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1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
Role Overview: As an Assistant Manager for the Revenue Cycle Management (RCM) process, your role will involve leveraging your expertise in healthcare RCM to enhance operational efficiency and ensure compliance with regulations. You should possess a deep understanding of healthcare End to End RCM processes, coupled with strong leadership abilities. Your analytical mindset and problem-solving skills will be crucial in driving the success of our RCM initiatives. Proficiency in RCM software and the Microsoft Office Suite will be key assets in this role. Key Responsibilities: - Utilize your expertise in healthcare RCM to enhance operational efficiency - Ensure compliance with regulations related ...
Posted 1 week ago
2.0 - 4.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. We are looking for Operations Analyst to join our Operations team. Your Job will be responsible for working on resolving claims and or tasks associated to US healthcare RCM. But enough about us let's talk about you. You are a curious person who is great at identifying problems and seeing them through to resolution. You would rather be an expert in a specific area than a generalist, but still need to know how your work fits in with the bigger picture. You are careful and detail-oriented but at the same time very efficient in your work, and are always looking for ways t...
Posted 3 weeks ago
1.0 - 3.0 years
0 Lacs
noida, greater noida
Work from Office
Position Overview We are hiring a Data Extraction Expert to support our Healthcare Revenue Cycle Management (RCM) operations. The role involves retrieving, validating, and organizing data from multiple healthcare systems such as payer portals, clearinghouses, and practice management/EMR systems. The ideal candidate should have hands-on experience in extracting data with a strong focus on accuracy, timeliness, and compliance. Key Responsibilities Extract data from payer portals, clearinghouses, EMR/PMS systems, and third-party tools. Download and organize EOBs, ERA files, denial reports, claim status, and payment data. Validate accuracy of extracted data against system records. Maintain struc...
Posted 1 month ago
1.0 - 4.0 years
2 - 4 Lacs
mysuru
Work from Office
Role & Responsibilities: Accurately post payments and adjustments to patient accounts in a timely manner Reconcile payments with insurance remittances Investigate and resolve discrepancies in payment postings Maintain accurate transaction records for compliance Collaborate with billing and collections teams for account management Support audits and compliance reviews Preferred Candidate Profile: Experience: 1- 2 years in Payment Posting / Medical Billing Strong knowledge of healthcare regulations & compliance standards Experience with EHR systems & healthcare databases Proficiency in Microsoft Excel and office tools Excellent analytical, communication, and attention-to-detail skills Ability ...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
navi mumbai, maharashtra
On-site
The role available is for a Quality Expert specializing in Revenue Optimization at IKS Health in Navi Mumbai. As a Quality Expert, your primary responsibility will be to audit transactions to ensure optimal revenue optimization. This is a full-time, on-site position that requires attention to detail and expertise in Healthcare Revenue Cycle Management (RCM) with a focus on Authorization. Your daily tasks will revolve around performing quality control and assurance activities, conducting audits, and maintaining quality systems to uphold organizational standards. It is essential for you to possess experience in Healthcare RCM, particularly in Authorization, as well as a background in Quality C...
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Patient Calling Representative in the Night Shift (US Healthcare) based in Chennai Ekkatuthangal, you will be responsible for communicating with patients to gather clinical and treatment details, as well as providing relevant healthcare information. Your role will also involve assisting patients in understanding their insurance benefits, coverage details, and claim statuses. It is crucial to accurately document call details, update patient records in the system, and ensure compliance with healthcare regulations. Maintaining HIPAA compliance and ensuring the confidentiality of patient information is paramount in this role. Meeting call targets, maintaining high-quality service standards,...
Posted 2 months ago
5.0 - 8.0 years
0 - 0 Lacs
Noida, Greater Noida
Work from Office
Role & responsibilities Team Leader 5+ years of experience in Power BI development, dataflow management, database integrations and DAX/Power Query. 2-3 years of domain experience in Healthcare RCM knowledge of AR, coding, billing, denials, payments. 2+ years of experience in a leadership or team management role. Strong expertise in SQL, data modeling, and integrating multiple data sources. Understanding of HIPAA compliance and data privacy in healthcare analytics. Excellent communication and stakeholder management skills.
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
You are invited to join our team as an Assistant Manager for our Revenue Cycle Management (RCM) process. Your role will involve leveraging your expertise in healthcare RCM to enhance operational efficiency and ensure compliance with regulations. To succeed in this position, you should possess a deep understanding of healthcare End to End RCM processes, coupled with strong leadership abilities. Your analytical mindset and problem-solving skills will be crucial in driving the success of our RCM initiatives. Proficiency in RCM software and the Microsoft Office Suite will be key assets in this role. In addition to technical skills, effective communication and interpersonal abilities are essentia...
Posted 2 months ago
9.0 - 14.0 years
10 - 16 Lacs
Chennai
Work from Office
We are seeking a highly experienced and strategic Service Quality Leader to oversee and enhance quality management for our Revenue Cycle Management (RCM) operations across multiple client accounts. This role is critical in driving process excellence, audit accuracy, and continuous improvement initiatives in alignment with client expectations and industry standards. The ideal candidate will bring a strong background in RCM, proven quality leadership experience, and a data-driven mindset to ensure service excellence and operational stability. Work Location : Chennai Work Type : Work from office Shift Timings : US Shift Timings (6:00 PM to 3:00 AM) Requirements Bachelors degree in any stream, o...
Posted 3 months ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
As an Assistant Manager for Revenue Cycle Management (RCM) process, you will be responsible for leveraging your expertise in healthcare RCM to ensure operational efficiency. Your role will involve overseeing the end-to-end RCM processes, ensuring compliance with regulations, and optimizing revenue cycle processes. You will be expected to demonstrate strong leadership skills, excellent analytical abilities, and proficiency in RCM software and the Microsoft Office Suite. Effective communication and interpersonal skills will be crucial in this role to collaborate with team members and stakeholders effectively. This is a full-time, permanent position with benefits including health insurance, pai...
Posted 3 months ago
3.0 - 6.0 years
3 - 6 Lacs
Chennai, Tamil Nadu, India
On-site
Essential Functions (Duties and Responsibilities): 75% Resolve outstanding health insurance claims or documentation issues through analysis and co-ordination with relevant teams. Communicate with payers effectively and/or adhere to payer guidelines to achieve timely determinations. Perform tasks or related responsibilities and achieve desired output on specified process in healthcare RCM. Achieve desired quality of service as required by standard operating procedure and support in continuous performance improvement to offer best quality services. Responsible to maintain important logs and documentation regarding the details of the tasks performed. Support an environment of accountability and...
Posted 4 months ago
2.0 - 3.0 years
2 - 3 Lacs
Chennai, Tamil Nadu, India
On-site
Job Responsibilities? Perform tasks or related responsibilities and achieve desired output on specified process in healthcare RCM Achieve desired quality of service as required by standard operating procedure and support in continuous performance improvement to offer best quality services Responsible to maintain important logs and documentation regarding the details of the tasks performed ? Education & Experience Required: Bachelor's degree or equivalent 2-3 years experience in fast paced environment Domain exposure Posting, Remittance tracking, Remit record knowledge added advantage, Revenue cycle management, and Denial management
Posted 4 months ago
2.0 - 3.0 years
2 - 3 Lacs
Chennai, Tamil Nadu, India
On-site
Job Responsibilities? Perform tasks or related responsibilities and achieve desired output on specified process in healthcare RCM? Achieve desired quality of service as required by standard operating procedure and support in continuous performance improvement to offer best quality services?? Responsible to maintain important logs and documentation regarding the details of the tasks performed? ? Education & Experience Required:?? Bachelor's degree or equivalent?? 2-3 years experience in fast paced environment? Domain exposure Posting, Remittance tracking, Remit record knowledge added advantage, Revenue cycle management, and Denial management
Posted 4 months ago
10.0 - 15.0 years
12 - 15 Lacs
Chennai
Work from Office
Job Family Summary: The Reconciliation Manager will oversee and lead the insurance reconciliation process for a large Qatar-based public healthcare client. The role involves managing a team responsible for reconciling outpatient and inpatient claim payments, identifying payment variances, and driving corrective actions across the claims lifecycle. The candidate will act as a subject matter expert in Qatar healthcare payer regulations and will work closely with internal teams and external stakeholders to ensure high-quality reconciliation and financial reporting. Role Summary: The Reconciliation Manager will be responsible for leading the end-to-end insurance reconciliation process for a majo...
Posted 4 months ago
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