175 Eclinicalworks Jobs - Page 2

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...

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: AR Analyst – Physician Billing, Lab Billing Location: Plot No: I-48, Sector 83, Alpha IT City, Mohali – 160055 Shift Timings: Night Shift (6:30 PM IST to 3:30 AM IST) Working Days: Monday – Friday (5 Days) Email ID for Applications: hanand@Nath-mds.com Job Summary We are seeking an experienced AR Analyst – Physician Billing to manage financial transactions, ensure accurate billing, and drive timely collections. Immediate joiners with hands-on experience in US healthcare , specifically physician billing , are highly preferred. Key Responsibilities 1. Billing and Invoicing Generate and submit accurate physician bills using CT, Nextgen, and eClinicalWorks (ECW). Ensure compliance wit...

Experience : 10.00 + years Salary : INR 7000000-10000000 / year (based on experience) Expected Notice Period : 15 Days Shift : (GMT+05:30) Asia/Kolkata (IST) Opportunity Type : Remote Placement Type : Full Time Permanent position(Payroll and Compliance to be managed by: Roots Health) (*Note: This is a requirement for one of Uplers' client - RH) What do you need for this opportunity? Must have skills required: Billing, Claims, FIHR, HL7, ML, NLP RH is Looking for: Chief Technology Officer (CTO) — Clinical AI Agent Platform Location: Flexible (U.S. preferred for regulatory context) with strong collaboration ties to offshore engineering partners (e.g., Ahmedabad, India). Reports to: CEO / Found...

Experience : 10.00 + years Salary : INR 7000000-10000000 / year (based on experience) Expected Notice Period : 15 Days Shift : (GMT+05:30) Asia/Kolkata (IST) Opportunity Type : Remote Placement Type : Full Time Permanent position(Payroll and Compliance to be managed by: Roots Health) (*Note: This is a requirement for one of Uplers' client - RH) What do you need for this opportunity? Must have skills required: Billing, Claims, FIHR, HL7, ML, NLP RH is Looking for: Chief Technology Officer (CTO) — Clinical AI Agent Platform Location: Flexible (U.S. preferred for regulatory context) with strong collaboration ties to offshore engineering partners (e.g., Ahmedabad, India). Reports to: CEO / Found...

Experience : 10.00 + years Salary : INR 7000000-10000000 / year (based on experience) Expected Notice Period : 15 Days Shift : (GMT+05:30) Asia/Kolkata (IST) Opportunity Type : Remote Placement Type : Full Time Permanent position(Payroll and Compliance to be managed by: Roots Health) (*Note: This is a requirement for one of Uplers' client - RH) What do you need for this opportunity? Must have skills required: Billing, Claims, FIHR, HL7, ML, NLP RH is Looking for: Chief Technology Officer (CTO) — Clinical AI Agent Platform Location: Flexible (U.S. preferred for regulatory context) with strong collaboration ties to offshore engineering partners (e.g., Ahmedabad, India). Reports to: CEO / Found...

Experience : 10.00 + years Salary : INR 7000000-10000000 / year (based on experience) Expected Notice Period : 15 Days Shift : (GMT+05:30) Asia/Kolkata (IST) Opportunity Type : Remote Placement Type : Full Time Permanent position(Payroll and Compliance to be managed by: Roots Health) (*Note: This is a requirement for one of Uplers' client - RH) What do you need for this opportunity? Must have skills required: Billing, Claims, FIHR, HL7, ML, NLP RH is Looking for: Chief Technology Officer (CTO) — Clinical AI Agent Platform Location: Flexible (U.S. preferred for regulatory context) with strong collaboration ties to offshore engineering partners (e.g., Ahmedabad, India). Reports to: CEO / Found...

Experience : 10.00 + years Salary : INR 7000000-10000000 / year (based on experience) Expected Notice Period : 15 Days Shift : (GMT+05:30) Asia/Kolkata (IST) Opportunity Type : Remote Placement Type : Full Time Permanent position(Payroll and Compliance to be managed by: Roots Health) (*Note: This is a requirement for one of Uplers' client - RH) What do you need for this opportunity? Must have skills required: Billing, Claims, FIHR, HL7, ML, NLP RH is Looking for: Chief Technology Officer (CTO) — Clinical AI Agent Platform Location: Flexible (U.S. preferred for regulatory context) with strong collaboration ties to offshore engineering partners (e.g., Ahmedabad, India). Reports to: CEO / Found...

Experience : 10.00 + years Salary : INR 7000000-10000000 / year (based on experience) Expected Notice Period : 15 Days Shift : (GMT+05:30) Asia/Kolkata (IST) Opportunity Type : Remote Placement Type : Full Time Permanent position(Payroll and Compliance to be managed by: Roots Health) (*Note: This is a requirement for one of Uplers' client - RH) What do you need for this opportunity? Must have skills required: Billing, Claims, FIHR, HL7, ML, NLP RH is Looking for: Chief Technology Officer (CTO) — Clinical AI Agent Platform Location: Flexible (U.S. preferred for regulatory context) with strong collaboration ties to offshore engineering partners (e.g., Ahmedabad, India). Reports to: CEO / Found...