R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For™ 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices 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.
Role Objective :
Authorization Creation is a process where we need to coordinate with the nurses for decrypting the medical records & reports.
Essential Duties and Responsibilities
- Interact with the US health insurance companies (Insurance Customer Care/Nurses/UM Team)
- Quality of Notation, Ability to read clinical documentation and data enter for payer requirements.
- 80%+ Calling will be involved (may vary site to site), should be open to Voice based work
- Would secure relevant information of Health Insurance of the patient.
- Work on Websites/Applications to perform the activity as per the SOP.
- Would be working in 6pm to 3 am & 9pm to 6am, Supporting US operations (in EST Zone)
- Should be Open to Learn & adapt as per the changing needs of the process.
- Will have to go thru ongoing Trainings (for performance / process needs)
- Should be flexible to be moved across the processes assigned by the Manager (Cater to ongoing process requirements)
- Will have to work as per the prescribed KPI`s / Targets assigned by the Process Manager.
- Maintain compliance with all company policies and procedures.
- Ensure - Non-Disclosure of any PHI.
- 24*7 Environment, Open for night shifts
- Good analytical skills and proficiency with MS Word, Excel and PowerPoint
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)
- Excellent verbal and written communication skills effectively communicate with internal and external customers.
- Must have proven track record of performance in previous assignment.
- Maintaining a positive attitude and providing exemplary customer service
- Ability to work independently and to carry out assignments to complete within parameters of instructions / SOP.
Skill Set:
- Candidate should have knowledge of Medicare and Medicaid.
- Ability to interact positively with team members, peer group and seniors.
- Medical Coding and Medical transcription knowledge/experience are considered as relevant.
- Candidate should have good healthcare knowledge.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
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What We Do
R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers
R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
