Hyderabad
INR 4.0 - 5.5 Lacs P.A.
Work from Office
Full Time
About the Role: We are seeking a detail-oriented and proactive Accounts Receivable (AR) Caller to join our medical billing team. The AR Caller will be responsible for contacting insurance companies to follow up on outstanding claims, resolve payment issues, and ensure timely reimbursement for medical services rendered. Key Responsibilities: Make outbound calls to insurance companies to check claim status and resolve denials or pending claims. Follow up on unpaid or underpaid claims and escalate complex issues as needed. Review and analyze Explanation of Benefits (EOBs) and Remittance Advice (RA). Update billing system with accurate notes and claim statuses. Collaborate with internal billing and coding teams to resolve billing discrepancies. Ensure compliance with HIPAA regulations and company policies. Meet daily, weekly, and monthly productivity and quality targets. Required Skills and Qualifications: Bachelors degree or equivalent work experience in medical billing or healthcare. 2–3 years of experience in AR calling or medical billing preferred. Strong understanding of revenue cycle management (RCM), CPT, ICD-10, and HCPCS codes. Excellent communication and negotiation skills. Ability to work independently and manage time effectively. Familiarity with billing software and electronic health records (EHRs) is a plus. Preferred Skills: Experience with Medicare, Medicaid, and commercial insurance payers. Knowledge of US healthcare regulations and insurance guidelines. Prior experience working in a BPO/KPO environment focused on healthcare. Compensation & Benefits: Competitive salary based on experience. Health insurance and other standard company benefits. Opportunities for growth and professional development.
Hyderabad
INR 20.0 - 27.5 Lacs P.A.
Work from Office
Full Time
1. Education Bachelor's degree in Health Information Management, Healthcare Administration, or related field (or equivalent work experience). 2. Experience Minimum of ten (15) years in Health Information Management and/or Medical Coding and Auditing. Five (5) years supervisory or management experience. 3. Credentials/Certifications CSS CCS-P (AHIMA) or CPC (AAPC) mandatory. Additional industry relevant certifications preferred. 4. Required Skills Proven experience in Medical Coding and Auditing, with a minimum of 5+ years in a supervisory or managerial role. Strong understanding of ICD-10, CPT, HCPCS Level II, and other relevant coding systems. Familiarity with electronic health records (EHR) and coding software. Strong understanding of the U.S reimbursement process and IPPS and OPPS Excellent leadership, communication, and problem-solving skills. Attention to detail and a commitment to maintaining coding accuracy and compliance 5. Preferred Skills Medical Coding and Auditing, Clinical Documentation, People Management 6. Productivity Standards Experience in handling 250+ Team size I. Position Responsibilities 1. Looking for 15+ years of experienced candidates with relevant experience Role is Medical Coding and Auditing with a flair for technology. 2. Responsible for coordinating the work of the Medical Coding and Auditing staff, Supervising all functions of the Medical Coding and Auditing department. 3. Responsible for how the coding department operates each day and ensures that work assignments are completed on schedule by providing effective monitoring to both quantity and quality of workflow. 4. Responsible for project planning and all process documentation. It also involves being responsible for quality delivery and team performance. 5. Provides assistance in developing coding practice standards and policies and suggests the appropriate trainings to improve the performance of the team. 6. Managing client interaction and customer engagement, as well as coordinating with client and internal teams. 7. Must always strive to enhance his/her knowledge and also continually improve on established processes to be effective on the job. Identify & implement technology solutions that help in improving Coding efficiency. 8. Oversees resource utilization to ensure all clients are staffed appropriately, overtime is not overutilized, and that production resources not remain idle. 9. Identifies resource skill gaps to ensure that we are appropriately staffed with the correct discipline of coder (patient type, skill level, component etc.) 10. Strong knowledge of Health Information and Coding data such as audit results methodology and financial impact of medical coding errors. 11. Reviews internal and external audit results and ensures Plans of Action are produced and carried out when required. 12. Works closely with Coding, Data Quality and Production teams during client implementations to ensure a smooth transition for the client. 13. Ensures Client directives, sent directly from the client, via Client Services or from leadership, are carried out by Coding and Data Quality team accurately and timely. 14. All other tasks as requested.
Hyderabad
INR 3.0 - 4.0 Lacs P.A.
Work from Office
Full Time
Pena4 Mega Walk-in Drive Alert! Dates: 12 June 2025 25 June 2025 Walk-in Interviews: 4:00 PM 7:00 PM Venue: Yashree Tech Park, 2nd Floor, Plot No. 11, HUDA Techno Enclave, Sector 3, Near Raidurg Metro Station, Hitech City, Madhapur, Hyderabad, Telangana – 500081 Nearest Metro Station: Raidurg Metro Station Open Positions: AR Callers (Physician Billing) Requirements: Minimum 1 year of experience in AR Calling (Physician Billing) Excellent communication skills CTC: Up to 4 LPA (based on your last CTC) Documents to Carry: Updated Resume Aadhaar Card Documents required to release your offer Current Offer Letter Last 3 months Salary Slips Get Hired On the Spot! Selected candidates will receive a Same Day Offer Letter . Contact Our Hiring Team: Lavanya: lavanya.chadaram@pena4.com | 9000274825 Sneha: sneha.arora@pena4.com | 9811314954 Don’t miss this exciting opportunity to accelerate your career with Pena4! Walk in with confidence, the right documents, and walk out with an offer in hand! #Pena4WalkInDrive #Pena4 #HealthcareRCM #ARCallingJobs #MegaHiring #JoinPena4
Hyderabad
INR 14.0 - 18.0 Lacs P.A.
Work from Office
Full Time
Job Summary: We are seeking a dynamic and results-driven Business Development Manager to join our growing team in the medical billing sector focused on US healthcare. The ideal candidate will be responsible for identifying new business opportunities, developing relationships with prospective clients, and driving revenue growth through strategic partnerships in the Revenue Cycle Management space. Key Responsibilities: Lead Generation & Client Acquisition: Identify and pursue new sales opportunities in the US healthcare industry, focusing on medical billing and RCM services. Develop and implement strategies to attract healthcare providers such as clinics, hospitals, physician groups, and billing companies. Client Relationship Management: Build and maintain strong relationships with existing and potential clients. Serve as the primary point of contact for client inquiries and negotiations. Sales Strategy & Execution: Conduct market research to understand industry trends and competitor activities. Prepare and deliver compelling business proposals and presentations. Achieve or exceed monthly/quarterly/annual sales targets. Collaboration: Work closely with the operations and delivery teams to ensure client expectations are met. Provide feedback to internal teams to help tailor services to market needs. Qualifications: Bachelors degree in Business, Marketing, Healthcare Administration, or related field (MBA preferred). Proven track record of success in business development, sales, or client acquisition, particularly in the US healthcare RCM or medical billing space. In-depth understanding of US healthcare revenue cycle processes including coding, billing, claims, AR follow-up, and denial management. Excellent communication, negotiation, and interpersonal skills. Ability to work independently and manage multiple priorities. Preferred Skills: Experience using CRM software (e.g., HubSpot, Salesforce). Network of contacts in US healthcare provider market is a strong advantage. Understanding of HIPAA compliance and healthcare regulations. Compensation: Competitive base salary Performance-based incentives and commissions Health benefits and paid time off (as applicable)
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