18 Eclinicalworks Jobs

This role is for one of the Weekday's clients Min Experience: 1 years Location: Hyderabad, Chennai, Bengaluru JobType: full-time We are seeking a dedicated and experienced Senior Accounts Receivable (AR) Caller to join our growing healthcare revenue cycle team. The ideal candidate will be responsible for managing the accounts receivable process, with a strong focus on denial management and revenue cycle management (RCM). As a Senior AR Caller, you will play a critical role in improving cash flow, reducing aging AR, and ensuring prompt resolution of claims. This is an excellent opportunity for professionals with a strong understanding of the US healthcare billing process, EOBs, and insurance follow-up protocols. Requirements Key Responsibilities: Conduct outbound calls to insurance companies (payers) to follow up on pending or denied claims. Perform comprehensive analysis of denied or underpaid claims and identify appropriate actions for resolution. Review Explanation of Benefits (EOB), Remittance Advice (RA), and take necessary actions based on denial reason codes. Work on claims in accordance with standard operating procedures, client-specific guidelines, and payer rules. Collaborate with internal teams and clients to escalate unresolved claims and facilitate quicker collections. Maintain up-to-date documentation of account activity in the system and ensure accuracy of follow-up records. Achieve daily/weekly/monthly productivity and quality targets set by the management. Utilize knowledge of HIPAA compliance, CPT/ICD-10 codes, and payer-specific guidelines to ensure best practices are followed. Proactively identify trends in denials and underpayments to support process improvements and reduce future occurrences. Train and mentor junior AR callers when required, providing them with guidance on complex scenarios and payer-specific nuances. Required Skills and Qualifications: Minimum 1 year and up to 8 years of experience in AR calling within the US healthcare RCM industry. Strong understanding of Revenue Cycle Management (RCM) processes, including insurance follow-up, denial management, and payment posting. Hands-on experience working with healthcare billing systems and claims management platforms. In-depth knowledge of insurance payers (Medicare, Medicaid, Commercial Insurers), claim lifecycle, and denial codes. Excellent communication skills (verbal and written) and ability to interact with insurance representatives professionally. Strong analytical and problem-solving abilities to assess complex claim issues and recommend effective solutions. Proficient in Microsoft Office tools and medical billing software (e.g., EPIC, Athena, eClinicalWorks, Kareo, or similar). Ability to work independently and as part of a team in a fast-paced environment. Preferred Qualifications: Prior experience working in night shifts or US time zones. Certification in Medical Billing or RCM is a plus. Experience with end-to-end RCM process will be an added advantage Show more Show less

This role is for one of the Weekday's clients Min Experience: 1 years Location: Hyderabad, Chennai, Bengaluru JobType: full-time We are seeking a dedicated and experienced Senior Accounts Receivable (AR) Caller to join our growing healthcare revenue cycle team. The ideal candidate will be responsible for managing the accounts receivable process, with a strong focus on denial management and revenue cycle management (RCM). As a Senior AR Caller, you will play a critical role in improving cash flow, reducing aging AR, and ensuring prompt resolution of claims. This is an excellent opportunity for professionals with a strong understanding of the US healthcare billing process, EOBs, and insurance follow-up protocols. Requirements Key Responsibilities: Conduct outbound calls to insurance companies (payers) to follow up on pending or denied claims. Perform comprehensive analysis of denied or underpaid claims and identify appropriate actions for resolution. Review Explanation of Benefits (EOB), Remittance Advice (RA), and take necessary actions based on denial reason codes. Work on claims in accordance with standard operating procedures, client-specific guidelines, and payer rules. Collaborate with internal teams and clients to escalate unresolved claims and facilitate quicker collections. Maintain up-to-date documentation of account activity in the system and ensure accuracy of follow-up records. Achieve daily/weekly/monthly productivity and quality targets set by the management. Utilize knowledge of HIPAA compliance, CPT/ICD-10 codes, and payer-specific guidelines to ensure best practices are followed. Proactively identify trends in denials and underpayments to support process improvements and reduce future occurrences. Train and mentor junior AR callers when required, providing them with guidance on complex scenarios and payer-specific nuances. Required Skills and Qualifications: Minimum 1 year and up to 8 years of experience in AR calling within the US healthcare RCM industry. Strong understanding of Revenue Cycle Management (RCM) processes, including insurance follow-up, denial management, and payment posting. Hands-on experience working with healthcare billing systems and claims management platforms. In-depth knowledge of insurance payers (Medicare, Medicaid, Commercial Insurers), claim lifecycle, and denial codes. Excellent communication skills (verbal and written) and ability to interact with insurance representatives professionally. Strong analytical and problem-solving abilities to assess complex claim issues and recommend effective solutions. Proficient in Microsoft Office tools and medical billing software (e.g., EPIC, Athena, eClinicalWorks, Kareo, or similar). Ability to work independently and as part of a team in a fast-paced environment. Preferred Qualifications: Prior experience working in night shifts or US time zones. Certification in Medical Billing or RCM is a plus. Experience with end-to-end RCM process will be an added advantage Show more Show less

This role is for one of the Weekday's clients Min Experience: 1 years Location: Hyderabad, Chennai, Bengaluru JobType: full-time We are seeking a dedicated and experienced Senior Accounts Receivable (AR) Caller to join our growing healthcare revenue cycle team. The ideal candidate will be responsible for managing the accounts receivable process, with a strong focus on denial management and revenue cycle management (RCM). As a Senior AR Caller, you will play a critical role in improving cash flow, reducing aging AR, and ensuring prompt resolution of claims. This is an excellent opportunity for professionals with a strong understanding of the US healthcare billing process, EOBs, and insurance follow-up protocols. Requirements Key Responsibilities: Conduct outbound calls to insurance companies (payers) to follow up on pending or denied claims. Perform comprehensive analysis of denied or underpaid claims and identify appropriate actions for resolution. Review Explanation of Benefits (EOB), Remittance Advice (RA), and take necessary actions based on denial reason codes. Work on claims in accordance with standard operating procedures, client-specific guidelines, and payer rules. Collaborate with internal teams and clients to escalate unresolved claims and facilitate quicker collections. Maintain up-to-date documentation of account activity in the system and ensure accuracy of follow-up records. Achieve daily/weekly/monthly productivity and quality targets set by the management. Utilize knowledge of HIPAA compliance, CPT/ICD-10 codes, and payer-specific guidelines to ensure best practices are followed. Proactively identify trends in denials and underpayments to support process improvements and reduce future occurrences. Train and mentor junior AR callers when required, providing them with guidance on complex scenarios and payer-specific nuances. Required Skills and Qualifications: Minimum 1 year and up to 8 years of experience in AR calling within the US healthcare RCM industry. Strong understanding of Revenue Cycle Management (RCM) processes, including insurance follow-up, denial management, and payment posting. Hands-on experience working with healthcare billing systems and claims management platforms. In-depth knowledge of insurance payers (Medicare, Medicaid, Commercial Insurers), claim lifecycle, and denial codes. Excellent communication skills (verbal and written) and ability to interact with insurance representatives professionally. Strong analytical and problem-solving abilities to assess complex claim issues and recommend effective solutions. Proficient in Microsoft Office tools and medical billing software (e.g., EPIC, Athena, eClinicalWorks, Kareo, or similar). Ability to work independently and as part of a team in a fast-paced environment. Preferred Qualifications: Prior experience working in night shifts or US time zones. Certification in Medical Billing or RCM is a plus. Experience with end-to-end RCM process will be an added advantage Show more Show less

Job Title: Assistant Manager – Billing & AR Follow-up Department: Medical Billing Location: Hyderabad Reports to: Billing Operations Manager / RCM Manager Job Summary: The Assistant Manager – Billing & AR Follow-up will oversee end-to-end medical billing processes and manage the accounts receivable team to ensure timely claim submissions, follow-ups, and collections. This role requires a deep understanding of US healthcare RCM, payer guidelines, and effective leadership skills to drive team performance and revenue outcomes. Key Responsibilities: Supervise daily billing operations and AR follow-up activities with strong people management skills. Ensure timely and accurate submission of claims to insurance payers. Monitor aging reports and lead efforts on unpaid and denied claims. Conduct root cause analysis for denials and implement corrective actions. Coordinate with clients, payers, and internal teams for resolution of complex AR issues. Maintain process compliance with HIPAA and client-specific standards. Generate and analyse reports to track performance, collections, and KPIs. Support month-end closing activities related to billing and AR. Train, mentor, and manage a team of billing and AR executives. Recommend process improvements to optimize reimbursement and reduce AR days. Experience in handling client communication and reporting. Required Qualifications: Bachelor’s degree in any discipline (Healthcare or Commerce preferred). 8–10 years of experience in US healthcare RCM, with at least 2–3 years in a leadership role. Strong knowledge of medical billing, payer guidelines, AR follow-up, and denial management. Excellent communication and interpersonal skills. Proficient in MS Excel and billing software (e.g., Epic, Athena, NextGen, eClinicalWorks, etc.). Ability to analyse data and make data-driven decisions. Preferred Skills: Certification in Medical Billing or Healthcare Administration. Exposure to quality audits and compliance processes. Show more Show less

Company Description Ambit Global Solution LLP is a leading provider of medical and dental billing and revenue cycle management services. The company offers comprehensive solutions to healthcare organizations, including hospitals, dental groups, and private practices, aiming to maximize revenue and reduce operating costs. With a team of dedicated professionals, including AAPC-certified coders, Ambit leverages cutting-edge technology and a client-centric approach to deliver efficient and transparent services across various specialties. Job Title: AR Specialist – RCM (Revenue Cycle Management) Location: Ahmedabad Experience Required: 5+ years in RCM; Surgery insurance follow-up experience is a plus Work Hours: Full-time | Night Shift (US Time Zone – EST/PST/CST) Job Summary: We are looking for a proactive and detail-oriented AR Specialist to join our RCM team. The specialist will be responsible for tracking and resolving outstanding insurance claims to ensure timely reimbursement. Candidates with prior experience in surgery-related insurance claims will be given preference. Key Responsibilities: Follow up on unpaid or underpaid insurance claims via calls, emails, and payer portals Analyze and resolve denials, rejections, and short payments Take timely action to resubmit, appeal, or escalate claims Accurately document all activities and follow-up actions in the billing system Collaborate with billing, coding, and other RCM team members to ensure claim accuracy Stay up to date with payer guidelines and insurance protocols Focus on reducing A/R days and improving cash flow, especially in surgical cases Requirements: Minimum of 5 years of experience in insurance follow-up in medical billing/RCM Strong understanding of EOBs, denial codes, CPT/ICD codes, and insurance rules Experience with surgery-related claims is highly desirable Familiarity with commercial and government insurance payers Proficient in using EMR and billing platforms (e.g., Athena, Kareo, eClinicalWorks, AdvancedMD) Excellent communication and problem-solving skills Must be comfortable working night shifts aligned with US time zones (EST/PST/CST) Preferred Qualifications: Knowledge of appeals, reconsiderations, and claim adjustment processes Experience in surgical specialties such as orthopedics, ENT, or general surgery Understanding of HIPAA and data security protocols Show more Show less

Executive: Less than 1 year of Experience Specialist: 1-3 Years of Experience Job Title: AR Executive (Accounts Receivable) – Medical Billing Job Summary: Detail-oriented and motivated AR Executive with experience in US Medical Billing to join our team. The ideal candidate will have hands-on experience in AR Calling and Web based follow-up , along with knowledge of industry-leading billing software and multiple medical specialties. Key Responsibilities: Claims Follow-up: Follow up on unpaid and denied claims, working with insurance companies to resolve issues and secure payment. Manage AR Processes: Oversee the accounts receivable process, ensuring timely collection of payments from patients and insurance companies. Denial Management: Analyze and address denied claims, working to overturn denials and recover revenue. Documentation: Maintain accurate and up-to-date records of all collection activities and communications. Reporting: Prepare and maintain regular reports on AR status, aging reports, and collection progress. Required Skills & Experience: Hands-on experience with Medical Billing Software such as: ChiroTouch Genesis Kareo eClinicalWorks (ECW) Knowledge in handling claims for the following specialties: Physical Therapy Chiropractic Internal Medicine Physical Requirements: Ability to sit for extended periods. Ability to use a computer and other office equipment. Working Conditions: Office environment. Full-time position, Monday through Friday. Must have stable internet access and Laptop / Computer Job Title 2: Charge Entry Executive – Medical Billing (Fresher could apply) We are also hiring a Charge Entry Executive to join our growing US Medical Billing team. This is an excellent opportunity for freshers with strong computer skills and a keen eye for detail to begin a career in the healthcare revenue cycle domain. The Charge Entry Executive will be responsible for accurately entering patient charges into the billing software and supporting the smooth processing of medical claims. Key Responsibilities: Accurately enter patient demographics , CPT/ICD codes , and charges into billing software and Google spreadsheets. Ensure data is complete and error-free before submission. Review source documents (charge sheets, encounter forms) for accuracy and completeness. Work closely with team leads or senior billing staff to resolve any data issues. Meet daily productivity and accuracy targets. Ensure compliance with HIPAA guidelines and internal data policies. Eligibility & Skills Required: Fresher or up to 1 year of experience in medical billing or data entry . Strong computer skills , including typing speed , MS Excel/Word , and email communication . Good attention to detail and ability to work with numeric and coded data. Strong willingness to learn US healthcare billing concepts. Prior knowledge of medical billing software (like Kareo, ECW, ChiroTouch, or Genesis) is a plus , but not mandatory . Basic understanding of CPT/ICD/HCPCS codes is an added advantage. Additional Tasks: Assist senior executives in data clean-up and correction . Support QA audits for charge entry. Coordinate with internal teams to streamline the billing workflow. Working Conditions: Job Type: Full-time Shift Timing: Day Shift / Flexible Shift Location: Remote (Work from Home) Training: On-the-job training will be provided for suitable fresh candidates. Job Title 3: Payment Posting Executive/Specialist - Remote Detail-oriented and dedicated Payment Posting Executive to join our team. The Payment Posting Executive will be responsible for accurately posting payments from insurance companies and patients to the appropriate accounts. Key Responsibilities: Payment Posting: Accurately post payments received from insurance companies, patients, and other third-party payers to the correct accounts in the billing system. Reconciliation: Reconcile posted payments with corresponding EOBs (Explanation of Benefits) and ensure that discrepancies are identified and resolved. Denial Management: Identify and document reasons for payment discrepancies or denials and work with the billing team to resolve them. Adjustment Posting: Post adjustments, write-offs, and refunds as necessary, ensuring all transactions are accurately recorded. Account Balances: Maintain accurate patient account balances by ensuring all payments and adjustments are posted correctly. Documentation: Ensure all payment postings and adjustments are properly documented and filed for future reference. Reporting: Generate and review payment posting reports to ensure accuracy and completeness. Show more Show less

Summary : The AR Analyst for Physician Billing manages financial transactions, ensuring accurate billing and timely collections. Immediate joiners with hands-on experience in US healthcare, particularly in physician billing, are preferred. Key Responsibilities: 1. Billing and Invoicing: o Generate and submit accurate physician bills using CT, Nextgen, and eClinicalWorks (ECW). o Ensure compliance with billing regulations. 2. Accounts Receivable Management: o Monitor and manage collections. o Reconcile accounts and address discrepancies. 3. Denial Management: o Analyze and resolve denied claims. o Maintain thorough knowledge of all denial types. 4. Revenue Cycle Optimization: o Collaborate to streamline processes. o Identify and implement improvement areas. 5. Reporting and Documentation: o Maintain detailed reports on billing activities. o Document all actions and maintain accurate records. Qualifications: · Education: Bachelor's degree in a relevant field. · Experience: 2-3 years in US healthcare, specifically physician billing. · Technical Skills : Proficiency in CT, Nextgen, and eClinicalWorks (ECW). Shift timings – Night Shift (6:30 PM IST To 3:30 AM IST) Working days – 5 Days (Monday – Friday) Location - Plot No: I-48, Sector 83, Alpha IT City, Mohali 160055 Job Type: Full-time Pay: ₹11,916.89 - ₹46,264.53 per month Schedule: Evening shift Monday to Friday Morning shift Supplemental Pay: Overtime pay Work Location: In person Application Deadline: 20/06/2025

Job purpose Experienced in end-to-end follow-up and resolution of outstanding patient and insurance balances for U.S. healthcare clients. Skilled in delivering accurate, compliant, and timely cash collection while upholding core principles: customer-first, straightforward communication, respect, humility, and continuous learning. Key Responsibilities: Cash Collection & Follow-Up: Daily follow-up on unpaid/underpaid claims via calls or portals; resubmit corrected claims and appeals within payer time limits; track actions in billing platforms. Account Integrity: Audit 50–75 claims per shift for coding, units, and payer rules; reconcile credit balances. Denial Management: Analyze EOB/ERA codes, assign root-cause categories, and record preventative notes for training and proactive process improvement; reduce denial rate by ≥2 ppt within six months. Eligibility & Authorization: Verify coverage and prior-authorization status before resubmission; log variances for provider feedback. Patient Experience: Resolve patient balance queries within 2 business days via phone/email, maintaining ≥95% CSAT. Compliance & Reporting: Safeguard PHI per HIPAA, SOC 2, and organizational policies; update daily A/R aging dashboard; escalate any >45-day spike to the manager and complete daily checklists before close of shift. Qualifications & Skills: Graduate degree or diploma in commerce, healthcare administration, or equivalent. CPC or CPB certification preferred. Proficient in practice management or RCM platforms (e.g., Athena One, Kareo, eClinicalWorks). Advanced Excel skills (pivot tables & lookups); basic Power BI or similar dashboard exposure. Comfortable with productivity trackers and generative-AI assistance tools. Proactive, takes initiative without hand-holding. Team player; always willing to help colleagues. High attention to detail; targets zero posting errors. Persistent yet respectful communicator with parties. Clear English—spoken and written. Embraces organizational principles in daily behavior. Work Environment: Work from Office: Operates from a dedicated office environment, ensuring a structured and collaborative setting. Night Shift: Committed to working night shifts to align with U.S. healthcare client timelines, demonstrating flexibility and dedication. Show more Show less

Job Title: RCM Manager Location: Chandigarh Experience: 5+ years in Revenue Cycle Management Industry: Healthcare Working Hours: Night Shift Facilities: Cab & Meals Provided Job Summary: We are seeking an experienced RCM Manager to oversee and manage the end-to-end revenue cycle operations, including billing, collections, denial management, and payer relations. The ideal candidate should have a strong understanding of US healthcare RCM processes and excellent leadership skills. Key Responsibilities: Manage the entire RCM process including charge entry, claims submission, payment posting, AR follow-ups, and denials. Develop and implement strategies to optimize collections and reduce outstanding AR. Lead and supervise a team of RCM executives, billing specialists, and AR analysts. Monitor KPIs and performance metrics; generate regular reports on revenue, collections, and rejections. Maintain compliance with healthcare regulations (HIPAA, CMS, etc.). Coordinate with clients, payers, and internal teams for smooth claim processing and resolution. Train team members on new tools, payer updates, and industry best practices. Investigate and resolve escalated billing issues and claim rejections. Requirements: Bachelor’s degree in Healthcare Administration, Finance, or related field. 5+ years of experience in US healthcare RCM processes. Proven experience in managing RCM teams and improving collection metrics. Proficiency in RCM tools/software (e.g., Athenahealth, eClinicalWorks, Kareo, etc.). Strong knowledge of payer guidelines, coding (CPT, ICD-10), and compliance standards. Excellent analytical, communication, and leadership skills. Job Type: Full-time Pay: ₹1,000,000.00 - ₹1,500,000.00 per year Benefits: Food provided Paid sick time Paid time off Provident Fund Schedule: Night shift Rotational shift Ability to commute/relocate: Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (Preferred) Application Question(s): What is your current CTC ? What is your expected CTC? Experience: RCM: 1 year (Preferred) Work Location: In person

The RCM Operating Lead is responsible for overseeing the day-to-day operations of the Revenue Cycle Management team, ensuring optimal performance in medical billing, AR follow-up, denial management, and reimbursement processes. This role drives operational efficiency, team productivity, and compliance with payer and regulatory guidelines. The ideal candidate will have strong leadership, analytical, and process improvement skills within a healthcare billing environment. Key Responsibilities: Lead, manage, and optimize all operational functions within the RCM cycle including billing, coding, collections, denials, and payment posting. Monitor and analyze key performance indicators (KPIs) such as DSO, denial rates, clean claim rate, and collection effectiveness. Implement process improvements to enhance revenue capture and reduce claim denials and rejections. Coordinate with cross-functional teams (e.g., coding, credentialing, clinical, compliance) to resolve RCM-related issues. Develop and manage daily/weekly production targets and quality standards for AR callers, billers, and analysts. Provide guidance and mentorship to team leads and staff, fostering a culture of accountability and continuous improvement. Ensure compliance with HIPAA, payer policies, and federal/state regulations. Collaborate with clients (in a BPO or third-party RCM setting) to review performance, address escalations, and implement corrective actions. Lead training initiatives for new hires and ongoing education for team members. Prepare and present operational reports to senior leadership. Required Qualifications: Bachelor's degree or a related field (or equivalent experience). Minimum of 5 years in Revenue Cycle Management with at least 2 years in a leadership role and AR caller experience. Strong understanding of US healthcare payers, billing workflows, denials, and reimbursement mechanisms. Proficiency with RCM platforms (e.g., Athenahealth, eClinicalWorks, Epic, or similar). Excellent communication, organizational, and team management skills. Ability to thrive in a fast-paced, performance-driven environment. Job Type: Full-time Pay: ₹30,000.00 - ₹45,000.00 per month Schedule: Day shift US shift Work Location: In person

The Charge Entry Specialist is responsible for accurately entering and reviewing patient charges into the billing system based on medical documentation and provider coding. This role ensures correct data entry to support timely and accurate medical claims processing, helping optimize revenue collection for the healthcare organization. Key Responsibilities: Review and enter charges based on patient encounters, documentation, and coding provided by healthcare providers. Ensure accuracy of CPT, ICD-10, and HCPCS codes, modifiers, and other billing data. Verify patient demographics, insurance details, and authorizations for charge entry. Communicate with coders or providers for any missing or unclear information. Ensure all charges are entered within the required timelines for billing submission. Assist in resolving claim rejections related to charge entry errors. Maintain compliance with HIPAA and all relevant federal and state billing regulations. Collaborate with billing, coding, and collections teams to optimize revenue cycle efficiency. Participate in audits and quality control activities related to charge capture. Qualifications: High School Diploma or equivalent required; Associate’s or Bachelor's degree in healthcare administration or related field preferred. 1–2 years of experience in medical billing, charge entry, or revenue cycle. Knowledge of medical terminology, coding systems (CPT, ICD-10, HCPCS), and billing guidelines. Proficiency with billing software (e.g., Epic, eClinicalWorks, Kareo, etc.). Strong attention to detail, organizational skills, and ability to meet deadlines. Excellent communication and teamwork skills. Preferred Qualifications: Certification in medical billing/coding (e.g., CPC, CCA) is a plus. Contact HR : 9566382195 Job Type: Full-time Pay: ₹15,000.00 - ₹18,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Monday to Friday Work Location: In person

Job Title: RCM Manager Location: Chandigarh Experience: 5+ years in Revenue Cycle Management Industry: Healthcare Working Hours: Night Shift Facilities: Cab & Meals Provided Job Summary: We are seeking an experienced RCM Manager to oversee and manage the end-to-end revenue cycle operations, including billing, collections, denial management, and payer relations. The ideal candidate should have a strong understanding of US healthcare RCM processes and excellent leadership skills. Key Responsibilities: Manage the entire RCM process including charge entry, claims submission, payment posting, AR follow-ups, and denials. Develop and implement strategies to optimize collections and reduce outstanding AR. Lead and supervise a team of RCM executives, billing specialists, and AR analysts. Monitor KPIs and performance metrics; generate regular reports on revenue, collections, and rejections. Maintain compliance with healthcare regulations (HIPAA, CMS, etc.). Coordinate with clients, payers, and internal teams for smooth claim processing and resolution. Train team members on new tools, payer updates, and industry best practices. Investigate and resolve escalated billing issues and claim rejections. Requirements: Bachelor’s degree in Healthcare Administration, Finance, or related field. 5+ years of experience in US healthcare RCM processes. Proven experience in managing RCM teams and improving collection metrics. Proficiency in RCM tools/software (e.g., Athenahealth, eClinicalWorks, Kareo, etc.). Strong knowledge of payer guidelines, coding (CPT, ICD-10), and compliance standards. Excellent analytical, communication, and leadership skills. Job Type: Full-time Pay: ₹1,000,000.00 - ₹1,500,000.00 per year Benefits: Food provided Paid sick time Paid time off Provident Fund Schedule: Night shift Rotational shift Ability to commute/relocate: Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (Preferred) Application Question(s): What is your current CTC ? What is your expected CTC? Experience: RCM: 1 year (Preferred) Work Location: In person

Now Hiring: RCM Analyst (Remote – India) 💻 Remote | Full-time | U.S. Shift 📈 Data-Driven RCM | SQL + Power BI | U.S. Healthcare Analytics Orchestrate Medical is looking for a Revenue Cycle Management (RCM) Analyst who can turn healthcare data into insight-driven action. If you're a pro with Power BI, SQL, Excel , and understand the U.S. medical billing lifecycle—this is your opportunity to join a tech-forward team redefining revenue recovery. 🧠 What You'll Do Build and manage RCM dashboards (Power BI + SQL) Analyze payer trends, denials, AR, and revenue performance Develop custom reports to track collections, denial rate, reimbursement patterns Support financial forecasting, scenario planning, and KPI tracking Present data-backed insights to internal teams and U.S.-based clients Improve accuracy and profitability through data storytelling ✅ You’re a Great Fit If You Have: Minimum of 5 years in RCM analytics or healthcare finance (U.S. preferred) Strong experience with SQL, Power BI, Excel Worked with EHRs like Athenahealth, eClinicalWorks, etc. Deep knowledge of U.S. medical billing, CPT/ICD codes, AR cycles Ability to translate numbers into action Excellent English communication and attention to detail Comfort working U.S. hours (EST/CST) 🌟 Why Orchestrate Medical? Join a rapidly growing, AI-first RCM company 100% remote + performance-driven culture Work with smart, supportive leaders and global healthcare clients Build tools that actually get used by doctors and CFOs Show more Show less

Job Title: Senior Team Leader – RCM (Revenue Cycle Management) Company: Ambit Global Solution LLP Location: Ahmedabad Experience Required: 5+ years in RCM with at least 2 years in a leadership role Shift: Night Shift (US Time Zones – EST/PST/CST) About Ambit Global Solution LLP Ambit Global Solution LLP is a leading provider of end-to-end revenue cycle management services for healthcare organizations across the United States. With a strong team of professionals and a client-centric approach, we specialize in medical billing, coding, AR follow-up, and end-to-end RCM support. Our mission is to deliver high-quality, cost-effective, and compliant solutions to help healthcare providers optimize their revenue and focus on patient care. Job Summary We are seeking a highly motivated and experienced Senior Team Leader – RCM to manage and oversee a team of RCM professionals. The ideal candidate will bring in-depth knowledge of the RCM process, strong team leadership abilities, and a results-driven mindset to ensure high performance, client satisfaction, and operational efficiency. Key Responsibilities Lead, manage, and mentor a team of RCM executives handling insurance follow-up, denial management, billing, and payment posting Ensure daily, weekly, and monthly performance targets are met Handle escalations, complex denials, and payer-specific challenges Monitor and report team productivity, quality, and aging of accounts receivable Collaborate with clients and internal stakeholders for performance reviews, updates, and action plans Conduct training sessions and skill development workshops for team members Audit processes for compliance with HIPAA and client SLAs Recommend and implement process improvements to enhance productivity and cash flow Requirements: Minimum 5 years of experience in US healthcare RCM, with at least 2 years in a team leadership/supervisory role In-depth knowledge of insurance follow-up, denial resolution, payment posting, and AR analysis Strong understanding of CPT, ICD-10, and payer-specific rules and portals Excellent people management and communication skills Proficiency with billing platforms (e.g., Kareo, Athena, AdvancedMD, eClinicalWorks) Ability to analyze data and make informed decisions Willingness to work night shifts aligned with US time zones Preferred Qualifications: Experience managing RCM teams handling surgical specialties (e.g., ortho, ENT, dental) Knowledge of revenue leakage control and cash acceleration techniques Familiarity with metrics like AR days, denial rates, and first-pass resolution rate Show more Show less

Company Description Ambit Global Solution LLP is a leading provider of medical and dental billing and revenue cycle management services. The company offers comprehensive solutions to healthcare organizations, including hospitals, dental groups, and private practices, aiming to maximize revenue and reduce operating costs. With a team of dedicated professionals, including AAPC-certified coders, Ambit leverages cutting-edge technology and a client-centric approach to deliver efficient and transparent services across various specialties. Job Title: Insurance Follow-Up Specialist – RCM (Revenue Cycle Management) Location: Ahmedabad Experience Required: 2+ years in RCM; Surgery insurance follow-up experience is a plus Work Hours: Full-time | Night Shift (US Time Zone – EST/PST/CST) Job Summary: We are looking for a proactive and detail-oriented Insurance Follow-Up Specialist to join our RCM team. The specialist will be responsible for tracking and resolving outstanding insurance claims to ensure timely reimbursement. Candidates with prior experience in surgery-related insurance claims will be given preference. Key Responsibilities: Follow up on unpaid or underpaid insurance claims via calls, emails, and payer portals Analyze and resolve denials, rejections, and short payments Take timely action to resubmit, appeal, or escalate claims Accurately document all activities and follow-up actions in the billing system Collaborate with billing, coding, and other RCM team members to ensure claim accuracy Stay up to date with payer guidelines and insurance protocols Focus on reducing A/R days and improving cash flow, especially in surgical cases Requirements: Minimum of 2 years of experience in insurance follow-up in medical billing/RCM Strong understanding of EOBs, denial codes, CPT/ICD codes, and insurance rules Experience with surgery-related claims is highly desirable Familiarity with commercial and government insurance payers Proficient in using EMR and billing platforms (e.g., Athena, Kareo, eClinicalWorks, AdvancedMD) Excellent communication and problem-solving skills Must be comfortable working night shifts aligned with US time zones (EST/PST/CST) Preferred Qualifications: Knowledge of appeals, reconsiderations, and claim adjustment processes Experience in surgical specialties such as orthopedics, ENT, or general surgery Understanding of HIPAA and data security protocols Show more Show less

Job Summary: We are looking for a motivated and detail-oriented AR Analyst to join our Revenue Cycle Management (RCM) team. The ideal candidate will have a strong understanding of the US healthcare billing process, especially in denial management, and be comfortable working night shifts to align with US time zones. Key Responsibilities: Review and work on denied or delayed insurance claims . Perform follow-ups with payers via calls or portals to resolve outstanding AR. Analyze EOBs, remittance advice, and take necessary action to ensure reimbursement. Re-submit corrected claims and prepare appeals as needed. Maintain accurate documentation of all actions in the billing system. Collaborate with internal teams to escalate and resolve complex issues. Ensure compliance with HIPAA and payer-specific guidelines. Requirements: Bachelor’s degree (required). 1+ years of experience in AR follow-up or denial management in the US healthcare domain. Strong knowledge of RCM processes , especially denial resolution and AR recovery. Familiarity with major insurance carriers including Medicare, Medicaid, and commercial plans. Good communication and analytical skills. Willingness to work night shift to support US clients. Preferred Skills: Experience with medical billing systems (e.g., Epic, eClinicalWorks, Athena). Working knowledge of CPT, ICD-10, and HCPCS codes. Proficiency in MS Excel and reporting tools. Contact : 9566382195 Job Type: Full-time Schedule: Monday to Friday Night shift Work Location: In person Application Deadline: 05/06/2025

Years of Experience: 1 year experience as auditor Job Summary: We are seeking a highly analytical and detail-oriented Radiology Coding Auditor to ensure the accuracy, integrity, and compliance of radiology coding practices. This role involves reviewing coded records for correctness, identifying patterns of errors, providing education to coders, and supporting regulatory compliance through internal audits. Key Responsibilities: Conduct internal or external audits of coded radiology records to ensure accuracy of CPT®, ICD-10-CM, MIPS, HCPCS Level II codes, and modifiers. Identify coding errors and trends and prepare detailed audit findings and feedback reports. Provide coder education and feedback based on audit findings to improve accuracy and consistency. Monitor and implement updates related to coding guidelines, payer policies, and regulatory changes (LCDs, NCDs, MIPS). Qualifications: Certified Professional Coder (CPC) Minimum of 1–2 years of radiology auditing experience preferred MIPS Coding is Mandatory. Experience with coding/auditing tools such as 3M, EPIC, eClinicalWorks Prior experience training coders or conducting coder education sessions Show more Show less

Years of Experience: 1 year experience as auditor Job Summary: We are seeking a highly analytical and detail-oriented Radiology Coding Auditor to ensure the accuracy, integrity, and compliance of radiology coding practices. This role involves reviewing coded records for correctness, identifying patterns of errors, providing education to coders, and supporting regulatory compliance through internal audits. Key Responsibilities: Conduct internal or external audits of coded radiology records to ensure accuracy of CPT®, ICD-10-CM, MIPS, HCPCS Level II codes, and modifiers. Identify coding errors and trends and prepare detailed audit findings and feedback reports. Provide coder education and feedback based on audit findings to improve accuracy and consistency. Monitor and implement updates related to coding guidelines, payer policies, and regulatory changes (LCDs, NCDs, MIPS). Qualifications: Certified Professional Coder (CPC) Minimum of 1–2 years of radiology auditing experience preferred MIPS Coding is Mandatory. Experience with coding/auditing tools such as 3M, EPIC, eClinicalWorks Prior experience training coders or conducting coder education sessions Show more Show less