Company Profile:

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare work better for all’ by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

Job description:

What You’ll Be Doing as A Part of Our Team

 Identify, analyze, and manage all issues about claims edits and rejects

Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met.

Review and analyze top edits and rejects with BSO global team every week.

Identify the opportunities for edits and rejects that could be reduced

Active participation in weekly calls; top edits and rejects review call with the onshore team

Oversee monthly reporting, weekly DNFB, monthly performance deck,

Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions.

Implement and maintain department compliance with new and existing policies and procedures.

Ensure timely completion of month-end duties and perform other duties as assigned.

Continually evaluate claim processing business and make suggestions for improvement.

Knowledgeable in end to end revenue cycle management

Reliable and punctual in reporting for work and taking designated breaks.

 

What You Should Have to Qualify

8+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience.

4+ years of management experience leading or supervising billers.

Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects.

Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills.

Ability to effectively speak with providers, employees, and all levels of staff within the company.

Practical work experience desired in client relations, implementation and support, and process planning and improvement.

Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook).

Strong work ethic and professional communication.

Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas.

Strong attention to detail and keep a constant eye out for opportunities to improve efficiency.

Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions.

Have experience with hospital billing and Meditech software will be given preference.

Ability to adapt to changing priorities and handle multiple tasks simultaneously.