Business Development Manager Medical Billing (RCM Sales) Pena4 Tech Solutions

12.0 - 17.0 years

14 - 18 Lacs

Hyderabad

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Job Summary: We are seeking a dynamic and results-driven Business Development Manager to join our growing team in the medical billing sector focused on US healthcare. The ideal candidate will be responsible for identifying new business opportunities, developing relationships with prospective clients, and driving revenue growth through strategic partnerships in the Revenue Cycle Management space. Key Responsibilities: Lead Generation & Client Acquisition: Identify and pursue new sales opportunities in the US healthcare industry, focusing on medical billing and RCM services. Develop and implement strategies to attract healthcare providers such as clinics, hospitals, physician groups, and billing companies. Client Relationship Management: Build and maintain strong relationships with existing and potential clients. Serve as the primary point of contact for client inquiries and negotiations. Sales Strategy & Execution: Conduct market research to understand industry trends and competitor activities. Prepare and deliver compelling business proposals and presentations. Achieve or exceed monthly/quarterly/annual sales targets. Collaboration: Work closely with the operations and delivery teams to ensure client expectations are met. Provide feedback to internal teams to help tailor services to market needs. Qualifications: Bachelors degree in Business, Marketing, Healthcare Administration, or related field (MBA preferred). Proven track record of success in business development, sales, or client acquisition, particularly in the US healthcare RCM or medical billing space. In-depth understanding of US healthcare revenue cycle processes including coding, billing, claims, AR follow-up, and denial management. Excellent communication, negotiation, and interpersonal skills. Ability to work independently and manage multiple priorities. Preferred Skills: Experience using CRM software (e.g., HubSpot, Salesforce). Network of contacts in US healthcare provider market is a strong advantage. Understanding of HIPAA compliance and healthcare regulations. Compensation: Competitive base salary Performance-based incentives and commissions Health benefits and paid time off (as applicable)

Posted 1 week ago

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Accounts Receivable Caller -Hospital Billing- US Healthcare Data Marshall

2 - 5 years

2 - 5 Lacs

Hyderabad

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Job Location: Hyderabad, India AR Callers working in hospital billing must demonstrate proficiency in managing accounts receivable, ensuring accurate claim submissions, and utilizing UB04 and Epic PMS for efficient processing. What You Will Do: AR Caller - Hospital Billing Initiate calls requesting status of claims in queue, verify payment accuracy, and identify incorrect claim reimbursements. Contact US insurance companies for further explanation of denials, underpayments, and claim status. Identify and validate payment variances and re-file/appeal the claims. Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Follow-up on claims for collection of payments with insurance companies on behalf of hospitals to resolve claim issues. Document actions taken in claims billing summary notes. Prioritize pending claims for calling from the aging basket to make a physical call by following international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on denials, rejections, LOAs to accounts, making required corrections to claims. What You Will Need: Expert in listening and resolving problems. Ability to work effectively in a team. Proficient in delivering high-quality results. Ability to work accurately and pay attention to detail. Capable of grasping new concepts quickly. Good communication skills (written and verbal). Willing to work in night shift (6pm 3am). Excellent communication skills. 8 months to 2.5 years of relevant experience. Experience in UB04 and Epic PMS. What Would Be Nice to Have: Graduation. Impeccable professional reputation with a high degree of energy, integrity, and positive. Interested candidates with relevant experience can apply at careers@datamarshall.com

Posted 2 months ago

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