3473 Us Healthcare Jobs - Page 40

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 PowerPointQualifications: 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 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

Who we are: 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. About the role: Needs to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. This role involves analyzing healthcare data and model on proprietary tools. Be able to take up new initiatives independently and collaborate with external and internal stakeholders. Be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What will you need: Graduate in any discipline (preferably via regular attendance) from a recognized educational institute with good academic track record Should have Live hands-on experience of at-least 2 year in Advance Analytical Tool (Power BI, Tableau, SQL) should have solid understanding of SSIS (ETL) with strong SQL & PL SQL Connecting to data sources, importing data and transforming data for Business Intelligence. Should have expertise in DAX & Visuals in Power BI and live Hand-On experience on end-to-end project Strong mathematical skills to help collect, measure, organize and analyze data. Interpret data, analyze results using advance analytical tools & techniques and provide ongoing reports Identify, analyze, and interpret trends or patterns in complex data sets Ability to communicate with technical and business resources at many levels in a manner that supports progress and success. Ability to understand, appreciate and adapt to new business cultures and ways of working. Demonstrates initiative and works independently with minimal supervision. r1rcm.com Facebook

Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.Essential Duties and ResponsibilitiesFollow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months. 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 r1rcm.com Facebook Location - Chennai,Noida,Bengaluru,Gurugram

Who we are: 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 Operations Manager Role Objective Manage AR, Denials and Appeal follow up operations team. Essential Duties and Responsibilities Should have the ability to manage an operations team of 100+ FTEs. Should have the ability to manage multiple provider/hospital sites. Should have the ability to coordinate and proactively communicate with domestic counterparts and leaders. Should have excellent analytical and decision-making skills. Should have strong communication, interpersonal, and presentation skills. Candidate should be self-driven, with leadership abilities and a results-oriented approach. Should be able to identify and implement strategies for process improvement. Should have experience in inter-departmental and intra-departmental coordination with multiple stakeholders. Should have a thorough understanding of AR follow-up, denials, and appeals processes. Should be able to drive KPIs to achieve business metrics. Should ensure the timely delivery of projects and reports. Should have the ability to prepare presentations for business meetings. Should ensure and drive adherence to company policies and compliance standards. Should manage the performance of supervisors and team members. Should lead initiatives for productivity and quality improvement. Should be able to control absenteeism and attrition within organization-defined goals. Certification N/A Skill Set Domain knowledge on both CM1500 and UB04 claims follow up. Operations Management. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Pre-requisite: Should have overall 7+ years of experience in RCM Operations Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills r1rcm.com Facebook

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. Job Responsibilities: Identify, analyze, and manage all issues about claims edits and rejects Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met. Review and analyze top edits and rejects with BSO global team every week. Identify the opportunities for edits and rejects that could be reduced Active participation in weekly calls; top edits and rejects review call with the onshore team Oversee monthly reporting, weekly DNFB, monthly performance deck, Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. Implement and maintain department compliance with new and existing policies and procedures. Ensure timely completion of month-end duties and perform other duties as assigned. Continually evaluate claim processing business and make suggestions for improvement. Knowledgeable in end to end revenue cycle management Reliable and punctual in reporting for work and taking designated breaks. What You Should Have to Qualify 8+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience. 4+ years of management experience leading or supervising billers. Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and professional communication. Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Strong attention to detail and keep a constant eye out for opportunities to improve efficiency. Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions. Have experience with hospital billing and Meditech software will be given preference. Ability to adapt to changing priorities and handle multiple tasks simultaneously. r1rcm.com Facebook

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.

: Job Title: Client On Boarding, NCT Location: Jaipur, India Corporate TitleNCT Role Description The Analyst will be responsible for completion of day-to-day activity as per standards and ensure accurate and timely delivery of assigned production duties. The role is required to verify account opening documents for PWM US client against the KYC. And also ensure correct FATCA reporting to comply with regulatory requirement. Candidate/Applicants would need to ensure adherence to all cut-off times and quality of processing as maintained in SLAs. What well offer you 100% reimbursement under childcare assistance benefit (gender neutral) Sponsorship for Industry relevant certifications and education Accident and Term life Insurance Your key responsibilities Ensure quality/quantity of processing is maintained as per the SLA. Should be capable to handle multiple deadlines Ensure to process and approve all cases in given TAT. Knowledge of AML and ABR procedure and roles. Knowledge of various Regulations like REG E, D, and Volker is required. Ensure timely completion of all request and adhere to ClientConfidentiality. Flexible with business hours respective to volume received. Update volumes in various spreadsheets/work logs accurately and on time. Ensure team work culture is practiced. Escalate all issues in time, to the appropriate level, to avoid any adverse impact on the business. Functional Skills Have fundamental knowledge of KYC, FATCA Account opening, Banking etc Have understanding of Business Information search for prospect clients. Understand important of transactions approval procedure to control risk of fraud and error. Knowledge on different client documentation across geographies. Knowledge of the life cycle of the on-boarding process. Your skills and experience In-depth knowledge of KYC, ABR, FATCA & COB. Needs to be a self-starter with significant ability to undertake initiatives. Should have Effective communication skills and fluency in Microsoft Office skills. Should be open to work in night shift. Education / Certification Graduates with good academic records with relevant experience. Needs to be a self-starter with significant ability to undertake initiatives. Should have Effective communication skills and fluency in Microsoft Office skills. Should be open to work in night shift. Knowledge of various banking products, KYC, AML, FATCA, equity market and their flow would be an added advantage. How well support you About us and our teams Please visit our company website for further information: https://www.db.com/company/company.htm We strive for a culture in which we are empowered to excel together every day. This includes acting responsibly, thinking commercially, taking initiative and working collaboratively. Together we share and celebrate the successes of our people. Together we are Deutsche Bank Group. We welcome applications from all people and promote a positive, fair and inclusive work environment.

Experience in Physician Billing (CMS1500) Worked on Denials, Follow ups Strong Knowledge in Denials management process AR Good communication & analytical skills Two-way cab provided for Night Shift

HIRING FRESHERS! International Semi-Voice Process Hyderabad | Night Shift | Immediate Joiners Eligibility: Intermediate / Graduate (No B.Tech) Good Communication Skills Freshers Only Work Details: 5 Days Working (MonFri) Fixed Sat & Sun Off Shift: 6:30 PM – 3:30 AM 1-Way Cab Provided Salary: Training (First 3 Months): 10,700 Take-Home From 4th Month: 13,500 Take-Home + Incentives Interview Process: 1 HR 2 Typing Test 3 Voice & Accent (V&A) 4 Manager Round Interview Timings: 11:00 AM – 3:00 PM How to Apply: Send your updated resume via WhatsApp to: HR A.Vaishnavi – +91 7329806220 (Timings: 9:30 AM – 6:30 PM) Refer your friends or colleagues who may be interested!

Job Roles & Responsibilities: At least 10 years of Healthcare RCM Experience. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work US shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate or above. Desired Skills: Develop the Operations strategy for the organization, keeping in mind the business requirements. Execute these innovative strategies to improve and secure business delivery. Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective clients ? Manage onshore centers for Patient collections and Insurance billing. Experience in project transition will be a value add. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices and experience of handling entire functions of Healthcare RCM - Payment posting, AR Follow-up, Denial Management & Patient Billing (Voice & Non voice) Should have experience in expanding operations and work on prospect clients, RFPs, SOPs and DOUs etc. Ensure that the portfolio/s meets client and internal company performance benchmarks. Actively develop the management capabilities and business acumen of direct reportees, and drives the development of team members, ensuring full and well- rounded team competency. Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external) Excellent analytical, verbal and written - communication and presentation skills. Proficient in Excel and PowerPoint to create/read/analyze weekly reports, dashboards for both internal management and clients. Strong interpersonal skills to be able to effectively relate with the public, patients, organizations and employees. Staff development including training, coaching and competency assessment.

Job Roles & Responsibilities: Develop and execute innovative strategies to improve and secure business delivery. Able to establish pilot A/R process and devise strategy to improve collections. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices i.e. Payment Posting, AR Followup/Denial Management, & Patient Billing. Understands the eccentricities of various provider specialties. Ensure that the portfolio meets client and internal company performance benchmarks. Actively develop the management capabilities and business acumen of direct reporters, and drives the development of team members, ensuring full and well- rounded team competency. Ability to execute policies, processes and procedures of the organization. Demonstrate leadership skills with experience managing 5-10 Teams. Excellent verbal and written communication and presentation skills. Experience of performing annual performance review/appraisals Proficient in Excel and PowerPoint to create weekly reports, dashboards for both internal management and client. Strong people management skills with fair understanding of required techniques to create winwin situation. Strong focus on Customer Service. Strong Employee Retention capabilities. Candidate Requirements: Minimum 14+ years of experience into End to End RCM Process and in depth knowledge of metrics and calculations. Either presently working as Associate Director or minimum 2 years as Senior Manager. Handled a team of 150+. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work night shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate.

We are hiring Freshers! HR Recruiter (Reference): Abhilash Position: Customer Support Associate (CSA) Industry: ITES/BPO Category: International Non-Voice Division: Healthcare International Business We are looking for enthusiastic candidates with excellent communication to join our team as Customer Support Associates in the International Non-Voice Process for Healthcare. Job Location: Firstsource Solution Limited, 5th floor ETA Techno Park, Block 4, 33 OMR Navallur, Chennai, Tamil Nadu 603103. Landmark: Near Vivira Mall. Shift Details: Night shift / Flexible to work in any shift and timing Cab Boundary Limit : We provide cab Up to 30 km (One way drop cab | Doorstep only) Key Skills: Strong Communication Skills Good Listening Skills Good Typing Skills Minimum Eligibility: 1. Any Arts and Science UG Graduates from 2020 to 2024 can apply (No arrears) 2. Post Graduate, B.E/B.Tech/M.B.A candidates are not eligible 3. Other field experience is not eligible (only Fresher) Walk-In Details: Walk-In Days: Monday To Friday Walk-In Time: 10:30 AM - 2:00 PM Documents to carry: 1. Updated resume 2. Aadhar card 3. Pan card 4. Educational Certificates (1st to 6th marksheet, Provisional marksheet) Note: Mention Abhilash (HR Recruiter) in top of your resume when attending the walk-in interview. Ensure that you check your eligibility criteria before appearing for the interview, as this helps in a smooth screening process. Since Abhilash is your designated Recruiter and Reference , please ensure to remain in touch with him throughout the recruitment process to avoid any miscommunication or disruption. Contact: Abhilash CB 9994685103 abhilash.cbb@firstsource.com Join us to be part of a dynamic team with career growth opportunities. We look forward to seeing you at the interview! You can refer your friends as well! Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or Abhilash.cbb@firstsource.com

WALK-IN DRIVE FOR FRESHERS AR CALLER (NO BTECH ) International Semi-Voice Process | Hyderabad | Night Shift | Face-to-Face Interview Drive Date: 10-07-2025 Interview Timings: 11:00 AM - 1 : 00 PM Work Location: Hyderabad Eligibility Criteria: Intermediate / Graduate Strictly No B.Tech / B.E candidates Good English communication skills Willing to work in Night Shift Freshers only Immediate Joiners Preferred How to Apply: Send your updated resume via WhatsApp to: HR Nandini 9603914820 (Available from 9:30 AM 6:30 PM) Job Description AR Caller (Medical Billing Process): Join a leading healthcare BPO as an AR Caller and kickstart your international career! Your responsibilities will include: Calling insurance companies (in the US) to follow up on pending medical claims Analyzing and understanding insurance denials Resolving billing issues and ensuring timely payments Documenting call details accurately Working with internal teams to escalate unresolved claims Don't worry full training will be provided! Work & Shift Details: 5 Days Working – Monday to Friday Weekends Off – Saturday & Sunday Night Shift: 6:30 PM – 3:30 AM 1-Way Cab Provided Salary Structure: Training Period (First 3 Months): 10,700 Take-Home Post Training (From 4th Month): 13,500 Take-Home + Attractive Incentives How to Apply: Send your updated resume via WhatsApp to: HR Nandini – 9603914820 (Available from 9:30 AM – 6:30 PM) Refer your friends or classmates who are looking for a job! Limited openings – Don’t miss this chance to launch your career!

Hiring for AR Caller / AR calling (US healthcare) Rcm Company - Ascent Business solution experience - 1+ years salary - As per company norms location - Nagpur looking for a immediate joiner Contact number - 8956069774

We are seeking a dedicated and detail-oriented Quality Assurance Analyst to support and enhance the performance of our call center operations within the US healthcare domain . The QA Analyst will monitor and evaluate calls and customer interactions to ensure high-quality service delivery, compliance with healthcare regulations (HIPAA), and alignment with organizational standards. The ideal candidate will have experience in US healthcare customer service, strong analytical skills, and a passion for improving the member and provider experience Monitor inbound and outbound calls, chat, and email interactions for accuracy, professionalism, and compliance with policies and procedures. Evaluate agent performance based on pre-defined quality standards including customer service, technical accuracy, and adherence to scripts and regulations. Provide actionable feedback and coaching recommendations to supervisors and trainers to improve agent performance. Collaborate with call center leadership to develop and refine QA scorecards and quality metrics. Ensure compliance with HIPAA, CMS guidelines, and other regulatory standards. Identify trends, recurring issues, and training opportunities based on quality evaluations and customer feedback. Assist in the development and implementation of call center best practices and continuous improvement initiatives. Maintain detailed QA records and reports; present findings to management in a clear and actionable format. Participate in calibration sessions to ensure consistency in QA scoring across evaluators. Support special audits, complaint investigations, and root cause analysis as needed Bachelor s degree or equivalent work experience in healthcare, business, or a related field. 2+ years of quality assurance or call monitoring experience in a US healthcare call center environment . Familiarity with healthcare terms, insurance processes, member eligibility, provider inquiries, and claims inquiries. Strong understanding of HIPAA compliance and healthcare privacy regulations. Experience with QA tools and call recording systems (e.g., NICE, Verint, Genesys, Five9, Calabrio). Excellent verbal and written communication skills. Detail-oriented with strong analytical and problem-solving skills. Ability to work independently and collaboratively in a fast-paced environment

Educational Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead and guide your teams towards developing optimized high quality code deliverables, continual knowledge management and adherence to the organizational guidelines and processes. You would be a key contributor to building efficient programs/ systems and if you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you!If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Technical and Professional : Domain experiencePayer core – claims/Membership/provider mgmt. Domain experienceProvider clinical/RCM, Pharmacy benefit management Healthcare Business Analysts - with Agile/Safe-Agile Business analysis experience Medicaid, Medicaid experienced Business Analysts FHIR, HL7 data analyst and interoperability consulting Healthcare digital transformation consultants with skills/experience of cloud data solutions design, Data analysis/analytics, RPA solution design KeywordsClaims, Provider, utilization management experience, Pricing,Agile, BA Preferred Skills: Domain-Healthcare-Healthcare - ALL Technology-Analytics - Functional-Business Analyst

Educational Bachelor of Engineering,BCA,BTech,MCA,MTech,MBA Service Line Application Development and Maintenance Responsibilities As a ‘Senior Product Manager’ you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the Infosys platform that enables payers and providers to deliver better care. Additional Responsibilities: Experience in market leading healthcare products (key emphasis). Proven track record of at least 8 years in software product management roles. Capability/Feature planning and design, manage the specifications of their development, and monitor their on-going operation to better understand customer experiences. Clearly communicating progress towards delivery, technical challenges that may occur. Act as a thought leader and subject matter expert in the assigned product area, develop essential product documentation including business case, business requirements and use cases. Own product backlog and collaborate closely with the platform engineering team. Create Journey Maps that re-imagine/re-define the healthcare problematic process areas. Understanding of trends affecting customer adoption. Experience of working with enterprise customers, both technical and business, and at all levels. Influence leaders in diverse functional areas Strong business acumen including experience in estimation and pricing, market research. Demonstrated ability to navigate ambiguity and adapt quickly to modern technology and processes. Strong analytical ability with exposure to data science and automation Teaming/Collaboration - Demonstrates exceptional leadership and team management skills, with a collaborative and empowering approach to achieve results through influence. Excellent communication, presentation, and interpersonal skills to develop lasting relationships with senior business or technical leaders with the highest levels of business acumen and technical expertise. Technical and Professional : Payer/ Provider/ PBM organizations Product Management/Product Engineering /Healthcare Operations Experience working with industry leading Enrollment, Claims, Billing or EHR systems. Managing product lifecycle in whole – from ideation, exploration, approval, development, implementation, measurement, and ongoing development. Expertise in US Government Program Line of Business - Medicare, Medicaid, Duals, Marketplace Plan Sponsor & Product, Enrollment & Billing, Provider Data Management, Provider Network Management, Claims, Encounters, Medicare, and Marketplace Risk Adjustment. Developing results-oriented strategies to solve complex and open-ended business problems. Market Analysis and Product fitment Communicating and facilitating architecture design discussions/decisions and impacts to key stakeholders. Customer success on managing customer engagements and requirements. Leading business pursuits and product demonstrations. Agile Product Development Methodology Preferred Skills: Domain-Healthcare-Healthcare - ALL

Educational Bachelor of Engineering,BCA,BTech,MTech,MCA,MBA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead and guide your teams towards developing optimized high quality code deliverables, continual knowledge management and adherence to the organizational guidelines and processes. You would be a key contributor to building efficient programs/ systems and if you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you!If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Technical and Professional : Healthcare Data analyst ,PL/SQL, SQL, Data mapping, STTM creation, Data profiling, Reports Preferred Skills: Domain-Healthcare-Healthcare - ALL

Greetings from Happiehire !!! Open Positions: EM OP Ancillary coding Same day surgery coding ED facility EM multispeciality Requirement: Candidate Should have Experience of Min 2years in any of the above specialties. Should have valid coding certification(CPC,CCS) Need Proper Releiving from all the Companies & Must Have PF Account. Work from office (Banglore & Chennai location) Interested Candidates can Share Resumes to Vedha Mithra HR 9010608096.

Basic Function Handle and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and established FMLA workflow procedures Complete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or employer through outgoing calls, email, fax or other supporting systems. Promptly review new FMLA and other leave claims within regulatory timelines, evaluate against appropriate leave plans and make initial claim decision. Perform leave administration tasks as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, return phone calls, etc. Update systems to accurately reflect leave status and ensure appropriate diary documentation exists Business recommended TAT to complete the activity is up to 5 business days to maintain compliance measures The position is expected to do absence management and adjudication on Federal, State and company leaves. Interact with claim specialist, claim support specialist, QA, Claims Unit Leader (stateside supervisors), employees, employers/customer and physicians office Essential Functions: Analyze, validate and process transactions as per Desktop procedures (L3 & L4) Analyze and research all discrepancies Research & Investigate and resolve outstanding items Determine eligibility, entitlement and applicable plan provisions while meeting timeliness goals Clear and accurate written and verbal communication (Mix of scripted/unscripted) with employee, employer & stateside resources by email and outgoing calls Establish action plans for each file to bring claims to resolution Utilize internal and external specialty resources to maximize impact on each claim file Use PC programs to increase productivity and performance Ensure that the assigned targets are met in accordance with SLA, Performance Guarantee and Internal standards Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence Work as a team member to meet office goals to obtain disabilitys vision while demonstrating core values and meeting key measures Ensure adherence to established attendance schedules Close visual activity - viewing a computer terminal and extensive reading To apply call Miss Jaspreet Kaur at 9667037957

Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Ayesha Shaikh/ 7756051577/ ayesha.shaikh@in.credencerm.com

About the Role : We are looking for a highly experienced and analytical Accounts Receivable (AR) Manager with over a decade of leadership in Revenue Cycle Management (RCM), specializing in hospital and physician billing, AR follow-up, and denial management to join our team. Key Responsibilities : Lead AR operations with a focus on hospital and physician billing, ensuring timely and accurate claims follow-up. Oversee denial management, identify root causes, and implement corrective actions to reduce denial rates. Own the reporting function generate and analyze daily, weekly, and monthly AR performance reports. Develop, maintain, and continuously improve Standard Operating Procedures (SOPs) to streamline reporting and AR workflows. Collaborate with cross-functional teams including billing, coding, and payer relations to resolve complex AR issues. Qualifications : 14+ years of experience in Revenue Cycle Management, with 10+ years in leadership roles. 10+ years of hands-on experience in AR follow-up and denial resolution. Strong understanding of U.S. healthcare provider operations, payer policies, and reimbursement methodologies. Expertise in hospital and physician billing workflows. Proficiency in MS Excel. Experience with EHR and billing platforms such as Epic and Meditech. Preferred : Certification in CRCR, HFMA, or AAHAM. Experience working with multi-specialty or multi-state healthcare providers. If you meet these qualifications, we want to hear from you! To express your interest, kindly share your profile at KMohan3@primehealthcare.com . Kindly include your Notice Period, Current and Expected Salary, and use the Job Posting Headline in the Subject line.

Senior Associate : Denial Coding/Surgery coding We are looking for " Medical Coder " who can join us immediately. Below is the job requirement. Job Title: Senior Associate : Denial Coding/Surgery coding Years of Experience: 2-4 years Shift Timings: Day Shift (09:00 AM to 06:00 PM) Mode of operation: Work from office Mode of Interview: In-Person Location: Hyderabad, Telangana. Experience : 2-4 years experience in Denial coding and surgery coding (Ortho, Genecology) CPC certification is Mandatory. Education: Graduation in any stream Expected Qualities: Integrity Attention to detail. Creative, out of the Box thinking. Challengers of the status quo Organized Passionate Contact Info: Ragini: 8341128386

Job Summary: Analysis of account receivables due from U.S. healthcare insurance organizations and initiation of necessary follow up actions (Voice and Non Voice) to get reimbursed with undertaking appropriate denial and appeal management protocol. Job Responsibilities and Duties: Analyses outstanding claims and initiates collection efforts as per aging report to get claims reimbursed. Undertaking denial follow up and appeals. Key Skills: Strong knowledge in RCM and Denial Management. Expertise in analysing trends in CPTs, Modifiers & ICD codes. Proficiency in insurance guidelines on Medicare and Non Medicare. Excellent communication skills. Ability to multitask. Good Analytical, Oral and Written Skills. Typing Skills: 30 words/min . Familiar with Microsoft office suite. Experience: Relevant Exp: 1-5 years in AR calling (US healthcare) Provider Side - Patient Billing. Education: Graduation Mandatory . Location: Hitech City - Hyderabad . Timings: Should be flexible with night shift timings (5:30 pm to 2:30 am). 5 Days work - Fixed shift (Saturday and Sunday Week off). Should travel on own transport. What We Offer: - Competitive salary and benefits package. - Opportunities for professional growth and development. - A collaborative and innovative work environment. - The chance to make a meaningful impact on healthcare delivery and patient outcome

Create the future of e-health together with us by becoming a Process Trainer-I As one of the Best in KLAS RCM organizations in the industry we offer a full scope of RCM services as well as BPO services, our organization gives our team members the training and solutions to learn and grow across variety of technologies and processes. As an innovator and leader in the e-health services we offer unparalleled growth opportunities in the industry. What you can expect from us: A safe digital application and a structured and streamlined onboarding process. An extensive group health and accidental insurance program. Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office. Subsidized meal facility. Fun at Work: tons of engagement activities and entertaining games for everyone to participate. Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion. Best HR practices along with an open-door policy to ensure a very employee friendly environment. A recession proof and secured workplace for our entire workforce. Ample scope of reward and recognition along with perks like marriage gift hampers and gifts for birth of a child. What you can do for us: Develop training program and modules around US Healthcare Revenue Cycle Management and effectively deliver classroom training for the new hires. Responsible for New Hire Training for all levels hired Impart refresher training on various functions of RCM. Develop and conduct assessments around various modules for RCM. Calibrate with Quality Auditors to determine training needs, develop action plan and report out the improvement process in business reviews. Conducting pre-screening of new hires. Will be responsible for the new employee performance till the end of OJT (On the job training). Accountable for meeting the training metrics like yield, Speed to proficiency etc. Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor). Should be well versed in SOP creation, documentation, preparing process flows. Profile Qualifications: Minimum of 1 year experience as a Process Trainer in US RCM industry. Should have knowledge in RCM, Denials, AR, Posting, cash posting, Billing. Candidate should be a graduate. Should have good hold on providing classroom training. Immediate joiners are preferable. Should possess strong documentation and presentation skills. Should be flexible to work in shifts, based on business need. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.