1 to 3 years Client Locations

ChennaiSkills Required

CSR Scheduling, Customer Service Specialist

Job Description

Designation: CSR Scheduling

Exp: 1+Yrs experience

salary package: 30% Hike your previous salary package

Shift: Night shift

Timings: 6.30pm To 3.30am

One way cab provided

Immediate joiner

10 to 12 years Client Locations

ChennaiSkills Required

Claims Manager (Adjudication)

Job Description

Job Title: Claims Manager (Adjudication)

Experience: 10 to 12 years experience in Claims Adjudication.

Budget: 8 LPA to 12 LPA (Not constrain for Right candidate)

Location: Chennai

Immediate Joiners only

Functions & Job Responsibilities

· Hires, trains and supervises staff; conducts performance reviews and completes corrective actions as applicable.

· Monitors staff’s performance and ensures adherence to policy/procedures and the highest level of customer service.

· Coordinates daily claims operations including; monitoring inventory priorities, adherence to Medicare processing guidelines, Claims System workflow queues, and key performance indicators (KPIs) and metrics, compliance of regulatory and quality standards including but not limited to Centers for Medicare and Medicaid Services (CMS) requirements.

· Conducts presentations or designates staff to present at provider relation workshops related to claims submission, new claims programs being implemented and current billing guidelines.

· Develops, implements, updates, and reviews remediates and report’s findings; forwards impact and remediation plans to upper management for processing desktops, job aids and data base reporting tools for new health plan programs and claims system configuration for adjudication updates.

· Ensures processing turn-around times for claims processing are met and processed as follows; Medicare claim payments are completed as follows; 95% in 30 days (clean claims) and 60 days (unclean) and 95% payment accuracy.

· Serves as the subject matter expert, represents claims at interdepartmental meetings and provides back up support to claim processing as needed. Schedules regular monthly unit meetings to go over any changes to programs or training issues; holds one-on-one meetings with staff to address their monthly progress on success factors (production, quality, etc.).

· Communicates job expectations and improvements as needed.

· Analyzes production goals, trends and recommends work performance standards modification as needed.

· Completes other projects and duties as assigned.

2 to 4 years Client Locations

ChennaiSkills Required

AR caller

Job Description

Job Description

1. Should have overall experience of 2 to 4 years minimum.
2. Should possess good knowledge of Athena systems especially ETM workflow, Athena One, CPS, Legacy systems, PCS etc.
3. Good analytical skills required.
4. Good communication skills
5. Should be flexible to work from office as well as home, based on process requirement.
6. Should be flexible to learn / explore new opportunities.

Roles and Responsibilities

Primary responsibility of a Sr. Associate would be achieving daily KRA’s assigned to him / her not limited to following –

1. Production – Review of claims to liquidate and resolve outstanding AR or denials.
2. Quality – Complete production with minimal deviation or
3. TOS – Need to adhere to shift schedule, productive time on system.

Note – Preference will be provided to candidates who can join immediately and/or candidates who have minimal notice period.

Perks and Benefits:

·         Saturday and Sunday Fixed Week Offs.

·         2 Way free Cab Facility (within 25 Km Radius)

·         Night shift allowance 2,200 Per Month

Experience

0 to 1 years Client Locations

ChennaiSkills Required

Claim adjudication team support – Spanish desk

Job Description

Job description

Role & responsibilities:

Supports the Team leaders and Process executive in reading and translation of documents in Spanish for a Long-term US project This is a WORK FROMOFFICE job position and the ideal candidate will also learn and gain experience in Claim Adjudication process for US health care The job involves working in Night shifts ( US timings ). Pick up drop facilities will not be provided 

Preferred candidate profile:

Qualification

Intermediate or Advanced level Spanish courses completed with knowledge of read, write and speak Spanish with fluency

Perks and benefits:

Salary up to Rs 4 LPA for experienced candidates , for Freshers Rs 3 LPA – PF benefits available 

Role: 

Non Tech Support – Voice / Blended/ Translation of Spanish documents in English/ Speaking to Spanish clients if required – Night Shift job US timings 

Industry Type: Analytics / KPO / Research

Department: Customer Success, Service & Operations

Employment Type: Full Time, Permanent

Role Category: Voice / Blended

Education

UG: Any Graduate

Key Skills

Skills highlighted with ‘‘ are preferred keyskills

Spanish Translation

Communication SkillsIntermediate or Advanced level Spanish courses completed with knowledge of readwrite and speak Spanish with fluency

0 to 0 years Client Locations

ChennaiSkills Required

Claim Adjudication Process

Job Description

• Evaluates and processes claims in accordance with company policies and procedures per CMS guidelines/SOP Reviews
•  Analyzes data for in-process claims in order to identify and resolve errors prior to final adjudication
• Exercises good judgment and remains knowledgeable in related company policies and procedures
• Achieves teamwork, production and quality standards in order to assure timely, efficient and accurate claims processing

0 to 0 years Client Locations

ChennaiSkills Required

Authorization

Job Description

Role : Authorization Process : Semi voice Experience : Freshers Salary : 12K to 20K Notice period : Immediate joiners Interview : Direct walking

1 to 4 years Client Locations

Chennai, Tiruchirappalli, Hyderabad, Pune

Skills Required

AR caller

Job Description

Job Description

Uncover the key aspects of the AR Caller job role and how it contributes to the seamless functioning of healthcare revenue cycles.

Job Brief

• The AR Caller, or Accounts Receivable Caller, plays a vital role in the healthcare revenue cycle.
• Responsible for contacting insurance companies and patients to follow up on outstanding medical claims.
• Navigates complex billing and coding processes to ensure accurate reimbursement for healthcare services.

Responsibilities

• Initiate calls to insurance companies for claim resolution and follow-up.
• Address patient inquiries regarding billing issues and provide clear explanations.
• Collaborate with internal teams to resolve discrepancies and expedite claims processing.
• Maintain detailed records of interactions and claim statuses for accurate reporting.
• Adhere to industry regulations and compliance standards in all communication and documentation.

Requirements and Skills

• Experience in healthcare revenue cycle management or a related field.
• Understanding of medical billing codes, insurance processes, and claim adjudication.
• Strong communication skills for effective interaction with insurance companies and patients.
• Attention to detail and accuracy in navigating complex billing and coding systems.
• Adaptability to evolving industry regulations and technological advancements.

0 to 0 years Client Locations

ChennaiSkills Required

AR

Job Description

Company : Fidelitas

Role : Ar caller – Voice process

Experience : Freshers

Bound : 2 years (You have to submit your original documents )

Years Shift : Night – 6:30PM – 4:00AM

Salary : 2Months training – 12000

After training – 15000

After 1 Year – 25000

Location : Aadhambakam Interview Timing : 7:00PM