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1.0 - 6.0 years
1 - 4 Lacs
Bengaluru
Work from Office
We are looking for a skilled Payment Posting and Charge Entry - Rcm Executive to join our team at Prodat IT Solutions, with 1-6 years of experience in the field. Roles and Responsibility Manage payment posting and charge entry processes for accurate and timely payments. Coordinate with clients and internal teams to resolve payment-related issues. Develop and implement process improvements to increase efficiency and reduce errors. Analyze data to identify trends and areas for improvement in payment posting and charge entry. Collaborate with cross-functional teams to achieve business objectives. Ensure compliance with company policies and procedures. Job Requirements Strong knowledge of payment posting and charge entry processes. Experience working with RCM systems is required. Excellent analytical and problem-solving skills. Ability to work effectively in a team environment. Strong communication and interpersonal skills. Familiarity with industry standards and regulations.
Posted 7 hours ago
0.0 - 1.0 years
1 - 4 Lacs
Bengaluru
Work from Office
Looking for a motivated AR Associate to join our team in Bangalore. The ideal candidate will have 0-1 years of experience and be able to work effectively in a fast-paced environment. Roles and Responsibility Manage accounts receivable processes, including invoicing and payment follow-up. Analyze and resolve billing discrepancies and denials. Develop and implement effective collection strategies to minimize bad debt. Collaborate with internal teams to ensure accurate and timely billing. Identify and address areas for process improvement. Maintain accurate records of all interactions with clients. Job Strong understanding of accounting principles and practices. Excellent communication and problem-solving skills. Ability to work in a team environment and meet deadlines. Proficient in using CRM software and other relevant tools. Strong analytical and organizational skills. Ability to maintain confidentiality and handle sensitive information. Omega Healthcare Management Services Private Limited is a leading healthcare management services company committed to providing high-quality patient care and support. We are dedicated to delivering exceptional service and building long-term relationships with our clients and partners.
Posted 8 hours ago
1.0 - 2.0 years
2 - 3 Lacs
Noida
Work from Office
Responsibilities: Pull daily banking for multiple clients Enter deposits into the reconciliation logs Process timely and accurate posting of all charges Post all Charges within 24 hours Meet strict posting deadlines to ensure that Charges Posting Manager can complete weekly and monthly reporting requirements Communicate all payer issues to the Charges Posting Manager Understand payer contract with all rules that apply to that specific payer and client Maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner Identify patterns and trends that indicate a potential issue Other responsibilities as assigned Required Knowledge, Skills, Abilities & Education: Charge posting Experience with accounts receivable Experience with some or all of the following practice management systems: Amkai, SIS/Vision/Advantx, HST, EPIC RESOLUTE, is preferred Knowledge of payer contracts and (EOBs), explanation of benefits Experience working in a clearinghouse Understanding of HIPAA regulations Strong verbal and written skills Great attention to detail to avoid data entry errors Excellent communication skills Strong organizational skills Effective time management A positive, open and friendly attitude to colleagues and clients Superior customer service and professionalism Preferred Knowledge, Skills, Abilities & Education: University certificate in healthcare related field 2+ years Ambulatory Surgical Center coding experience
Posted 4 days ago
2.0 - 5.0 years
2 - 5 Lacs
Ahmedabad
Work from Office
Role & responsibilities 1) Preparing and submitting billing data and medical claims to insurance companies 2) Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts 3) Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur 4) Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifying in court cases, when necessary 5) Ensuring each patients medical information is accurate and up-to-date 6) Preparing bills and invoices and document amounts due to medical procedures and services 7) Good expertise in AR Aging 8) Doing charge and Payment Posting 9) All the End to End process of Medical Billing
Posted 5 days ago
1.0 - 6.0 years
1 - 3 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)
Posted 5 days ago
7.0 - 10.0 years
2 - 5 Lacs
Bengaluru
Work from Office
Description of the position/role: The Subject Matter Expert works closely with Group Lead / Team Lead in streamlining procedures applying technology and industry standards. Will be responsible for meeting the set SLAs with respect to Productivity, Quality & Attendance. Coordinate with Group Lead / Team Lead in mentoring the team. Reports to Team Lead / Assistant Manager. Requirements: Graduates / Diploma Holders Need to have a radial understanding of Charge Entry, Demo Entry and Charge Posting. 5 - 8 years of experience in US Medical Billing. Should have worked for minimum 2 years as a Sr. Executive. Confident and Eloquent in written and verbal communication. Should have Analytical Reasoning and be a Team Player. Sound knowledge and hands-on experience with MS Office tools. Essential Functions / Tasks: Production expectation: 100% Ensures to meet expected production & agreed as per SLA is met. Ensures that the assigned accounts are completed with quality standards. Ensures that the target is achieved & approach leads to assistance if there is any challenge. Identify and escalate issues to the Assistant Manager. Assist new users in day-to-day work and mentor them as per the process. Other Requirements/Skills Required: Understand the client requirements and specifications of the process. Meet the productivity targets of clients within the stipulated time (Daily/Weekly/Monthly). Ensure that the deliverables adhere to client expectations and meet quality standards. Prepare and maintain status reports for the team. Verify error logs placed in the path and maintain reports daily. Attending client training and meetings to calibrate amongst the team members. Complete the work allocated and report to the Group Lead / Assistant Manager.
Posted 5 days ago
1.0 - 4.0 years
1 - 3 Lacs
Noida
Work from Office
Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus. Call/WhatsApp- 9311316017 (HR Manish Singh)
Posted 5 days ago
1.0 - 5.0 years
2 - 6 Lacs
Pune
Work from Office
Hiring For Payment Posting Executive Exp : 1yr to 5yrs Salary : 45k Job Location: Pune Immediate joiner or 15days Contact Anushya HR 8122771407 whatsapp ur resume
Posted 5 days ago
1.0 - 5.0 years
3 - 5 Lacs
Mumbai
Work from Office
Job seekers, Hiring for multiple positions for MUMBAI location. Open positions *AR Follow Up *Billing *Prior Authorization *EVBV Salary : Upto 5.75 LPA Shift will be US 5 Days working Cab & Meals WFO 1-4yrs Exp in the same is Mandatory Required Candidate profile Follow up with the payer to check on claim status Identify denial reason and work on resolution Should have worked in AR follow up Preferred Athena Software & Cardiovascular billing exp 9335-906-101
Posted 5 days ago
3.0 - 8.0 years
2 - 6 Lacs
Noida
Work from Office
Location: NOIDA Role: Charge Entry Specialist Responsibilities: Payment Entry: Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks. Reconciliation: Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies. Claims Management: Review and resolve any payment discrepancies, denials, or underpayments by working closely with the billing and collections teams. Reporting: Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow. Customer Communication: Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner. Compliance: Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting. Process Improvement: Identify opportunities for streamlining the payment posting process and contribute to best practices within the team. Key Skills: Previous experience 1+ Year in payment posting, medical billing, or revenue cycle management in a healthcare setting is required. Strong knowledge of medical billing processes and payment posting practices. Proficiency in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (30 WPM with 97% of accuracy) 3+ years of experience required. Package up to 6 LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.
Posted 6 days ago
3.0 - 8.0 years
2 - 6 Lacs
Noida
Work from Office
Location: NOIDA Role: Charge Entry Specialist Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Key Skills: Strong knowledge of medical terminology, coding (CPT, ICD-10), and billing practices. Proficient in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Self-motivated, analytical, and able to work both independently and as part of a team. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (30 WPM with 97% of accuracy) 3+ years of experience required. Package up to 6 LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.
Posted 6 days ago
1.0 - 6.0 years
1 - 3 Lacs
Chennai
Work from Office
Greetings from Saisystems health !!! We are looking for Payment Posting process Exp: 1+yrs Location: Chennai Desired Profile: Must be from Healthcare Background with Payment Posting Experience Receives and reviews Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) documents, matches with Electronic Funds Transfers (EFTs), and posts payments to appropriate accounts. Compiles list of denied claims, transmits to denial management team for follow up. Reviews updates to Fee Schedules and Allowed Amounts for all applicable payers, and ensures that providers contracts remain current and accurate. Consistently exhibits behavior and communication skills that demonstrate Sai Systems core values and commitment to quality and customer service. Immediate Joiner If you are interested, Contact Person: Y Mohammad Asif Contact Number : 9342840498
Posted 6 days ago
2.0 - 4.0 years
2 - 3 Lacs
Chennai
Work from Office
Greetings from Synthesis Healthcare!!! We are hiring Hospital Billing Executive(Medicare Biller) at Chennai location. Required Skills: Extensive hands-on experience in claims editing and billing within a hospital setting. Comprehensive knowledge of UB-04 (CMS-1450) billing practices and requirements. Thorough understanding of Medicare billing guidelines , with particular emphasis on the 72-hour rule and its impact on billing accuracy. Ability to review and interpret medical records and support documentation for billing purposes. Familiarity with accurate assignment and billing of occurrence codes and value codes. Good communication skills, both written and verbal. Preferred Skills: Experience with Medicare DDE (Direct Data Entry). At least 2-4 Years of experience in medical billing, specializing in Medicare billing (Charge Entry). Immediate Joiners Preferred. Willing to work in Night shift. Both Two way cab facility is available. Perks & Benefits 5 Days of working Saturday & Sunday fixed off Double Wages ( If working on Saturday) Interested candidates can send their updated resumes to: hr@shai.health (Mail subject line: " Applying for Experienced Hospital Billing Executive for any queries call to this number 78457 77499).
Posted 6 days ago
1.0 - 5.0 years
0 - 3 Lacs
Chennai
Work from Office
Dear Candidate, Greetings from Global Healthcare Billing Partners Pvt Ltd! We are pleased to inform you about Opening with the Global Healthcare for the profile of PAYMENT POSTING Experience : 0.6Year - 4 Years Qualification : Any Graduate Essential Requirement :- Associate should have worked Experience in Payment Posting with good knowledge of medical billing process. Location: Velachery Shift: Day Contact Name : KAYAL HR Contact Details -8925808597 NOTE : (only Medical billing experience are eligible) Regards GLOBAL KAYAL HR 8925808597
Posted 1 week ago
2.0 years
2 - 3 Lacs
Noida
Work from Office
Responsibilities: Pull daily banking for multiple clients Enter deposits into the reconciliation logs Process timely and accurate posting of all charges Post all Charges within 24 hours Meet strict posting deadlines to ensure that Charges Posting Manager can complete weekly and monthly reporting requirements Communicate all payer issues to the Charges Posting Manager Understand payer contract with all rules that apply to that specific payer and client Maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner Identify patterns and trends that indicate a potential issue Other responsibilities as assigned Required Knowledge, Skills, Abilities & Education: Charge posting Experience with accounts receivable Experience with some or all of the following practice management systems: Amkai, SIS/Vision/Advantx, HST, EPIC RESOLUTE, is preferred Knowledge of payer contracts and (EOBs), explanation of benefits Experience working in a clearinghouse Understanding of HIPAA regulations Strong verbal and written skills Great attention to detail to avoid data entry errors Excellent communication skills Strong organizational skills Effective time management A positive, open and friendly attitude to colleagues and clients Superior customer service and professionalism Preferred Knowledge, Skills, Abilities & Education: University certificate in healthcare related field 2+ years Ambulatory Surgical Center coding experience
Posted 1 week ago
1.0 - 6.0 years
2 - 5 Lacs
Ahmedabad
Work from Office
We are hiring for Medical Billing/AR Caller/payment posting/authorisation for one of the client! Location: Iskcon Cross Road, Ahmedabad Shift timings: 5 days, 6.30 PM to 3.30 AM If interested share your resume to HR LARA: 7283 825 024!
Posted 1 week ago
1.0 - 2.0 years
0 - 3 Lacs
Hyderabad
Work from Office
Company Overview: MD Manage (I) Pvt Ltd is a leading healthcare solutions provider dedicated to improving the efficiency and accuracy of medical billing processes. With a commitment to excellence, we strive to deliver high-quality services that enhance the operations of healthcare practices. Join our dynamic team in Hyderabad, where we foster a collaborative environment focused on professional growth and innovation. Key Responsibilities: - Manage and maintain accurate billing records and ensure timely submission of claims. - Review and resolve billing discrepancies and errors in a timely manner. - Process various billing functions, including payment posting and patient demographic entry. - Stay updated on industry practices and regulations to ensure compliance and efficiency. - Collaborate with internal teams to improve billing processes and enhance service delivery. Required Skills and Qualifications: - Bachelors or Masters degree in a related field. - Proven experience in medical billing or a similar role is preferred. - Strong analytical and decision-making skills to troubleshoot billing issues. - Excellent attention to detail and organizational skills. - Proficient with billing software and Microsoft Office Suite. Interview Information: - Interview Dates: 14th July -18th July 2025 Monday - Friday - Interview Timing: 4 PM - 6 PM - Contact Person: Divya Abbugaru or Srinivas Kathi - Interview Address: HTC Towers, 6-3-1192/V, Kundanbagh Colony, Begumpet, Hyderabad, Telangana 500016. Note: Please mention MD Manage (I) Pvt Ltd at entry level for access.
Posted 1 week ago
1.0 - 2.0 years
2 - 3 Lacs
Mumbai Suburban, Mumbai (All Areas)
Work from Office
Skills: Typing speed 60 to 80 wpm, good written and oral communication, Able to work under pressure and deliver expected daily productivity targets. Ability to work with speed and accuracy Should have a willingness to work over the weekends Work Timing: Day shift/ Second shift Experience 2-3 years experience in relevant payment posting (ERA Posting, Lockbox Posting, OTC Payments, Credit Balance Review, Statements Review/Release, Refunds) is mandate should have in-depth knowledge in all payer guidelines and COB codes pertinent to payment posting Should be well-versed with Gov-plans and Non-Gov Plans Having knowledge charge posting is added advantage Job Description Documentation, Analyzing & Processing patients demographic & posting the payments to appropriate patient accounts, reviewing credit balance, Updating deposit log and reconciliations. Job Responsibilities Production process Delivering the required quality & TAT Quality check on final files Updating the production reports Share your resume - unnati.shah@infinx.com / swati.shinge@infinx.com
Posted 1 week ago
7.0 - 12.0 years
7 - 10 Lacs
Bengaluru
Work from Office
Greetings from Flatworld Healthcare Services! We are excited to announce that we are hiring Assistant Manager Charge Entry to join our dynamic team in Bangalore Job Title: Assistant Manager Charge Entry (US Healthcare RCM) Location: Bangalore Experience: 7+ years Employment Type: Full-time Interested candidates can share their CVs at pavan.v@finnastra.com or contact 9035473861 (Available between 01 PM - 10 PM). Job Description: We are looking for an experienced Assistant Manager Charge Entry with a strong background in US Healthcare Revenue Cycle Management (RCM) . The ideal candidate will have core expertise in Charge Entry and a working knowledge of AR Calling and Payment Posting , along with solid MIS reporting and team management skills. Key Responsibilities: Lead and manage the Charge Entry process, ensuring accuracy and timeliness in entering patient and billing data Oversee and support related functions in AR Calling and Payment Posting Ensure data quality and compliance with client-specific billing guidelines and coding standards Prepare and analyze MIS reports for operational performance and team metrics Conduct audits of charge entry transactions and resolve discrepancies promptly Mentor and guide team members on best practices, productivity, and quality standards Coordinate with internal and external stakeholders for timely resolution of billing issues Monitor and report on KPIs, team performance, and adherence to SLAs Required Skills & Qualifications: Minimum 7 years of experience in US Healthcare RCM , with strong hands-on experience in Charge Entry Prior experience in a team lead/assistant manager role managing charge entry operations Proficient in medical billing software, CPT/ICD coding, and client billing guidelines Strong command of MS Excel and MIS reporting Excellent communication, leadership, and team-handling skills Ability to manage deadlines, multitask, and work under pressure Benefits: Mid Shift Ensure a balanced work-life routine 5 Days Working Weekends off for personal time Provident Fund & Gratuity Long-term financial security Medical Insurance Health coverage for you Supportive Work Environment Inclusive and growth-driven culture Join Flatworld Healthcare Services and grow with a team that values expertise, rewards performance, and prioritizes well-being. Apply now!
Posted 1 week 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 week ago
7.0 - 12.0 years
4 - 9 Lacs
Chennai
Work from Office
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
Posted 1 week ago
8.0 - 13.0 years
2 - 6 Lacs
Noida
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. 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
Posted 1 week ago
3.0 - 5.0 years
3 - 6 Lacs
Noida
Work from Office
Location: Noida, Sector - 6 Shift: Rotational Shift Experience Required: 3-5 Years Job Title: Charge Posting Specialist Job Description: We are seeking a detail-oriented and organized Charge Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting charges for services rendered, ensuring that all transactions are recorded correctly to facilitate timely billing and collections. Key Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Job Title: Payment Posting Specialist Job Description: We are seeking a meticulous and organized Payment Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting payments received from insurance companies and patients, ensuring the integrity of financial data and contributing to the overall efficiency of the revenue cycle. Key Responsibilities: Payment Entry: Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks. Reconciliation: Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies. Claims Management: Review and resolve any payment discrepancies, denials, or underpayments by working closely with the billing and collections teams. Reporting: Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow. Customer Communication: Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner. Compliance: Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting. Process Improvement: Identify opportunities for streamlining the payment posting process and contribute to best practices within the team. Role & responsibilities
Posted 1 week ago
6.0 - 8.0 years
0 Lacs
Navi Mumbai
Work from Office
TRIARQ Health is a Physician Practice Services company that partners with doctors to run modern patient- centered practices so they can be rewarded for delivering high-value care. TRIARQs Physician-led partnerships simplify practices transition to value-based care by combining our proprietary, cloud-based practice, care management platform and patient engagement services to help doctors focus on better outcomes. Were hiring a passionate and detail-oriented Assistant Team Leader to join our growing Charge Posting team. If you come from a Medical Billing AR background and are ready to step into a leadership role, we want to hear from you! Key Responsibilities: Lead and support a team handling Charge Posting functions. Monitor team performance and ensure accurate and timely billing. Coordinate with clients, internal teams, and leadership to resolve issues. Mentor and train new team members and act as a subject matter expert (SME). Drive process improvement and maintain high standards of compliance and quality. Eligibility Criteria: Minimum 6 years of experience in US Medical Billing. Must be currently working as a Team Coach , Subject Matter Expert (SME) , or in an equivalent leadership/support role on paper . Strong understanding of Charge Entry/Posting processes. Experience in AR (Accounts Receivable) will be considered a plus. Preferred Skills: Excellent communication and team management skills. Detail-oriented with strong problem-solving abilities. Ability to work under pressure and meet deadlines. Contact & Email: HR Danish - 9082644346 / danish.penkar@triarqhealth.com Walk-in Details: Office address:- 12th Floor (Press 7 in Elevator), IT Building Q1, Aurum Platz Private Limited SEZ, Plot No. Gen 4/1, Trans Thane Creek Industrial Area, MIDC, Thane-Belapur Road, Ghansoli, Thane, Navi Mumbai, Maharashtra, 400710
Posted 1 week ago
5.0 - 8.0 years
4 - 7 Lacs
Hyderabad
Work from Office
Shift:General Shift ( 9 a.m. to 6 p.m.) Work Mode:In Office. JOB DESCRIPTION Role & Responsibilities: Thoroughly review medical records and billing data to identify discrepancies and errors in coding, claims, and reimbursement. Ensure compliance with regulatory standards, coding guidelines, and payer policies. Familiarity with medical terminology and clinical documentation. Assesses the assigned diagnostic and procedural codes in the selected records. They check if the codes accurately reflect the documented healthcare services and if they comply with coding guidelines (such as ICD-10, CPT). Identify areas for improvement in billing processes to enhance revenue collection and reduce denials. Analyze data to identify trends, patterns, and potential issues in billing practices. Knowledge of payer policies, Medicare regulations, and other relevant regulations. Ability to analyze data, identify trends, and draw conclusions. Ability to communicate effectively with billing staff, healthcare providers, and other stakeholders. Ability to identify and resolve billing discrepancies and errors. Proficiency with medical billing software and other relevant software applications. Prepare audit reports, provide feedback to staff, and offer recommendations for corrective action. Educate and train billing staff and healthcare providers on coding, billing, and regulatory changes. Identify and mitigate risks related to billing fraud, compliance, and revenue loss. Stay current on billing regulations, payer policies, and medical coding updates. PREFERRED CANDIDATE PROFILE: Any graduate or Postgraduate degree. Minimum of 5 years of experience in medical billing, with a strong understanding of US healthcare billing practices and regulations. Basic knowledge in medical coding. Demonstrated ability to develop and deliver effective training programs. Excellent communication skills, both written and verbal, with the ability to provide clear and concise instructions and explanations to team members. Attention to detail and a commitment to accuracy and efficiency. Strong analytical and critical thinking skills. Proficiency in medical billing software and systems. Ability to work effectively in a fast-paced and dynamic environment. Ability to work under minimum supervision and demonstrate strong initiative. Willing to work extended hours.
Posted 2 weeks ago
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