6 Ushealthcare Jobs

The Performance Management Analyst will be responsible for collecting, creating, utilizing reporting, data and analytics to assess solutions that will achieve optimal RCM performance and financial objectives of our clients Raj 8377993148

Company: Starworth Global Solutions Location: Chennai, Trichy, Bangalore (Work from Office) Experience: 1 to 4 years Shift Timings: 6:00 PM to 3:00 AM (Night Shift) Notice Period: Immediate Joiners Preferred Interview Mode: Virtual / Face-to-Face Job Overview Starworth Global Solutions is hiring AR Callers and Senior AR Callers to join our growing healthcare BPO team. This role involves working in the voice process to resolve claims and follow up on medical billing. Candidates will be responsible for handling accounts receivables, managing denials, and ensuring prompt collections. The position requires experience with CMS1500 or UB04 billing forms and a proactive approach to resolving payment-related issues. Key Responsibilities Handle AR follow-ups and claim denials through phone calls with insurance companies and clients. Work on CMS1500 and UB04 billing forms, ensuring proper claim submission and follow-up. Ensure timely resolution of outstanding claims to maximize cash flow. Analyze and resolve issues related to unpaid claims, denials, and payment delays. Meet daily and weekly targets for claims follow-up and collections. Maintain accurate records of calls, follow-up actions, and payment details. Collaborate with team leads and supervisors to escalate unresolved claims or issues. Required Skills and Qualifications Experience: 1 to 4 years of hands-on experience as an AR Caller or Senior AR Caller in a voice process. Billing Knowledge: Strong understanding of CMS1500 and UB04 billing procedures and claim forms. Communication Skills: Excellent verbal and written English communication skills. Analytical Skills: Ability to analyze denials, identify trends, and resolve complex claim issues. Technical Skills: Proficiency in healthcare BPO software and tools related to medical billing. Availability: Must be able to work night shifts from 6:00 PM to 3:00 AM. Work Mode: Work from Office (Chennai, Trichy, Bangalore). What We Offer Competitive Salary: 25,000 to 40,000 per month (based on experience and interview performance). Career Growth: Opportunity to grow into leadership roles as you gain experience. Learning Opportunities: Exposure to complex claims and AR resolution strategies. Important Notes Immediate joiners are preferred. This role is strictly for candidates with AR Calling experience (1-4 years). Freshers, AR Non-Voice, and candidates from other domains are NOT eligible to apply. How to Apply If you meet the above criteria and are ready to take on a challenging role with career growth opportunities, we encourage you to apply. Contact Us: Call / WhatsApp: 7904990032

MIS Executive (US Process) QWay Technologies Shift- Day shift Experience required: 14 years Timings: 8:30AM5:30PM MIS Executive US Healthcare: Roles and Responsibilities 1. Management Information System (MIS) Reporting Create, maintain, and update daily, weekly, and monthly reports for management. Prepare dashboard reports , trend analysis, and drill-down summaries for: Accounts Receivable (AR) Denials & Rejections Billing & Claims Payment Posting Present client-wise, practice-wise, and payer-wise performance data. 2. Data Analysis & Insights Analyze large volumes of healthcare RCM data (claims, rejections, payments). Identify anomalies , outliers , and gaps in process performance. Provide insights to improve revenue recovery, reduce denials, and optimize productivity. 3. Forecasting & Planning Support volume forecasts , AHT (Average Handling Time) analysis, and workload planning . Assist operations teams with capacity planning , staffing models , and shift optimization . Use historical data to project future claims volume or revenue flow. 4. Automation & Tools Develop automated reports using: Excel (macros, pivot tables, VLOOKUPs, charts) SQL queries for data extraction and transformation Power BI/Tableau (if applicable) for dashboards Automate repetitive MIS tasks and streamline reporting workflows. 5. Stakeholder Collaboration Coordinate with: Operations teams (AR follow-up, billing, denial management) Finance teams for reconciliation and month-end reporting Client managers for ad-hoc report requirements Assist team leaders and management in business reviews (MBRs/QBRs) with accurate data support. 6. Process Improvement Highlight inefficiencies and suggest ways to improve data accuracy and reporting timelines. Create SOPs (Standard Operating Procedures) for report generation and data hygiene. 7. Compliance & Confidentiality Ensure HIPAA compliance in handling Protected Health Information (PHI). Maintain data confidentiality, integrity, and version control. Key Tools You May Use Microsoft Excel Advanced formulas, pivot tables, conditional formatting, charts SQL For data extraction and querying VBA / Macros For automating Excel-based reports PowerPoint For presenting findings to management ERP/EHR Systems – Athena, eClinicalWorks, AdvancedMD, etc. (depending on the company) Power BI / Tableau – Optional but preferred for dashboarding Interrested person can apply for the job(Looking for immediate joiner) Phone NO - 8610529763 Email ID - rishi.kumar@qwayhealthcare.com

Exp of min. 2 years as Deputy Operations Manager on papers (Backend process ) Primary focus on CPM/SLA. Salary upto 13.5 LPA Candidates from Underwriting, Mortgage, Claims process can apply Contact Priyanka 9816034567

Job Description: Medical Record Review Position Overview: We are seeking dedicated and detail-oriented Medical Record Review Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. There are two types of positions available: Non-Voice Process (200 positions) Key Responsibilities: For Non-Voice Process (200): Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards regarding the privacy and security of medical records. Process release of information requests for authorized parties such as patients, legal entities, insurance companies, and other healthcare providers. Organize and maintain medical records in both paper and electronic formats, ensuring they are accessible and easily retrievable. Coordinate with other departments (e.g., billing, insurance) to provide requested information while safeguarding patient confidentiality. Review and verify records for completeness and accuracy before releasing them. Perform audits of medical records to ensure accuracy and compliance with regulatory standards. Skills & Qualifications: Experience in healthcare administration or medical records management (preferred). Knowledge of HIPAA regulations and patient confidentiality. Strong communication skills (for calling positions). Excellent attention to detail and organizational skills. Ability to work efficiently and accurately in a fast-paced environment. Experience with medical records systems and software (e.g., Epic, Cerner, etc.) preferred. Ability to handle sensitive information with professionalism and discretion. Salary & Benefits: Competitive salary based on experience. Health and Accidental insurance. Interested candidates can call/WhatsApp on 9910660109 mail on sahil.saiju @pacificbpo.com .

Job Description: Medical Record Review Position Overview: We are seeking dedicated and detail-oriented Medical Record Review Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. There are two types of positions available: Non-Voice Process (200 positions) Key Responsibilities: For Non-Voice Process (200): Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards regarding the privacy and security of medical records. Process release of information requests for authorized parties such as patients, legal entities, insurance companies, and other healthcare providers. Organize and maintain medical records in both paper and electronic formats, ensuring they are accessible and easily retrievable. Coordinate with other departments (e.g., billing, insurance) to provide requested information while safeguarding patient confidentiality. Review and verify records for completeness and accuracy before releasing them. Perform audits of medical records to ensure accuracy and compliance with regulatory standards. Skills & Qualifications: Experience in healthcare administration or medical records management (preferred). Knowledge of HIPAA regulations and patient confidentiality. Strong communication skills (for calling positions). Excellent attention to detail and organizational skills. Ability to work efficiently and accurately in a fast-paced environment. Experience with medical records systems and software (e.g., Epic, Cerner, etc.) preferred. Ability to handle sensitive information with professionalism and discretion. Salary & Benefits: Competitive salary based on experience. Health and Accidental insurance. Interested candidates can call/WhatsApp on 9910660109 mail on sahil.saiju @pacificbpo.com .