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  • Assistant Manager RCM

    Designation/Title: Assistant Manager RCM

    Job Role: Assistant Manager RCM

    Reporting to (Title): Operations Manger

    Primary Objective: Handling Account Receivables for US base Healthcare process

    Responsibilities:

    1. Lead a team of analysts and team coach to do AR follow. Guide team to reduce AR ageing and optimize collections.
    2. Manage day-to-day activities with the team.
    3. Respond to clients on any process related queries and manage 1st level escalations.
    4. Perform quality check on the A/R follows or EOB denial analysis work done by the team before it is sent to the clients.
    5. Monitoring and managing workflow or daily targets to assure timely delivery of agreed SLAs.
    6. Tracking and maintaining metrics for a variety of data includes attendance, productivity, etc.
    7. Develop processes to improve productivity and quality of the team.
    8. Mentor analysts and senior analysts. Supervise and train junior staff or new trainees and encourage good A/R follow up skills and work ethic.
    9. Participate in the new pilots projects & work towards proper transition of knowledge to team.
    10. Work with managers to resolve any personnel problems or conflicts that may arise in the team.
    11. In addition to administrative responsibilities, the Team leader may be expected to perform follow-up work as well depending upon the requirement.
    12. Identify trends within the portfolio to aid collections and improve the productivity.

    Skills Required

    • Strong leadership and mentoring skills
    • Able to juggle multiple responsibilities at one time
    • Excellent verbal and written English language communication skills
    • Extremely high level of attention to detail
    • Target oriented and AR resolution mind set
    • Team player
    • Strong analytical background
    • Strong knowledge of Health care vertical in RCM space
    • Keen eye for process and quality improvement
    • Good communication skills
    • Problem solving skills
    • Good People Management Skills
    • Good Project Management Skills

    Qualification

    • Graduate/Post-graduate in any stream
    • A minimum 4 years of experience in an A/R follow-up medical billing, denials management
    • Must be skilled in MS Word and Excel


    Apply Now!

  • Sr. AR Caller (US Healthcare domain)

    Designation/Title: Sr. AR Caller

    Job Role: AR Caller

    Reporting to (Title): Team Lead - AR

    Primary Objective: Handling Account Receivables for US base Healthcare process

    Responsibilities:

    1. Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable. To prioritize the pending claims for calling from the aging basket
    2. Should be able to convince the claims company (payers) for payment of their outstanding claims
    3. To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear
    4. To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance
    5. Escalate difficult collection situations to management in a timely manner. Ability to multi-task
    6. Good organization skills demonstrating the ability to execute timely follow-up

    Behavioural Attributes Required

    • Attention to detailing
    • Working in team
    • Logical thinking
    • Problem solving

    Domain/Functional Attributes

    • Denial management
    • Knowledge of US Healthcare domain
    • Accounts receivable
    • Provider side
    • Calling etiquettes

    Desired Qualification: Any Graduate or post graduate with fluency in English communication

    Desired Relevant Experience: 2+ yrs of experience in AR calling (US Healthcare)

    Computer related skills: Excellent knowledge of MS office


    Apply Now!

  • Junior Medical Coder

    Designation/Title: Junior Medical Coder

    Job Role: Medical Coder (Freshers)

    Reporting to (Title): Team Lead – Medical Coding

    Primary Objective: Completing Medical charts as per target and quality norms

    Responsibilities:

    1. Analyzing the medical record
    2. Assigning the CPT, ICD & Modifiers as required based on the standard operating protocol
    3. Maintaining patient confidentiality and information security
    4. Meet daily coding production and quality standards as per SLA
    5. Ensure that all codes are current and active
    6. Completing daily, weekly and monthly production as per company target

    Behavioural Attributes Required

    • Attention to detailing
    • Logical thinking
    • Problem solving
    • Customer focus

    Domain/Functional Attributes

    • Knowledge of basic concepts of human anatomy and physiology
    • Basic knowhow of medical coding will be added advantage

    Desired Qualification: BPharm, MPharm or any science background graduate

    Desired Relevant Experience: 0-2 yrs of experience in AR calling (US Healthcare)

    Computer related skills: Excellent knowledge of MS office


    Apply Now!

  • AR Caller (US Healthcare domain)

    Designation/Title: AR Caller

    Job Role: AR Caller

    Reporting to (Title): Team Lead - AR

    Primary Objective: Handling Account Receivables for US base Healthcare process

    Responsibilities:

    1. Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable
    2. To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance
    3. Good organization skills demonstrating the ability to execute timely follow-up

    Behavioural Attributes Required

    • Attention to detailing
    • Logical thinking
    • Problem solving
    • Customer focus

    Domain/Functional Attributes

    • Denial management
    • Knowledge of US Healthcare domain
    • Knowhow of Accounts receivable
    • Calling etiquettes

    Desired Qualification: Any Graduate or post graduate with fluency in English communication

    Desired Relevant Experience: 0-2 yrs of experience in AR calling (US Healthcare)

    Computer related skills: Excellent knowledge of MS office


    Apply Now!

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