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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, paid time off, and Provident Fund. The schedule may involve day shifts, morning shifts, night shifts, and US shifts. The ideal candidate should have at least 1 year of experience in a similar role. If you are passionate about driving operational excellence in healthcare RCM and possess the necessary skills and experience, we invite you to join our team in person at the specified work location.,
Posted 2 days 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 management against goals. Collaborate with cross-functional teams to resolve issues identified from day to day working of claims. 15% Identify and quantify work trends. Propose solutions to improve internal processes to facilitate a touchless revenue cycle. Work with internal teams across the Operations Division to prioritize and implement process improvements appropriately prioritized based on impact and business need. 10% Accept full ownership and responsibility for special projects Work with internal stakeholders and client-facing teams to identify and resolve claim issues impacting individual clients and/or discrete lines of business. Communicate effectively the status and resolution of any special projects, adhere to established timelines, and serve as a valued subject matter expert for internal teams. Education & Experience Required: Bachelor's degree or equivalent (Life science background) 3-6 years experience in fast paced environment Solid understanding of Anatomy & Physiology Comprehensive understanding of medical terminology Prior experience in processing multispecialty authorizations including contact with payers. Willing to work in the night shift. Knowledge & Skills: Healthcare RCM knowledge, preferred. Analytical skills and good communication skills Ability to clearly articulate actions taken and articulate next steps. MS office skills, required.
Posted 1 month 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 1 month 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 1 month 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 major public healthcare client in Qatar. This role requires in-depth expertise in analyzing payment variances, resolving underpayments, and ensuring accurate alignment between claims submitted and payments received. The ideal candidate will bring strong knowledge of Qatar healthcare payer processes, regulatory requirements (NHIC/QCHP), and experience in managing a reconciliation team within a provider-side RCM environment. This is a strategic role that involves working cross-functionally with coding, submission, and resubmission teams to improve overall revenue integrity and ensure timely closure of receivables. The position is based at our Chennai (Perungalathur) office, supporting the Qatar operations remotely. Primary Responsibilities: Lead the reconciliation and collections team for Qatar outpatient and inpatient medical claims. Ensure accurate, timely reconciliation of claims against remittances from payers, with a focus on reducing payment gaps. Oversee tracking of underpayments, denials, and delayed reimbursements; drive root cause analysis and process improvement. Coordinate with claims submission, resubmission, and coding teams to support end-to-end RCM effectiveness. Prepare and review reconciliation dashboards and payment status reports for internal and client reviews. Stay updated on Qatar RCM regulations, NHIC/QCHP guidelines, and payer-specific payment rules. Ensure high standards in documentation, audit readiness, and internal controls for all reconciliation activity. Maintain clean claim rates and optimize first-pass resolution. Identify operational gaps and proactively recommend improvements to minimize revenue leakage. Collaborate with client representatives and support any external audits or business reviews. Manage the performance and development of a reconciliation team working in back-office operations. Job Requirements: Bachelors or Master's degree in healthcare, or related field Certification in Medical Coding (CPC, CCS, or equivalent) is required Experience working in provider-end RCM for GCC clients especially Qatar is preferred 10+ years of experience in Healthcare Revenue Cycle Management, including reconciliation, collections, or AR operations Prior experience with Qatar or UAE (Northern Emirates) providers or TPAs is highly preferred Strong knowledge of insurance payment processes, denial types, eClaim standards, and coding (ICD-10, CPT) Proven ability to work with large datasets, ERP systems, and financial reporting tools Excellent command of MS Excel for reconciliation and dashboard preparation Knowledge of Qatars eClaim framework and regulatory guidelines (NHIC, QCHP) Strong people management and team leadership capabilities Attention to detail, analytical thinking, and ability to work independently Excellent verbal and written communication skills
Posted 1 month ago
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