183 Eclinicalworks Jobs - Page 2

Job Description Responsible for researching patient member benefits, additional coverages, coverage limitations, and general coverage allowances to obtain the necessary authorizations and referrals for patient services. Initiate and manage the prior authorization process for medical procedures, treatments, or medications. Prepare and submit prior authorization requests to insurance companies or healthcare payers according to established procedures. Ensure all required documentation, including clinical notes, medical history, and supporting documents, are complete and accurate. Processes prior authorizations and referral requests in a timely manner, prior to the patient’s services being rende...

Job Summary: The Service Center Representative is a crucial role responsible for managing all inbound patient communications with professionalism and compassion. You will handle a high volume of calls related to scheduling appointments, managing prescription refills, answering inquiries, and directing calls to the appropriate clinical staff. The ideal candidate is an outstanding communicator with a passion for helping others and experience in a fast-paced healthcare environment. Key Responsibilities: Answer incoming calls in a timely and professional manner, providing a high level of customer service. Schedule, reschedule, and cancel patient appointments accurately in our EMR (Electronic Med...

Job Title: Payment Posting Associate / Analyst Department: Revenue Cycle Management (RCM) Location: Sharp Info Solutions - Coimbatore Experience Required: Minimum 2 years in RCM (Payment Posting process) Job Summary: We are seeking a detail-oriented and experienced Payment Posting professional to join our Revenue Cycle Management team. The candidate will be responsible for accurately posting payments, adjustments, and denials to patient accounts, ensuring reconciliation of daily deposits, and maintaining the integrity of financial data in accordance with company policies and client requirements. Key Responsibilities: Post all payments (electronic remittance, paper EOBs, patient payments) int...

Job Summary: The Payment Posting Associate is responsible for accurately posting insurance and patient payments, adjustments, and denials into the billing system. This role ensures that all payments are reconciled, accounts are updated promptly, and discrepancies are investigated to maintain financial accuracy and support revenue cycle efficiency. Key Responsibilities: Post insurance payments, patient payments, electronic remittances (ERA), and manual checks into the billing system accurately and timely. Reconcile daily deposits and batches to ensure accuracy between system entries and bank deposits. Identify and resolve posting errors, missing information, or payment discrepancies. Post adj...

Job Title AR Executive-Medical Billing Job Summary The Accounts Receivable Specialist under the RCM process is responsible for managing and optimising all activities related to the collection of payments for healthcare services rendered. This includes following up with insurance carriers, addressing claim denials, posting payments, and maintaining precise financial documentation to support revenue integrity. Key Responsibilities Manage the accounts receivable process, including billing, claims follow-up, payment posting, and collections for assigned healthcare clients. Review AR aging reports to identify outstanding or delinquent accounts and take appropriate follow-up actions. Investigate a...

Job Title: Medical Billing AR Specialist Department: Revenue Cycle Management (RCM) Reports To: Billing Manager / AR Team Lead Employment Type: Full-Time / On-site Job Summary: The Medical Billing AR Specialist is responsible for managing and resolving outstanding Accounts Receivable (A/R) claims, ensuring accurate and timely reimbursement from insurance companies and patients. The ideal candidate will have a strong understanding of medical billing procedures, payer policies, denial management, and claim follow-up processes. Key Responsibilities: Review and follow up on unpaid or denied insurance claims to ensure prompt payment. Identify and resolve billing errors, underpayments, and denials...

About Us Washington Internal Medicine is a growing Internal Medicine practice dedicated to providing compassionate, high-quality care. We’re looking for a reliable and experienced Medical Office Virtual Assistant to join our remote team and help support daily clinical and administrative operations. Responsibilities Answer phone calls, voicemails, and patient messages professionally Schedule, confirm, and modify patient appointments Verify insurance eligibility and benefits before visits Collect copays and assist with billing or authorization questions Maintain accurate patient records in the EHR system Support providers with documentation, referrals, and lab requests Coordinate telehealth an...

Position Title: eClinicalWorks (eCW) Implementation Specialist Reports To: Practice Administrator / Operations Manager Department: Clinical Operations / IT Location: Anywhere in India Employment Type: Full-Time / Remote Position Overview - The eClinicalWorks (eCW) Implementation Specialist is responsible for optimizing the use of the eCW electronic health record (EHR) system within the clinic. This role ensures smooth adoption of eCW features across departments (providers, front office, billing), maintains system version compliance, and drives continuous improvement in workflows to enhance operational efficiency and patient care. Key Responsibilities - System Optimization & Feature Managemen...

We are seeking a skilled and professional Spanish Caller – RCM to join our growing healthcare BPO team. The ideal candidate will be fluent in both Spanish and English and will be responsible for making outbound calls to insurance companies, patients, and healthcare providers to follow up on medical claims and ensure timely resolution. This role is crucial in supporting the RCM process , ensuring accurate reimbursements and maintaining excellent client satisfaction. Key Responsibilities: Conduct outbound calls in Spanish and English to insurance providers to check claim status and follow up on unpaid or denied claims. Communicate with patients, hospitals, and medical offices to gather or clar...

Job Title AR Executive-Medical Billing Job Summary The Accounts Receivable Specialist under the RCM process is responsible for managing and optimizing all activities related to the collection of payments for healthcare services rendered. This includes following up with insurance carriers, addressing claim denials, posting payments, and maintaining precise financial documentation to support revenue integrity. Key Responsibilities Manage the accounts receivable process, including billing, claims follow-up, payment posting, and collections for assigned healthcare clients. Review AR aging reports to identify outstanding or delinquent accounts and take appropriate follow-up actions. Investigate a...

Job Summary The Accounts Receivable Specialist under the RCM process is responsible for managing and optimizing all activities related to the collection of payments for healthcare services rendered. This includes following up with insurance carriers, addressing claim denials, posting payments, and maintaining precise financial documentation to support revenue integrity. Key Responsibilities Manage the accounts receivable process, including billing, claims follow-up, payment posting, and collections for assigned healthcare clients. Review AR aging reports to identify outstanding or delinquent accounts and take appropriate follow-up actions. Investigate and resolve claim denials, discrepancies...

Job Title AR Executive-Medical Billing Location - Ahmedabad (ITC Narmada) Mode : Work from Office Shift : Night Shift Experience : 2 to 4 Years Job Summary The Accounts Receivable Specialist under the RCM process is responsible for managing and optimizing all activities related to the collection of payments for healthcare services rendered. This includes following up with insurance carriers, addressing claim denials, posting payments, and maintaining precise financial documentation to support revenue integrity. Key Responsibilities Manage the accounts receivable process, including billing, claims follow-up, payment posting, and collections for assigned healthcare clients. Review AR aging rep...

Company Description Ambit Global Solution is a leading medical and dental billing and revenue cycle management company based in Ahmedabad. The company helps organizations maximize revenue and reduce operating costs with a highly trained team of experts. Ambit's powerful technology solutions and client-focused service enhance the efficiency and profitability of medical practices, hospitals, dental groups, GPOs, and third-party administrators. Client satisfaction is the primary focus, supported by detailed processes, experienced personnel, cutting-edge technology, and a forward-thinking approach. Job Title Accounts Receivable Specialist – Revenue Cycle Management (RCM) Job Summary The Accounts...

Job Title: Charge Entry – Demo & Charges (RCM Healthcare) Job Summary: We are looking for experienced professionals to join our Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for accurate patient demographic entry and charge posting in compliance with client requirements and healthcare regulations. Key Responsibilities: Enter and validate patient demographic information in the practice management system. Post charges accurately based on coding data (CPT, ICD-10, HCPCS). Review and correct charge-related edits or rejections. Verify insurance details and update any changes as required. Ensure all charges are submitted within the client-specific turnaround time (TA...

Company Description Valenta is a global leader in Business Process Automation (BPA) design and implementation for medium-sized businesses. With offices in 17 countries and over 400 staff and partners worldwide, Valenta provides customized solutions in Process Consulting, Digital Transformation, Staff Augmentation, Digital Marketing, and Learning. Our services are designed to help businesses improve competence and performance while reducing costs. From Marketing and Sales to HR, Valenta assists in optimizing rules-based processes. We pride ourselves on understanding the process dynamics of each business and creating specific solutions to meet growth objectives. Visit valenta.io to learn more ...

Key Responsibilities: Perform end-to-end AR follow-up on insurance claims to ensure maximum reimbursement. Handle denials, rejections, and appeals with effective resolution strategies. Analyze aging reports and prioritize claims to reduce AR days. Interact with insurance representatives to clarify claim status and resolve payment delays. Identify trends in denials/underpayments and share feedback with the team. Ensure compliance with HIPAA regulations and client-specific guidelines. Mentor/guide junior team members when required. Required Skills: 1–3 years of AR calling experience in US healthcare RCM . Strong knowledge of CPT, ICD, modifiers, and claim adjudication process . Hands-on experi...

As a Data Migration Specialist at OSP Labs, you will be responsible for leading end-to-end EHR data migration projects with expertise in eClinicalWorks (eCW). Your role will involve analyzing legacy EHR data structures, mapping them to eCW schema, and ensuring accurate and compliant data transitions. Your key responsibilities will include: - Analyzing legacy EHR data structures and mapping to eClinicalWorks schema, covering patient demographics, appointments, clinical notes, billing, and other key modules. - Planning, designing, and managing full-cycle ETL (Extract, Transform, Load) processes tailored to eCW. - Developing and maintaining detailed documentation of data mapping, transformation...

Job Title: Charge Entry Specialist – RCM Industry Location: Mohali Job Summary: The Charge Entry Specialist will be responsible for accurately entering and processing patient charges in accordance with industry standards and payer-specific guidelines. This role is critical to ensuring timely and correct billing, contributing to the financial health of our clients. Key Responsibilities: Review and input patient demographics and billing information into the system. Accurately enter charges based on medical documentation and coding. Ensure compliance with client, payer, and regulatory requirements. Coordinate with coding, billing, and denial management teams to resolve charge-related issues. Ma...

Key Responsibilities: Perform end-to-end AR follow-up on insurance claims to ensure maximum reimbursement. Handle denials, rejections, and appeals with effective resolution strategies. Analyze aging reports and prioritize claims to reduce AR days. Interact with insurance representatives to clarify claim status and resolve payment delays. Identify trends in denials/underpayments and share feedback with the team. Ensure compliance with HIPAA regulations and client-specific guidelines. Mentor/guide junior team members when required. Required Skills: 1–3 years of AR calling experience in US healthcare RCM . Strong knowledge of CPT, ICD, modifiers, and claim adjudication process . Hands-on experi...

Job Title: Charge Entry – Demo & Charges (RCM Healthcare) Job Summary: We are looking for experienced professionals to join our Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for accurate patient demographic entry and charge posting in compliance with client requirements and healthcare regulations. Key Responsibilities: Enter and validate patient demographic information in the practice management system. Post charges accurately based on coding data (CPT, ICD-10, HCPCS). Review and correct charge-related edits or rejections. Verify insurance details and update any changes as required. Ensure all charges are submitted within the client-specific turnaround time (TA...

Job Summary: We are looking for a detail-oriented Medical Billing Executive with 1–2 years of experience in US Healthcare RCM. The role involves handling Accounts Receivable (AR), Denial Management, Eligibility Verification (EV), and Benefits Verification (BV). Experience in Internal Medicine specialty will be considered an added advantage. Key Responsibilities: Perform Eligibility Verification (EV) and Benefits Verification (BV) for patient insurance coverage. Review, post, and process medical claims accurately in compliance with payer guidelines. Conduct AR follow-up and resolve unpaid or underpaid claims. Handle denials by analyzing reasons, re-submitting claims, and coordinating with pay...

Role & responsibilities Leadership & Management Lead, mentor, and support the call centre team, ensuring high standards of professionalism and empathy in all patient interactions. Develop training programs to ensure staff can respond accurately to patient queries about dental services, treatments, and aftercare. Monitor and evaluate call centre performance (KPIs such as call handling time, patient satisfaction, booking rates). Manage scheduling, rotas, and workload distribution. Clinical Oversight Provide clinical expertise to ensure information shared with patients is accurate, safe, and aligned with best practice. Review and approve call scripts, FAQs, and escalation protocols for clinical...

Job Title: Subject Matter Expert (SME) – EHR Workflow & Data Modeling [Healthcare Domain] Experience: 10+ Years in Healthcare Data Modeling, ETL, Reporting, and EHR Systems Location: Remote (1–2 days onsite per month) – Hyderabad, Bangalore, Noida, Pune, Chennai Employment: Full-Time Role Summary: We are seeking a seasoned Healthcare Domain Subject Matter Expert (SME) to drive a strategic enterprise data warehouse (EDW) initiative. This role requires in-depth knowledge of clinical and patient intake workflows , coupled with hands-on experience working with data from leading EHR systems such as Cerner, Epic, Meditech, McKesson, eClinicalWorks, Allscripts, or Athena. As the Clinical SME, you w...

Key Responsibilities: Perform end-to-end AR follow-up on insurance claims to ensure maximum reimbursement. Handle denials, rejections, and appeals with effective resolution strategies. Analyze aging reports and prioritize claims to reduce AR days. Interact with insurance representatives to clarify claim status and resolve payment delays. Identify trends in denials/underpayments and share feedback with the team. Ensure compliance with HIPAA regulations and client-specific guidelines. Mentor/guide junior team members when required. Required Skills: 1–3 years of AR calling experience in US healthcare RCM . Strong knowledge of CPT, ICD, modifiers, and claim adjudication process . Hands-on experi...

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 wi...