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12.0 years
9 - 12 Lacs
india
On-site
Director / Senior Manager – Revenue Cycle Management (RCM) Location: Tambaram Employment Type: Full-time Industry: Healthcare / Medical Billing About the Role We are looking for a highly experienced Director / Senior Manager – Revenue Cycle Management (RCM) to lead and oversee our complete end-to-end RCM operations. The ideal candidate will bring extensive expertise in hospital and physician billing, strong leadership skills, and a proven ability to drive operational excellence while ensuring compliance with industry standards. Key Responsibilities Lead and manage the entire RCM department, including Payment Posting, Denial Management, AR calling, Medical Coding, Charge Entry, Eligibility Ve...
Posted 1 month ago
10.0 years
0 Lacs
india
On-site
Role Overview We are seeking a highly experienced US Medical Billing professional to set up, lead, and manage a new RCM team in India. This role requires end-to-end knowledge of the US healthcare revenue cycle, including Medical Billing, Medical Coding, Prior Authorization, Denial Management, and US Healthcare Insurance Verification . The right candidate will be confident in establishing processes, training staff, and ensuring compliant and high-quality delivery for US clients. Key Responsibilities Team Setup & Leadership Recruit, train, and manage a team of 4+ experienced billers and coders. Establish SOPs, workflows, and performance metrics from the ground up. RCM Operations Management Med...
Posted 2 months ago
1.0 - 3.0 years
1 - 2 Lacs
india
On-site
Job Title: Charge Entry – Demo & Charges (RCM Healthcare) Job Summary: We are looking for experienced professionals to join our Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for accurate patient demographic entry and charge posting in compliance with client requirements and healthcare regulations. Key Responsibilities: Enter and validate patient demographic information in the practice management system. Post charges accurately based on coding data (CPT, ICD-10, HCPCS). Review and correct charge-related edits or rejections. Verify insurance details and update any changes as required. Ensure all charges are submitted within the client-specific turnaround time (TA...
Posted 2 months ago
1.0 - 3.0 years
2 - 3 Lacs
coimbatore
On-site
We are seeking a detail-oriented and experienced DME Medical Billing Specialist to join our team. The ideal candidate will be responsible for processing and submitting DME (Durable Medical Equipment) claims to insurance companies, ensuring compliance with billing policies and procedures, and following up on unpaid or denied claims. Key Responsibilities: Prepare and submit clean claims to Medicare, Medicaid, and commercial insurers for DME services Review prescriptions, documentation, and authorizations to ensure compliance with payer requirements Verify patient insurance coverage and obtain necessary authorizations or referrals Follow up on unpaid claims, rejections, and denials in a timely ...
Posted 2 months ago
1.0 years
0 Lacs
hyderabad, telangana, india
On-site
About NewportMed NewportMed is a specialty-focused Revenue Cycle Management (RCM) partner offering cloud-based billing and analytics solutions for practices in Orthopedics, Neurosurgery, Pain Management, Oncology, Gynecology, Cardiology, and more. With teams in the U.S. and Hyderabad, we combine expertise, technology, and dedicated support to help clients achieve revenue growth and operational efficiency. Job Summary: We are seeking a detail-oriented and hands-on expert in RCM (Revenue Cycle Management) billing system configuration and file maintenance. The ideal candidate will have experience working across multiple Practice Management Systems (PMS) and will be responsible for the setup, co...
Posted 2 months ago
2.0 - 5.0 years
2 - 7 Lacs
gurgaon
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...
Posted 2 months ago
1.0 - 2.0 years
1 - 3 Lacs
coimbatore
On-site
We are looking for an experienced Accounts Receivable (AR) Caller to join our healthcare RCM team. The ideal candidate will be responsible for contacting insurance companies in the U.S. to follow up on outstanding claims, resolve issues, and ensure timely payments. A strong understanding of the U.S. healthcare billing process and denial management is essential. Key Responsibilities: Follow up with insurance companies via phone to check claim status. Initiate necessary steps for timely recovery and resolution of claims. Analyze and understand denials, rejections, and underpayments. Take appropriate actions such as appeals or re-submissions. Maintain and update patient account information in t...
Posted 2 months ago
0.0 - 3.0 years
2 - 5 Lacs
coimbatore
On-site
Job Summary: The Payment Posting Associate is responsible for accurately posting insurance and patient payments, adjustments, and denials into the billing system. This role ensures that all payments are reconciled, accounts are updated promptly, and discrepancies are investigated to maintain financial accuracy and support revenue cycle efficiency. Key Responsibilities: Post insurance payments, patient payments, electronic remittances (ERA), and manual checks into the billing system accurately and timely. Reconcile daily deposits and batches to ensure accuracy between system entries and bank deposits. Identify and resolve posting errors, missing information, or payment discrepancies. Post adj...
Posted 2 months ago
1.0 years
3 - 4 Lacs
hyderābād
On-site
Job Title AR Caller (Accounts Receivable – US Healthcare) Location Pranava Group, beside Harsha toyota showroom, Kothaguda, Telangana 500084| Shift: US Shift (Night) | Employment: Full-time About the Role As an AR Caller, you will follow up with US insurance payers and patients to resolve unpaid/denied medical claims, accelerate collections, and reduce days in A/R. You’ll work closely with billing/coding teams to ensure timely, accurate reimbursement. Key Responsibilities Place outbound calls to insurance companies and patients to follow up on unpaid/underpaid/denied claims. Review EOBs/ERAs, payer portals, and practice management systems to identify issues and next actions. Analyze denials ...
Posted 2 months ago
5.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Join Our Healthcare RCM Team – Multiple Open Positions (US Healthcare Process) Location: Coimbatore (Onsite/Hybrid) | Shift: US Hours EST We’re hiring skilled professionals to join our growing Healthcare Revenue Cycle Management (RCM) team. If you have experience in Medical Coding, Billing, Denial Management, Prior Authorization, Credentialing, Front Office Coordination, or RCM Team Leadership , we invite you to apply. 🔹 Open Roles and Responsibilities 1. Medical Coder Review clinical documentation and assign ICD-10, CPT, and HCPCS codes. Ensure coding accuracy per CMS and payer guidelines. Collaborate with providers for documentation clarification. Use EHRs like eClinicalWorks, Epic, Cerner...
Posted 2 months ago
0.0 - 3.0 years
3 - 4 Lacs
hyderabad, telangana
On-site
Job Title AR Caller (Accounts Receivable – US Healthcare) Location Pranava Group, beside Harsha toyota showroom, Kothaguda, Telangana 500084| Shift: US Shift (Night) | Employment: Full-time About the Role As an AR Caller, you will follow up with US insurance payers and patients to resolve unpaid/denied medical claims, accelerate collections, and reduce days in A/R. You’ll work closely with billing/coding teams to ensure timely, accurate reimbursement. Key Responsibilities Place outbound calls to insurance companies and patients to follow up on unpaid/underpaid/denied claims. Review EOBs/ERAs, payer portals, and practice management systems to identify issues and next actions. Analyze denials ...
Posted 2 months ago
2.0 - 5.0 years
2 - 7 Lacs
gurgaon
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...
Posted 2 months ago
5.0 years
0 Lacs
gurgaon, haryana, india
Remote
Triple Role 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 es...
Posted 2 months ago
1.0 years
2 - 7 Lacs
hyderābād
On-site
RCM Billing System Configuration & Master Data Specialist Job Summary: We are seeking a detail-oriented and hands-on expert in RCM (Revenue Cycle Management) billing system configuration and file maintenance. The ideal candidate will have experience working across multiple Practice Management Systems (PMS) and will be responsible for the setup, configuration, and ongoing maintenance of billing master data. This includes adding and editing payers, providers, and other essential data elements required for efficient RCM processes. Prior experience in RCM functions and a strong understanding of end-to-end revenue cycle workflows are highly desirable. Key Responsibilities: Configure and maintain ...
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
hyderābād
On-site
Job Summary: We are looking for experienced Physician Billing Associates to join our growing team in Hyderabad . The ideal candidate will be responsible for preparing, reviewing, and submitting accurate medical claims (CMS-1500) to insurance payers, ensuring timely reimbursements, and maintaining compliance with U.S. healthcare billing standards. 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 cl...
Posted 2 months ago
0 years
1 - 3 Lacs
mohali
On-site
Job description: Job description: Ideal candidate must have followed: Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups . Track all activities in the process of credentialing/recredentialing providers and clinics. Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed. Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Dev...
Posted 2 months ago
1.0 years
2 - 4 Lacs
mohali
On-site
Process Associate - Patient Calling / Customer Service Preferred Experience : 1-3 years Key job accountabilities: Responsible for attending patient calls and answering patient queries. Developing and maintaining a detailed call database. Responsible for making outbound calls as required. Responsible for daily/weekly/monthly MIS reporting via email/CRM/Excel. Experience on Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties will be big plus. Answering patient calls as required and providing faster resolutions. Required candidate profile: Relevant experience in a USA health care medical billing...
Posted 2 months ago
1.0 - 3.0 years
2 - 3 Lacs
coimbatore
On-site
We are seeking a detail-oriented and experienced DME Medical Billing Specialist to join our team. The ideal candidate will be responsible for processing and submitting DME (Durable Medical Equipment) claims to insurance companies, ensuring compliance with billing policies and procedures, and following up on unpaid or denied claims. Key Responsibilities: Prepare and submit clean claims to Medicare, Medicaid, and commercial insurers for DME services Review prescriptions, documentation, and authorizations to ensure compliance with payer requirements Verify patient insurance coverage and obtain necessary authorizations or referrals Follow up on unpaid claims, rejections, and denials in a timely ...
Posted 2 months ago
1.0 - 3.0 years
3 - 4 Lacs
india
On-site
Dear Candidate, We are pleased to inform you that Afiable Healthcare is currently hiring for the position of: Accounts Receivable (AR) Executive Location : Ahmedabad Job Type: Full-time Department: AR About the Role: As an Accounts Receivable Executive , you will be responsible for managing customer invoices, tracking payments, maintaining financial records, and ensuring timely collections. We are looking for someone who is detail-oriented, organized, and proactive in managing accounts receivables and client communications. Key Responsibilities: Insurance Follow-up Denial Management Payment Posting Support Documentation & Reporting Collaboration Eligibility & Benefits Verification Candidate ...
Posted 2 months ago
0.0 years
0 - 0 Lacs
mohali, punjab
On-site
Job description: Job description: Ideal candidate must have followed: Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups . Track all activities in the process of credentialing/recredentialing providers and clinics. Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed. Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Dev...
Posted 2 months ago
0 years
2 - 2 Lacs
Mohali
On-site
Job description: Ideal candidate must have followed: Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups . Track all activities in the process of credentialing/recredentialing providers and clinics. Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed. Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Developing and modif...
Posted 2 months ago
2.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
join Our Team at Staffingly, Inc. – Kondapur, Hyderabad Job Title: AR Caller Type: Full-Time | ONSITE Shift Timing: U.S. Time Zone - Indian night shifts Start Date: Immediate We appreciate the value of your time as well as ours, so please review the entire job description and apply only if you are interested. At Staffingly, Inc., we are at the forefront of revolutionizing healthcare operations by providing essential services to doctors, laboratories, pharmacies, and other healthcare providers. As a leader in economic Prior Authorization solutions, we tackle the challenges of staff shortages that impact revenue flow and patient care quality. Our mission is to empower healthcare facilities to ...
Posted 2 months ago
0.0 years
0 - 0 Lacs
Mohali, Punjab
On-site
Job description: Ideal candidate must have followed: Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups . Track all activities in the process of credentialing/recredentialing providers and clinics. Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed. Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Developing and modif...
Posted 2 months ago
2.0 - 5.0 years
2 - 6 Lacs
Gurgaon
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...
Posted 2 months ago
2.0 - 4.0 years
4 - 4 Lacs
Mohali
On-site
Job description: This is a work from office position only. Experience Required: 2 - 4 years Ideal candidate for Accounts Receivables: Understand how to analyze and resolve unpaid claims. Interact with the US-based insurance companies. Follow up on unpaid and delayed submitted claims Follow up and resolve denied claims. Experience reading and interpreting and entering insurance EOBs. Understand CMS-1500 and UB-04 claim formats. Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim. Should be able to track and follow up on claims within given Deadline. Experience in Personal Injury and Workers Comp AR will be a big plus. Must achieve daily targets of 70-7...
Posted 2 months ago
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