Role & Responsibilities

Job Details:

• Designation: Analyst / Senior Analyst
• Fresh graduates & experienced candidates from the healthcare industry are invited.
• Work from Office (Night Shifts Mandatory).
• Role involves calling & email interactions with customers, insurance companies, and patients for claims processing.
• Immediate joiners preferred.

Experience Criteria:

• Non-RCM Profile (BPO / KPO Experience): 0 to 24 months.
• RCM (US Healthcare RCM Experience): More than 24 months can be considered.
• Undergraduates: Minimum 12 months of BPO/KPO experience required.
• Any graduate can apply (except BTech & BE).

The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.

Essential Duties and Responsibilities:

• Follow up with the payer to check on claim status.
• Identify denial reason and work on resolution.
• Save claim from getting written off by timely following up.
• Should have sound knowledge of working on Billing scrubbers and making edits.
• Work on Contractual adjustments & write off projects.
• Should have good Cash collected/Resolution Rate.
• should have calling skills, probing skills and denials understanding.
• Work in all shifts on a rotational basis.
• No Planned leaves for next 6 months.

Ideal Candidate

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 onDenials.
• Ability to interact positively with team members, peer group and seniors

Perks, Benefits and Work Culture

• 5 days working
• Free transportation for all employees
• Strong focus on female security (office premises & cab services)
• 24x7 medical support at all office locations
• Mediclaim insurance for employees & dependents
• Term-life & personal accident insurance
• Maternity & paternity leaves as per law
• Day-care facility for female employees
• R1 is a great workplace for women and an equal opportunity employer.

International Process (US Healthcare) | R1 RCM

Interview Details:

• Interview Mode: Face-to-Face Interview
• Walk-in Days: Monday to Friday
• Interview Timings: 1:00 PM – 5:00 PM