the required quality standards. Also, the SME would be responsible for extending proce...
Posted 2 weeks ago
1.0 - 4.0 years
4 - 6 Lacs
hyderabad
Work from Office
Job Title: AR Caller (L2) Location: Hyderabad Manikonda Work Mode: Work From Office Headcount: 20 Positions CTC: Up to 5.5 LPA (Max 30% Hike) Shift: Night Shift Requirement: Immediate Joiners Only Job Responsibilities End-to-end denial management Physician billing Handle AR follow-ups and ensure timely resolution Maintain high-quality communication and documentation Eligibility 1 to 4 years of experience as an AR Caller Excellent communication skills Graduation (12+3 yrs mandatory) Reach out to HR Archie - 9147728437
Posted 2 weeks ago
2.0 - 7.0 years
3 - 5 Lacs
chennai
Work from Office
Hiring||R1RCM||Walkin Drive Greetings from R1RCM!!! About US: R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transforming the healthcare industry with our innovativ...
Posted 2 weeks ago
1.0 - 6.0 years
4 - 6 Lacs
hyderabad
Work from Office
** Candidates should have International Voice Process experience** PRINCIPLE PURPOSE OF JOB The Specialist Payment Accuracy position is an entry level position responsible for auditing claims on client system and validating the codes used and adjudicating the claim. Documents relevant facts, information and conclusions drawn to support the work performed so other reviewers may validate the audit outcome. Communicates audit recommendations and outcomes to supervisory auditor for evaluation, verification and continuous learning. JOB RESPONSIBILITIES Review Claims and Perform Analysis Under direct supervision, reviews claim on client system and verify if correct codes were applied on claims. Sc...
Posted 2 weeks ago
0.0 - 1.0 years
1 - 4 Lacs
bengaluru
Work from Office
Roles and Responsibility Manage accounts receivable, including processing payments and resolving outstanding balances. Coordinate with the billing team to ensure accurate invoicing and minimize denials. Develop and implement effective strategies to improve cash flow and reduce bad debt. Collaborate with the customer service team to resolve customer complaints and concerns. Analyze data to identify trends and areas for improvement in the accounts receivable process. Ensure compliance with company policies and procedures related to accounts receivable management. Job Requirements Strong understanding of accounting principles and practices. Excellent communication and interpersonal skills. Abil...
Posted 2 weeks ago
1.0 - 4.0 years
1 - 5 Lacs
hyderabad, chennai, mumbai (all areas)
Work from Office
AR CALLERS & AR QA HIRING | PB & HB | DAY/NIGHT SHIFTS | UP TO 45K53K TAKE HOME Position 1: AR Caller – Physician Billing (Night Shift) Experience: Minimum 1+ year in AR Calling (Physician Billing) Salary: Up to 40,000 take home + allowances + incentives Locations: Hyderabad, Chennai, Bangalore, Mumbai, Coimbatore Qualification: Intermediate & above Shift: Night Shift Work Mode: Work from Office Notice Period: Immediate joiners preferred Position 2: AR Caller – Hospital Billing (Night Shift) Experience: Minimum 1+ year in AR Calling (Hospital Billing) Salary: Up to 45,000 take home + incentives Location: Hyderabad Qualification: Intermediate & above Shift: Night Shift Work Mode: Work from Of...
Posted 2 weeks ago
1.0 - 5.0 years
2 - 4 Lacs
hyderabad, chennai, mumbai (all areas)
Work from Office
Current Openings US Healthcare RCM Position 1: AR Caller Physician Billing (Night Shift) Experience: Minimum 1+ year in AR Calling (Physician Billing) Salary: Up to 40,000 take-home + allowances + incentives Locations: Hyderabad, Chennai, Bangalore, Mumbai, Coimbatore Qualification: Intermediate and above Shift: Night Shift Work Mode: Work From Office Notice Period: Immediate joiners preferred Position 2: AR Caller Hospital Billing (Night Shift) Experience: Minimum 1+ year in AR Calling (Hospital Billing) Salary: Up to 45,000 take-home + incentives Location: Hyderabad Qualification: Intermediate and above Shift: Night Shift Work Mode: Work From Office Notice Period: Immediate joiners preferr...
Posted 2 weeks ago
1.0 - 2.0 years
0 - 3 Lacs
coimbatore
Work from Office
Responsibilities: * At least one year of medical billing experience is required. * Experience with AR follow up is required. * Candidates must have proven track record and hands-on working experience with CPT and ICD-10 codes , as well as modifiers. * Ability to constructively communicate and problem solve with Medicare and commercial insurance companies. * This includes the use of the respective insurance portals, as well as verbal and written communication. Medical billing certification is a plus. * Biller will have full responsibility for all billing aspects (posting charges, posting payments, insurance billing, appeals, insurance follow up, patient and practice communication, etc.) of se...
Posted 2 weeks ago
0.0 - 4.0 years
2 - 3 Lacs
jaipur
Work from Office
To complete the assigned task as per the protocol. Ability to adapt quickly. Good verbal and written communication skills are required. To handle day to day operations in RCM processes in the US Healthcare domain. Prioritize and complete the deliverables on-time delivery of service and quality of work. Understanding of RCM processes like Billing and Accounts Receivables Establish a strong relationship with Team Managers by submitting the desired task reports. Communicate effectively with Seniors. Willing to work in the night shift / US timings. BENEFITS 1. Five days working : Monday - Friday (Sat & Sun Fixed week off) 2. Two-way cab facility. 3. Subsidized one-time meal. 4. Gym access to all...
Posted 2 weeks ago
5.0 - 10.0 years
10 - 15 Lacs
bengaluru
Work from Office
Own end-to-end delivery for our AI benefits-verification program: hit SLAs, improve AI conversation quality, optimise the verification funnel, and lead a high-performing team. Responsibilities:- AI Agent & Funnel Improvement Review call transcripts and analytics to identify failure modes and edge cases. Partner with product/ML on prompts/guardrails, A/B tests, and feedback loops to lift conversation success/containment. Instrument funnel metrics (reach eligibility verified documented) and remove bottlenecks. Delivery & Client Management Act as day-to-day owner for client delivery; run weekly/quarterly reviews and governance. Define, track, and meet SLAs/KPIs (TAT, first-pass accuracy, AHT, Q...
Posted 2 weeks ago
1.0 - 3.0 years
1 - 3 Lacs
vellore
Work from Office
Responsibilities: * Ensure accurate medical billing * Verify eligibility & insurance for US healthcare services * Maintain confidentiality at all times * Manage RCM process from admission to payment
Posted 2 weeks ago
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