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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...
Posted 3 months 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 payme...
Posted 3 months 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 wh...
Posted 3 months 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...
Posted 3 months 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 Syste...
Posted 3 months 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 Syste...
Posted 3 months 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 Syste...
Posted 3 months 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 ass...
Posted 3 months 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 assig...
Posted 3 months 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. Ment...
Posted 3 months 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, hos...
Posted 3 months 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...
Posted 3 months 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 ...
Posted 3 months 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 ...
Posted 3 months ago
4.0 - 6.0 years
9 - 10 Lacs
Coimbatore
On-site
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)....
Posted 3 months ago
6.0 - 11.0 years
17 - 27 Lacs
Hyderabad, Bengaluru, Delhi / NCR
Hybrid
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 cleansi...
Posted 3 months ago
30.0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
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-ori...
Posted 3 months ago
0 years
10 - 15 Lacs
Hyderābād
On-site
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 proce...
Posted 3 months ago
10.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
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 standar...
Posted 3 months ago
0 years
2 - 2 Lacs
Mohali
On-site
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 i...
Posted 3 months ago
0 years
2 - 3 Lacs
Mohali
On-site
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...
Posted 3 months ago
4.0 years
3 - 6 Lacs
India
On-site
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 consist...
Posted 3 months ago
1.0 - 3.0 years
0 Lacs
India
On-site
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 fa...
Posted 3 months ago
1.0 - 3.0 years
0 Lacs
India
On-site
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 fa...
Posted 3 months ago
1.0 - 3.0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
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 fac...
Posted 3 months ago
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