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10 - 14 years

11 - 16 Lacs

Pune

Work from Office

Looking for an experienced End-to-End RCM Manager (US Healthcare) skilled in Credentialing, Payment Posting, Charge Entry, Authorization, Eligibility Verification, Medical Billing, and knowledge of Adaptive Behavior Assessment. Responsible for managing the entire revenue cycle, ensuring compliance, optimizing revenue flow, and leading the RCM team effectively. Roles & Responsibilities Revenue Cycle Management: Manage and optimize the entire RCM process. Credentialing: Oversee provider credentialing, revalidations, and insurance enrollments. Payment Posting & Charge Entry: Ensure accurate and timely payment postings and charge entries. Authorization & Eligibility Verification: Manage insurance eligibility checks and authorization processes. Medical Billing & Claims: Supervise billing, reduce denials, and enhance collections. Adaptive Behavior Assessment: Knowledge of ABAS or similar tools; ensure proper documentation and billing. Team Leadership: Train, mentor, and enhance team productivity. Reporting & Analysis: Generate reports, analyze data, and improve revenue generation. Client & Stakeholder Communication: Address queries, resolve issues, and provide updates. Continuous Improvement: Stay updated with industry changes and implement process improvements. Immediate Joiner. Open for WFO. Please share CV at annu.misra@rsystems.com

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3 - 7 years

2 - 3 Lacs

Chennai

Work from Office

Greetings from ACP Billing Services! We are hiring for the following roles - Work from Office Charge Posting Payment Posting Experience & Requirements: Minimum 3+ years of experience in US Medical Billing. Strong verbal and written communication skills. Charge/Payment Posting candidates with good typing skills will have an added advantage. Competitive remuneration as per industry standards. Spot offers for selected candidates. Immediate joiners are preferred. Responsibilities: Process medical billing transactions with a 99% or higher accuracy rate. Understand and apply customer-provided business rules while ensuring compliance with turnaround time requirements. Work collaboratively in teams to achieve set targets. Utilize medical billing expertise to monitor and report customer KPIs. Actively participate in learning programs and compliance initiatives. Competencies & Skills: Strong interpersonal and analytical skills. Proficiency in MS Office (Word, Excel, PowerPoint). Adaptability, flexibility, and a proactive approach to tasks. Commitment to meeting productivity, quality, and attendance SLAs. Team-oriented mindset with a willingness to take initiative. Work Location : ACP Billing Services Pvt Ltd - NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark : Next to ICICI Bank Madhavaram Branch. Share your CV to hr@acpbillingservices.com / WhatsApp 9841820311

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3 - 7 years

3 - 5 Lacs

Vadodara

Remote

Payment Posting with EOB/ERA & ECW expertise. Must have 3+ yrs in US RCM WITH Manual posting Deep RCM knowledge & accuracy in payment posting required. Note: Require only ECW software experience is must.

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1 - 6 years

1 - 4 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - AR Caller (Credentialing only) - Charge Entry & QC - Payment Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walk-ins Only) Monday to Friday ( 10 am to 6 Pm ) Everyday contact person VIBHA HR ( 9043585877 ) Interview time (10 Am to 6 Pm) Bring 2 updated resumes Refer( HR Name VIBHA HR) Mail Id : vibha@novigoservices.com Call / WhatsApp ( 9043585877 ) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR VIBHA vibha@novigoservices.com Call / Whatsapp ( 9043585877 )

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- 3 years

2 - 3 Lacs

Gandhinagar, Ahmedabad

Work from Office

Hiring For AR Caller Trainee in US Healthcare #Shift: US Shift #Salary: up to 30K CTC #Location: Ahmedabad, Gujarat >>Frehser & Experience Both Can Apply<< >> Fluent English Required<<

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1 - 6 years

1 - 4 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: (Experience) - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Saturday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen Begum H - HR Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

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- 1 years

1 - 4 Lacs

Bengaluru

Work from Office

Key Responsibilities: Claim Submission Insurance Verification Payment Processing Patient Communication Record Keeping Claim Follow-up Compliance Revenue Cycle Management Accessible workspace Flexi working Cafeteria Work from home Annual bonus Performance bonus

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2 - 5 years

2 - 5 Lacs

Vadodara

Remote

Seeking a skilled Dental Payment Posting Specialist with denial management expertise. Must have strong RCM knowledge, dental insurance experience & claim denial resolution skills. Required Candidate profile Experienced in dental billing/posting with denial management. Skilled in WinOMS, OMSVision, DSN. Proficient in CDT coding, EOBs, insurance. Detail-oriented, organized, and analytical.

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6 - 10 years

1 - 1 Lacs

Noida

Hybrid

Green Apples is looking for driven, dedicated professionals experienced in leading teams in Medical Billing/Revenue Cycle Management (US healthcare) sector. Local candidates from Delhi-NCR only need to apply. Job Description Good knowledge & experience in US healthcare Revenue Cycle Management end to end processes Experience in managing medical billers, in allocating work, monitoring & getting work done Ability to analyse and organize work for maximum efficiency Hands on experience of end-to-end Medical Billing including Demographic entry, Eligibility verification, Charge entry for Medicare, Medicaid, Commercial & W/C insurances, Co-pay, Co-insurance handling. Excellent knowledge of CPT, ICD codes, Modifiers etc., Rejection management, denials management, Experience in using payer portals to resolve billing issues, ERA/EOB/Payment entry, Preparing and sending Patient Statements. Ability to conduct meetings of medical billers & creating reports for senior management. Ability to monitor & ensure meeting of Daily targets by junior team members Excellent communication skills in English (written as well as Verbal) Candidate should be a local of Delhi-NCR. Qualification Undergraduate or Postgraduate in any discipline More than 6 Years of experience in medical billing with at least 3 years of experience in leading a team

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7.0 - 12.0 years

0 - 1 Lacs

chennai

Remote

Job description: Medical Back Office Manager (Remote) Rimage Solutions is an IT software and Services company based in USA. We are seeking a highly experienced and detail- oriented Medical Back Office Manager, to mentor, lead and oversee a multi-functional remote team responsible for end-to-end revenue cycle operations. You can work from your home office as this is a 100% remote position. You must have a computer (laptop or desktop with Windows 11 or better), at least 100 MBPS internet connection, a workspace that can provide you the privacy, intention to work hard and smart, and the necessary minimum skills/experience in the areas mentioned below. How to apply and be ahead of others: Ask yourself if you are the candidate we are looking for, by studying the details mentioned in this posting. If you are confident that you have the personality, skills and experience for this position, please attach a recent resume with details of prior work, any certifications that you may have, your LinkedIn profile link, and your VIDEO PROFILE . Describe on the video (in English) why we should hire you and not anyone else. If you do not have the strong and relevant experience in these fields, please do not apply as this is not an entry-level position, and we expect that you know the necessary aspects of US medical back-office operations. MUST HAVE Hands-On Experience of at least 7 years in these areas: 1. Medical Billing functions, including charge entry, coding, payment posting, denials and AR. 2. Referral Authorizations/Referrals and Eligibility Checks. 3. Medical Records / Chart Prep. 4. Team Managerial experience. Required Skills, Personality & Qualifications Minimum 7 years of hands-on experience in US healthcare Experience with EMR/EHR systems and clearinghouses In-depth knowledge of CPT, ICD-10, HCPCS, modifiers, and payer-specific guidelines Strong understanding of referrals, authorizations, eligibility verification, and chart prep workflows Proven ability to lead remote teams and manage cross-functional operations Excellent communication in English, analytical, and problem-solving skills Strong organizational and time management skills Proficiency in medical billing software and reporting tools Ability to work in hybrid business hours shift (3 pm IST to 12 midnight; including 1 hour meal time break) and attend scheduled meetings with U.S. teams in EST time zone. Personality : Details-oriented, analytical, results-driven, empathetic, cheerful, adaptive, "calm under pressure", confident but not egoistic. Capability to manage work-stress with professionalism, poise and resilience. You will supervise and mentor the following teams: Medical Coders / Charge Entry Specialists Billing Team Payment Posting Team Accounts Receivable (AR) Team Referral & Authorization Team Eligibility Verification / Chart Preparation / Medical Records Team / Fax Team Compensation : negotiable based on your experience and skills. If this opportunity excites you then feel free to apply and clearly indicate your compensation expectations. Why Join Us? - 100% Remote Work - Collaborative and mission-driven culture - Opportunity to lead impactful healthcare operations - Competitive compensation and growth potential Roles and Responsibilities A. Quality Assurance & Oversight Ensure accuracy and compliance across all billing and coding operations Review and audit workflows to maintain high standards of performance Address and resolve discrepancies or errors proactively B. Team Leadership & Mentorship Conduct daily huddles and check-ins with team leads and members Provide hands-on guidance and training to improve team proficiency Foster a culture of accountability, collaboration, and continuous learning C. Client Communication & Support Serve as the primary point of contact for client queries and escalations Deliver timely and thorough responses to client concerns Build strong relationships with U.S.-based stakeholders D. Reporting & Analytics Prepare and present performance reports, QA metrics, and productivity dashboards Identify trends, gaps, and opportunities for process improvement E. Cross-Team Coordination Facilitate regular meetings with U.S. counterparts to align goals and resolve issues Collaborate with internal departments to streamline operations and enhance service delivery Education : College graduation is required; we care more about your experience, skills, proficiency in English and sincerity at work. Work Shift and Hours : Mon - Sat; Afternoon shift (IST). Perks and Benefits - Work from home - Moderately flexible hours - Accrued PTO - Salary inclusive of all benefits - Specific job training - Structured annual review process About Rimage Solutions is a leading provider of Back Office Services (healthcare data analytics, medical billing, referrals management, etc.) and Custom Web/Mobile Applications in Florida, USA, (specializing in software and database development, SaaS products, mobile apps, content management systems, cloud hosting and healthcare business process outsourcing). Our focus is on enabling our clients with powerful, flexible, secure, and scalable software solutions that increase their operational efficiency, strengthen their customer relationships, and improve their productivity. Our mission is to challenge ourselves, as well as our clients, to explore new growth opportunities in the internet arena, leading towards successful and creative online experiences. Rimage Solutions is a Woman owned company, and an equal opportunity employer. Corporate video: Enter "Rimage Solutions" in YouTube. Established 2010 in the City of Lakeland, FL, USA. Website: https://www.rimagesolutions.net Address:5053 Shore Side Dr, Lakeland, FL 33812, USA

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5.0 - 7.0 years

4 - 6 Lacs

coimbatore

Work from Office

Greetings From Prochant !!! Key Responsibilities and Duties: As a Team Leader you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to manage the team and ensure production and quality targets are met as per company requirement. You are responsible for identifying issues and alerting the appropriate parties before these issues are identified by the client. Your job is to enhance and expand the capacity of your team members, allowing Prochant to expand the scope of its teams to include a much larger client base. Essential Functions Production Monitoring - overall responsibility for monitoring daily production for assigned clients and updating the Connect Portal with this information. Review Reports review key reports for accuracy and quality. These reports include: Production log (Target Vs. Achieved), Cash posting log, Cash to back reports, Transmission log such as claims entry log, commercial rejection log, BT rejection log and printing log. Daily Standing Meeting - Prepare respective report for daily meeting, reporting results and associated red flags. Always bring proposed solutions when reporting these issues. Allocation of work - Prepare downloads of respective process and allocate the work to the subordinates and ensure a smooth flow of production. Escalations - Identifying issues, resolving and escalating it to the Senior Team Leader and Managers . Quality Assurance - Overall responsible for the quality of the team for all Day process. Communication - Good rapport with Senior Team Leader and Assistant Manager, review emails and tasks typically sent to the Senior Account Manager and respond or forward as appropriate, taking a significant work load off of the SAM. Month End - overall responsibility for ensuring that month end procedures like Client invoicing reports and month end closing reports are maintained in timely manner. Training - Interface with the training team based on red flags and accuracy issues to ensure proper staff education. Performance Review - Periodic one to one meeting on Performance review. Team Meeting - Responsible to conduct Team meetings on regular basis to update and coordinate the Team performance Note: we are looking for the candidate who have mandatory experience in payment posting, charge entry, FEB, rejection and denials(who can handle both voice and nonvoice) Benefits Salary & Appraisal - Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Upfront Leave Credit Only 5 days working (Monday to Friday) Shift: 2pm to 11pm Contact Person: Harini P Interested candidates call / WhatsApp to 8870459635 or share your updated CV to harinip@prochant.com

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1.0 - 4.0 years

2 - 3 Lacs

coimbatore

Work from Office

We are currently seeking talented individuals for multiple openings in Payment Posting, Denial Specialist, and Demo & Charge Entry roles. Payment Posting Specialist (End-to-End Process) - 10 positions available Denial Specialist (End-to-End Process) - 10 positions available Demo & Charge Entry Specialist - 10 positions available We are looking for candidates who can join immediately.

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1.0 - 6.0 years

1 - 4 Lacs

chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

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1.0 - 5.0 years

2 - 4 Lacs

hyderabad

Work from Office

Greetings from Intellisight India Pvt Ltd.!!!!!!!!!!!!!!!!!!!!!!1 Job opening for Charge posting hospital billing US Healthcare Role & responsibilities Enter patient charges accurately into the billing system. Verify patient information and coding for completeness and accuracy. Coordinate with healthcare providers to clarify any details regarding services rendered. Review and resolve any discrepancies in charge postings. Ensure timely submission of all charges to optimize revenue cycles. Maintain confidentiality and adhere to HIPAA compliance standards. Generate and review charge reports for management. Insurance eligibility and verification Interested candidates can forward their resume or contact 9346493744 Skills Medical billing software Electronic Health Records (EHR) systems HIPAA compliance ICD-10 and CPT coding Preferred candidate profile Min 1 to 4yr in charge entry. Night shift Perks and benefits Sat/Sunday Fixed week off Night shift Monthly Incentives Quarterly cash rewards

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0.0 - 3.0 years

2 - 4 Lacs

ahmedabad

Work from Office

Job Description: Location - Ahmedabad Shift 8:00 AM to 5:00 PM (IST) Working Days - Monday to Friday Roles & Responsibilities: Verify patient insurance coverage, benefits and eligibility to determine the appropriate amount to bill to insurance companies. Responsible for accurately coding, billing medical procedures and services provided by healthcare providers. Review patient medical records, assign appropriate diagnosis and procedure codes, and enter them into the billing software. Responsible for preparing and submitting electronic or paper claims to insurance companies for reimbursement. Track and monitor the status of claims to ensure timely payment. Interpret Electronic remittance to ensure that payments and adjustments are accurate Required Skills: MS Office, Internet, Fast & Accurate typing speed Knowledge of medical terminology will be considered as additional advantage Any fresher can apply Send your resume on career@crystalvoxxltd.com or call on 9099904547 .

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4.0 - 7.0 years

0 - 0 Lacs

coimbatore

Work from Office

Greetings From Prochant !!! Key Responsibilities and Duties: As a Assistant Team Leader you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to manage the team and ensure production and quality targets are met as per company requirement. You are responsible for identifying issues and alerting the appropriate parties before these issues are identified by the client. Your job is to enhance and expand the capacity of your team members, allowing Prochant to expand the scope of its teams to include a much larger client base. Essential Functions Production Monitoring - overall responsibility for monitoring daily production for assigned clients and updating the Connect Portal with this information. Review Reports review key reports for accuracy and quality. These reports include: Production log (Target Vs. Achieved), Cash posting log, Cash to back reports, Transmission log such as claims entry log, commercial rejection log, BT rejection log and printing log. Daily Standing Meeting - Prepare respective report for daily meeting, reporting results and associated red flags. Always bring proposed solutions when reporting these issues. Allocation of work - Prepare downloads of respective process and allocate the work to the subordinates and ensure a smooth flow of production. Escalations - Identifying issues, resolving and escalating it to the Senior Team Leader and Managers . Quality Assurance - Overall responsible for the quality of the team for all Day process. Communication - Good rapport with Senior Team Leader and Assistant Manager, review emails and tasks typically sent to the Senior Account Manager and respond or forward as appropriate, taking a significant work load off of the SAM. Month End - overall responsibility for ensuring that month end procedures like Client invoicing reports and month end closing reports are maintained in timely manner. Training - Interface with the training team based on red flags and accuracy issues to ensure proper staff education. Performance Review - Periodic one to one meeting on Performance review. Team Meeting - Responsible to conduct Team meetings on regular basis to update and coordinate the Team performance Note: we are looking for the candidate who have mandatory experience in payment posting, charge entry, FEB, rejection and denials. Benefits Salary & Appraisal - Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Upfront Leave Credit Only 5 days working (Monday to Friday) Contact Person : Priyadharsini M Interested candidates call / whats app to 7418002928 or share your updated CV to pi0124357@prochant.com

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1.0 - 3.0 years

2 - 5 Lacs

hyderabad

Work from Office

Job Description : Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance companies with clinical information necessary to secure prior-authorization or referral. Good understanding of the medical terminology and progress notes. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior-authorizations for injections, DME, Procedures, and surgeries. Request retro-authorizations when needed.

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1.0 - 6.0 years

1 - 4 Lacs

chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) - Payment - Charge Entry - Charge QC Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

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8.0 - 12.0 years

5 - 9 Lacs

hyderabad

Hybrid

Requirement gathering, workshop and demo sessions. Warehouse Organization Structure set up and integration with SAP ERP. Inbound Process with Storage Control, VAS, Deconsolidation, and various Put-away. Strategies. Outbound Process with Storage Control, VAS, Wave Management, Picking Strategies, Staging & Goods Issue. Internal processes- Opportunistic cross docking, Replenishment strategies, Physical inventory, Scrapping, Kitting, De-kitting, Exceptions handling in Inbound & Outbound. RF screen customization and enhancement. EWM Integration with various systems Good in communication, experience in handling customers directly

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1.0 - 3.0 years

2 - 5 Lacs

coimbatore

Work from Office

Overview As a Supervisor, Payment Posting, your role encompasses overseeing a team responsible for maintaining the accuracy and efficiency of cash posting and credit processes within a healthcare organization's revenue cycle management. Responsibilities Supervision and Leadership: Provide leadership, direction, and support to a team of quality assurance specialists responsible for cash posting and credit processes. Quality Assurance Management: Develop, implement, and maintain quality assurance processes and procedures to ensure the accurate and timely posting of payments and credits, including insurance payments, patient payments, refunds, adjustments, and denials. Training and Development: Train, mentor, and coach team members to ensure they possess the necessary skills and knowledge to perform their duties accurately and efficiently. Performance Monitoring and Evaluation: Monitor team performance metrics, conduct regular performance evaluations, and provide feedback to team members to drive continuous improvement and meet productivity targets. Issue Resolution and Escalation: Address and resolve any discrepancies, errors, or issues related to cash posting and credit processes promptly and effectively. Escalate complex issues to appropriate stakeholders for resolution as needed. Collaboration and Communication: Collaborate with other departments such as billing, coding, finance, and customer service to streamline processes, resolve issues, and improve overall revenue cycle management efficiency. Communicate effectively with team members, management, and stakeholders to ensure alignment with organizational goals and objectives. Compliance and Regulatory Adherence: Ensure compliance with relevant healthcare regulations, billing guidelines, payer policies, and industry standards governing cash posting, credits, and revenue cycle management activities. Documentation and Reporting: Maintain accurate records, documentation, and audit trails of cash posting and credit activities. Generate reports, analyze data, and identify trends to support decision-making and process improvement initiatives. Qualifications Bachelor's degree in any related field. A minimum of 6 years of experience in healthcare revenue cycle management, with a focus on specifically in cash posting, credits, or related areas, is typically required. Supervisory or leadership experience is preferred.

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0.0 - 1.0 years

2 - 4 Lacs

hyderabad

Work from Office

Freshers with good communication skills

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15.0 - 20.0 years

16 - 30 Lacs

pune

Work from Office

Seeking an experienced Director with in-depth knowledge of end-to-end Revenue Cycle Management (RCM) in the US healthcare domain. The role involves strategic oversight of billing, Payment posting, collections, Credentialing and denial management functions, driving operational efficiency, compliance, and client satisfaction. Proven leadership in managing large teams and scaling RCM operations is essential. Lead and manage end-to-end RCM operations including billing, AR, payment posting, credentialing and denial management. Develop and implement strategies to improve collections, reduce DSO, and enhance process efficiency. Ensure compliance with US healthcare regulations (HIPAA, CMS guidelines). Build and manage high-performing teams; provide leadership, mentoring, and performance oversight. Establish and track KPIs; analyze trends and drive data-based decisions. Collaborate with clients and internal stakeholders to ensure satisfaction and smooth service delivery. Identify opportunities for automation and process improvements. Drive revenue growth through operational excellence and client retention. Open for shifts/ WFO/ PUNE Location. Please share CV at annu.misra@rsystems.com

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4.0 - 8.0 years

4 - 9 Lacs

gurugram

Work from Office

Reports to (level of category) : Senior Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations 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 on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

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4.0 - 8.0 years

4 - 9 Lacs

hyderabad

Work from Office

Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Day-to-day operations People Management (Work Allocation, On job support, Feedback & Team building) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) Reports (Internal and Client performance reports) Work allocation strategy CMS 1500 & UB04 AR experience is mandatory. Span of control - 80 to 100 Thorough knowledge of all AR scenarios and Denials Expertise in both Federal and Commercial payor mix Excellent interpersonal skills Should be capable to interact with US clients and manage escalations 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 on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

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4.0 - 8.0 years

4 - 9 Lacs

gurugram

Work from Office

Designation : Operations Manager Location: Sec-21 GGN Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations 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 on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

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