RCM Team Lead || AR Caller|| US Healthcare Glorious Hr Services

2.0 - 5.0 years

3 - 5 Lacs

Pune

Work from Office

o Leadership & Team Management: o Supervise and guide a team of RCM specialists to ensure smooth workflow and operational efficiency. o Set performance benchmarks, monitor key metrics, and provide coaching and training to enhance team productivity. o Conduct regular team meetings to address challenges, discuss process improvements, and ensure adherence to policies. Revenue Cycle Operations & Optimization: o Oversee claim submissions, payment posting, denial management, and accounts receivable follow-ups. o Ensure timely resolution of claim denials and rejections to maximize reimbursement. o Implement best practices to enhance revenue collection and minimize outstanding balances. o Collaborate with coding and billing teams to ensure accurate claim submissions. Denial Management & Accounts Receivable (AR) Resolution: o Identify and analyse claim denial trends, working with internal teams to reduce future occurrences. o Develop and implement effective appeal strategies for denied claims. o Monitor aging reports and work on strategies to reduce AR days and improve cash flow. Compliance & Regulatory Adherence: o Ensure compliance with healthcare regulations, payer policies, and industry standards (HIPAA, Medicare, Medicaid, etc.). o Stay updated on changes in reimbursement policies, coding updates, and regulatory requirements. o Implement internal audit processes to maintain billing accuracy and compliance. Experience: Minimum 2+ years required in RCM Team lead Location: Pune Salary depends on the Interview HR Chanchal: 9251688424

Posted 1 week ago

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Experienced AR caller - Dental AR Savista Global Solutions Pvt ltd

1.0 - 4.0 years

3 - 4 Lacs

Chennai

Work from Office

Greetings from Savista!!! We are hiring experienced AR callers for Dental AR. Roles & Responsibilities: Calling Insurance companies on behalf of dentists/dental clinics and following up on outstanding accounts receivable. Prioritize the pending claims for calling from the aging bucket as per the strategy defined. Analyze and execute corrective actions to the claims company (payers) for payment of outstanding claims. Review claims as per status from insurance and take appropriate next action defined by the client SOPs. Review provider claims that have not been billed, in process, pending additional information, paid, and /or denied by Insurance companies. Abide with laws governing process and applicable rules for confidentiality and HIPAA compliance. Escalate difficult collection situations to management on time. Meeting daily/weekly and monthly quality and production targets set for an individual. The AR is responsible for the daily submission of the completed dental appointments for the dental clinic. They check for the appropriate X-ray, Narrative, and Perio chart that needs to be attached to the claim basis for the services being billed . Calling Insurance companies on behalf of dentists/dental clinics to request the EOBs required to bill the secondary/tertiary claim. Cross-reference medical records and billing information to verify accuracy They ensure that eligibility is verified for the payors before billing the claims to the insurance. Required Candidate profile: Minimum 1 years of work experience in accounts receivables with relevant experience in Dental AR. Basic knowledge of payment posting concepts; how to post adjustments, credits etc. Basic knowledge claim edits and clearing house rejection resolution. Good Typing speed and keyboard skills Good mathematical knowledge of basic concepts such as how to calculate %. Good reasoning and analytical skills Team player Data analysis skills Good Root Cause Analysis capabilities Excel and MS Office skills Excellent Vocal Communication Adaptability to work in different shifts, teams, and roles. Dental Experience is Mandatory. Interested candidates please share resume to ta.chennai@savistarcm.com or reach us at 8448999198/8448999197. Regards, TA- Team

Posted 1 month ago

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