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0.0 - 1.0 years
3 - 3 Lacs
Pune
Work from Office
Role & responsibilities: Act as a mediator between insurance company's/law firms and hospitals, doctors, clinics medical facilities. Do a follow-up on medical reports of patients who have been discharged from the mentioned medical institutes. The main aim is to get the medical facility reports within the time frame mentioned by the client. Preferred candidate profile *Excellent Communication Skills *Graduate Freshers/ Graduates awaiting results *WFH is not appreciated Perks and benefits: Salary up to 25000 gross per month Gross attractive monthly Incentives up to 7000 fixed Loyalty Bonus up to 5000 per month Fixed US shift Saturday Sunday fixed Off Over Time Paid Work location: Kalyani Nagar, Pune. This opening is for the voice process; hence candidates with back-office / B2B lead generation / RPO / Business Development / Domestic process experience will not be considered and cannot apply. If interested, please feel free to call us at 9921809317 or share your resume at adriza.samanta@aminfoweb.co.inWalk-in Details : Office NO. 3A, Building 3, 7th Floor Cerebrum IT Park, Kalyani Nagar, PUNE Date : 10/02/25 to 6/02/25time : 2pm to 7pm Person to contact : HR Adriza Samanta (9921809317/adriza.samanta@aminfoweb.co.in)
Posted 1 month ago
10.0 - 15.0 years
35 - 40 Lacs
Hyderabad
Work from Office
The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controller-ship at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon s suppliers, invoice our customers and report financial results. Amazon is quickly building the Finance Operations capabilities in the healthcare industry by creating the Healthcare Finance Operations Services. As part of the Healthcare Finance Operations Services team, you will find yourself working with talented and determined people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon Healthcare, this candidate must possess a good passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with Senior Management. As the Manager, Revenue Cycle of Healthcare Finance Operations, you will have oversight of the people, process, and technology functions for medical revenue cycle operations including, but not limited to, claims management, cash posting, billing, coding, and AR management. The ideal candidate will have prior leadership experience in provider Revenue Cycle Management and Operations. You are experienced in ensuring compliance with applicable regulations and developing mechanisms for operational adherence to these policies. This is both a strategic and a hands-on role that requires good leadership skills, a high degree of organization, good written and verbal communication, and a passion for collaboration in the design of data driven programs that optimize reimbursement and revenue and with a focus on the shared services functions. The Manager will have a deep knowledge of the healthcare industry, or a willingness to learn. Responsible for organizing and coordinating the daily operations of the Healthcare Finance Operations Services for Amazon Healthcare, in collaboration with the Healthcare leadership team, to ensure consistent quality, compliance, productivity and efficient operations. Coordinates and organizes operational functions, including audits, staffing, performance evaluations, staff development and training, regulatory compliance, coding policies and procedures, coding quality and productivity monitoring. Collaborate cross functionally to develop fully informed views and insights into the drivers behind data, and present findings clearly and concisely. Participates in collaborative work sessions and projects to clarify the processes and guidelines pertaining to Revenue Cycle Operations. Tracks and monitors key revenue cycle performance indicators; reports key findings to appropriate leadership and stakeholders across the organization. Engages in initiatives involving technical workflow and utilization of software solutions. Collaborates with partners to develop and implement plans for the operational infrastructure of systems, processes, training and personnel designed to create standardization in the organization and enable rapid growth. Participates in the development of training materials and quality assurance programs Adheres to productivity standards as set by leadership Working on any Adhoc request and driving to completion. Mentoring the team and training the newly onboarded team members at the process level. Ensuring the SOPs are UpToDate. Performing random audits to ensure the quality standards are met. Work towards eradicating the defects in the process and drive innovation for resolution. Drive SLA s and Metrics for the business. Drive and support the team towards meeting the goal. 10+ years of Accounts Receivable (AR) experience and Revenue cycle Management Experience in US Healthcare Bachelors degree in any related field 5+ years of directly managing and leading a large team. 10+ years of progressively responsible revenue cycle management with good working knowledge of benefit and reimbursement coverage, billing and collection process and functions, denials management, payment modeling, coding rules and regulation Financial and service line reporting experience and general revenue cycle management strategies and industry best practice. Financial management skills including the ability to financially analyze data for operations, auditing, and forecasting; basic accounting knowledge; staffing and financial reporting skills. Global process management working across multiple time zones. Experience leading cross-org discussions and working with a matrixed team of stakeholders to achieve common goal. Good written, presentation and verbal communication skills at the executive level. Proven track record of taking ownership and driving results. Good bias for action and be able to work iteratively. Possesses a good eye for detail and process improvement. Trained in HIPAA guidelines. 10+ Years experience with US healthcare and health insurance industry. Has led or been part of a team that worked on a Six Sigma belt project / Kaizen / Lean projects Multi-state, federal and jurisdictional payor and reimbursement experience.
Posted 1 month ago
1.0 - 6.0 years
2 - 6 Lacs
Hyderabad, Coimbatore
Work from Office
Dear Applicant, Excellent opportunity ! Position / Title : AR Caller / Senior AR Caller Responsibility Areas 1. Should handle US Healthcare providers/ Physicians/ Accounts Receivable. 2. To work closely with the team leader. 3. Ensure that the deliverables to the client adhere to the quality standards. 4. Responsible for working on Denials, Appeals,Rejections, LOA's to accounts etc. 5. To review emails for any updates 7. Identify issues and escalate the same to the immediate supervisor 8. Update Production logs 9. Strict adherence to the company policies and procedures. Desired Profile 1. Sound knowledge in Healthcare concept (Physician Billing). 2. Should have Minimum 2 Year of AR calling Experience . 3. Excellent Knowledge on "RCM, Medicare, Medicade, Hospice, HMO, PPO, POS, EPO, MCO plans, Modifiers, Office code visit, CPT codes, Drug codes, Appeals, Denial management, CMS-1500 form, clearing house" etc . 4. Understand the client requirements and specifications of the project 5. Should be proficient in calling the insurance companies. 6. Ensure targeted collections are met on a daily / monthly basis 7. Meet the productivity targets of clients within the stipulated time. 8. Ensure accurate and timely follow up on pending claims wherein required. 9. Prepare and Maintain status reports. Interested candidate please share your resume below mail id or share the resume on WhatsApp. Contact HR : Keziya.A Mail Id : Keziya.Prasadbabu@omegahms.com WhatsApp me @ 8712312855 NOTE- Freshers Please ignore it and only immediate joiners are required Regards, Team HR
Posted 1 month ago
3.0 - 7.0 years
3 - 5 Lacs
Mohali
Work from Office
Exciting Opportunity for Quality Analyst (AR Medical Billing) Location: Mohali (Work from Office Only) Shift: Night Shift (5:30 PM 2:30 AM / 6:30 PM 3:30 AM) Job Type: Full-time Industry: Healthcare (RCM / Medical Billing) What Were Looking For: Experience: 3+ years in AR Medical Billing Quality Analyst Experience: Minimum 1 year (On Papers) Strong Knowledge: AR Calling, RCM, Denial Management, US Healthcare What You'll Do: Ensure quality parameters are met by minimizing errors. Maintain service levels and meet productivity and quality targets. Guide and support team members on quality-related issues. Track and document feedback and performance. Share client updates with the team and ensure alignment. Perform quality checks based on the latest updates. Communicate effectively with clients. Identify training needs and coordinate with leadership. Why Join Us? Opportunity to grow in the healthcare industry. A collaborative and supportive work environment. Enhance your skills and take your career to the next level. Interested candidates can drop your cv to vilasini.v@veehealthtek.com or 8925866801 Dont miss out — apply today and be a part of something great! Regards, Vilashini HR
Posted 1 month ago
0.0 - 5.0 years
2 - 5 Lacs
Noida, Gurugram, Mumbai (All Areas)
Work from Office
Hiring for top MNC 5 days working Both sides cab Rotational shift Graduate Freshers salary up to 24K in hand Salary for experienced(Min 6 months) up to 35K in hand Need excellent comm Location-Mumbai, Gurgaon & Noida Contact-8445857677- HR (Vedant)
Posted 1 month ago
6.0 - 8.0 years
12 - 20 Lacs
Noida
Hybrid
Role & responsibilities : Responsible for designing and developing high-quality software applications using Microsoft Technologies Responsible for ensuring that the software applications follow best practices in software development, including writing clean, efficient, and maintainable code, and implementing software security measures Ability to lead in software architecture discussions and actively contribute to technical discussions Demonstrates ownership for development across team and other cross-functional teams Clear ability to technically mentor, improve & inspire others as the team grows Apply and comply with the project development process as defined by the Project Manager Candidate profile : 6 to 8 years of experience in software development using .NET Framework / .NET Core . Strong expertise in C# programming and object-oriented design principles . Proficient in Microsoft SQL Server writing complex queries, performance tuning, and database design. Experience in developing and consuming RESTful APIs . Solid understanding of Entity Framework , LINQ , and asynchronous programming . Familiarity with source control systems (e.g., Git, TFS). Exposure to Agile/Scrum methodologies. Strong analytical and problem-solving skills. Excellent communication and teamwork abilities. Preferred Skills (Nice to Have) Familiarity with DevOps practices and automated deployment tools . Healthcare Domain Knowledge
Posted 1 month ago
1.0 - 3.0 years
2 - 5 Lacs
Hyderabad
Work from Office
Hiring for AR Calling - Manikonda, Hyderabad Walkin Location: DivyaSree TechRidge, Block P2 (North Wing), 7th Floor, Manikonda, Hyderabad - 500089 Contact us: Aravind - 7013671172 - Aravind.nirudi@Sutherlandglobal.com Place my name at the top of your resume: Aravind HR. 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, Manikonda Lanco hills. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland, Manikonda Lanco hills & with the shift 6:30pm to 3:30am 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 month ago
0.0 - 5.0 years
3 - 5 Lacs
Pune
Work from Office
Role & responsibilities Act as a mediator between insurance company's/law firms and hospitals, doctors, clinics medical facilities. Do a follow-up on medical reports of patients who have been discharged from the mentioned medical institutes. The main aim is to get the medical facility reports within the time frame mentioned by the client. Preferred candidate profile Excellent Communication Skills Graduate Freshers/ Graduates awaiting results WFH is not appreciated Perks and benefits Perks and benefits Salary up to 40000 gross per month gross attractive monthly Incentives up to 7000 fixed fixed US shift Saturday Sunday fixed Off over Time Paid work location: Kalyani Nagar, Pune. This opening is for the voice process; hence candidates with back-office / B2B lead generation / RPO / Business Development / Domestic process experience will not be considered and cannot apply. If interested, please feel free to call us at 9921757804 or share your resume at sharvary.navhate@aminfoweb.co.inWalk-in Details : Office NO. 7A, Building 3, 7thFloor Cerebrum IT Park, Kalyani Nagar, PUNE Datperson to contact : HR Sharvary Navhate (9921757804 /sharvary.navhate@aminfoweb.co.in)
Posted 1 month ago
1.0 - 5.0 years
1 - 5 Lacs
Chennai
Work from Office
Job highlights 6 months to 4years experience in AR Calling and should be flexible for night shifts. Role & responsibilities An AR (Accounts Receivable) Caller plays a key role in the healthcare revenue cycle, especially in medical billing companies or healthcare provider organizations. Their primary responsibility is to follow up on unpaid medical claims with insurance companies and ensure timely reimbursement. Preferred candidate profile Educational Qualification Graduate or Diploma (any stream); life sciences or commerce background preferred Experience 6months - 5 years of experience in AR calling, specifically in physician billing (professional claims CMS-1500) / hospital billing (UB04). Experience working with US-based insurance companies and understanding of CPT, ICD-10, and modifiers. Preferred Traits Ability to handle high claim volumes. Additional Benefits Fixed week off ( Saturday & Sunday) Two way cab facility at free of cost Location : Chennai Share your CV to below mentioned contact number Vimal HR - 9791911321 vimal.palani@accesshealthcare.com
Posted 1 month ago
0.0 - 4.0 years
1 - 2 Lacs
Kolkata
Remote
Company: Med Globe Healthcare Services. ****WE NEED EXCELLENT VERBAL AND WRITTEN SKILLS IN ENGLISH**** We are hiring only for the Kolkata location; those who live in Kolkata can only apply. Designation: "AR Caller" / Account Receivable Analyst / AR Caller / Medical Billing | US - Healthcare - Night Shifts/US Shifts. Mode: WORK FROM HOME - NEWTOWN, KOLKATA, W.B. Account Receivable: Analyst | US - Healthcare | AR - Calling | AR - Follow-Up | Denial Management | Multispecialty Denials | FRESHERS Roles and responsibilities * Build a learning culture. * Manage and handle effectively escalations raised by the clients. * Adhere to organizational policies and procedures. * The candidate should lead by demonstrating the highest standards of ethical behavior. * Reporting your performance to the team head according to the requirements. * Eager to learn new things. * Passionate. * Enthusiastic. * Quick Learner. * Eager to contribute to the organization. Desired Candidate Profile and Requirements - * Dual-monitor computer with a webcam. * Good Internet/Wi-Fi connection. * Candidate should have advanced computer knowledge of MS Excel, MS Word, Google Drive, email writing, etc. * Candidates should be familiar with US medical insurance and claims processing cycles after joining. * The candidate should be flexible with the work and give the productivity per the requirements. Job Requirements: To be considered for this position, applicants need to meet the following qualification criteria: Job Benefits & Perks Health Insurance. 5 days of work. Employee Development Plans. Paid sick days. Office Perks. Salary Hikes Friendly & Healthy Environment. Cooperative Teams. Annual Leave. Increasing employee engagement. Boosting morale, positivity, and enthusiasm. Education UG: Any graduate or undergraduate. We need candidates who are comfortable on the night shift. Week off: Saturday & Sunday off. ****CANDIDATE SHOULD HAVE A FLUENT AND EXCELLENT COMMUNICATION SKILLS IN ENGLISH. **** Shift timings: 06:30 PM to 03:30 AM. WORK FROM HOME. **The candidate should be completely comfortable with the US Voice Process.** This is a B2B, USA-based healthcare process. The candidates will be responsible for contacting the insurance company on behalf of the doctor/hospital to check the status of the claim and reimbursement. Regards, HR Department MED GLOBE HEALTHCARE SERVICES
Posted 1 month ago
1.0 - 3.0 years
2 - 4 Lacs
Navi Mumbai, Mumbai (All Areas)
Work from Office
*Easy selection* Telephonic interview Process - medical billing (claim settlement) *Voice + backend* *Location* - Airoli *Education* - Hsc/graduate fresher Shift timing: 6:30 pm - 3:30 am *AR Associate -15k inhand for non bpo and 17k in hand for bpo* 5k incentives depends attendance and performance *Saturday and Sunday fixed off* Home drop will be given Hr komal 7777089709
Posted 1 month ago
5.0 - 7.0 years
0 - 0 Lacs
Thiruvananthapuram
Work from Office
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: Priyadharsini M Email id: pi0124357@prochant.com Contact No : 7418002928 Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics
Posted 1 month ago
15.0 - 24.0 years
25 - 32 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Dear US Healthcare Leaders, We are hiring "General Manager AR Operations" for a leading US Medical Billing Company in India. Share your resume to our HR Kaviya (80568 64265 / kaviya@aramhiring.com) to schedule your interview. Please read the below eligibility criteria before sharing your resume: Criteria 1: Role 1: Candidates with 15+ years experience US Healthcare AR/RCM operations (Hospital Billing) along with hands on experience in EPIC software is eligible. Role 2 : Candidates with 15+ years’ experience US Healthcare AR/RCM operations (Dental Billing) is eligible. Criteria 2: Candidate should be on Senior Manager role or above for more than 3 years are eligible. Associate General Manager, Deputy General Managers and General Manager applicants are also encouraged to apply. Job Location: Location: Chennai Designation : General Manager Operations Department : AR/RCM Operations Span of control: Should have handled 300 - 500+ HC Reporting : Reports to Director Operations Qualifications : Any Degree (Pass - Mandatory) Salary : 25 LPA to 33 LPA Notice Period: Preferring Immediate Joiners and aspirants willing to join in 30 days. Roles and Responsibilities of General Manager Operations: Team Management: Managing a large Operations team spread over different locations with multiple clients in portfolio. Drive Long Term Talent Strategy for the organization, including Talent engagement, succession plan at all levels, development, and retention to ensure higher retention rate of employees. Drive/Create an inclusive, transparent, and collaborative culture in the teams. Provide value-based Leadership to team and be a role model in practicing MERIT. Manage and create a structure aligned to create best in class client experience and create long term value. Business Delivery: Design and execute delivery systems to create Best in Class Client Experience Meet/Exceed Client SLAs consistently. Drive Continuous improvement and Transformation plan for clients using Six Sigma and LEAN methodologies. Improve the operational systems, processes and policies in support of the client’s SLAs. Lead and create short and long-term strategy to deliver business outcomes. P&L Ownership - Oversee financial management of the processes and work with respective departments in terms of costing and profitability. Effective and timely coordination and communication with the support functions (SAP, HR, IT, Finance, Employee engagement) Comply with the client and organization’s internal policies and procedures. COMPETENCIES, SKILLS, AND OTHER REQUISITES: Service Delivery Leadership Strategic Thought leadership to grow business. External and Internal Stakeholder Management Problem Solving and Analytical Skills Unflinching integrity and personal work ethics Self-starter who strives for self and team excellence Attention to detail and concern for accuracy. Excellent time management skills and multi-tasking ability Excellent written and spoken English. ASSESSMENT PROCESS Virtual Functional Interview Face to Face interview with Leadership teams Share your resume to our HR Kaviya (80568 64265 / kaviya@aramhiring.com) to schedule your interview. Regards, Aram Hiring Solutions
Posted 1 month ago
15.0 - 24.0 years
25 - 40 Lacs
Hyderabad
Work from Office
Role & responsibilities Lead enterprise-wide quality and process improvement strategies for AR, PP, Billing, or EV/BV functions. Design, implement, and monitor KPIs to ensure high performance and continuous improvement across processes. Develop robust quality control mechanisms and evaluation models that support consistent service delivery. Identify performance gaps and lead root cause analysis using structured problem-solving and Six Sigma methodologies. Work closely with cross-functional stakeholders including senior leadership, clients, and delivery teams. Drive operational excellence by implementing Lean/TPS frameworks and data-driven insights. Provide coaching and constructive feedback to internal teams to improve process adherence and service quality. Establish and maintain quality performance goals tailored to business unit needs. Act as a consultative partner to business leaders, helping navigate complexity, ambiguity, and changing priorities. Mentor and manage global or distributed QA teams; provide direction for continuous learning and capability building. Preferred candidate profile Minimum of 15+ years of total experience with at least 12+ years in Quality Assurance and Process Improvement. Strong experience in the healthcare KPO domain preferred, especially in US healthcare operations. Six Sigma Black Belt or Master Black Belt certification strongly preferred. Proven track record of delivering business outcomes in a hyper-growth or transformation environment. Deep understanding of Lean, Six Sigma, and workflow reengineering in a knowledge-industry setting
Posted 1 month ago
6.0 - 11.0 years
5 - 8 Lacs
Hyderabad
Work from Office
Seeking a Team Lead with 6+ yrs experience in US Healthcare (Physician Billing) for Charges & Payment Posting. Should manage team performance, ensure accuracy, handle denials, and meet SLAs. Good knowledge of billing systems & payer rules required.
Posted 1 month ago
2.0 - 7.0 years
1 - 4 Lacs
Kochi
Work from Office
Renai Medicity is looking for In-charge Medical Records Department to join our dynamic team and embark on a rewarding career journeyDepartment Incharge: An individual responsible for overseeing and managing a specific department within an organization, such as a Sales Incharge, Production Incharge, or HR Incharge. Their responsibilities typically include setting goals, managing the team, and ensuring the department meets its objectives.Shift Incharge: In settings like manufacturing or operations, a Shift Incharge is responsible for supervising and coordinating the activities of a particular shift, ensuring smooth operations, and handling any issues or emergencies that may arise during that shift.Facility Incharge: An individual responsible for the management and maintenance of a facility, which can include a variety of responsibilities like security, maintenance, and ensuring a safe and efficient working environment.Project Incharge: In project management, a Project Incharge oversees the planning, execution, and successful completion of a specific project. They are responsible for managing project resources, timelines, and objectives.Unit InCharge: In some organizations, there are units or specific areas within a department, and a Unit Incharge is responsible for managing and leading that particular unit's operations and performance.
Posted 1 month ago
2.0 - 4.0 years
5 - 5 Lacs
Pune
Work from Office
Must be prepared to work night-shift Must have good knowledge of written and spoken English. Ability to use computer and latest OS systems and Application software. Outstanding communications and interpersonal skills. Required Candidate profile Strong knowledge of all types of Insurance plans, Eligibility verification Appeal for denied claims in order to receive payment. basic knowledge of RCM. • AR calling experience
Posted 1 month ago
10.0 - 15.0 years
25 - 30 Lacs
Mumbai
Work from Office
Role This is a very visible and hands-on Product Management Leadership role. This role will effectively act as the intersection between operations, solutions, technology development and user experience to design, build and implement innovative technology solutions. You will act as the primary product owner of IKS technology products and drive the agenda for IKS Health digital transformation from ideation, exploration, approval, development, implementation, execution, measurement and ongoing development Manage stakeholders by structured/unstructured communication channels, collaborate with, and influence leaders in operations across all levels, regarding product needs, product plans, organizational prioritization, and project updates Facilitate meetings to analyze business problems, gather relevant information and business requirements and to ensure understanding of the stakeholder s knowledge and the stage of the project life cycle. Develop and maintain operational metrics and reporting to accurately measure product performance and quantify the business impact of technology. Develop key product documentation including Business Case, Business Requirements / Product Specifications and user cases Collaborate closely with the development team to manage delivery, unblock development team and prioritize the backlog using a agile approach. Act as a thought leader and subject matter expert on technology disruption and tech implementation. Ability to promote trust and confidence in the technology function across the organization. Exp Required 10+ years of product development experience, product consulting or similar management consulting role Past experience at a leadership role at a Tech Start-up will be highly desirable Prior experience in business analysis in a healthcare software company or a healthcare KPO Experience delivering products and showing the impact of the work you have done Experience in the US healthcare domain, US Healthcare Standards preferred
Posted 1 month ago
5.0 - 10.0 years
5 - 9 Lacs
Mumbai
Work from Office
Position: A Partnership & Alliance Manager Experience: 5+ years Location: India (Mumbai) / US Industry: Healthcare IT | US Market Requirements: OSP Labs is looking for a strategic and dynamic professional to lead Partnerships and Alliances in the US Healthcare space. Youll identify, build, and manage relationships with EHR vendors, health tech platforms, and consulting firms to accelerate our growth. 5+ years in partnerships or business development Strong understanding of US healthcare ecosystem Excellent negotiation and relationship-building skills Be part of a fast-growing, innovation-led HealthTech company transforming patient care through digital solutions.
Posted 1 month ago
2.0 - 7.0 years
5 - 10 Lacs
Chennai
Work from Office
Primary Responsibilities: Lead a team of 25 – 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management – Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing company’s vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine) At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. #njp #SSCorp External Candidate Application Internal Employee Application
Posted 1 month ago
3.0 - 8.0 years
3 - 7 Lacs
Noida
Work from Office
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. 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 transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Quality Analyst Role Objective: The job will be to evaluate the web and voice transactions to make sure they are error free and compliant towards the process & sharing feedbacks with transcribes typed by listening 100% of the patients feedback surveys. Essential Duties and Responsibilities Auditing for Onshore and BSO teams. Will do audits as per the weekly-monthly audit plan and do PKTs of the team members Participate in process & training calls as required Reports sharing to communicate performance effectively and timely with Ops and QA team Will be actively involved in creating audit & sample plan, feedback sharing & training the team members weekly, based on the themes identified. QA will be involved in weekly or biweekly calibration calls Will be actively involved in managing escalations received externally and internally Work closely with the Ops supervisors and quality team to develop agent & team level action plans for Quality improvement. May have to work long shifts whenever needed and to effectively handle challenging situations. Perform all other assigned tasks and responsibilities as assigned. Skill Set Excellent written & verbal communication skills> Strong knowledge of MS Office (MS Excel & Power Point are Mandatory)> Excellent Personal & Interpersonal Skills> Knowledge of Quality Tools Like 5 Why's, Lean & RCA"> Good Knowledge of Denial & Follow Up Pre-requisite Thorough understanding of AR Follow Up and Denials management Should have overall 3+ years of experience in RCM Follow up Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should be expertise/worked in EPIC Host r1rcm.com Facebook
Posted 1 month ago
0.0 - 1.0 years
1 - 3 Lacs
Noida
Work from Office
Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess 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 PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. r1rcm.com Facebook
Posted 1 month ago
4.0 - 8.0 years
4 - 9 Lacs
Hyderabad
Work from Office
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, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Operations Manager Location: Hyderabad Reports to (level of category) Senior Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. r1rcm.com Facebook
Posted 1 month ago
2.0 - 5.0 years
3 - 7 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 ResponsibilitiesProcess 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 PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. r1rcm.com Facebook
Posted 1 month ago
6.0 - 7.0 years
2 - 6 Lacs
Noida
Work from Office
R1 is leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. 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 transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation: Assistant Operations Manager/Associate Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retentionAnalysis data to identify process gaps, prepare reportsPerformance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics. Qualifications: 6-7 Years of overall RCM experience & 2+ Years in People MangementGraduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial ManagementAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. r1rcm.com Facebook
Posted 1 month ago
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