79 Kareo Jobs - Page 2

Job Summary: We are looking for a highly organized and experienced Medical Billing Manager to oversee the daily operations of the medical billing department. The ideal candidate will ensure accurate billing, timely claims submission, denial management, and compliance with healthcare regulations, thereby maximizing revenue and supporting smooth financial operations. Key Responsibilities: Supervise and lead the medical billing team in charge entry, claims submission, payment posting, and follow-up. Ensure accurate and timely billing of patient services to insurance companies and patients. Monitor and manage claim denials, rejections, and follow-ups to reduce accounts receivable days (AR days). Maintain current knowledge of billing regulations, payer policies, and coding updates (ICD-10, CPT, HCPCS). Ensure compliance with HIPAA, Medicare/Medicaid, and private insurance guidelines. Train and evaluate billing staff performance and conduct regular audits to ensure billing accuracy. Work closely with clinical and administrative teams to resolve billing discrepancies and documentation issues. Prepare and present financial reports and metrics related to billing performance, collections, and aging. Oversee patient billing inquiries and provide resolution in a professional and timely manner. Ensure implementation and use of billing software systems effectively. Qualifications: Bachelor’s degree in Healthcare Administration, Accounting, Business, or a related field. 4–6 years of medical billing experience, including at least 2 years in a supervisory or managerial role. Strong knowledge of medical terminology, billing and coding procedures (CPT, ICD-10, HCPCS). Familiarity with EMR/EHR and billing software (e.g., Kareo, Athenahealth, eClinicalWorks, or similar). In-depth understanding of healthcare insurance plans, including Medicare and Medicaid. Excellent leadership, organizational, and communication skills. Strong analytical skills and ability to interpret billing and AR reports. Preferred Qualifications: Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) is a plus. Experience in multi-specialty or hospital billing is preferred. Proficiency in MS Excel and report generation tools. Job Type: Full-time Pay: ₹75,000.00 - ₹90,000.00 per month Benefits: Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Schedule: Monday to Friday Night shift US shift Work Location: In person

Role : Data Analyst for EHR Healthcare Data Migration and Archive Experience : 6 Years - 11 Years Location : PAN India Notice Period: Immediate to 30 Days Qualifications/Experience: • Hands on experience with athenaOne platform required.( AthenaOne like Epic Systems, Cerner (Oracle Health), eClinicalWorks, Kareo (Tebra) etc.). • Bachelor's degree in Healthcare Informatics, Computer Science, or related field • Proven experience with EHR systems , particularly in data migration projects from Behavioral Health systems to athenaOne • Strong understanding of healthcare data standards, terminologies, and regulatory requirements • Proficiency in data mapping, extraction, transformation, and cleansing techniques • Experience with EHR software tools and interfaces, as well as testing and validation methodologies. • Excellent communication, collaboration , and problem-solving skills • Ability to prioritize tasks, work independently, and adapt to changing priorities in a fast-paced environment. • Proficient with Python for data management and API interactions. • Experience SFTP data exchange of large files. • Experience managing data mappings and business rules. Education: • Bachelor's degree in Health Informatics, Computer Science, Information Technology, or a related field. Master's degree preferred. Certifications: • Certified Health Data Analyst (CHDA) or similar certification. • Other relevant certifications such as Epic Data Analyst Certification, Certified Healthcare Technology Specialist (CHTS), Skills : • Proficient in SQL, data visualization tools (e.g., Tableau, Power BI) , and other data analysis software. • Excellent problem-solving skills and attention to detail. • Strong communication and collaboration skills. • Ability to manage multiple tasks and projects simultaneously. Interested candidates can share their CV to pravallika@wrootsglobal.in

Business Unit Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we remain dedicated to partnering with RCM companies that offer diverse solutions and address today's most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we improve financial performance and patient experience, helping to build sustainable healthcare businesses. Job Summary We're looking for a detail-oriented and efficient Payment Posting Associate to join our team. In this critical role, you'll be responsible for accurately posting payments, adjustments, and denials from various payers, including insurance companies, government agencies, and patients. You'll play a vital part in maintaining the financial integrity of our organization by reconciling deposits, identifying discrepancies, and collaborating closely with the billing team to resolve any payment-related issues. Work Mode: Work from Office Shift Timings: 8am to 5pm (Day Shift) Location: Mumbai Primary Functions What We Are Looking For: Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines (Mandatory Qualifications & Skills) Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential (Preferred/Good-to-Have Skills) What Would Make You Stand Out: Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft Skills/ Behavioural Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns.

Collaborates with the Coding Education and Quality Coordinator to assure on-the-job training is carried out for all job duties of staff directly under his/her supervision. Monitors the progress of new employees, ensuring competency has been met. Provides timely, clear, constructive feedback. Monitors productivity in order to ensure that work performance meets the standards of the job and assists with resolution of day-to-day problems that may have a negative impact on staff. Conducts regular update meetings for staff to ensure that all employees receive appropriate communication regarding departmental, hospital, market, and company changes/events. 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. Job Types: Full-time, Permanent Pay: ₹1,000,000.00 - ₹1,500,000.00 per year Benefits: Health insurance Provident Fund Schedule: Monday to Friday US shift Work Location: In person

Hiring Now - Manager Quality ( Medical Coding) and Trainer - Operational Talent Development MC !!! 📍 Location: [Hyderabad] 🕒 Experience: Manager Quality ( Medical Coding 10 - 12 years / Trainer - Operational Talent Development Medical Coding 3- 5 years | 💼 Full Time Manager Quality - Medical Coding Key responsibilities ✅ Collaborates with the Coding Education and Quality Coordinator to assure on-the-job training is carried out for all job duties of staff directly under his/her supervision. ✅ Monitors the progress of new employees, ensuring competency has been met. Provides timely, clear, constructive feedback. ✅ Monitors productivity in order to ensure that work performance meets the standards of the job and assists with resolution of day-to-day problems that may have a negative impact on staff. ✅ Conducts regular update meetings for staff to ensure that all employees receive appropriate communication regarding departmental, hospital, market, and company changes/events. Requirements: 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. Trainer - Operational Talent Development Medical Coding Key Responsibilities: Deliver training sessions for new hires and up skilling for existing staff in RCM verticals (Medical coding, charge entry, AR, payment posting, etc.). Assess trainee performance through evaluations, feedback sessions, and certification tests. Review training needs and performance monthly basis and perform focus group and monitor progress of the batches till they become 100% productive. Requirements: ✅ 2+ years of experience in training for Medical Coding (Inpatient or Outpatient) in Healthcare operations / Revenue cycle Management ✅ In-depth understanding of RCM lifecycle and terminology (ICD, CPT, HCPCS, EOBs, etc.) ✅ Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC), Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA). 📩 Apply now by sending your resume to suganya.mohan@yitrobc.net for more details. #Hiring #MedicalCoding #CodingAudit ##CodingCompliance# US healthcare# Process Trainer##MedicalCodingTrainer#ProcessTraining

Job description Job description Job Summary: We are seeking a detail-oriented and motivated Junior Medical Coder to join our medical billing team. The ideal candidate will assist in reviewing, analyzing, and assigning appropriate medical codes (ICD-10, CPT, and HCPCS) for diagnoses, procedures, and services to ensure accurate billing and compliance with insurance guidelines. Key Responsibilities: Review clinical documentation to assign accurate medical codes for diagnoses, procedures, and services. Ensure coding is compliant with industry standards and company guidelines (ICD-10, CPT, HCPCS, etc.). Work with healthcare providers and billing staff to clarify documentation and resolve coding issues. Assist in charge entry and claims processing as needed. Stay current with updates to coding regulations, payer requirements, and industry best practices. Maintain confidentiality and security of patient data in accordance with HIPAA regulations. Support senior coders and billing staff with day-to-day tasks. Qualifications: High school diploma or equivalent required; associate degree or certification in medical coding is a plus. Certification from AAPC (e.g., CPC) or AHIMA (e.g., CCS, CCA) preferred or in progress. Basic knowledge of medical terminology, anatomy, and physiology. Familiarity with EHR systems and billing software (e.g., Epic, Kareo, AdvancedMD) is a plus. Strong attention to detail and ability to work independently and within a team. Good communication and organizational skills. Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹20,000.00 per month Schedule: Day shift Monday to Friday Night shift Work Location: In person

Job description Job Summary: We are seeking a detail-oriented and motivated Junior Medical Coder to join our medical billing team. The ideal candidate will assist in reviewing, analyzing, and assigning appropriate medical codes (ICD-10, CPT, and HCPCS) for diagnoses, procedures, and services to ensure accurate billing and compliance with insurance guidelines. Key Responsibilities: Review clinical documentation to assign accurate medical codes for diagnoses, procedures, and services. Ensure coding is compliant with industry standards and company guidelines (ICD-10, CPT, HCPCS, etc.). Work with healthcare providers and billing staff to clarify documentation and resolve coding issues. Assist in charge entry and claims processing as needed. Stay current with updates to coding regulations, payer requirements, and industry best practices. Maintain confidentiality and security of patient data in accordance with HIPAA regulations. Support senior coders and billing staff with day-to-day tasks. Qualifications: High school diploma or equivalent required; associate degree or certification in medical coding is a plus. Certification from AAPC (e.g., CPC) or AHIMA (e.g., CCS, CCA) preferred or in progress. Basic knowledge of medical terminology, anatomy, and physiology. Familiarity with EHR systems and billing software (e.g., Epic, Kareo, AdvancedMD) is a plus. Strong attention to detail and ability to work independently and within a team. Good communication and organizational skills. Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹25,000.00 per month Schedule: Monday to Friday Night shift Work Location: In person

Job Summary: We are looking for a detail-oriented and experienced RCM Team Lead to oversee day-to-day revenue cycle operations, including medical billing, AR follow-up, claims processing, and denial management. The ideal candidate will possess strong leadership skills, in-depth knowledge of RCM processes, and a commitment to achieving team performance metrics. Key Responsibilities: Supervise and mentor a team of RCM specialists/executives. Manage a team of 5 RCM specialists. Monitor and manage the entire RCM process: eligibility verification, charge entry, claim submission, payment posting, AR follow-up, and denial resolution Design and allocate tasks and ensure SLA, SOP and KPIs are consistently met or exceeded Ensure compliance with client-specific billing guidelines and payer regulations Generate daily/weekly/monthly performance reports and present to management Identify process gaps and recommend improvements for operational efficiency Manage our RCM clients and meet them weekly or as needed. Address our clients/providers issues / queries over emails and meetings daily/weekly, for clarification or issue resolution. Train new team members and provide ongoing coaching and performance feedback Required Skills & Qualifications: Bachelor’s degree in healthcare, business administration, or related field (preferred) Minimum of 4 years of RCM experience, including at least 1 year in a managerial role. Strong understanding of US healthcare billing systems, payer rules, and RCM workflow Experience with tools like Athena, Kareo, AdvancedMD, eClinicalWorks, or similar RCM software Excellent written and verbal communication skills Proficient in MS Excel and report analysis Strong analytical and problem-solving abilities Ability to multitask and manage time effectively in a deadline-driven environment Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹50,000.00 per month Schedule: Evening shift Monday to Friday Night shift Work Location: In person

Primary Functions: Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines. Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Additional Job Description: Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills: Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST) Work from Office- Mumbai

Primary Functions: Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership as needed. Additional Job Description: Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills: Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai

Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership as needed. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai

Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines. Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership as needed. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai

Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines. Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership as needed. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai

Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership as needed. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai

Job Title: Medical Coder – Revenue Cycle Management (RCM) Positions Open - 10 Location: Bengaluru, India Department: Finance / Billing Reports to: RCM Manager Experience Required: Minimum 3 years in US medical billing (Radiology preferred) Job Summary The Accounts Officer – RCM will be responsible for reconciling CPT codes for radiology studies and supporting the creation of accurate invoices for submission to client facilities. The role requires strong attention to detail, knowledge of radiology procedures and coding, and the ability to work collaboratively with internal clinical and billing teams. The officer will also assist in maintaining billing compliance, tracking receivables, and ensuring the overall efficiency of the revenue cycle process. Key Responsibilities - Review and reconcile CPT codes associated with radiology study reports for accuracy and completeness. - Coordinate with radiologists, technologists, and operations staff to resolve any discrepancies in study data or missing documentation. - Prepare and compile invoices to be submitted to partner facilities based on contracted billing schedules and fee structures. - Validate invoice line items against modality type, study volume, and applicable rates. - Track submission status and follow up on invoice approvals and payment receipts. - Maintain and update billing logs, reconciliation sheets, and monthly facility billing records. - Work with the finance team to ensure all billables are accounted for and revenue is recorded accurately. - Escalate and resolve issues related to underpayment, rejected invoices, or coding errors. - Generate periodic reports on invoice status, aging, collections, and reconciliation metrics. - Ensure compliance with HIPAA, payer-specific guidelines, and company billing protocols. Required Qualifications - Bachelor’s degree in Accounting, Finance, Business Administration, or a related field. - Minimum 3 years of experience in US medical billing, preferably with exposure to radiology practices. - Strong understanding of CPT, ICD-10, and HCPCS coding, especially for diagnostic imaging. - Experience working with billing/invoicing tools and RCM platforms (e.g., Kareo, AdvancedMD, eClinicalWorks). - Proficiency in Microsoft Excel (including VLOOKUP, pivot tables, basic formulas). - Familiarity with EDI formats (837P, 837I, 835) and US healthcare billing standards. - Strong analytical, organizational, and problem-solving skills. - Excellent written and verbal communication skills. - Ability to work independently and across time zones with a high degree of accuracy. Compensation & Benefits Base Salary: Based on qualification and Experience Benefits: As per policy - Includes Paid Time Off, Flexible Shift, Potential for long-term growth within the finance and RCM team

Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines. Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST) Work from Office- Mumbai

Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines. Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST) Work from Office- Mumbai

AR Caller (Accounts Receivable) – Denial Management Experience Required: 1–3 years in AR Calling with Denial Management Job Summary We are looking for a dedicated and detail-oriented AR Caller with experience in Denial Management to join our RCM team. The role involves working with US-based healthcare clients to resolve insurance claim denials, reduce aging A/R, and ensure timely follow-up on unpaid claims. Key Responsibilities: Call insurance companies in the US to follow up on outstanding claims. Analyze and understand the reason for denials and take appropriate actions. Initiate appeals, re-submissions, or corrective actions as per payer guidelines. Work closely with billing teams to resolve coding, billing, or documentation issues causing denials. Document all call interactions and update the billing software/system with the outcome. Meet daily productivity and quality targets. Provide feedback and trends related to recurring denials to management or clients. Escalate complex denial cases to senior analysts or team leads as needed. Required Skills: 1+ years of experience in AR calling with a strong focus on denial resolution . Good understanding of US healthcare RCM process, including CPT, ICD, and HCPCS codes. Familiarity with EOBs (Explanation of Benefits) and ERA (Electronic Remittance Advice). Strong communication skills (verbal and written) with a neutral accent. Working knowledge of billing software (e.g., Athena, Epic, Kareo, AdvancedMD, etc.) is a plus. Ability to work in a fast-paced environment and handle high call volumes. Education: Preferred: Bachelors / Masters Preferred Qualifications: Experience handling denials for multiple specialties (e.g., radiology, DME, pathology, etc.) Prior experience with tools like Availity, Navinet, or payer portals. Certification in Medical Billing/Coding (CPC, CPB) is a plus. Job Types: Full-time, Permanent Pay: Up to ₹460,000.00 per year Benefits: Food provided Health insurance Provident Fund Schedule: US shift Work Location: In person Expected Start Date: 01/08/2025

We are seeking a detail-oriented and motivated Process Associate to join our dynamic team. In this role, you will be responsible for supporting medical billing processes, ensuring accurate data entry, claims submission, payment posting, and resolving billing issues. The ideal candidate will be process-driven, organized, and committed to maintaining accuracy and compliance in all tasks. Key Responsibilities: Enter and validate patient and billing data into medical billing systems Prepare and submit insurance claims (electronic and paper) Review Explanation of Benefits (EOBs) and post payments accordingly Follow up on unpaid or rejected claims and take corrective action Communicate with insurance companies, healthcare providers, and internal teams to resolve billing issues Maintain accurate and up-to-date patient records and documentation Ensure compliance with HIPAA and company policies Assist in generating regular billing reports and performance summaries Qualifications: Bachelor’s degree or equivalent (preferred, not mandatory) 0–2 years of experience in medical billing, RCM, or healthcare administration Basic understanding of medical terminology, insurance types, and claim processes Proficiency in MS Office and familiarity with billing software (e.g., Kareo, AdvancedMD, Athenahealth, etc. – if applicable) Strong analytical, communication, and organizational skills Ability to work independently and in a team environment Job Types: Full-time, Fresher Pay: ₹10,000.00 - ₹15,000.00 per month Benefits: Paid sick time Schedule: Night shift Work Location: In person Expected Start Date: 15/07/2025

Job Summary: We are seeking a detail-oriented and motivated Junior Medical Coder to join our medical billing team. The ideal candidate will assist in reviewing, analyzing, and assigning appropriate medical codes (ICD-10, CPT, and HCPCS) for diagnoses, procedures, and services to ensure accurate billing and compliance with insurance guidelines. Key Responsibilities: Review clinical documentation to assign accurate medical codes for diagnoses, procedures, and services. Ensure coding is compliant with industry standards and company guidelines (ICD-10, CPT, HCPCS, etc.). Work with healthcare providers and billing staff to clarify documentation and resolve coding issues. Assist in charge entry and claims processing as needed. Stay current with updates to coding regulations, payer requirements, and industry best practices. Maintain confidentiality and security of patient data in accordance with HIPAA regulations. Support senior coders and billing staff with day-to-day tasks. Qualifications: High school diploma or equivalent required; associate degree or certification in medical coding is a plus. Certification from AAPC (e.g., CPC) or AHIMA (e.g., CCS, CCA) preferred or in progress. Basic knowledge of medical terminology, anatomy, and physiology. Familiarity with EHR systems and billing software (e.g., Epic, Kareo, AdvancedMD) is a plus. Strong attention to detail and ability to work independently and within a team. Good communication and organizational skills. Benefits: Competitive salary Health, dental, and vision insurance Paid time off and holidays Training and certification support Opportunities for advancement Job Types: Full-time, Permanent Pay: ₹16,000.00 - ₹20,000.00 per month Schedule: Night shift Work Location: In person

Company Description Ambit Global Solution LLP is a leading provider of medical and dental billing and revenue cycle management services. The company offers comprehensive solutions to healthcare organizations, including hospitals, dental groups, and private practices, aiming to maximize revenue and reduce operating costs. With a team of dedicated professionals, including AAPC-certified coders, Ambit leverages cutting-edge technology and a client-centric approach to deliver efficient and transparent services across various specialties. Job Title: AR Specialist – RCM (Revenue Cycle Management) Location: Ahmedabad Experience Required: 5+ years in RCM; Surgery insurance follow-up experience is a plus Work Hours: Full-time | Night Shift (US Time Zone – EST/PST/CST) Job Summary: We are looking for a proactive and detail-oriented AR Specialist to join our RCM team. The specialist will be responsible for tracking and resolving outstanding insurance claims to ensure timely reimbursement. Candidates with prior experience in surgery-related insurance claims will be given preference. Key Responsibilities: Follow up on unpaid or underpaid insurance claims via calls, emails, and payer portals Analyze and resolve denials, rejections, and short payments Take timely action to resubmit, appeal, or escalate claims Accurately document all activities and follow-up actions in the billing system Collaborate with billing, coding, and other RCM team members to ensure claim accuracy Stay up to date with payer guidelines and insurance protocols Focus on reducing A/R days and improving cash flow, especially in surgical cases Requirements: Minimum of 5 years of experience in insurance follow-up in medical billing/RCM Strong understanding of EOBs, denial codes, CPT/ICD codes, and insurance rules Experience with surgery-related claims is highly desirable Familiarity with commercial and government insurance payers Proficient in using EMR and billing platforms (e.g., Athena, Kareo, eClinicalWorks, AdvancedMD) Excellent communication and problem-solving skills Must be comfortable working night shifts aligned with US time zones (EST/PST/CST) Preferred Qualifications: Knowledge of appeals, reconsiderations, and claim adjustment processes Experience in surgical specialties such as orthopedics, ENT, or general surgery Understanding of HIPAA and data security protocols

Job Summary: We are seeking an experienced RCM Trainer with a strong background in medical billing and revenue cycle management to lead training sessions, develop educational content, and support continuous learning within the team. The ideal candidate will have a deep understanding of US healthcare RCM processes and a passion for mentoring and upskilling team members. Key Responsibilities: Design, develop, and deliver comprehensive training programs related to all aspects of Revenue Cycle Management (RCM) including patient registration, charge entry, coding, billing, payment posting, AR follow-up, and denial management. Train new hires and provide refresher training for existing team members to ensure process knowledge, quality standards, and performance metrics are met. Create training materials such as SOPs, manuals, presentations, quizzes, and assessments tailored to various learning levels. Stay up to date with industry changes, payer regulations, and compliance requirements; integrate updates into training content. Conduct training needs analysis in collaboration with operations and quality teams. Monitor trainees' performance during training sessions and provide regular feedback to both the trainees and management. Collaborate with QA and Process Leads to identify areas of improvement and customize coaching plans. Support onboarding and cross-functional training initiatives across departments (billing, coding, AR, etc.). Evaluate training effectiveness through feedback, assessments, and post-training performance reviews. Required Skills & Qualifications: Minimum of 8 years’ experience in US medical billing and end-to-end RCM processes. Prior experience as a trainer or team mentor in a healthcare BPO/RCM setup is mandatory. Strong understanding of CPT, ICD, HCPCS coding, and payer-specific billing guidelines. Excellent communication, presentation, and interpersonal skills. Hands-on experience with medical billing software and EMR systems (e.g., Kareo, AdvancedMD, Athena, etc.). Ability to analyze training effectiveness and adjust methods accordingly. Detail-oriented with strong organizational and documentation skills. Preferred Qualifications: Certified Professional Coder (CPC) or any AAPC/AHIMA certification (preferred but not mandatory). Exposure to various medical specialties (e.g., Internal Medicine, Orthopedics, Radiology, etc.). Experience with US Healthcare Compliance (HIPAA, CMS guidelines, etc.). Why Join Us? Opportunity to shape the learning culture of a growing healthcare organization Competitive salary and benefits Professional development and growth opportunities Collaborative and inclusive work environment Job Types: Full-time, Permanent Pay: ₹1,000,000.00 - ₹1,500,000.00 per year Benefits: Health insurance Provident Fund Schedule: Day shift Evening shift Monday to Friday Morning shift Night shift Rotational shift US shift Weekend availability Supplemental Pay: Overtime pay Language: English (Preferred) Work Location: In person

We are seeking an experienced and dynamic Billing Manager to lead our U.S. healthcare billing and revenue cycle operations. The ideal candidate will possess deep domain knowledge, leadership experience, and a track record of success in managing end-to-end medical billing functions within a BPO or third-party RCM setup. Operational Leadership: Manage the full revenue cycle including charge entry, claims submission, payment posting, denial management, and patient billing. Monitor and improve key RCM metrics such as AR days, collection efficiency, clean claim rate, and denial percentage. Develop, document, and implement SOPs and quality assurance procedures across the billing function. Compliance & Quality Control: Ensure adherence to HIPAA, CMS, Medicare/Medicaid, and payer-specific regulations. Perform periodic audits to ensure claims accuracy and regulatory compliance. Stay updated with changes in billing/coding guidelines and payer rules. Team Management: Lead and mentor a team of medical billers, A/R specialists, and coders. Conduct regular performance evaluations, coaching sessions, and training programs. Drive engagement and retention through career development initiatives and knowledge-sharing forums. Client Coordination: Serve as the primary contact for U.S. clients regarding billing performance, escalations, and reporting. Lead monthly/quarterly review meetings and provide insights on aging reports, denial trends, and process improvements. Customize workflows based on client-specific protocols and compliance requirements. Denial Management: Oversee root cause analysis and resolution of denials. Guide the team on effective appeals, re-submissions, and workflow automation strategies to minimize denials. Technology & Reporting: Leverage billing platforms (e.g., Kareo, Athena, eCW, AdvancedMD), clearinghouses, and analytics tools (Excel, Power BI, Tableau). Implement automation and RPA for key processes like remittance posting and eligibility checks. Monitor performance via dashboards and drive data-backed decision-making. Job Types: Full-time, Permanent, Fresher Pay: ₹100,000.00 per month Benefits: Health insurance Life insurance Provident Fund Schedule: Monday to Friday Night shift US shift Work Location: In person

Job Title: Business Development Executive – RCM (Revenue Cycle Management) Job Summary: We are seeking a highly motivated and results-driven Business Development Executive (BDE) to drive growth for our Revenue Cycle Management (RCM) services. The ideal candidate will have a strong understanding of healthcare outsourcing, medical billing, and the RCM process. This role involves identifying new business opportunities, building client relationships (especially with US healthcare providers), and driving end-to-end sales cycles. Key Responsibilities: Identify and generate new business opportunities in the RCM/Medical Billing domain, especially in US healthcare markets . Conduct market research , competitor analysis, and lead generation through multiple channels (email, LinkedIn, cold calling, referrals, etc.). Develop and maintain strong relationships with prospective clients, especially decision-makers in healthcare organizations (clinics, hospitals, physician groups). Present and promote RCM services (end-to-end billing, coding, AR follow-up, denial management, etc.) to potential clients. Prepare and deliver compelling proposals, presentations, and pricing structures based on client needs. Collaborate with the operations and delivery teams to ensure client requirements are met effectively. Meet and exceed sales targets, revenue goals, and growth KPIs. Maintain accurate records of sales activities, pipeline updates, and client communication in CRM tools. Requirements: Bachelor's degree in business, Marketing, Healthcare Management, or a related field. 2–4+ years of experience in business development or sales in RCM/medical billing/healthcare outsourcing . Strong knowledge of US healthcare industry and RCM process (billing, coding, payment posting, AR, etc.). Excellent communication, negotiation, and presentation skills. Proven track record of closing deals and achieving revenue targets. Ability to work independently and as part of a team. Familiarity with CRM software, email marketing tools, and lead generation platforms. Preferred Skills: Experience working with US-based clients or in offshore RCM sales . Understanding of HIPAA compliance and data security protocols. Knowledge of key RCM platforms (eClinicalWorks, Kareo, Athenahealth, etc.) is a plus.

Tips: Provide a summary of the role, what success in the position looks like, and how this role fits into the organization overall. Job Title: Accounts Receivable Representative Company: Wise Biller Location: Remote / Ahmedabad, Gujarat Employment Type: Full-Time About Wise Biller: Wise Biller is a dynamic medical billing company specializing in a wide range of healthcare specialties including Behavioral Health, Primary Care, Cardiology, Radiology, and more. We are dedicated to streamlining the billing process for providers and maximizing revenue collection while ensuring compliance and efficiency. Our team values professionalism, integrity, and a commitment to excellence. Position Summary: We are seeking a detail-oriented and proactive Accounts Receivable (A/R) Representative to join our growing team. The ideal candidate will be responsible for managing and following up on outstanding insurance and patient balances, resolving billing issues, and ensuring timely collections. Key Responsibilities: Monitor and follow up on unpaid insurance and patient claims. Work aging reports and take action to reduce outstanding A/R. Post payments, adjustments, and denials accurately. Contact insurance companies for claim status and resolve denials or underpayments. Communicate with clients and internal teams regarding claim issues and updates. Maintain detailed and accurate notes in billing software. Assist in preparing reports on collection efforts and account status. Stay updated on payer guidelines and insurance policies. Support the billing team with other revenue cycle tasks as needed. Qualifications: 2+ years of experience in medical billing or accounts receivable, preferably in a multi-specialty environment. Familiarity with major insurance carriers, denial codes, and appeal processes. Experience with medical billing software (e.g., InSync, AdvancedMD, Kareo, etc.). Strong analytical and problem-solving skills. Excellent written and verbal communication skills. Ability to work independently and manage time effectively. High attention to detail and accuracy. If you are Interested please send your resume on Info@wisebiller.com.