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3.0 years
3 - 8 Lacs
India
Remote
Job Title: Business Development Manager – RCM Services Location: Remote / India / US (Depending on Candidate) Company: Univista Consulting Group (UCG) About UCG: Univista Consulting Group (UCG) is a fast-growing healthcare consulting and RCM services provider specializing in AI-driven solutions, end-to-end billing, compliance audits, staffing, and technology support across multiple specialties and healthcare practices. Role Overview: We are seeking a result-driven and experienced Business Development Manager (BDM) with a strong background in Revenue Cycle Management (RCM) sales. The ideal candidate will be responsible for identifying new business opportunities, nurturing client relationships, and closing deals within the US healthcare industry. Key Responsibilities: Identify and pursue new business opportunities within the healthcare RCM space (clinics, hospitals, physician groups, MSOs, DSOs, etc.) Manage end-to-end sales cycle from lead generation to contract closure Coordinate with internal pre-sales, delivery, and proposal teams to tailor solutions based on client needs Conduct client meetings, demos, and proposal walkthroughs (online and onsite as needed) Build strong relationships with CXOs, practice managers, and key decision-makers Track market trends, competition, and regulatory shifts in RCM, compliance, and healthcare outsourcing Achieve monthly/quarterly sales targets and report KPIs to leadership Qualifications: Minimum 3–5 years of experience in RCM sales, healthcare BPO, or medical billing services Freshers with Good Communication skill are welcome Strong understanding of US healthcare billing processes, terminology (CPT, ICD-10, EDI, ERA), and revenue cycle challenges Excellent communication, negotiation, and presentation skills Proven track record of closing high-value deals in the RCM or healthcare outsourcing industry Experience working with CRM tools like HubSpot, Zoho, Salesforce (preferred) Nice to Have: Existing network of healthcare clients or consultants in the US market Familiarity with platforms like AdvancedMD, Kareo, Athena, eClinicalWorks, DrChrono, etc. Understanding of compliance areas like HIPAA, OIG audits, and credentialing Perks & Growth: Competitive base salary + attractive commission structure Cabs and Meals Hybrid work culture Opportunity to work directly with U.S. leadership Performance-based annual bonuses Exposure to AI-driven RCM technology and compliance automation tools Email- Prabhat@univistagroup.com Whatsapp your Resume at +91 8130355741 Job Types: Full-time, Part-time, Permanent, Internship Pay: ₹30,000.00 - ₹70,000.00 per month Benefits: Flexible schedule Food provided Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Work from home Experience: Medical billing: 1 year (Required) B2B sales: 1 year (Preferred) Cold calling: 1 year (Preferred) Location: Noida Sector 62, Noida, Uttar Pradesh (Required) Shift availability: Night Shift (Preferred) Work Location: In person
Posted 13 hours ago
0.0 - 1.0 years
0 - 0 Lacs
Noida Sector 62, Noida, Uttar Pradesh
Remote
Job Title: Business Development Manager – RCM Services Location: Remote / India / US (Depending on Candidate) Company: Univista Consulting Group (UCG) About UCG: Univista Consulting Group (UCG) is a fast-growing healthcare consulting and RCM services provider specializing in AI-driven solutions, end-to-end billing, compliance audits, staffing, and technology support across multiple specialties and healthcare practices. Role Overview: We are seeking a result-driven and experienced Business Development Manager (BDM) with a strong background in Revenue Cycle Management (RCM) sales. The ideal candidate will be responsible for identifying new business opportunities, nurturing client relationships, and closing deals within the US healthcare industry. Key Responsibilities: Identify and pursue new business opportunities within the healthcare RCM space (clinics, hospitals, physician groups, MSOs, DSOs, etc.) Manage end-to-end sales cycle from lead generation to contract closure Coordinate with internal pre-sales, delivery, and proposal teams to tailor solutions based on client needs Conduct client meetings, demos, and proposal walkthroughs (online and onsite as needed) Build strong relationships with CXOs, practice managers, and key decision-makers Track market trends, competition, and regulatory shifts in RCM, compliance, and healthcare outsourcing Achieve monthly/quarterly sales targets and report KPIs to leadership Qualifications: Minimum 3–5 years of experience in RCM sales, healthcare BPO, or medical billing services Freshers with Good Communication skill are welcome Strong understanding of US healthcare billing processes, terminology (CPT, ICD-10, EDI, ERA), and revenue cycle challenges Excellent communication, negotiation, and presentation skills Proven track record of closing high-value deals in the RCM or healthcare outsourcing industry Experience working with CRM tools like HubSpot, Zoho, Salesforce (preferred) Nice to Have: Existing network of healthcare clients or consultants in the US market Familiarity with platforms like AdvancedMD, Kareo, Athena, eClinicalWorks, DrChrono, etc. Understanding of compliance areas like HIPAA, OIG audits, and credentialing Perks & Growth: Competitive base salary + attractive commission structure Cabs and Meals Hybrid work culture Opportunity to work directly with U.S. leadership Performance-based annual bonuses Exposure to AI-driven RCM technology and compliance automation tools Email- Prabhat@univistagroup.com Whatsapp your Resume at +91 8130355741 Job Types: Full-time, Part-time, Permanent, Internship Pay: ₹30,000.00 - ₹70,000.00 per month Benefits: Flexible schedule Food provided Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Work from home Experience: Medical billing: 1 year (Required) B2B sales: 1 year (Preferred) Cold calling: 1 year (Preferred) Location: Noida Sector 62, Noida, Uttar Pradesh (Required) Shift availability: Night Shift (Preferred) Work Location: In person
Posted 1 day ago
0 years
0 Lacs
Hyderābād
On-site
Key Responsibilities: Review and follow up on unpaid or denied insurance claims (primary and secondary). Analyze Explanation of Benefits (EOBs) and Remittance Advice (RA) to determine appropriate action. Contact insurance companies to resolve claims issues and secure payments. Work denials and rejections in a timely manner and re-submit corrected claims as needed. Perform AR follow-up via phone calls, portals, and payer websites. Ensure compliance with payer-specific billing requirements and HIPAA regulations. Collaborate with coding and billing teams to resolve discrepancies or missing documentation. Update claim status and notes in the billing system (e.g., EPIC, Kareo, eClinicalWorks). Meet productivity and quality targets (e.g., number of claims worked per day, resolution rate).
Posted 1 day ago
3.0 years
0 Lacs
India
On-site
Experience Level : 3+ years. Primary Roles & Responsibilities ABA billing experience. TMS (Transcranial Magnetic Stimulation) 1. Claim Preparation and Submission Collect and verify patient and insurance details. Translate physician services into billable codes (often in collaboration with a medical coder). Accurately generate insurance claims using CPT, ICD-10, and HCPCS codes. Submit claims electronically or via paper to insurance payers (Medicare, Medicaid, private insurers). 2. Insurance Verification and Preauthorization (Calling & Online Checking) Confirm patient insurance eligibility and coverage before services are rendered. Obtain prior authorizations when required by insurance providers. 3. Claim Follow-Up Monitor submitted claims for acceptance, rejection, or denial. Identify and correct any denied or rejected claims. Resubmit corrected claims promptly. 4. Payment Posting and Reconciliation Post insurance and patient payments in the billing system. Review EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice) . Reconcile posted payments with deposits and patient accounts. 5. Patient Billing and Communication Generate and send patient statements electronically for outstanding balances. Communicate with patients (if approved by doctors) regarding billing issues, insurance questions, and payment options. Assist in setting up payment plans if necessary. 6. Compliance and Confidentiality Ensure full compliance with HIPAA and all relevant billing laws. Maintain strict confidentiality of patient and financial data. Stay updated with changing payer guidelines, coding rules, and healthcare regulations. 7. Reporting and Documentation Generate billing and financial reports for physicians or practice managers. Maintain accurate records for internal reviews and external audits. Skills & Knowledge Required Strong understanding of medical terminology, anatomy , and medical coding systems ( ICD-10, CPT, HCPCS ). Proficiency with billing software (e.g., Kareo, AdvancedMD, Athenahealth ) – varies by client requirements . Familiarity with specific specialties (e.g., Mental Health, Pediatrics, Internal Medicine, Cardiology, Orthopedics , etc.) – client-dependent . Excellent attention to detail and organizational skills. Effective communication and customer service abilities. Solid knowledge of payer-specific rules and federal programs like Medicare / Medicaid / Commercial insurance.
Posted 2 days ago
3.0 years
0 Lacs
Sahibzada Ajit Singh Nagar, Punjab, India
On-site
Job Summary By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. Performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Job Competencies Valuing Differences - Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective. Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It’s “All for One and One for All” Accountability - Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it. Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently. Developing Trust - Gains others’ confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges. Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required, is proactive and pursues relentlessly. Essential Job Functions Customer Obsession - Consistently provide exceptional experience for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas - Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence - Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. Onboarding and Training: Guiding new hires through department-specific processes, policies, and systems, including IT setup and access requests Mentorship: Supporting internal transfers and current team members through peer-to-peer education, regional or team-based sessions, and individualized coaching Documentation: Creating and maintaining SOPs, job aids, onboarding binders, and training materials tailored to departmental or client-specific needs Quality Audits: Conducting performance audits to ensure adherence to best practices, though not always responsible for delivering audit feedback Special Projects: Participating in initiatives like SWAT teams, documentation updates, and system super-user roles Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical indicators in accordance with coding and documentation guidelines. Ensures that the assigned DRG reflects the severity of the patient’s condition and the resources used during their hospital stay. Assesses whether the clinical documentation supports the coded diagnoses and procedures. Verifies that the medical record adequately justifies the assigned DRG. Combines medical record coding guidelines, clinical principles, and industry trends to explain any recommended changes needed by coders. Works closely with CDI (Clinical Documentation Integrity) specialists to determine if there are documentation and/or query opportunities. Maintains productivity and quality goals as set by audit leaders. Writes clear, accurate and concise recommendations in support of findings while providing feedback and education to acute inpatient coders, referencing current ICD-10-CM/PCS Official Coding Guidelines and AHA Coding Clinics. Ensures acute inpatient coding audits are completed accurately and timely by meeting client turn around and audit quality expectations. Responsible for maintaining current certification(s), CEU’s, and up-to-date knowledge of coding guidelines. Completes required education through internal application, compliance training and other mandatory educational requirements. Use proprietary systems and encoder tools efficiently and accurately to make audit determinations, generate audit recommendations through workflow processes accurately. Identifies any potential overpayments or underpayments by analyzing claims, on a 30-day lookback, to identify any discrepancies between billed DRGs and the actual services provided. Leverages ICD-10 coding expertise, clinical guidelines, and proprietary tools to substantiate conclusions. Continues to stay informed about changes in acute inpatient coding regulations and reimbursement policies. Identifies potential opportunities, outside of the normal scope, where there may be additional recoveries or compliance concerns. Shares and assists in development of concepts and or process improvement, tools, etc. Education, Certifications & Experience Graduate in any discipline (B.Sc./M.Sc. Nursing, B. Pharm, M. Pharm, or Life Sciences education is preferred) Certification in Medical Billing and Coding (CPC, CCS, or equivalent) preferred. 3+ years of overall experience with 1+ years of experience in Quality Analysis within the healthcare / RCM domain. Strong understanding of end-to-end RCM processes including charge entry, payment posting, denial management, and AR follow-up. Knowledge of HIPAA and healthcare compliance standards. Proficiency in using billing software (e.g., Epic, Athena, Kareo) and QA tools. Excellent communication skills for feedback and reporting. Attention to detail with strong analytical and problem-solving skills. Ability to work independently and in a team environment.
Posted 3 days ago
2.0 - 4.0 years
0 Lacs
Ahmedabad
On-site
Credentialing Executive – Night Shift (US Healthcare RCM) Location: Ahmedabad (Work from Office) Shift: Night Shift (US Hours) Experience: 2–4 Years in US Healthcare Credentialing (RCM companies only) Limpid Global Solutions is hiring a Credentialing Executive with 2–4 years of experience in US healthcare credentialing. The ideal candidate will have worked in an RCM or medical billing company, handled provider enrollments, and be comfortable working the night shift from our Ahmedabad office. Key Responsibilities: Perform end-to-end credentialing for providers, including initial enrollment, re-credentialing, and updates. Work with Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, and other commercial payers across multiple U.S. states. Manage and update provider information in CAQH, PECOS, NPPES, and payer portals. Handle applications using tools such as Kareo, Availity, MD-Staff, and Excel trackers. Manage credentialing timelines by coordinating with providers, payers, and internal teams; maintain logs and resolve application issues. Ensure compliance with U.S. healthcare standards and provide regular status updates to the client team. Required Skills & Qualifications: 2–4 years of hands-on experience in US healthcare provider credentialing at an RCM or healthcare BPO company. Familiar with multi-state credentialing rules and insurance carrier processes. Experience with voice/non-voice processes and direct client interaction preferred. Excellent verbal and written communication skills in English. Strong follow-up, tracking, and documentation abilities. Willingness to work night shift from the office (Ahmedabad). Salary: Open (Based on experience and performance) How to Apply: Send your resume to career@limpidgs.com Only shortlisted candidates will be contacted. Job Type: Full-time Experience: Credentialing : 2 years (Required) Language: English (Required) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person
Posted 4 days ago
0.0 - 1.0 years
0 - 0 Lacs
Noida Sector 62, Noida, Uttar Pradesh
Remote
Job Title: US Medical Billing – Hospital / Practice / Dialysis / AR / Credentialing Company: Univista Consulting Group (UCG Healthcare) Location: Remote (India) | Full-Time | Work from Home Job Openings: Hospital Billing (IP/OP) Dialysis / Nephrology Billing Practice Billing (Multi-specialty) AR & Denials Analyst Credentialing Executive Requirements: 2+ years in US RCM Experience with tools like Athena, Kareo, DrChrono Knowledge of CPT, ICD-10, Denials & Credentialing portals Good communication skills Perks: Fixed Salary + Incentives WFH | Career Growth | Stable Process | Cabs | Meals Apply Now: Send CV to hr@univistagroup.com Or whatsapp your CV at 8130355741 Job Types: Full-time, Part-time, Internship Pay: ₹30,000.00 - ₹85,000.00 per month Benefits: Flexible schedule Food provided Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Work from home Ability to commute/relocate: Noida Sector 62, Noida, Uttar Pradesh: Reliably commute or planning to relocate before starting work (Required) Application Question(s): Have you worked in Dialysis Billing? Have you worked In Inpatient out patient Hospital Billing? Experience: Medical billing: 1 year (Preferred) Location: Noida Sector 62, Noida, Uttar Pradesh (Required) Work Location: In person
Posted 4 days ago
3.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
This role is for one of the Weekday's clients Min Experience: 3 years Location: Bengaluru JobType: full-time We are seeking a detail-oriented and experienced professional to join our finance team as an Accounts Officer - RCM . The ideal candidate will have a strong background in US medical billing, particularly within radiology practices, and a thorough understanding of revenue cycle processes. Requirements Key Responsibilities Manage end-to-end revenue cycle operations, ensuring accurate and timely billing in accordance with US healthcare standards. Apply appropriate CPT, ICD-10, and HCPCS codes, especially for diagnostic imaging services. Utilize billing and invoicing tools effectively (e.g., Kareo, AdvancedMD, eClinicalWorks) to support day-to-day RCM tasks. Work with EDI formats (837P, 837I, 835) and ensure adherence to payer-specific guidelines. Collaborate with internal teams and external stakeholders to resolve billing discrepancies and follow up on unpaid claims. Prepare and analyze reports using Microsoft Excel, including pivot tables, VLOOKUP, and basic formulas. Maintain accurate documentation and uphold compliance with HIPAA and other regulatory standards. Demonstrate strong problem-solving skills while ensuring precision in financial transactions. Required Qualifications Bachelor's degree in Accounting, Finance, Business Administration, or a related discipline. Minimum of 3 years of experience in US medical billing, with exposure to radiology billing preferred. Proficient in medical coding and billing standards (CPT, ICD-10, HCPCS). Hands-on experience with RCM tools and billing software. Strong command of Excel functions, including data analysis and reporting. Familiarity with EDI transaction formats (837P, 837I, 835). Excellent communication skills, both written and verbal. Ability to work independently, manage time efficiently, and collaborate across time zones. Key Skills US Medical Billing Radiology Billing Revenue Cycle Management (RCM)
Posted 4 days ago
0 years
0 Lacs
Noida
On-site
Ready to shape the future of work? At Genpact, we don’t just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory , our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI , our breakthrough solutions tackle companies’ most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that’s shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions – we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation , our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn , X , YouTube , and Facebook . Inviting applications for the role of Assistant Manager, Medical Billing Specialist – RCM (Revenue Cycle Management)! We are seeking a dedicated and detail-oriented Medical Billing Specialist with some years of experience in the US healthcare billing process, preferably from a US healthcare outsourcing company. This role is ideal for a professional who understands end-to-end billing functions and is passionate about accuracy, compliance, and timely submission of claims. If you're a strong communicator, analytical thinker, and growth-driven individual, this is the opportunity for you. Responsibilities Prepare and submit accurate claims to insurance carriers based on payer requirements and billing guidelines. Ensure timely and compliant billing of charges for medical services rendered. Scrub claims to detect and correct coding errors, modifiers, or missing information. Coordinate with coding, AR, and eligibility teams to resolve billing-related issues. Track and follow up on rejected or denied claims and initiate re-submissions. Maintain up-to-date documentation and billing records in client systems. Stay informed about payer rules, CMS guidelines, and billing regulation updates. Qualifications we seek in you! Minimum Qualifications / Skills Must have B.Com or M.Com degree Preferred Qualifications/ Skills Experience in US healthcare billing with a US healthcare BPO or outsourcing company. Knowledge of CPT, ICD-10, HCPCS codes, and modifier usage. Familiar with commercial and government payers (Medicare, Medicaid, etc.). Strong communication skills – verbal and written. High attention to detail and analytical thinking. Proficient in billing platforms such as Kareo, AdvancedMD, Athena, or similar systems. Passionate about revenue cycle and process improvement. Goal-oriented and able to meet productivity and quality benchmarks. Collaborative team player with the ability to work independently when needed. Committed to continuous learning and professional growth. Work Environment o Operate within a structured framework but is you are expected to be proactive and analytically independent in your own area of responsibility Employment Type: Full-Time Shift: [US Shift/Night Shift EST/EDT hours] Why join Genpact? Be a transformation leader – Work at the cutting edge of AI, automation, and digital innovation Make an impact – Drive change for global enterprises and solve business challenges that matter Accelerate your career – Get hands-on experience, mentorship, and continuous learning opportunities Work with the best – Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture – Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Let’s build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training. Job Assistant Manager Primary Location India-Noida Schedule Full-time Education Level Bachelor's / Graduation / Equivalent Job Posting Jul 28, 2025, 5:05:41 AM Unposting Date Ongoing Master Skills List Operations Job Category Full Time
Posted 5 days ago
2.0 years
0 Lacs
United Kingdom
Remote
Job Title: Medical Biller Location: Remote Employment Type: Full-Time Department: Revenue Cycle Management (RCM) About the Role Humalife Healthcare is seeking a detail-oriented *Medical Biller* to join our growing RCM team. You will be responsible for preparing, submitting, and managing medical claims to insurance companies, ensuring timely reimbursement, and reducing claim denials. This is a great opportunity for someone with strong analytical skills and experience in UK/US healthcare billing. Key Responsibilities * Review patient data, medical records, and codes to generate accurate claims * Submit claims to Medicare, Medicaid, and commercial insurance payers * Perform timely claim follow-ups and re-submissions for unpaid or denied claims * Verify patient insurance coverage and benefits before claim submission * Work closely with AR callers and coding teams to resolve billing issues * Maintain accurate billing records in EHR/RCM systems (e.g., Kareo, AdvancedMD, Athenahealth) * Generate reports on claim status, collections, and denials for internal review * Ensure compliance with HIPAA and payer-specific billing guidelines Qualifications & Skills * Minimum 1–2 years of experience in UK/US medical billing (mandatory) * Strong knowledge of CPT, ICD-10, HCPCS codes, and claim forms (CMS-1500, UB-04) * Familiarity with RCM software and clearinghouses * Good communication skills for coordination with UK/US clients * Detail-oriented with ability to multitask and meet deadlines * Bachelor's degree or equivalent preferred Preferred Experience * Experience in working with multiple payers (Medicare, Medicaid, Blue Cross, Aetna, etc.) * Exposure to denial management and AR processes * Knowledge of payer portals and EDI systems Why Join Humalife Healthcare? * Work with a fast-growing, client-focused healthcare outsourcing team * Growth opportunities and skill development in UK/US medical billing * Flexible work environment and performance-based incentives
Posted 5 days ago
2.0 years
3 - 4 Lacs
Mohali
On-site
Job Title: Senior Process Analyst - RCM Operations Location: Mohali Department: Revenue Cycle Management Employment Type: Full-Time Experience Level: 2-3 Years Job Summary: We are looking for enthusiastic and detail-oriented experienced professionals to join our Revenue Cycle Management (RCM) team. As an RCM Executive, you will assist in managing the financial processes related to patient care, including medical billing, claims processing, payment posting, and follow-ups. Key Responsibilities: Review and process medical claims for submission to insurance companies. Perform data entry of patient and insurance information into RCM software. Verify insurance eligibility and benefits. Post payments and reconcile accounts. Follow up with insurance providers on denied or unpaid claims. Maintain accuracy and compliance with healthcare regulations (HIPAA). Communicate with clients, insurance companies, and team members as needed. Prepare and maintain necessary reports and documentation. Required Skills & Qualifications: Bachelor's degree in any discipline (preferably in life sciences, commerce, or healthcare-related fields). Good understanding of basic computer and MS Office tools. Strong communication skills – verbal and written (English). Attention to detail and ability to work in a deadline-driven environment. Willingness to work in night shifts (as per US time zones). Eagerness to learn about medical billing and healthcare processes. Preferred (but not mandatory): Knowledge of medical billing software (e.g., Athena, Kareo, eClinicalWorks). Understanding of US healthcare system and insurance terminologies. Career Path: This role offers growth opportunities into specialized roles such as AR Analyst, Quality Analyst, Team Lead, and Process Trainer in the RCM domain. Walk-In Interviews: 7:00 PM – 11:00 PM Venue: Apaana Healthcare, D141, Plot H&H Tower, First Floor, Sector 73, Mohali, Punjab To Apply: Send your resume to hr@apaana.com , For queries, contact us at – 9646883394 & 8360765082 Job Type: Full-time Pay: ₹25,000.00 - ₹38,000.00 per month Benefits: Commuter assistance Food provided Work Location: In person Speak with the employer +91 9646883394
Posted 1 week ago
2.0 years
2 Lacs
Ahmedabad
On-site
Job Summary : We are looking for a detail-oriented and experienced RCM Specialist to manage the full Revenue Cycle Management process for our healthcare clients. The ideal candidate should have hands-on experience in all phases of the RCM cycle including patient registration, charge entry, coding, claims submission, payment posting, denial management, AR follow-up, and reporting. Key Responsibilities : Handle the complete end-to-end RCM process , from patient registration to payment posting and denial resolution. Perform accurate charge entry and ensure all services rendered are captured. Work with CPT/ICD codes and ensure accurate medical coding (if applicable). Submit claims electronically or via paper as required by payers. Manage payment posting (ERA and manual). Analyze and resolve claim denials ; initiate appeals as needed. Conduct regular Accounts Receivable (AR) follow-ups for outstanding claims. Maintain up-to-date knowledge of payer policies and billing guidelines. Coordinate with internal teams to ensure client satisfaction and compliance. Generate and review RCM performance reports regularly. Key Skills Required : Strong understanding of US healthcare billing and RCM cycle Experience in working on software like Athena, Kareo, AdvancedMD, eClinicalWorks , or similar Knowledge of insurance types (Medicare, Medicaid, Commercial) Proficiency in denial management and AR calling Excellent communication and analytical skills Attention to detail and time management Qualifications : Bachelor's degree preferred Certification in Medical Billing/Coding (optional but advantageous) Minimum 2 years of experience in End-to-End RCM Job Types: Full-time, Permanent Pay: From ₹200,000.00 per year Benefits: Leave encashment Paid sick time Provident Fund Schedule: Night shift US shift
Posted 1 week ago
2.0 - 3.0 years
0 - 0 Lacs
Mohali, Punjab
On-site
Job Title: Senior Process Analyst - RCM Operations Location: Mohali Department: Revenue Cycle Management Employment Type: Full-Time Experience Level: 2-3 Years Job Summary: We are looking for enthusiastic and detail-oriented experienced professionals to join our Revenue Cycle Management (RCM) team. As an RCM Executive, you will assist in managing the financial processes related to patient care, including medical billing, claims processing, payment posting, and follow-ups. Key Responsibilities: Review and process medical claims for submission to insurance companies. Perform data entry of patient and insurance information into RCM software. Verify insurance eligibility and benefits. Post payments and reconcile accounts. Follow up with insurance providers on denied or unpaid claims. Maintain accuracy and compliance with healthcare regulations (HIPAA). Communicate with clients, insurance companies, and team members as needed. Prepare and maintain necessary reports and documentation. Required Skills & Qualifications: Bachelor's degree in any discipline (preferably in life sciences, commerce, or healthcare-related fields). Good understanding of basic computer and MS Office tools. Strong communication skills – verbal and written (English). Attention to detail and ability to work in a deadline-driven environment. Willingness to work in night shifts (as per US time zones). Eagerness to learn about medical billing and healthcare processes. Preferred (but not mandatory): Knowledge of medical billing software (e.g., Athena, Kareo, eClinicalWorks). Understanding of US healthcare system and insurance terminologies. Career Path: This role offers growth opportunities into specialized roles such as AR Analyst, Quality Analyst, Team Lead, and Process Trainer in the RCM domain. Walk-In Interviews: 7:00 PM – 11:00 PM Venue: Apaana Healthcare, D141, Plot H&H Tower, First Floor, Sector 73, Mohali, Punjab To Apply: Send your resume to hr@apaana.com , For queries, contact us at – 9646883394 & 8360765082 Job Type: Full-time Pay: ₹25,000.00 - ₹38,000.00 per month Benefits: Commuter assistance Food provided Work Location: In person Speak with the employer +91 9646883394
Posted 1 week ago
3.0 years
8 - 11 Lacs
Hyderābād
On-site
Job Description: We are hiring Auditors - IPDRG. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations.. Roles & Responsibilities: Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical indicators in accordance with coding and documentation guidelines. Ensures that the assigned DRG reflects the severity of the patients condition and the resources used during their hospital stay. Assesses whether the clinical documentation supports the coded diagnoses and procedures. Verifies that the medical record adequately justifies the assigned DRG. ombines medical record coding guidelines, clinical principles, and industry trends to explain any recommended changes needed by coders. Works closely with CDI (Clinical Documentation Integrity) specialists to determine if there are documentation and/or query opportunities. Writes clear, accurate and concise recommendations in support of findings while providing feedback and education to acute inpatient coders, referencing current ICD-10-CM/PCS Official Coding Guidelines and AHA Coding Clinics. Desired Candidate Profile: 3+ years of overall experience with 1+ years of experience in Quality Analysis within the healthcare / RCM domain. Knowledge of HIPAA and healthcare compliance standards. Proficiency in using billing software (e.g., Epic, Athena, Kareo) and QA tools. Excellent communication skills for feedback and reporting Attention to detail with strong analytical and problem-solving skills. Ability to work independently and in a team environment. Interested candidates please share resume to suganya.mohan@yitrobc.net Job Types: Full-time, Permanent Pay: ₹800,000.00 - ₹1,100,000.00 per year Benefits: Health insurance Provident Fund Work Location: In person
Posted 1 week ago
5.0 years
0 Lacs
India
Remote
Triple Triple is leading the way in remote work solutions, helping small and medium-sized businesses in North America build highly efficient remote teams for Administration, Customer Service, Accounting, Operations, and back-office roles. Our focus has always been on our Clients, People, and Planet, ensuring our operations contribute positively across these key areas. Distinguished by its rigorous standards, Triple excels in: Selectively recruiting the top 1% of industry professionals Delivering in-depth training to ensure peak performance Offering superior account management for seamless operations Embrace unparalleled professionalism and efficiency with Triple—where we redefine the essence of remote hiring. Summary The Accounts Receivable (AR) Specialist in US Healthcare is responsible for managing and resolving insurance and patient payment collections to ensure timely revenue realization. This role involves claim follow-up, denial management, appeal submissions, and maintaining accurate records in compliance with payer regulations and healthcare policies. The AR Specialist collaborates with billing, coding, and customer service teams to optimize cash flow and reduce aged AR. Responsibilities Claims Follow-Up: Proactively follow up with insurance companies (Medicare, Medicaid, Commercial) via phone, portal, or email for unpaid or underpaid claims. Analyze Explanation of Benefits (EOBs)/Electronic Remittance Advices (ERAs) for claim status. Denial Management & Appeals: Review and identify reasons for claim denials and underpayments. Prepare and submit accurate appeals and corrected claims within payer deadlines. Payment Posting Coordination: Work with the payment posting team to resolve misapplied payments, overpayments, and unposted remittances. Flag refunds or adjustments as needed. Aging Report Analysis: Review aging reports and prioritize high-dollar or timely filing claims. Document all actions taken and maintain notes in billing software. Compliance & Quality: Ensure all follow-up activities comply with HIPAA and payer-specific guidelines. Meet daily/weekly productivity and quality benchmarks (e.g., # of claims worked, resolution rate). Communication & Coordination: Coordinate with clients, internal teams (billing, coding), and insurance representatives to resolve issues efficiently. Escalate complex issues to the team lead or AR manager as necessary. Qualifications Bachelor’s degree. 2–5 years of AR experience in US medical billing/RCM industry is a must Knowledge of payer guidelines (Medicare, Medicaid, BCBS, UHC, etc.). Hands-on experience with billing software (e.g., Kareo, AdvancedMD, Athenahealth, eClinicalWorks, NextGen, etc.). Proficiency in MS Excel and claim tracking tools. Strong understanding of the US healthcare revenue cycle and AR lifecycle. Excellent analytical and problem-solving skills. Effective verbal and written communication skills. Ability to work independently and manage time effectively. Knowledge of CPT, ICD-10, and HCPCS codes is an added advantage. Schedule (US Shifts Only) Eastern Time - 6:30 p.m. - 3:30 a.m. IST, Monday - Friday Logistical Requirements Quiet and brightly illuminated work environment Laptop with Minimum 8GB RAM, I5 8th gen processor 720P Webcam and Headset A reliable ISP with a minimum speed of 100 Mbps Smartphone
Posted 1 week ago
30.0 years
0 Lacs
Mumbai, Maharashtra, India
Remote
Hiring Manager: Lenson Fernandes Business Unit: Resolv Job Title: Payment Associate Header Here at Harris, we have 5 different business verticals, Public Sector, Healthcare, Utilities, Insurance and Private sector, with over 12,000 employees and more than 100,000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family. BU: Resolv has revenue cycle solution brands in our DNA. We formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertise—including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. As we continue to expand, we remain dedicated to partnering with RCM companies that offer a variety of solutions and address today’s most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we will improve financial performance and patient experience and help build sustainable healthcare businesses. Job Summary The Payment Posting Associate is responsible for accurately and efficiently posting payments, adjustments, and denials from various payers. The role is critical in ensuring the financial integrity of the organization by reconciling deposits, identifying discrepancies, and collaborating with the billing team to resolve payment-related Issues. Primary Functions Payment Processing & Posting Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system. Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB). Apply necessary adjustments, refunds, and write-offs per payer guidelines. Balance and reconcile daily deposits with posted payments. Denial Management & Reconciliation Identify and post insurance denials while ensuring timely follow-up for resolution. Work with the billing and accounts receivable teams to correct claim errors and resubmit claims. Track underpayments and escalate discrepancies to the RCM Manager. Reporting & Documentation Maintain accurate payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines). Communication & Collaboration Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership. Job Qualifications Bachelor’s degree in accounting, Finance, Business Administration, or a related field (preferred). 1-3 years of experience in medical billing, payment posting, or revenue cycle management. Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner Strong understanding of insurance reimbursement, medical billing, and denial management. Proficiency in MS Excel, accounting principles, and payment reconciliation. Knowledge of HIPAA regulations and compliance standards. Additional Qualifications(Good to Have): Any diploma or Higher Degree. Soft/ Behavior Skills Good Communication and Collaboration. Strong ARO Ability to work both independently and as part of a team Strong analytical and creative problem-solving skills The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. It is not designed to be utilized as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this job. Working Environment This job operates in a professional office environment or remote home office location. This role routinely uses standard office equipment such as computers, laptops and other stuffs. This role may occasionally encounter Protected Health Information, Personal Identifiable Information or Privacy Records, and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris’ Security and Privacy policies, as well as apply the concepts learned in the annual Security Awareness training. Expected Hours of Work: 8am to 5pm IST. Work Mode: Work from Office.
Posted 1 week ago
30.0 years
0 Lacs
Mumbai, Maharashtra, India
Remote
Hiring Manager: Lenson Fernandes Business Unit: Resolv Job Title: Payment Associate Header Here at Harris, we have 5 different business verticals, Public Sector, Healthcare, Utilities, Insurance and Private sector, with over 12,000 employees and more than 100,000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family. BU: Resolv has revenue cycle solution brands in our DNA. We formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertise—including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. As we continue to expand, we remain dedicated to partnering with RCM companies that offer a variety of solutions and address today’s most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we will improve financial performance and patient experience and help build sustainable healthcare businesses. Job Summary The Payment Posting Associate is responsible for accurately and efficiently posting payments, adjustments, and denials from various payers. The role is critical in ensuring the financial integrity of the organization by reconciling deposits, identifying discrepancies, and collaborating with the billing team to resolve payment-related Issues. Primary Functions Payment Processing & Posting Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system. Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB). Apply necessary adjustments, refunds, and write-offs per payer guidelines. Balance and reconcile daily deposits with posted payments. Denial Management & Reconciliation Identify and post insurance denials while ensuring timely follow-up for resolution. Work with the billing and accounts receivable teams to correct claim errors and resubmit claims. Track underpayments and escalate discrepancies to the RCM Manager. Reporting & Documentation Maintain accurate payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines). Communication & Collaboration Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership. Job Qualifications Bachelor’s degree in accounting, Finance, Business Administration, or a related field (preferred). 1-3 years of experience in medical billing, payment posting, or revenue cycle management. Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner Strong understanding of insurance reimbursement, medical billing, and denial management. Proficiency in MS Excel, accounting principles, and payment reconciliation. Knowledge of HIPAA regulations and compliance standards. Additional Qualifications(Good to Have): Any diploma or Higher Degree. Soft/ Behavior Skills Good Communication and Collaboration. Strong ARO Ability to work both independently and as part of a team Strong analytical and creative problem-solving skills The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. It is not designed to be utilized as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this job. Working Environment This job operates in a professional office environment or remote home office location. This role routinely uses standard office equipment such as computers, laptops and other stuffs. This role may occasionally encounter Protected Health Information, Personal Identifiable Information or Privacy Records, and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris’ Security and Privacy policies, as well as apply the concepts learned in the annual Security Awareness training. Expected Hours of Work: 8am to 5pm IST. Work Mode: Work from Office.
Posted 1 week ago
30.0 years
0 Lacs
Mumbai, Maharashtra, India
Remote
Hiring Manager: Lenson Fernandes Business Unit: Resolv Job Title: Payment Associate Header Here at Harris, we have 5 different business verticals, Public Sector, Healthcare, Utilities, Insurance and Private sector, with over 12,000 employees and more than 100,000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family. BU: Resolv has revenue cycle solution brands in our DNA. We formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertise—including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. As we continue to expand, we remain dedicated to partnering with RCM companies that offer a variety of solutions and address today’s most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we will improve financial performance and patient experience and help build sustainable healthcare businesses. Job Summary The Payment Posting Associate is responsible for accurately and efficiently posting payments, adjustments, and denials from various payers. The role is critical in ensuring the financial integrity of the organization by reconciling deposits, identifying discrepancies, and collaborating with the billing team to resolve payment-related Issues. Primary Functions Payment Processing & Posting Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system. Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB). Apply necessary adjustments, refunds, and write-offs per payer guidelines. Balance and reconcile daily deposits with posted payments. Denial Management & Reconciliation Identify and post insurance denials while ensuring timely follow-up for resolution. Work with the billing and accounts receivable teams to correct claim errors and resubmit claims. Track underpayments and escalate discrepancies to the RCM Manager. Reporting & Documentation Maintain accurate payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines). Communication & Collaboration Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership. Job Qualifications Bachelor’s degree in accounting, Finance, Business Administration, or a related field (preferred). 1-3 years of experience in medical billing, payment posting, or revenue cycle management. Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner Strong understanding of insurance reimbursement, medical billing, and denial management. Proficiency in MS Excel, accounting principles, and payment reconciliation. Knowledge of HIPAA regulations and compliance standards. Additional Qualifications(Good to Have): Any diploma or Higher Degree. Soft/ Behavior Skills Good Communication and Collaboration. Strong ARO Ability to work both independently and as part of a team Strong analytical and creative problem-solving skills The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. It is not designed to be utilized as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this job. Working Environment This job operates in a professional office environment or remote home office location. This role routinely uses standard office equipment such as computers, laptops and other stuffs. This role may occasionally encounter Protected Health Information, Personal Identifiable Information or Privacy Records, and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris’ Security and Privacy policies, as well as apply the concepts learned in the annual Security Awareness training. Expected Hours of Work: 8am to 5pm IST. Work Mode: Work from Office.
Posted 1 week ago
3.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Title: Auditor - IPDRG Location: Hyderabad Experience: 3 -5 yrs Salary: Best in Industry Employment Type: Full Time Job Description: We are hiring Auditors - IPDRG. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations.. Roles & Responsibilities: Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical indicators in accordance with coding and documentation guidelines. Ensures that the assigned DRG reflects the severity of the patients condition and the resources used during their hospital stay. Assesses whether the clinical documentation supports the coded diagnoses and procedures. Verifies that the medical record adequately justifies the assigned DRG. ombines medical record coding guidelines, clinical principles, and industry trends to explain any recommended changes needed by coders. Works closely with CDI (Clinical Documentation Integrity) specialists to determine if there are documentation and/or query opportunities. Writes clear, accurate and concise recommendations in support of findings while providing feedback and education to acute inpatient coders, referencing current ICD-10-CM/PCS Official Coding Guidelines and AHA Coding Clinics. Desired Candidate Profile: 3+ years of overall experience with 1+ years of experience in Quality Analysis within the healthcare / RCM domain. Knowledge of HIPAA and healthcare compliance standards. Proficiency in using billing software (e.g., Epic, Athena, Kareo) and QA tools. Excellent communication skills for feedback and reporting Attention to detail with strong analytical and problem-solving skills. Ability to work independently and in a team environment. 📩 Apply Now : Send your resume to mohammedismail.faisal@yitroglobal.com 📲 Or DM via WhatsApp: +91 80082 52118
Posted 1 week ago
3.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Title: Auditor - IPDRG Location: [Hyderabad] Experience: 3 -5 Salary: Best in Industry Employment Type: Full Time Job Description: We are hiring Auditors - IPDRG. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations.. Roles & Responsibilities: Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical indicators in accordance with coding and documentation guidelines. Ensures that the assigned DRG reflects the severity of the patients condition and the resources used during their hospital stay. Assesses whether the clinical documentation supports the coded diagnoses and procedures. Verifies that the medical record adequately justifies the assigned DRG. ombines medical record coding guidelines, clinical principles, and industry trends to explain any recommended changes needed by coders. Works closely with CDI (Clinical Documentation Integrity) specialists to determine if there are documentation and/or query opportunities. Writes clear, accurate and concise recommendations in support of findings while providing feedback and education to acute inpatient coders, referencing current ICD-10-CM/PCS Official Coding Guidelines and AHA Coding Clinics. Desired Candidate Profile: 3+ years of overall experience with 1+ years of experience in Quality Analysis within the healthcare / RCM domain. Knowledge of HIPAA and healthcare compliance standards. Proficiency in using billing software (e.g., Epic, Athena, Kareo) and QA tools. Excellent communication skills for feedback and reporting Attention to detail with strong analytical and problem-solving skills. Ability to work independently and in a team environment.
Posted 1 week ago
4.0 - 6.0 years
1 - 3 Lacs
India
On-site
Role Summary We are seeking to onboard two professionals in our RCM team – one Senior Executive with a strong background in Accounts Receivable (AR) and Denial Management, and one Mid-Level Executive with hands-on experience across various RCM functions. These roles are crucial for maintaining timely collections, ensuring claim accuracy, and supporting the end-to-end revenue cycle process. Key Responsibilities Senior RCM Executive – AR/Denial Management Focus Perform end-to-end Accounts Receivable follow-up. Analyze and resolve claim denials and rejections. Communicate with payers for claim status, appeals, and escalations. Provide insights and reports on aging AR and collection trends. Mentor junior team members and ensure team compliance with SOPs. Mid-Level RCM Executive – General RCM Responsibilities Conduct insurance eligibility and benefits verification. Process accurate charge entry and coding. Submit claims to payers (electronic/paper) in a timely manner. Post payments (ERA/EOB) and reconcile accounts. Follow up on pending AR and address standard denials. Support patient billing and coordinate with internal departments. Required Skills & Qualifications Senior Executive 4–6 years of relevant experience in US Healthcare RCM. Strong expertise in AR follow-up and denial management. In-depth knowledge of payer policies, CPT, ICD-10, HCPCS codes. Strong communication and client coordination skills. Familiarity with RCM software like Athena, Kareo, AdvancedMD, etc. Mid-Level Executive 2–4 years of hands-on experience in RCM operations. Exposure to insurance verification, charge entry, and payment posting. Basic understanding of denial follow-up and claim reprocessing. Good communication and analytical abilities. Knowledge of any standard billing software is preferred. Compensation As per industry standards, commensurate with experience and role level. Revenue Cycle Management (RCM) Executive Job Type: Full-time Pay: ₹15,000.00 - ₹30,000.00 per month Schedule: Day shift Monday to Friday Morning shift Night shift Work Location: In person
Posted 2 weeks ago
10.0 - 14.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Manager Quality in Medical Coding with 10-12 years of experience, you will be responsible for overseeing the Inpatient Medical Coding operations. You will collaborate with the Coding Education and Quality Coordinator to ensure comprehensive on-the-job training for all staff under your supervision. Monitoring the progress of new employees and providing timely feedback to ensure competency is met is a crucial aspect of your role. Your duties will also include monitoring productivity levels to maintain work performance standards and addressing any day-to-day issues that may affect staff negatively. Regular update meetings will be conducted to keep the staff informed about departmental, hospital, market, and company changes and events. To excel in this role, you must have a solid understanding of HIPAA and healthcare compliance standards. Proficiency in using billing software such as Epic, Athena, Kareo, and QA tools is essential. If you are passionate about ensuring coding accuracy and compliance within the US healthcare industry, this position offers an exciting opportunity for growth and development. If you meet the requirements and are ready to take on this challenging role, apply now by sending your resume to suganya.mohan@yitrobc.net. Join us in upholding the highest standards of Medical Coding quality and compliance.,
Posted 2 weeks ago
10.0 - 14.0 years
0 Lacs
chennai, tamil nadu
On-site
You are currently looking to hire a Manager Quality specializing in Medical Coding with 10-12 years of experience for a full-time position based in Hyderabad. As the Manager Quality - Medical Coding, your key responsibilities will include having experience in Inpatient Medical Coding and collaborating with the Coding Education and Quality Coordinator to ensure proper on-the-job training for all staff under your supervision. You will be responsible for monitoring the competency and progress of new employees, providing timely and constructive feedback, and ensuring that work performance meets the required standards. Additionally, you will monitor productivity levels, assist in resolving day-to-day issues that may affect staff, and conduct regular update meetings to keep the team informed about departmental, hospital, market, and company changes or events. The ideal candidate should have a good understanding of HIPAA and healthcare compliance standards. Proficiency in using billing software such as Epic, Athena, Kareo, and QA tools is also required for this role. If you possess the necessary qualifications and experience, we encourage you to apply for this position by sending your resume to suganya.mohan@yitrobc.net for further details. Join our team to contribute to the field of Medical Coding and make a difference in the healthcare industry. Apply now and be a part of our dynamic and growing organization focused on maintaining coding audit and compliance standards in the US healthcare sector.,
Posted 2 weeks ago
3.0 years
1 - 3 Lacs
Hyderābād
Remote
Job Title: Remote Medical Biller – Work with U.S.-Based Healthcare Startup (Full-Time | EST Hours) Company: Accuintel Health Location: Remote (Hyderabad, Telangana) — Note: Remote setup may change in the future Working Hours: 8:00 AM – 4:00 PM EST (U.S. Eastern Time) — timing subject to vary Salary: ₹15,000 – ₹26,000 INR/month (Based on experience & qualifications) Job Type: Full-time About Us Accuintel Health is a U.S.-based healthcare startup specializing in medical billing and coding services for primary care and specialty clinics across the United States. We are committed to delivering accurate, efficient, and compliant revenue cycle solutions . As we grow, we are building a remote team of dedicated professionals in India to support our U.S. operations. Position Overview We are seeking a Remote Medical Biller with hands-on experience in the U.S. healthcare billing process . This is a full-time, long-term opportunity for professionals looking to grow in a startup environment and gain consistent exposure to the U.S. revenue cycle management (RCM) domain. Key Responsibilities Perform charge entry and clean claim submission Post payments via ERA/EOBs Handle denials and accounts receivable (AR) follow-up Rework rejected and underpaid claims Maintain HIPAA compliance and accuracy in documentation Coordinate with U.S. clients and internal teams during EST working hours Qualifications & Skills 6 months to 3 years of experience in U.S. medical billing Knowledge of ICD-10, CPT, HCPCS , and payer rules Experience with Medicare, Medicaid , and commercial insurances Familiarity with billing software such as PracticeSuite, Kareo, AdvancedMD , etc. Strong English communication skills (spoken and written) Comfortable working independently and during U.S. Eastern Standard Time (EST) What We Offer Monthly salary: ₹15,000 – ₹26,000 INR (based on experience) Long-term, stable remote work opportunity Exposure to real-time U.S. medical billing workflows Growth potential within a startup environment Supportive, professional work culture How to Apply To apply, please submit your updated resume/CV along with a brief message including: Your experience in U.S. medical billing Any specialties or billing tools you've worked with Your availability or notice period Shortlisted candidates will be contacted for a virtual interview. Join Accuintel Health and grow your career in U.S. healthcare — from anywhere. Job Type: Full-time Pay: ₹15,000.00 - ₹26,000.00 per month Benefits: Work from home Work Location: Remote
Posted 2 weeks ago
8.0 years
0 Lacs
Mohali district, India
On-site
🏥 Job Title : RCM Trainer – US Medical Billing 📍 Locatio n: Mohali (On-site, Full-Time ) 💰 C TC: Up to ₹10 LPA (Based on experienc e) 📅 Apply via this form : https://forms.gle/P4CpcfrxsvdsfS7C6 About the Role: We are hiring an experienced RCM Trainer to lead the training and development efforts of our Revenue Cycle Management (RCM) team. This role is ideal for someone with a solid background in US medical billing , end-to-end RCM processes , and team mentoring or training . If you're passionate about upskilling teams and improving operational efficiency, this is a perfect fit. Responsibilities: -Design and deliver training programs across all RCM functions: Patient Registration Charge Entry Medical Coding Billing Payment Posting AR Follow-Up Denial Management -Train new hires and provide refresher programs to ensure high-quality performance -Develop SOPs, manuals, quizzes, assessments, and presentations -Track healthcare regulation changes and update training content accordingly Collaborate with QA and Operations to identify training gaps -Monitor trainee performance and provide regular coaching feedback -Lead cross-functional onboarding for billing, coding, and AR departments -Evaluate training success through post-training assessments and job performance Qualifications: 8+ years of experience in US medical billing and RCM Proven experience as a trainer, team mentor, or team lead in an RCM/healthcare BPO setup Strong knowledge of CPT, ICD, HCPCS coding and payer billing guidelines Excellent communication and presentation skills Hands-on experience with EMR and billing software (e.g., Kareo, AdvancedMD, Athena) Strong documentation and reporting skills Ability to assess training effectiveness and refine learning strategies Preferred Qualifications: CPC or AAPC/AHIMA certification (preferred but not mandatory) Exposure to multiple medical specialties Knowledge of US healthcare compliance (HIPAA, CMS, etc.) Pay range and compensation package: Up to ₹10 LPA (Based on experience) We are committed to creating an inclusive work environment. All qualified candidates, regardless of gender, background, or identity, are encouraged to apply.
Posted 2 weeks ago
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