Chennai
INR 4.5 - 5.5 Lacs P.A.
Work from Office
Full Time
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
Chennai
INR 6.0 - 8.0 Lacs P.A.
Work from Office
Full Time
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
Chennai
INR 6.0 - 8.0 Lacs P.A.
Work from Office
Full Time
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
Chennai
INR 6.0 - 8.0 Lacs P.A.
Work from Office
Full Time
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
Chennai
INR 3.5 - 4.0 Lacs P.A.
Work from Office
Full Time
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
Chennai
INR 8.0 - 10.0 Lacs P.A.
Work from Office
Full Time
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
Bengaluru
INR 4.5 - 5.5 Lacs P.A.
Work from Office
Full Time
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
Chennai
INR 2.5 - 4.5 Lacs P.A.
Work from Office
Full Time
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.
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