Job description EMPClaims is a leading Revenue Cycle Management company based in Ahmedabad. With over 15 years of experience, EMPClaims specializes in medical billing & coding, telemedicine, workers comp, and patient intake solutions. The company focuses on Outpatient Practices and Facilities, ensuring the highest reimbursements for services provided. EMP's team of certified coders and billing experts have niche expertise in areas such as cardiology, neurology, radiology billing, and more. Job Summary: RCM CX Lead is responsible for enhancing the overall customer experience for clients in the Revenue Cycle Management (RCM) domain. This role involves ensuring high-quality service delivery, maintaining strong client relationships, driving operational excellence, and leading a team to meet or exceed client expectations. The ideal candidate will have a deep understanding of the healthcare RCM process and a passion for customer satisfaction. Key Responsibilities: Client Relationship Management Serve as the primary point of contact for clients regarding RCM services. Build and maintain strong, long-lasting relationships with clients. Proactively address client concerns and ensure prompt resolution. Operational Excellence Oversee and manage the end-to-end RCM process, including billing, coding, claims submission, and accounts receivable management. Identify and address inefficiencies in the RCM workflow to improve performance. Collaborate with cross-functional team leaders to ensure seamless service delivery. Data Analysis & Reporting Analyze key metrics related to the RCM process and client satisfaction. Prepare regular reports on operational performance and client feedback. Present data-driven insights and recommendations to stakeholders. Customer Experience Improvement Develop and implement strategies to enhance client satisfaction and loyalty. Monitor client feedback and use insights to refine processes and services. Ensure adherence to service level agreements (SLAs) and key performance indicators (KPIs). Key Qualifications : Education: Bachelor’s degree in any stream (Healthcare Management, or a related field will be preferred). Experience: Minimum of 5+ years of experience in US Healthcare RCM. 2+ years in a leadership or customer experience-focused role. Skills: In-depth knowledge of healthcare RCM processes and regulations. Strong analytical and problem-solving abilities. Excellent communication and interpersonal skills. Proven leadership and customer experience management capabilities. Proficiency in RCM based software's & specialties. Perks and Benefits: 5 days working Leave encashment Provident Fund/ESIC Night Shift Allowance Career growth opportunities Insurance Benefits Contact Number: 9327130896/9016441882 Email: careers@empclaims.com Job Types: Full-time, Permanent Schedule: Fixed shift Monday to Friday Night shift Ability to commute/relocate: Satellite, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Experience: RCM: 5 years (Required) Work Location: In person Job Types: Full-time, Permanent Benefits: Food provided Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Supplemental Pay: Shift allowance Work Location: In person

About Company EMPClaims was recently recognized as a Top 10 vendor for RCM Services in the US, and we take pride in the quality of our services. Our customers include large health systems and small medical practices. We offer you a competitive compensation package along with the opportunity to learn on the job, develop knowledge of the process, and grow your career. Deliverables : Answer high-volume calls from patients and Providers’ office. Make outbound calls to referring doctors, patients, and insurance companies to get updated insurance or demographic information on patient accounts Utilize resources to troubleshoot and resolve patient issues. Respond to RCM voice mail and email in a timely manner Communicate effectively with various departments within Revenue Cycle Management Research explanation of benefits (EOBs) and/or denials in the system to assist patients and explain balances Update billing system with updated patient demographic information. Knowledge, skills, & abilities : Excellent written and verbal communication skills Proficient with MS Office and the ability to navigate multiple platforms Ability to learn Revenue Cycle Management workflows related to patient communication Strong customer service skills with the ability to resolve patient concerns Demonstrate soft skills to enhance patient experience Eligibility, Education & experience Minimum Graduation required. RCM AR, Insurance denial management calling, US based Patient Calling experience preferred Schedule : Fixed shift Monday to Friday Night shift Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Work Location: In person

About Company EMPClaims was recently recognized as a Top 10 vendor for RCM Services in the US, and we take pride in the quality of our services. Our customers include large health systems and small medical practices. We offer you a competitive compensation package along with the opportunity to learn on the job, develop knowledge of the process, and grow your career. Deliverables : Answer high-volume calls from patients and Providers’ office. Make outbound calls to referring doctors, patients, and insurance companies to get updated insurance or demographic information on patient accounts Utilize resources to troubleshoot and resolve patient issues. Respond to RCM voice mail and email in a timely manner Communicate effectively with various departments within Revenue Cycle Management Research explanation of benefits (EOBs) and/or denials in the system to assist patients and explain balances Update billing system with updated patient demographic information. Knowledge, skills, & abilities : Excellent written and verbal communication skills Proficient with MS Office and the ability to navigate multiple platforms Ability to learn Revenue Cycle Management workflows related to patient communication Strong customer service skills with the ability to resolve patient concerns Demonstrate soft skills to enhance patient experience Eligibility, Education & experience Minimum Graduation required. RCM AR, Insurance denial management calling, US based Patient Calling experience preferred Schedule : Fixed shift Monday to Friday Night shift Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Work Location: In person

Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ A Job Type: Full-time Pay: ₹28,000.00 - ₹50,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Provident Fund Schedule: Monday to Friday Night shift Supplemental Pay: Performance bonus Shift allowance Experience: Accounts receivable Analyst: 1 year (Preferred) Work Location: In person

R.C.M. - Accounts Receivable analyst Skill sets : Must be detail oriented, organized, and possess the ability to apply critical thinking skills. Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data Physician - Medical Billing experience - 3 years minimum Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership Job Description: Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR Requirements: Graduate in any stream. Good comprehension of and command over English language. Good analytical skills. Above average logic and reasoning ability. Career focused and Results oriented. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Ability to commute/relocate: Thaltej, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Shift availability: Night Shift (Required) Work Location: In person

Description We are seeking a skilled and experienced Senior Full Stack Developer to join our dynamic team. As a senior developer, you will take a leading role in designing, developing, and maintaining robust, scalable web applications using ReactJS, NodeJS, ExpressJS, and MSSQL. This role involves collaborating with cross-functional teams to deliver high-quality solutions and mentoring junior developers. Roles & Responsibilities Build and maintain scalable, high-performance web applications using ReactJS, NodeJS and MSSQL • Architect and design the structure of applications, focusing on performance, scalability, and maintainability Develop application modules independently and fix any bugs promptly Learn and adopt new technologies in a short period of time as required by the project. Produce software and API documentation as the requirements of the project Remain up to date with the modern industry practices involved in designing & developing high-quality software. Should be able to do performance engineering and identify and fix bottlenecks Develop secure RESTful APIs to connect frontend with backend systems Integrate third party applications using REST APIs. Design and optimize database (MSSQL). Create ER diagrams, implement database views, stored procedures, encryption, data masking, access control, security etc. Provide guidance and mentorship to junior developers, fostering a culture of learning and continuous improvement. Required Skills Strong knowledge of Typescript, React.js, SCSS & Package bundler like webpack with experience of developing responsive applications Strong knowledge of NodeJS and ExpressJS Understanding about Objected Oriented Programing with Typescript and application design patterns such as MVC Hands-on experience with MSSQL database, including schema design, indexing, views, stored procedures, encryption, data masking, access control, security etc. Experience with testing frameworks such as PEST, Mocha, or Cypress Sound understanding of Agile and Scrum methodologies and ability to participate in local and remote Sprints. - Good grasp of UI / UX concepts. Knowledge of Azure, CI / CD, Gitflow, shell scripting will be considered positively Good communication skills Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Ability to commute/relocate: Thaltej, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor's (Preferred) Experience: Full-stack development: 4 years (Required) Location: Thaltej, Ahmedabad, Gujarat (Preferred) Work Location: In person

R.C.M. - Accounts Receivable analyst Skill sets : Must be detail oriented, organized, and possess the ability to apply critical thinking skills. Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data Physician - Medical Billing experience - 3 years minimum Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership Job Description: Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR Requirements: Graduate in any stream. Good comprehension of and command over English language. Good analytical skills. Above average logic and reasoning ability. Career focused and Results oriented. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Ability to commute/relocate: Thaltej, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Shift availability: Night Shift (Required) Work Location: In person

Description We are seeking a skilled and experienced Senior Full Stack Developer to join our dynamic team. As a senior developer, you will take a leading role in designing, developing, and maintaining robust, scalable web applications using ReactJS, NodeJS, ExpressJS, and MSSQL. This role involves collaborating with cross-functional teams to deliver high-quality solutions and mentoring junior developers. Roles & Responsibilities Build and maintain scalable, high-performance web applications using ReactJS, NodeJS and MSSQL • Architect and design the structure of applications, focusing on performance, scalability, and maintainability Develop application modules independently and fix any bugs promptly Learn and adopt new technologies in a short period of time as required by the project. Produce software and API documentation as the requirements of the project Remain up to date with the modern industry practices involved in designing & developing high-quality software. Should be able to do performance engineering and identify and fix bottlenecks Develop secure RESTful APIs to connect frontend with backend systems Integrate third party applications using REST APIs. Design and optimize database (MSSQL). Create ER diagrams, implement database views, stored procedures, encryption, data masking, access control, security etc. Provide guidance and mentorship to junior developers, fostering a culture of learning and continuous improvement. Required Skills Strong knowledge of Typescript, React.js, SCSS & Package bundler like webpack with experience of developing responsive applications Strong knowledge of NodeJS and ExpressJS Understanding about Objected Oriented Programing with Typescript and application design patterns such as MVC Hands-on experience with MSSQL database, including schema design, indexing, views, stored procedures, encryption, data masking, access control, security etc. Experience with testing frameworks such as PEST, Mocha, or Cypress Sound understanding of Agile and Scrum methodologies and ability to participate in local and remote Sprints. - Good grasp of UI / UX concepts. Knowledge of Azure, CI / CD, Gitflow, shell scripting will be considered positively Good communication skills Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Ability to commute/relocate: Thaltej, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor's (Preferred) Experience: Full-stack development: 4 years (Required) Location: Thaltej, Ahmedabad, Gujarat (Preferred) Work Location: In person

Job Description: We are seeking a detail-oriented and proactive Credentialing Analyst to manage the end-to-end credentialing process for healthcare providers. This role involves timely onboarding, payor credentialing, documentation, and compliance tracking to ensure all providers meet regulatory and client requirements. Key Responsibilities: Respond promptly to credentialing-related emails and follow-ups within 24 hours. Manage onboarding of new providers, including welcome communication, documentation, and source verification. Handle Collaborative Agreements and update provider records in systems like Athena and CredentialMyDoc (CMD). Submit and track payor applications and rosters; ensure follow-ups with payors. Allocate and prioritize tasks via CMD based on daily workload. Maintain and update CAQH profiles every 120 days for active providers. Conduct monthly OIG verifications and ensure compliance with client requirements. Prepare regular reports on credentialing holds, provider onboarding status, and facility credentialing by payor. Participate in weekly calls with internal stakeholders and clients. Maintain and update SOPs related to credentialing. Requirements: Prior experience in healthcare credentialing or provider onboarding preferred. Strong attention to detail, communication, and time management skills. Excellent communication skills in English, both written and verbal. Strong attention to detail, organization, and time management. Familiarity with systems like Athena, CMD, and CAQH is an advantage. Qualification: Graduation in any stream. Prior experience in healthcare credentialing or provider onboarding is preferred. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Supplemental Pay: Shift allowance Work Location: In person

Looking for profiles in: AR Analyst Coder Team Leads - AR & Billing Customer Support Lead Job Type: Full-time Pay: ₹28,000.00 - ₹50,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Provident Fund Schedule: Day shift Monday to Friday Night shift Supplemental Pay: Performance bonus Shift allowance Experience: RCM: 1 year (Preferred) Work Location: In person

Looking for profiles in: AR Analyst Coder Team Leads - AR & Billing Customer Support Lead Job Type: Full-time Pay: ₹28,000.00 - ₹50,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Provident Fund Schedule: Day shift Monday to Friday Night shift Supplemental Pay: Performance bonus Shift allowance Experience: RCM: 1 year (Preferred) Work Location: In person

Job Description We are looking for a detail-oriented and analytical professional to join our team as an AR Data Analyst specializing in US Healthcare Revenue Cycle Management (RCM) . The ideal candidate will possess strong critical thinking abilities and be proficient in Microsoft Office 365 , with a particular focus on Excel for data analysis and reporting. This role plays a vital part in analyzing accounts receivable data to support operational efficiency and decision-making within the healthcare RCM domain. Key Responsibilities Develop, implement, and maintain scalable analytics solutions. Analyze complex datasets to identify trends, insights, and growth opportunities. Create best-practice reports and dashboards for data mining and visualization. Collaborate with project managers to understand KPIs and deliver actionable insights. Evaluate and document source-to-target mappings and information models. Investigate organizational inefficiencies and recommend data handling protocols. Proactively identify areas for performance improvement and communicate findings. Design and build interactive visualizations using multiple data sources. Required Skill Set: Strong attention to detail and organizational skills. Critical thinking and problem-solving capabilities. Experience in Revenue Cycle Management (RCM) industry will be preferred. Understanding AR, Billing, Posting data is mandatory. Schedule : Fixed shift Monday to Friday Night shift Perks and Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Supplemental Pay: Shift allowance Work Location: In person

R.C.M. - Accounts Receivable analyst Skill sets : Must be detail oriented, organized, and possess the ability to apply critical thinking skills. Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data Physician - Medical Billing experience - 3 years minimum Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership Job Description: Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR Requirements: Graduate in any stream. Good comprehension of and command over English language. Good analytical skills. Above average logic and reasoning ability. Career focused and Results oriented. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Work Location: In person

Key Responsibilities: Review and work on denied/rejected claims and reprocess them as required Follow up with insurance carriers via phone calls or online portals to ensure timely payment of claims Identify and resolve billing issues or discrepancies with payers Update patient accounts and AR reports accurately Understand and apply medical billing guidelines Coordinate with internal teams to clarify claim-related queries Meet daily/weekly productivity and quality targets Requirements: Bachelor’s degree in Commerce, Life Sciences, Healthcare, or a related field Basic understanding of medical billing or healthcare revenue cycle (training will be provided) Good communication skills (spoken and written English) Strong analytical and problem-solving abilities Willingness to work night shifts (if required for US-based clients) Basic computer proficiency (Excel, Google Sheets, or similar tools) Salary Range : 28k CTC + Performance based incentives Benefits : Medical Health Insurance Subsidized Meal Facility Paid time off Provident Fund Job Types: Full-time, Permanent, Fresher Benefits: Food provided Health insurance Paid time off Provident Fund

Key Responsibilities: Review and work on denied/rejected claims and reprocess them as required Follow up with insurance carriers via phone calls or online portals to ensure timely payment of claims Identify and resolve billing issues or discrepancies with payers Update patient accounts and AR reports accurately Understand and apply medical billing guidelines Coordinate with internal teams to clarify claim-related queries Meet daily/weekly productivity and quality targets Requirements: Bachelor’s degree in Commerce, Life Sciences, Healthcare, or a related field Basic understanding of medical billing or healthcare revenue cycle (training will be provided) Good communication skills (spoken and written English) Strong analytical and problem-solving abilities Willingness to work night shifts (if required for US-based clients) Basic computer proficiency (Excel, Google Sheets, or similar tools) Salary Range : 28k CTC + Performance based incentives Benefits : Medical Health Insurance Subsidized Meal Facility Paid time off Provident Fund Job Types: Full-time, Permanent, Fresher Benefits: Food provided Health insurance Paid time off Provident Fund

Job Description: We are seeking a detail-oriented and proactive Credentialing Analyst to manage the end-to-end credentialing process for healthcare providers. This role involves timely onboarding, payor credentialing, documentation, and compliance tracking to ensure all providers meet regulatory and client requirements. Key Responsibilities: Respond promptly to credentialing-related emails and follow-ups within 24 hours. Manage onboarding of new providers, including welcome communication, documentation, and source verification. Handle Collaborative Agreements and update provider records in systems like Athena and CredentialMyDoc (CMD). Submit and track payor applications and rosters; ensure follow-ups with payors. Allocate and prioritize tasks via CMD based on daily workload. Maintain and update CAQH profiles every 120 days for active providers. Conduct monthly OIG verifications and ensure compliance with client requirements. Prepare regular reports on credentialing holds, provider onboarding status, and facility credentialing by payor. Participate in weekly calls with internal stakeholders and clients. Maintain and update SOPs related to credentialing. Requirements: Prior experience in healthcare credentialing or provider onboarding preferred. Strong attention to detail, communication, and time management skills. Excellent communication skills in English, both written and verbal. Strong attention to detail, organization, and time management. Familiarity with systems like Athena, CMD, and CAQH is an advantage. Strong expertise in Medicare, Medicaid and CAQH Portal Also has good knowledge of PSV & Collaborative agreements Qualification: Graduation in any stream. Prior experience in healthcare credentialing or provider onboarding is preferred. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid time off Provident Fund Work Location: In person