Hiring Senior Expert- RCM Medical Billing BPO Hrcs Services pvt ltd 8+ years Chennai( Egmore ) Job description Role & responsibilities Hands on knowledge of RCM scopes - Charges, Payments, Denials and Rejections, AR and end to end billing process Delivery of team target, service level components, quality & indicators Problem resolution/Decision making skills. Pro-active communication, knowledge of foreseeing issues front end and fixing them before it gets to escalation. Automation knowledge with current AI tool and to work with developers Manage denial management by identifying root causes, resolving issues, and implementing corrective actions to reduce revenue cycle delays. Conduct thorough analysis of denials to identify trends and areas for improvement in transactions. Perform rejection analysis to identify errors in claims processing and take corrective action to prevent future occurrences. Work AR to complete resolution Identify trends, issues, delays in payment, troubleshoot and identify root cause, resolve issues to completion, inform management of issues and resolution to prevent from happening again Building protocols and recommendation of process development Smaller company experience less than 100 FTE Should have strong Knowledge on AR and Trend Analysis and Global Fix Should have proven records on improving quality billing Should have been worked in RCM based and not Transaction based Worked with Direct Client Billing Should have worked multispecialty Worked both Physician and Hospital based Preferred candidate profile Analytical skills Desire for knowledge/attitude to learn Good communication skills Quality orientation Customer orientation skills Professional confidence Problem solving skills Organization awareness Knowledge of MS office Graduate with at least 10 years of experience
Hiring Team Lead / Manger RCM Medical Billing BPO Denial Management Hrcs Services pvt ltd 8+ years Chennai( Egmore ) Job description Role & responsibilities Manage denial management by identifying root causes, resolving issues, and implementing corrective actions to reduce revenue cycle delays. Conduct thorough analysis of denials to identify trends and areas for improvement in EDI transactions. Map EDI codes accurately using industry standards and regulations to ensure seamless communication between healthcare providers. Perform rejection analysis to identify errors in claims processing and take corrective action to prevent future occurrence Should have hands on Experience Quality Audit process Good knowledge of CPT and Modifier usage Should be able to work with the Team on protocol updates based on Rejections Proven records of High Quality measures and metrics driven knowledge Six Sigma Certification on Quality is required Minimum experience of 2 years on Quality and 2 years in Leading Team Should have strong English language proficiency and communication skills and be able to speak and communicate directly with USA management and USA based clients Perform audits of charges to identify discrepancies and implement corrective actions. Collaborate with team members to resolve issues related to revenue cycle management (RCM) processes. Ensure adherence to company policies and procedures for all RCM activities. Preferred candidate profile 8+ years of experience in Denial Management, Edi Mapping, or related field. Strong understanding of RCM (Revenue Cycle Management) principles and practices. Proficiency in analyzing complex data sets to identify trends and patterns. Excellent analytical skills with attention to detail. Ready to work in rotational shift Should have strong Knowledge on AR and Trend Analysis and Global Fix Should have proven records on improving quality billing Should have been worked in RCM based and not Transaction based Worked with Direct Client Billing Should have worked multispecialty Worked both Physician and Hospital based
Hiring Team Lead / Manger RCM Medical Billing BPO Payment Posting Hrcs Services pvt ltd 8+ years Chennai( Egmore ) Job description Role & responsibilities Should have hands on Experience on Charge Payment Entry and Demo and Quality Audit process Good knowledge of CPT and Modifier usage Should be able to work with the Team on protocol updates based on Rejections Proven records of High Quality measures and metrics driven knowledge Six Sigma Certification on Quality is required Minimum experience of 2 years on Quality and 2 years in Leading Team Should have strong English language proficiency and communication skills and be able to speak and communicate directly with USA management and USA based clients Preferred candidate profile Candidate Handled Both Charge and Payment will be added advantage Should have strong Knowledge on AR and Trend Analysis and Global Fix Should have proven records on improving quality billing Should have been worked in RCM based and not Transaction based Worked with Direct Client Billing Worked both Physician and Hospital based Have sound knowledge on ERA and Manual Posting with Credit and offset posting
Hiring Team Lead / Manger RCM Medical Billing BPO Charge Entry Hrcs Services pvt ltd 8+ years Chennai( Egmore ) Job description Role & responsibilities Should have hands on Experience on Charge Entry and Demo and Quality Audit process Good knowledge of CPT and Modifier usage Should be able to work with the Team on protocol updates based on Rejections Proven records of High Quality measures and metrics driven knowledge Six Sigma Certification on Quality is required Minimum experience of 2 years on Quality and 2 years in Leading Team Should have strong English language proficiency and communication skills and be able to speak and communicate directly with USA management and USA based clients Perform audits of charges to identify discrepancies and implement corrective actions. Collaborate with team members to resolve issues related to revenue cycle management (RCM) processes. Ensure adherence to company policies and procedures for all RCM activities. Preferred candidate profile Candidate Handled Both Charge and Payment will be added advantage Should have strong Knowledge on AR and Trend Analysis and Global Fix Should have proven records on improving quality billing Should have been worked in RCM based and not Transaction based Worked with Direct Client Billing Should have worked multispecialty Worked both Physician and Hospital based
RCM Medical Billing Human Resources Administrator, BPO 8+ years experience Chennai (Egmore) Job Description HR Administrator, RCM Medical Billing BPO Focused Full-Time Night Shift, but be available to review day shift as needed 8+ Years Experienced Key Skills: Worked in Medical Billing Recruitment for minimum of 8 years Experience of hiring FTE to Team Leads and Manager for various departments of RCM Should have handled employee engagement, including hiring, ongoing reviews, productivity, morale review, scheduling and PTO, exit formalities Have experience overseeing payroll Have experience in developing organizational structure and staffing to structure needs Sound knowledge on State statutory and company law including ESI PF-book keeping Strong work ethic and sense of commitment to company Proficiency in ATS and recruitment tools Qualification: BBA/MBA/BSW/MSW Roles & Responsibilities: Develop, maintain, and adapt organizational structure as it pertains to personnel required for production capacity and company talent needs Sourcing candidates from various Job portals based on company requirements and organizational structure needs Screening candidates resumes and contacting relevant candidates, and holding first round interviews and scheduling escalation of interviews with appropriate company staff for Technical round and Management round Assess knowledge, communication skills, aptitude, and experience of applicants Responsible for structuring the organizational team, staffing the team based on structure, maintaining the team Required to ensure company maintains the needed production team by having ongoing touchpoints and 1x1 with existing and new staff to understand individual employee performances, employee strengths and weaknesses, organize support and training for underperforming staff, acknowledge and reward exceling staff and identify up and coming leaders within the company Have weekly review of employee output to know who is on target and who is below target and stage employee competency to understand and manage contribution to team and larger organization In charge of general HR administration to include Payroll, staff reviews, PIPs and positive acknowledgment, PTO/leave requests In charge of facility infrastructure as it relates to successful employee work environment Other duties as assigned
HR Administrator RCM Medical Billing (BPO Industry) Location: Chennai Egmore | Mid Shift Full-Time | 15+ Years’ BPO US healthcare physician/healthcare system experience required About the Role: We are seeking a highly experienced and driven Human Resources Administrator to lead and manage all HR functions for our dynamic RCM Medical Billing BPO. If you're passionate about building high-performing teams, shaping organizational structure, and making a tangible impact in the healthcare outsourcing space, we’d love to hear from you. What You’ll Do: Lead full-cycle recruitment for RCM teams – from front-line staff to leadership roles Design, structure, and maintain a scalable organizational hierarchy Drive employee engagement – onboarding, training, performance reviews, and morale building Oversee payroll, PTO, statutory compliance (ESI, PF, etc.) Track individual and team productivity and manage performance improvement Recognize and reward employee excellence and leadership potential Manage HR operations – grievance handling, employee exits, compliance documentation Ensure workplace infrastructure supports employee success Report directly to senior management and be a key partner in strategic planning Key Requirements: - Minimum 15 years of HR experience in the RCM Medical Billing BPO industry with at least 5+ years in each job he or she has had - Proven experience hiring across roles: AR Callers, Billing Executives, QA, Team Leads, Managers - Strong command of HR compliance, payroll, ESI, PF, and Indian labor law - Expertise in using ATS, Excel, and HRMS tools - Excellent communication, problem-solving, and interpersonal skills - Bachelor’s/Master’s degree in HR, BBA/MBA (HR), BSW/MSW preferred - Strong sense of integrity, responsibility, and commitment to organizational goals Why Join Us? Be a key player in shaping and growing a robust HR ecosystem Opportunity to make a meaningful difference in the healthcare space Dynamic, growth-oriented work environment with strong leadership backing Competitive compensation and benefits package
Certified Sr. Denial Coder / Work FROM OFFICE 3-6 years experience 4.5-5.5 Lacs Job description Key Requirements Must have a minimum of 3+ years of experience in Denial Coding. Past experience of identifying trends and fix with insurance guideline on usage of modifiers Must have coded Orthopedic, Gastrointestinal, ENT, podiatry procedures. Must be a Certified Coder. ( CPC, CIC or CCS Certified) Should have knowledge in surgeries from 1 to 6 series. Willing to work on rotational shifts. Expertise in addressing Modifier, inconsistent or un specified diagnosis and CCI edits Roles and Responsibilities Assign accurate Modifier and Diagnosis using CPT, ICD-10, HCPCS codes for surgical procedures, anesthesia, multi-specialty Visits and ED visits. Review patient records to identify relevant diagnoses and procedures for coding purposes. Ensure compliance with industry regulations and guidelines (e.g., HIPAA) when handling sensitive patient information. Collaborate with healthcare providers to resolve any discrepancies or questions related to coding assignments. Collaborate with internal team members in other departments and USA management team Must be able to speak and communicate in English with USA account lead Maintain confidentiality and adhere to strict data security protocols Desired Candidate profile 3-6 years of experience as a certified medical coder (CPC certified) Strong knowledge of surgery, anesthesia, emergency department (ED), and hospital settings Proficiency in CPC certification exam preparation materials Ability to work independently
Roles and Responsibilities Conduct charge entry, verification, and posting for patient accounts. Ensure accurate and timely submission of claims to insurance companies. Collaborate with healthcare providers to resolve billing discrepancies. Perform audits on charges to identify areas for improvement. Maintain confidentiality and adhere to HIPAA guidelines. Desired Candidate Profile 2-6 years of experience in medical billing or related field (charge entry, demo experts). Strong knowledge of ICD-10 coding system. Proficiency in CPT, HCPCS codes. Ability to work independently with minimal supervision.
About HRCS Pvt Ltd: HRCS Pvt Ltd is a fast-growing healthcare solutions provider specializing in end-to-end Revenue Cycle Management (RCM) services for clients across the U.S. We are committed to delivering quality, compliance, and timely service with a customer-centric approach. Job Summary: We are looking for a compassionate and detail-oriented Patient Caller Self-Pay Focus to engage with U.S.-based patients, especially those without active insurance coverage. The ideal candidate will be responsible for handling outbound calls related to appointment reminders, billing queries, payment options, and financial assistanceensuring clear communication and high levels of patient satisfaction while supporting our clients' revenue cycle goals. Key Responsibilities: Patient Communication: Make outbound calls to self-pay and uninsured patients for appointment confirmations and billing discussions. Explain estimated costs, payment options, and policies related to self-pay accounts in a professional and empathetic manner. Educate patients about financial assistance programs, sliding scale discounts, or charity care (where applicable). Set up and document payment plans and follow-up schedules for outstanding balances. Billing & Documentation: Verify patient demographics and insurance details, updating information in billing systems and EHR platforms. Log call details accurately, ensuring every interaction is HIPAA-compliant. Resolve patient concerns related to invoices, denials, or statements, or route them to the appropriate department. Coordination & Compliance: Stay updated on U.S. healthcare regulations including HIPAA, No Surprises Act, and self-pay billing best practices. Meet performance metrics such as call volume, resolution rate, and documentation accuracy. Qualifications & Skills: 13 years of experience in U.S. healthcare calling (preferably in patient communication, billing, or AR follow-up). Solid understanding of medical billing terminology, EOBs, and patient payment workflows. Familiarity with billing software and EHR platforms Graduate in any stream; certification in Medical Billing or RCM is a plus.
Hiring Team Lead RCM Denial Management HRCS Services pvt ltd Jalahalli , Bengaluru About HRCS Pvt Ltd: HRCS Pvt Ltd is a fast-growing healthcare solutions provider specializing in end-to-end Revenue Cycle Management (RCM) services for clients across the U.S. We are committed to delivering quality, compliance, and timely service with a customer-centric approach. Job Summary: We are seeking a proactive and detail-oriented Denial and RCM Management Lead to oversee denial resolution, enhance revenue cycle performance, and manage a team of RCM professionals. This role demands a deep understanding of U.S. healthcare billing processes, payer policies, and a drive to optimize collections and reduce denials. Key Responsibilities: Denial Management: Review and analyze payer denials to identify trends and root causes. Work with internal teams to rectify and resubmit denied claims accurately and promptly. Reduce denial rates through preventive strategies and regular audits. Revenue Cycle Oversight: Monitor and manage the entire RCM workflow including charge entry, claim submission, payment posting, and AR follow-up, and patient collections. Improve metrics such as First Pass Resolution Rate (FPRR), AR > 90 days, and Denial Rates. Ensure adherence to payer-specific guidelines, HIPAA, and compliance protocols. Team & Client Management: Lead, mentor, and supervise a team of RCM and denial management specialists. Coordinate with cross-functional teams, including coding, billing, and client support. Serve as the escalation point for unresolved issues and ensure client satisfaction. Reporting & Analytics: Prepare and deliver weekly/monthly performance reports and dashboards. Provide recommendations for process improvements based on data analysis. Stay updated with industry changes, payer policies, and billing regulations. Qualifications & Skills: • Minimum 7 years of experience in US healthcare RCM with a strong focus on denial management. • In-depth knowledge of medical billing concepts, claim lifecycle and EOB analysis. • Proficient in billing software like eClinicalWorks, Kareo, Athena, AdvancedMD, or similar • Excellent communication, leadership, and analytical skills. • Bachelors degree (any stream); Certification in RCM/Medical Billing/Coding is a plus
Job Description: HRCS Services Pvt Ltd is hiring Denial Coders to join our growing Revenue Cycle Management (RCM) team. The role involves reviewing denied claims, correcting codes, and ensuring compliance with payer guidelines to support smooth claim resolution and reduce denial rates. Responsibilities: Review and resolve denied claims by applying accurate ICD-10-CM, CPT, and HCPCS codes. Analyze root causes of denials and collaborate with AR/billing teams for resubmissions. Prepare appeals with supporting medical documentation when required. Track and report denial trends to help prevent recurrence. Ensure compliance with payer, federal, and organizational guidelines. Requirements: Graduate in Life Sciences / Nursing / Pharmacy (preferred). Certified Professional Coder (CPC/CCS/COC) preferred. 13 years of experience in Denial Coding / Medical Coding. Strong knowledge of coding guidelines and payer-specific denial policies. Good communication, analytical, and problem-solving skills. What We Offer: Competitive salary & performance incentives. Growth opportunities within RCM operations. Training & certification support. Supportive team culture.
Roles and Responsibilities Manage AR calls to resolve outstanding accounts receivable issues. Authorize claims processing, ensuring accurate payment posting and denial management. Identify and address authorization discrepancies, working closely with clients to resolve issues promptly. Utilize expertise in revenue cycle management (RCM) principles to optimize claim submissions and minimize denials. Collaborate with internal teams to ensure seamless communication and efficient resolution of customer queries. Desired Candidate Profile 3-5 years of experience in AR calling, RCM, or related field. Strong understanding of medical billing processes, including claims processing, denial management, and authorization procedures. Excellent communication skills for effective interaction with customers over phone calls. Ability to work independently with minimal supervision while maintaining high productivity levels. Required Candidate Profile Looking for Male Candidates Candidates with Own Transport preferred Ready to Work from office (Chennai) Immediate joiner
About HRCS Services Pvt Ltd HRCS Services is a trusted partner in Revenue Cycle Management (RCM) and Healthcare Business Solutions , committed to delivering operational excellence, compliance, and innovation for our clients. We are expanding our leadership team and seeking a PMP and Six Sigma Black Belt Certified Leader to drive transformation and efficiency across our RCM operations. Key Responsibilities Lead RCM transition, transformation, and process improvement projects with measurable impact on quality, cost, and timelines. Apply PMP methodologies to ensure structured planning, execution, risk management, and successful delivery of all strategic projects. Use Lean Six Sigma Black Belt expertise to identify process gaps, eliminate inefficiencies, and standardize workflows across RCM verticals (Eligibility, Charge Entry, Medical Coding, Billing, AR, Denials, Cash Posting). Collaborate with technology and operations teams to drive automation and analytics adoption in RCM processes. Conduct root cause analysis (RCA) for recurring denials, AR backlogs, and payment discrepancies, and implement long-term corrective actions. Develop a culture of continuous improvement and high performance by coaching, mentoring, and guiding project/operations teams. Prepare and present executive-level dashboards and reports on project ROI, client KPIs, and operational outcomes. Act as a change leader by aligning stakeholders, influencing adoption of best practices, and ensuring client satisfaction. Desired Skills & Competencies In-depth understanding of US Healthcare RCM lifecycle . PMP certified with strong program/project management skills. Six Sigma Black Belt certified with proven success in Lean/Process Excellence projects. Strong knowledge of RCM tools, workflow platforms, and performance dashboards . Excellent leadership, communication, and stakeholder management skills. Analytical, data-driven, and result-oriented mindset. Qualifications Graduate/Postgraduate in Business Administration, Healthcare Management, or related discipline. Mandatory: PMP and Six Sigma Black Belt certifications. 10+ years of experience in Revenue Cycle Management , including at least 5 years in project leadership roles. Why Join HRCS Services Pvt Ltd? Opportunity to lead transformation in a fast-growing RCM organization. Exposure to global healthcare clients and cutting-edge RCM technologies . Be a part of a culture that values excellence, innovation, and continuous learning .
About HRCS Services Pvt Ltd HRCS Services Pvt Ltd is a growing leader in providing specialized RCM (Revenue Cycle Management) and healthcare business process outsourcing solutions. We are committed to operational excellence, data-driven decision-making, and continuous improvement across all business functions. Role Overview The MIS Executive will be responsible for managing, analyzing, and presenting data-driven reports to support operational, business, and client requirements. This role also includes managing staff attendance data, ensuring accurate workforce reporting, and supporting management in performance monitoring. Key Responsibilities Develop, maintain, and update daily/weekly/monthly MIS reports and dashboards for business performance tracking. Analyze operational data to identify trends, variances, and opportunities for process improvements. Automate recurring reports and improve reporting efficiency using advanced Excel, SQL, or BI tools. Maintain staff attendance records , track absenteeism, late logins, early logouts, and leave utilization. Coordinate with HR and Operations to reconcile attendance data for payroll processing. Provide attendance dashboards and workforce availability reports to management on a regular basis. Ensure accuracy, completeness, and timely submission of all MIS reports to stakeholders. Support management in preparing presentations, business reviews, and ad-hoc analysis. Monitor key performance indicators (KPIs) and highlight deviations with root cause analysis. Required Skills & Competencies Strong expertise in MS Excel (Advanced functions, Pivot Tables, Macros) . Knowledge of SQL, Power BI/Tableau preferred. Experience in staff attendance tracking tools/HRMS will be an advantage. Excellent analytical, problem-solving, and presentation skills. Strong communication and coordination skills. Ability to manage multiple tasks with attention to detail. Experience in BPO/KPO/RCM domain will be an added advantage. Qualifications Graduate in Commerce, Statistics, Computer Science, or related field. Willingness to work in night shifts
Roles and Responsibilities Conduct charge entry, verification, and posting for patient accounts. Ensure accurate and timely submission of claims to insurance companies. Collaborate with healthcare providers to resolve billing discrepancies. Perform audits on charges to identify areas for improvement. Maintain confidentiality and adhere to HIPAA guidelines. Desired Candidate Profile 2-6 years of experience in medical billing or related field (charge entry, demo experts). Strong knowledge of ICD-10 coding system. Proficiency in CPT, HCPCS codes. Ability to work independently with minimal supervision.
Company: HRCS Services Pvt. Ltd. Department: Revenue Cycle Management (RCM) Location: Chennai Reports To: Team Leader / Operations Manager AR About HRCS Services Pvt. Ltd. HRCS is a leading healthcare revenue cycle management partner, delivering accurate, compliant, and efficient billing solutions to US healthcare providers. We specialize in AR follow-up, denial management, payment posting, and charge entry, ensuring operational excellence and client satisfaction. Role Summary: The AR Associate (Denial Management – Non-Voice) will be responsible for reviewing, analyzing, and resolving denied medical claims through online research and payer portals. The role requires strong analytical skills, attention to detail, and knowledge of US healthcare denial management to maximize claim resolution and reduce outstanding AR. Key Responsibilities: Review and analyze denied claims to determine the root cause. Work on payer portals and client systems to resolve denials. Accurately update claim status, actions taken, and next steps in the billing system. Apply denial management strategies to reduce AR and improve cash flow. Identify and escalate complex denials to Team Leader/Manager. Collaborate with internal teams (Charge Entry, Payment Posting, AR) for quick resolution. Ensure adherence to client-specific SLAs, quality standards, and TAT. Maintain HIPAA compliance and organizational policies at all times. Participate in process improvement and knowledge-sharing sessions. Key Skills & Competencies: Strong knowledge of US healthcare RCM, particularly AR & denial management. Ability to analyze denial trends and interpret EOBs/ERAs. Good written communication and documentation skills. Strong research skills using payer websites/portals. High accuracy and attention to detail. Problem-solving and analytical thinking. Proficiency in MS Office and medical billing systems. Qualifications & Experience: Graduate in any discipline (preferably life sciences, healthcare, or related field). 2–4 years of experience in US healthcare RCM, with at least 1–2 years in denial management (non-voice). Familiarity with multiple specialties and payers preferred. Why HRCS? Opportunity to work with leading US healthcare providers. Career growth in a fast-expanding RCM organization. Learning-oriented and employee-focused culture. Competitive salary with performance-based incentives.
System Administrator / Network Administrator Company: HRCS Services Ltd Location: Chennai , TN Experience: 36 years Employment Type: Full-time About the Company: HRCS Services Ltd is a growing technology support and services organization, providing IT infrastructure and system management solutions to our clients. We are currently looking for an experienced System / Network Administrator to join our technical support team. Key Responsibilities: Windows Active Directory Administration: Perform basic administrative tasks in Active Directory. Manage Group Policies and user permissions. Add/remove user and group accounts as required. Reset user passwords and maintain account security. Firewall Administration (SonicWall TZ Series): Manage user accounts, including password resets. Verify and re-key Point-to-Point interoffice VPN tunnels. Configure and maintain mobile VPN connections using SonicWall NetExtender. Monitor and ensure secure network connectivity across offices. Hardware Management: Maintain operability of local workstations and peripheral devices. Manage the list of active online systems through Remote Management software. Configure and deploy new workstations as needed. Ensure all users operate via assigned stateside RDP servers and workstations. Software Administration: Administer Cloud Exchange, including user and group account setup. Assign and manage software licenses. Enforce and maintain Multi-Factor Authentication (MFA) for all users. Configure and manage MFA via Chrome add-in “Authenticator.cc”. Ensure use of personal mobile devices is restricted for MFA access. Perform password resets and access control management. Application Support: Provide support for core business applications used by HRCS: Microsoft Office Suite (Outlook, Word, Excel) – installation, setup, and troubleshooting. Adobe Acrobat Reader and RingCentral telephony systems. Basic configuration and maintenance of University Health software, including: Citrix Receiver Allscripts Parallels client General Qualifications: Strong background as a System Manager or Network Administrator . Basic hardware troubleshooting and setup knowledge. Good communication skills with clear English proficiency (verbal and written). Ability to interact professionally over phone and remote sessions. Preferred Skills: Experience in managing Active Directory and Group Policies. Familiarity with SonicWall Firewalls and VPN configurations. Exposure to Cloud-based Exchange environments and MFA implementations. Strong problem-solving and technical diagnostic abilities. Education: Bachelor’s degree in Computer Science, Information Technology, or related field preferred. Relevant certifications (e.g., Microsoft, CompTIA, or Network+) will be an added advantage. Work Environment: on-site hybrid setup Must ensure all work is performed on authorized RDP servers and client workstations.
Roles and Responsibilities Conduct charge entry, verification, and posting for patient accounts. Ensure accurate and timely submission of claims to insurance companies. Collaborate with healthcare providers to resolve billing discrepancies. Perform audits on charges to identify areas for improvement. Maintain confidentiality and adhere to HIPAA guidelines. Desired Candidate Profile 2-6 years of experience in medical billing or related field (charge entry, demo experts). Strong knowledge of ICD-10 coding system. Proficiency in CPT, HCPCS codes. Ability to work independently with minimal supervision.
About HRCS Services HRCS Services is a trusted provider of end-to-end Revenue Cycle Management (RCM) solutions, delivering excellence in medical billing, coding, charge entry, payment posting, and denial management. With a strong focus on accuracy, compliance, and client satisfaction, HRCS continues to build a reputation for operational excellence and integrity. Role Overview The Charge Entry Team Lead will be responsible for managing day-to-day operations of the charge entry team, ensuring accuracy, timeliness, and compliance with client-specific and payer requirements. The role involves leading a team of charge entry associates, maintaining quality benchmarks, and coordinating with onshore/offshore stakeholders for seamless revenue cycle execution. Key Responsibilities Team & Process Management Lead and supervise the charge entry team to ensure timely and accurate entry of all charges into client billing systems. Allocate workloads, monitor productivity, and ensure adherence to SLAs and turnaround times. Conduct regular team huddles to review performance, discuss challenges, and share process updates. Quality & Compliance Perform periodic quality audits on charge entry files and ensure accuracy above 99%. Ensure adherence to HIPAA and compliance protocols during data handling and transmission. Identify process gaps and implement corrective actions to prevent rework and denials. Training & Development Provide on-the-job training and guidance to new team members. Conduct refreshers on payer-specific rules, modifiers, and billing guidelines. Mentor the team for continuous improvement and skill enhancement. Client Coordination & Reporting Liaise with onshore teams for clarification on charge capture issues and updates. Prepare daily/weekly/monthly performance dashboards and share productivity & quality metrics with management. Support transitions or new client onboardings with charge entry scope. Escalation & Issue Resolution Handle process escalations and provide timely resolution. Collaborate with coding, AR, and billing teams to resolve data inconsistencies or claim errors. Qualifications & Experience Graduate in any discipline (preferably life sciences, commerce, or healthcare). Minimum 7-10 years of experience in U.S. healthcare RCM, with at least 12 years in a charge entry lead/supervisor role. Strong understanding of CPT, ICD, HCPCS codes , payer-specific rules, and billing platforms. Excellent communication skills (verbal and written). Proficiency in MS Excel and RCM workflow tools (Epic, eClinicalWorks, Kareo, or similar). Key Skills & Competencies Leadership and team management skills. Eye for detail and accuracy. Strong analytical and problem-solving abilities. Ability to perform under tight deadlines and high-volume environments. Commitment to quality and compliance standards.
About HRCS Services HRCS Services is a leading provider of end-to-end Revenue Cycle Management (RCM) solutions, offering specialized expertise across medical coding, charge entry, payment posting, and denial management. We are committed to accuracy, compliance, and operational excellence to help healthcare providers achieve faster and cleaner cash flow. Role Overview The Payment Posting Team Lead will be responsible for managing the daily operations of the payment posting process and overseeing all aspects of payment allocation, adjustments, and denials. The role also includes bank reconciliation, cash flow accuracy , and ensuring that financial postings align with both client systems and bank records. The ideal candidate should demonstrate strong analytical, leadership, and reconciliation skills to ensure financial accuracy and process efficiency. Key Responsibilities Operational Management Supervise the payment posting team to ensure timely and accurate posting of all payments, adjustments, and denials. Review and reconcile electronic remittance advices (ERA), manual EOBs, and bank deposits . Allocate daily tasks, monitor productivity, and ensure adherence to turnaround times (TAT) and client SLAs. Bank Reconciliation & Financial Accuracy Perform daily and monthly bank reconciliations to ensure all deposits and payments are accurately recorded. Reconcile payments between bank statements, client systems, and internal ledgers. Identify and resolve discrepancies between posted payments and bank credits. Collaborate with finance and AR teams to ensure end-to-end financial accuracy. Quality & Compliance Conduct periodic quality audits to ensure >99% accuracy in payment posting and reconciliation. Ensure full compliance with HIPAA, HITECH, and client confidentiality protocols. Maintain detailed audit trails and documentation for financial and compliance reviews. Team Leadership & Development Guide and mentor the payment posting team to improve process knowledge and reconciliation accuracy. Conduct regular training on payer posting rules, adjustment codes, and reconciliation procedures. Manage performance appraisals, feedback sessions, and team motivation initiatives. Reporting & Analytics Generate daily/weekly/monthly reports on cash posting volumes, reconciliation status, and variances. Track unapplied cash and provide detailed variance analysis for management review. Share key trends and insights to improve efficiency and reduce reconciliation gaps. Client & Stakeholder Management Act as the point of contact for onshore/client teams for all payment and reconciliation-related queries. Support new process transitions, system migrations, and automation initiatives. Manage escalations with professionalism and ensure quick resolution. Qualifications & Experience Graduate in Commerce, Finance, or related discipline (preferred). Minimum 7 10years of experience in U.S. Healthcare RCM, with at least 4 –5 years in a payment posting or reconciliation lead role. Strong understanding of EOBs, ERAs, adjustments, unapplied cash, and reconciliation workflows. Hands-on experience with bank reconciliation, ledger validation, and variance reporting. Proficiency in MS Excel and major billing software (eClinicalWorks, Kareo, Athena, Epic, etc.).