Please Note English language proficiency is requiredfor this role This is a full-time work from office role This requires a U S schedule - India Night shift Work Location This is a Work from Office position and location is Bangalore at Block 12B Pritech Park 3rd Floor SEZ Survey No 51-64 4 Bellandur Village Bldg 9A Rd Bengaluru -Karnataka 560103 Shift NightContact Nirmala 911 301 5045Pay 4-9 LPA Build Your Future Come join our thriving team as a Claims Resolution Specialist We are seeking ambitious self-motivated and driven people just like you for a rewarding career in the RCM Healthcare arena Why should you consider TSI part of TSI family of companies Paid training Team-oriented work workplace Growth opportunity Generous Incentive opportunity Comprehensive benefits package available including medical insurance paid time off and paid holidays Transport facility As per policy and shift - Transportation provided Working 5 days week TSI Healthcare specializes in revenue cycle management offering tailored solutions for healthcare providers to address third-party insurance claims denials manage underpayments and optimize reimbursement processes The Claim Resolution Specialist plays a versatile role in the claims workflow tasked with submitting appeals to overturn denials and trigger payments or determining whether further action such as additional appeals or account closure is required Specialists in this role may prioritize tasks based on claim complexity and workload ensuring optimal productivity while maintaining compliance and accuracy By efficiently processing high volumes of low-balance claims the specialist ensures compliance accuracy and revenue recovery that supports client success Effectively communicate expectations consequences changes policies and procedures Supervise mentor and evaluate the performance of revenue cycle staff including billers coders and collectors Provide ongoing feedback to employees regarding quality performance and improvement opportunities Conduct regular team meetings provide training and foster a positive work environment that encourages professional development and team collaboration Present promote and support all new initiatives Accurately project and achieve daily weekly and monthly revenue goals Accountable for all decisions actions and directives with respect to job responsibilities When requested manage and track accounts closed by Client within established guidelines When requested conduct monthly audits to ensure that accounts have been executed in compliance with Client s requirements Oversee the daily operations of the revenue cycle including billing coding claim submission payment posting and collections Ensure all claims are processed efficiently and in compliance with payer requirements and that denials are addressed promptly Maintain up-to-date knowledge of healthcare regulations payer requirements industry best practices compliance and enforcement of all applicable Federal State and Local laws and regulations relating to job duties including HIPAA Knowledge understanding and compliance with TSI policies and procedures Participation in Company Programs must meet minimum performance standards Responsible for respective department s overall performance and for motivating team to exceed department goals and objectives Responsible for progressive discipline with regards to attendance performance and all aspects of company policy up to and including termination Provide insights and recommendations to senior management to drive decision-making and improve financial outcomes Follow up in a timely manner to ensure customer satisfaction Prepare and analyze regular financial reports to monitor the performance of the revenue cycle including metrics such as days in accounts receivable AR denial rates and collection rates Perform other duties as assigned by management Bachelor s degree in Healthcare Administration Business Administration or a related field preferred 3 years of previous healthcare revenue cycle management with at least 1-2 years in a supervisory or leadership role Working knowledge of Microsoft Excel and Word Strong knowledge of medical billing and coding healthcare regulations and payer requirements Excellent leadership communication and problem-solving skills Proficiency in healthcare billing software and electronic health records EHR systems Strong work ethic that exhibits high ethical and moral standards Certified Revenue Cycle Representative CRCR Certified Professional Coder CPC or similar certification preferred Ability to supervise and effectively train staff members Must be able to communicate effectively manage time effectively to ensure production standards are always maintained This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform Duties and responsibilities can be changed expanded reduced or delegated by management to meet the business needs of the company We provide Equal Employment Opportunity for all individuals regardless of race color religion gender age national origin marital status sexual orientation status as a protected veteran genetic information status as a qualified individual with a disability and any other basis protected by federal state or local laws INDJOBS

📌 Supervisor Operations, Healthcare (Karnataka)
🏢 TSI - Transworld System
📍 Karnataka