Openings for Experienced AR / Sr. AR Callers.

ROLES & RESPONSIBILITIES:

• Should understand the client requirements and specifications of the project and work accordingly.

• Should meet the productivity targets within the stipulated time.

• Timely input of demographic charges and time of service payment information.

• Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-9 code.

• Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians’ unique attributes.

• Reduce denials by correct use of modifiers, mapping, and linking codes with services.

• Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems.

Desired Candidate Profile:

• Should have 0 to 1 years of experience in Medical Billing.

• Qualification: Any Graduates With strong Analytical Skills

• Strong Written & Oral Communication

• Adequate Knowledge with MS Office Package

• Requires Fluency in typing

NOTE:Immediate Joiners Preferred ,Should be in Vellore.

 

In-depth knowledge in Healthcare and BPaaS domain, Good understanding in Delivery Excellence Framework, Expertise in business and IT processes, platforms, operations, controls and dependencies Secondary Skills: Intermediate to Expert proficiency in conducting audits & assessments in BPaaS domain areas, Proficiency in building, monitoring and testing controls for BPaaS

• Provide facilitation to ensure noiseless delivery and enable best practices adoption & evangelization through appropriate processes and platforms
• Solution consultant for projects to adopt right tools and measure to ensure product & service quality in the appropriate service lines
• Ensure effective governance of projects and deliverables
• Proactive risk management and mitigation, build known risks database to identify and mitigate risks proactively and establish oversight to monitor quality, targets and spending on implementation plan
• Enabling and co-working with the accounts / projects in compliance of regulatory requirements, other certification requirements of the Organization and the Customers for BPaaS domain. Support closure of external/internal audit findings, RCA/CAPA/FMEA for escalations
• Establish Integrated Risk and Delivery Governance models, and oversight to monitor quality, targets, overrun and penalty
• Build process mapping for BPaaS describing the high level activities across Product Service Lines establish ETVX, role definition, gating criteria, SLAs, OLAs and RACI
• Design and ensure operational and compliance controls are implemented, tested and monitored
• Build core competency to carry out DEx BPaaS audits and assessments

Designation: - Account Receivables(AR)

Job Timing: - Night Shift

Work Mode:- Work From Office

Work Location:- Iscon Cross Road, Sg Highway

Job Type: Full-time

Responsibilities

• Possess good understanding of the Revenue Cycle Management(US Medical Billing) for Providers.

• Managing denials and rejection

• Verifying eligibility and benefits.

• Possess good knowledge of HIPPA, CPT codes, ICD9/10, Appeals, denial management.

• Follow up with Insurance companies in the US for denied/unpaid claims.

• Review the Claim status & update

• Communicate effectively, via phone and email

• Evaluation of clinical documentation.

As a Client Partner for account receivables, you will be responsible for making calls to insurance companies to follow-up on pending claims. We are looking for people with excellent spoken English skills, preferably with experience in account receivables, and denial management processes.

Skills and Responsibilities

• Excellent in English Communication (Verbal and written).

Eligibility of Candidates

• Immediate joining

• Excellent in English Communication (Verbal and written).

• Comfortable to work in the night shift.

• Experienced candidates are welcome.

Benefits

• Friendly environment.

• Fixed shift.

• 5 days working

Introduction

http://www.synapsica.com/">Synapsica is a https://yourstory.com/2021/06/funding-alert-synapsica-healthcare-ivycap-ventures-endiya-partners/">series-A funded HealthTech startup founded by alumni from IIT Kharagpur, AIIMS New Delhi, and IIM Ahmedabad. We believe healthcare needs to be transparent and objective while being affordable. Every patient has the right to know exactly what is happening in their bodies and they don't have to rely on cryptic 2 liners given to them as a diagnosis. 

Towards this aim, we are building an artificial intelligence enabled cloud based platform to analyse medical images and create v2.0 of advanced radiology reporting.  We are backed by IvyCap, Endia Partners, YCombinator and other investors from India, US, and Japan. We are proud to have GE and The Spinal Kinetics as our partners. Here’s a small sample of what we’re building: https://www.youtube.com/watch?v=FR6a94Tqqls">https://www.youtube.com/watch?v=FR6a94Tqqls

 

Your Roles and Responsibilities

The senior product manager will own end-to-end delivery of Synapisca’s AI based radiology products including defining scope, creating wireframes, creating execution plan, product launch, feedback incorporation and iterations. In this role you would not only get to flex your skills but also learn to thrive in a fast-paced start-up environment with a high degree of autonomy. This cross-functional leadership position requires you to work closely with the Engineering, Design, Category Management and Marketing teams to bring new products to life.

Being comfortable in the chaos of a fast-paced environment, dealing with ambiguity, a penchant for innovation, an innate ability to get into details and drive execution excellence is essential to success in this profile.The candidate must be creative, ask questions, and be comfortable challenging the status quo. The position is based in our Bangalore office.

 

 

Primary Responsibilities

• Building and executing new initiatives and roadmaps for retention and increasing customer lifetime value.
• Understand the healthcare market, customers and build business cases for new product opportunities.
• Listen to the users on a regular basis and figure out the opportunities to solve their problems.
• Manage product lifecycle from ideation to launch and beyond which would include liaising with multiple stake-holders.
• Work closely with partners and clients from 4 continents to localize the product builds as per their need and ensure adoption of the new features.
• Use data, creativity, and experimentation to constantly improve the product experience
• Plan product reviews with engineering teams and reviews with leadership. 
• Work on product roadmap, backlog, and deliverables. 
• Create and socialize artifacts that clearly communicate requirements including BRDs, user flows, and prototypes.  
• Formulate hypotheses and quickly validate with prototypes, user feedback, and experimentation.  
• Work with customers, support, and engineering teams to handle and resolve any critical customer issues that arise.

 

Requirements

• 5+ years in software product management with a consistent record of timely and quality delivery of software products
• Experience in one or more of the following is a plus: SaaS, HealthTech, Enterprise products etc.
• High bias for action with demonstrable history of identifying and resolving cross-project interdependencies
• Ability to juggle several initiatives and shift priorities as needed
• Exceptional communication skills (verbal and written communication) with a knack for storytelling
• Data Driven with proficiency on data querying and analysis.
• Experience with tools like SQL, Excel, Tableau, Qlikview etc. is preferred
• Have prior experience in the development team and understand how modern development frameworks function.
• Passionate about translating customer needs to usable design and process flows for growth levers and optimization.
• Have Good understanding of funnels, agile & sprints, and wireframes.
• Have the attitude to be comfortable with ambiguity and have the skill to transform broad ideas into action plans and display Empathy towards users and also your colleagues.
• Understand how the application functions and the technicalities around it.
• Have familiarity with tools like Google data studio, Firebase, Google Analytics, Product Analytics tools, Sketch and Figma.
• Love analytics and very frequent experimentation

• Responsible for calling Insurance companies (in the US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable
• Depth knowledge about denial management, AR follow-up, Claim rejections.
• To prioritize the pending claims for calling from the aging basket
• Should be able to convince the claims company (payers) for payment of their outstanding claims
• To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear. To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance
• Escalate difficult collection situations to management in a timely manner.
• Should have basic knowledge of the entire Revenue Cycle Management (RCM)
• Sound knowledge of U.S. Healthcare Domain (Provider side) methods for improvement on the same

Skills required:

• Excellent communication skills
• Excellent interpersonal skills

Educational Qualification & Work Experience:

• Graduation in any stream
• Additional certification in typing, a medical prescription will be preferred
• Min. 1 years work experience

 

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We are looking for Nurse-ICU with Nightingales Homehealth Care at Mumbai.
It is for Home care Nursing.
Candidates should have minimum 2yrs exp in ICU handling
Ready to work for 12 hr shift-6 days working
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Moonmoon

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AR Caller Job Description • Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable • Should be able to convince the claims company (payers) for payment of their outstanding claims • Sound knowledge of U.S. Healthcare Domain (Provider side) methods for improvement on the same • Should have basic knowledge of the entire Revenue Cycle Management (RCM) Contact insurance companies for further explanation of denials and underpayments Document actions taken in claims billing summary notes Senior AR Caller Job Description • Follow-up on the outstanding AR Claims and make calls to insurance companies if necessary. • Coordinate with the U.S Based clients on a daily basis on the WFT's assigned. • Analyze Claims and Resolve Issues. • Make Pre-Call Analysis on claims before making calls to insurance companies. • Good understanding of AR Calling process • Good in claims Specifications and medical billing terminologies. Skills Required: • Good voice and demonstrate professional demeanor via phone. • Must have 1 + yrs. of experience in US Healthcare stream in AR • Good organizational skills demonstrating the ability to execute timely follow-up. • Ability to multi-task. • Excellent analytical skills with understanding of health care claims processing. • Willingness to be a team player and show initiative where needed