2105 Medical Billing Jobs - Page 3

Join our dynamic team as a Billing Associate, where you'll play a crucial role in managing the order life cycle and ensuring smooth billing processes. If you have a background in Accounting and are passionate about providing excellent customer service, this is the perfect opportunity to leverage your problem-solving skills and ERP expertise. Be part of a collaborative environment where your contributions will make a significant impact on customer satisfaction and operational efficiency. Shift Timing - 4:00 PM - 1:00 AM / 6:00 PM - 3:00 AMHybrid Work ModelWork from Office Twice a week About the Role Review and verify order information entered into SAP/SFDC system Process customer orders within established deadlines. Respond to customer inquiries regarding order status. Manage the order life cycle, order monitoring, permissions and billing/credits/cancellations for new and renewal orders according to established policies and procedures Implement release of billing for all services and charges. Prepare and send invoices to clients in a timely manner. Handle billing inquiries from clients, providing prompt and professional responses. Resolve billing disputes by investigating issues and coordinating with relevant departments. Process billing corrections as needed to ensure accurate records. Prepare regular reports on billing status and revenue collection. Work collaboratively with other departments such as Sales, Account Management, Collections, Product Support and Operations to resolve customer issues. Maintain high levels of customer satisfaction Accountable for adhering to SOX compliance controls and 3rd party guidelines. Manage internal queries relating to order status, billing, permissions, and compliance issues. On a back-up basis, handle inbound customer calls relating to product/ service queries, claims, subscription and accounts receivable queries. Lead adhoc initiatives with relevant groups, ensuring customer requests are successfully implemented. Spot trends and make recommendations for enhancing systems and procedures. About You Graduate/Post Graduate in Accounting with 1 years of relevant experience Necessary industry experience & associated number of years of experience Good problem-solving skills, written and verbal communication skills. Have a good knowledge on multiple portals uploads like (Ariba,Coupa). Proven ability to form strong customer relationships, an understanding of customer focus and service delivery Good knowledge of MS Office and ERP (applicable AR systems) Must possess and demonstrate exceptional organizational and communications skill. #LI-OE1 Whats in it For You Hybrid Work Model Weve adopted a flexible hybrid working environment (2-3 days a week in the office depending on the role) for our office-based roles while delivering a seamless experience that is digitally and physically connected. Flexibility & Work-Life Balance: Flex My Way is a set of supportive workplace policies designed to help manage personal and professional responsibilities, whether caring for family, giving back to the community, or finding time to refresh and reset. This builds upon our flexible work arrangements, including work from anywhere for up to 8 weeks per year, empowering employees to achieve a better work-life balance. Career Development and Growth: By fostering a culture of continuous learning and skill development, we prepare our talent to tackle tomorrows challenges and deliver real-world solutions. Our Grow My Way programming and skills-first approach ensures you have the tools and knowledge to grow, lead, and thrive in an AI-enabled future. Industry Competitive Benefits We offer comprehensive benefit plans to include flexible vacation, two company-wide Mental Health Days off, access to the Headspace app, retirement savings, tuition reimbursement, employee incentive programs, and resources for mental, physical, and financial wellbeing. Culture: Globally recognized, award-winning reputation for inclusion and belonging, flexibility, work-life balance, and more. We live by our valuesObsess over our Customers, Compete to Win, Challenge (Y)our Thinking, Act Fast / Learn Fast, and Stronger Together. Social Impact Make an impact in your community with our Social Impact Institute. We offer employees two paid volunteer days off annually and opportunities to get involved with pro-bono consulting projects and Environmental, Social, and Governance (ESG) initiatives. Making a Real-World Impact: We are one of the few companies globally that helps its customers pursue justice, truth, and transparency. Together, with the professionals and institutions we serve, we help uphold the rule of law, turn the wheels of commerce, catch bad actors, report the facts, and provide trusted, unbiased information to people all over the world. Thomson Reuters informs the way forward by bringing together the trusted content and technology that people and organizations need to make the right decisions. We serve professionals across legal, tax, accounting, compliance, government, and media. Our products combine highly specialized software and insights to empower professionals with the data, intelligence, and solutions needed to make informed decisions, and to help institutions in their pursuit of justice, truth, and transparency. Reuters, part of Thomson Reuters, is a world leading provider of trusted journalism and news. We are powered by the talents of 26,000 employees across more than 70 countries, where everyone has a chance to contribute and grow professionally in flexible work environments. At a time when objectivity, accuracy, fairness, and transparency are under attack, we consider it our duty to pursue them. Sound excitingJoin us and help shape the industries that move society forward. As a global business, we rely on the unique backgrounds, perspectives, and experiences of all employees to deliver on our business goals. To ensure we can do that, we seek talented, qualified employees in all our operations around the world regardless of race, color, sex/gender, including pregnancy, gender identity and expression, national origin, religion, sexual orientation, disability, age, marital status, citizen status, veteran status, or any other protected classification under applicable law. Thomson Reuters is proud to be an Equal Employment Opportunity Employer providing a drug-free workplace. We also make reasonable accommodations for qualified individuals with disabilities and for sincerely held religious beliefs in accordance with applicable law. More information on requesting an accommodation here. Learn more on how to protect yourself from fraudulent job postings here. More information about Thomson Reuters can be found on thomsonreuters.com.

We are seeking a Certified Medical Biller with hands-on experience in Mental Health billing to join a clients dynamic and compassionate mental health clinic. This role requires proficiency in Waystar Clearinghouse , deep knowledge of the RCM cycle and a commitment to accuracy and timeliness in all billing operations. Key Responsibilities: Manage the end-to-end Revenue Cycle Management (RCM) process for mental health billing. File and submit claims through Waystar Clearinghouse , ensuring compliance and timely reimbursement. Conduct claim follow-ups , resolve denials, and manage appeals with insurance companies. Verify insurance eligibility, obtain authorizations, and rectify discrepancies in billing data. Collaborate with clinical and administrative staff to ensure accurate charge capture and coding. Generate biweekly billing and performance reports to support financial transparency. Respond to patient billing inquiries and assist in resolving account balances. Ensure proper use of CPT, ICD-10, and modifiers relevant to mental health services. Stay current on payer policies, HIPAA regulations, and billing compliance updates. Qualifications: Certified Medical Biller Mandatory Minimum 3+ years of experience in US Medical Billing - Mandatory Experience using Waystar Clearinghouse Mandatory Strong command of claim submission, denial management and insurance follow-ups In-depth understanding of RCM best practices and mental health billing nuances Proficiency in billing and EHR systems [Novoclinical - Preferred but not mandatory] Strong attention to detail, confidentiality and communication skills Familiarity with working individually with a private practice Prior work in a behavioral or mental health practice setting

Opening for AR Analyst We are looking for a experienced AR Analyst( E-Clinical Work software and General Medicine is mandatory) to join our medical billing team. The ideal candidate will have 1-4 years of experience in medical billing with a strong focus on AR Analyst. AR Analyst (Day shift): Key Responsibilities: Should have worked as an AR Analyst for min 1 year max 4 years with medical billing Good knowledge of revenue cycle and denial management concept Positive attitude to solve problems Addressing outstanding account receivables Submitting appeals in a timely manner Perform ageing analysis, understand days in A/R, top reasons for denials and provide reports to clients as needed Qualifications: Minimum 1-4 years of AR Analyst experience. Working experience with E-Clinical work(ECW) software and General Medicine is mandatory.

Job Summary: We are looking for a dedicated and experienced Medical Billing Trainer to design and deliver comprehensive training programs focused on U.S. healthcare revenue cycle processes. The trainer will be responsible solely for delivering structured classroom sessions. The ideal candidate should have a strong foundation in medical billing concepts, payer guidelines, and compliance standards, along with excellent communication and instructional skills. Job Title: Medical Billing Trainer Department: Training & Development Location : Okkiyampettai Thoripakkam, Chennai. Exp :3 to 5 years(Medical billing) Shift timings: US Shift (5:30 pm - 2:30 am) Key Responsibilities: Develop and deliver structured training modules covering: Patient registration and demographic entry Insurance eligibility and verification Charge entry and coding overview (CPT, ICD-10, modifiers) Claims submission processes (paper and electronic) Payment posting concepts (EOB/ERA handling) Introduction to denial types and resolution workflows Overview of AR follow-up practices and payer policies Create training materials including manuals, SOPs, presentations, assessments, and job aids. Conduct initial training for new hires in a classroom. Deliver refresher training and periodic knowledge updates to existing staff as per business needs. Coordinate with Operations and Quality teams to gather inputs on training needs. Track trainee progress through evaluations, quizzes, and feedback forms. Stay up to date with industry changes (e.g., payer guidelines, compliance updates) and incorporate them into training content. Ensure training delivery aligns with compliance and HIPAA regulations. Qualifications: Education: Bachelors degree Experience: 3+ years of hands-on experience in U.S. medical billing 1+ year of experience in a training or instructional role Knowledge Required: End-to-end medical billing cycle and RCM processes Basic understanding of coding (ICD-10, CPT), claim life cycle, payer-specific rules Familiarity with medical billing software Skills: Strong verbal and written communication skills Excellent presentation and facilitation skills Proficiency in Microsoft Office (Word, Excel, PowerPoint) Strong documentation and analytical abilities Preferred Certifications: CPB (Certified Professional Biller) or equivalent Preferred, not mandatory Work Environment: Onsite based on business requirement. May require flexible hours to align with U.S. clients or learners Note: Looking for candidates with Excellent communication and interpersonal skills. Immediate Joiners are preferred. Candidates must be comfortable with Night Shifts (5:30 pm - 2:30 am) and work from the office. Candidates should be located within a 10 to 15 km radius of Thoripakkam Own transportation is required as no cab facility is provided. Interested candidates are requested to apply for this position. Shortlisted applicants will be contacted within 2 to 3 business days.

HUGE OPENINGS FOR AR CALLER/CALLING WORK FROM OFFICE MODE OF INTERVIEW - VIRTUAL JOB LOCATION - CHENNAI & BENGALURU EXPERIENCE - 1 TO 7 YRS. SALARY - MAX.42K TAKE HOME (EASY SELECTION, RELIEVING LETTER NOT MANDATORY) (NEED IMMEDIATE JOINERS) Interested Candidates, Please call/watsapp me @ 9962492242 or send your Updated resume to info@mmcsjobs.com Please share this information, also with your friends. Thank you very much for the support

Job Title : Associate Director - Operations (RCM) Company : Prochant India Pvt Ltd. Experience : 18+ Years Work Location : Chennai & Trivandrum Salary : Best in Industry Industry Type : KPO / ITES (U.S. Healthcare RCM) Functional Area : Healthcare, Medical, Revenue Cycle Management (RCM) Employment Type : Full Time, Permanent Role Category : Operations / Senior Management Job Description Prochant, a leading outsourced billing service provider in the U.S. healthcare industry, is looking for a seasoned Associate Director - Operations (RCM) to be based out of our Chennai or Trivandrum office. The ideal candidate will bring deep domain knowledge of U.S. medical billing and proven leadership experience to manage operations, ensure quality output, and lead performance excellence. Roles and Responsibilities : Oversee and manage RCM operations: Cash Posting, Billing, AR Follow-up, EV/PA, Transmission, Correspondence, Medicare Audits, MIS & Support Teams Ensure production & quality SLAs are met consistently Analyze KPIs, identify gaps, and implement process improvements Develop and mentor high-performing RCM teams Ensure full compliance with U.S. healthcare regulations and payer policies Collaborate with internal departments for seamless operational integration Leverage RCM tools & automation for process optimization Prepare and present business performance reports to senior leadership Desired Candidate Profile : Minimum 18+ years of experience in U.S. Healthcare RCM Minimum 10 years in leadership roles (Manager, Sr. Manager, Director, etc.) Strong expertise in end-to-end RCM processes Excellent communication, leadership, and problem-solving skills Open to working in Night Shift Preferred location: Candidates from Chennai or Trivandrum Perks and Benefits : Best-in-industry salary & appraisals Quarterly Rewards & Recognition Dinner provided for night shifts Upfront Leave Credit 5-day work week (Monday to Friday) Excellent learning and career growth opportunities in U.S. medical billing Number of Openings : 2 Mode of Interview : Microsoft Teams Work Mode : Work from Office (Chennai or Trivandrum) Contact Person : Sushil Kumar Call/WhatsApp : +91 70100 70581 Email : sushilk@prochant.com

• Should have excellent communication skills • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow up where required. . Must be willing to Work from Office • Abilities to absorb client business rules. Required Candidate profile Education: Any Graduate Note: Work from office only Working Time: 5.30PM to 2:30AM Working Days: Monday to Friday Transport : Free Cab 2ways Email: manijob7@gmail.com Call / Whatsapp 9989051577

We are looking for a Team Lead to manage and oversee Revenue Cycle Management (RCM) operations, ensuring customized solutions for specific accounts. This role involves handling individual workloads while supervising training, auditing, and monitoring team performance to ensure efficiency and accuracy in Accounts Receivable (AR) follow-ups and Denial Management . The Team Lead will also be responsible for maintaining seamless workflows, including payment collection and insurance carrier coordination , while supporting both clients and internal teams. Key Responsibilities: Team Leadership & AR Management: Lead a team of analysts and a team coach to reduce AR aging and optimize collections. Denial Management: Provide expertise in AR follow-ups and denial analysis to maximize recovery. Process Oversight: Supervise daily team activities, track progress, and ensure SLA commitments are met. Quality Assurance: Conduct quality checks on AR follow-ups and Explanation of Benefits (EOB) denial analysis before submission to clients. Client & Escalation Handling: Respond to client queries and manage first-level escalations effectively. Performance Monitoring: Track and maintain key metrics, including attendance, productivity, and workflow management . Process Improvement: Develop and implement strategies to enhance productivity and quality within the team. Training & Development: Mentor and supervise analysts, senior analysts, and new trainees , fostering strong AR follow-up skills. Pilot Projects & Knowledge Transition: Participate in new projects, ensuring smooth knowledge transfer to the team. Conflict Resolution: Work with managers to address and resolve team-related concerns effectively. Hands-on AR Work: Support follow-up tasks when required to ensure efficiency and completion of workflows. Trend Analysis: Identify patterns within portfolios to aid in collections optimization and drive better outcomes. Mandatory Skills & Qualifications: Experience: Minimum 7 + years in AR follow-ups, Denial Management, or Revenue Cycle Management (RCM) . Leadership: Strong mentoring and team management skills. Communication: Excellent verbal and written English proficiency. Detail-Oriented: High attention to accuracy and process compliance. Problem-Solving: Ability to multitask and handle multiple responsibilities effectively. Analytics: Strong analytical skills with a results-driven mindset. Process Improvement: Keen eye for enhancing workflows and quality standards in AR management. Industry Knowledge: In-depth understanding of healthcare RCM and insurance processes . Preferred Skills: Strong problem-solving abilities. Experience in training and mentoring team members. Proficiency in Microsoft Office (Word, Outlook, Excel). Excellent in MS Excel, Power Bi, MS PPT, other applications of MS Office . Very good in Reports Creation and Submission. Excellent Communication and Accent and experience in handling US clients and Providers . Share your resume along with your last three months' pay slips via you can also email the CV to hr@acpbillingservices.com Work Location: ACP Billing Services Pvt LtdNO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark: Next to ICICI Bank Madhavaram Branch.

Designation : AR Callers / Senior AR Callers Exp: 1 Y to 5 y Required Skills: Expertise in Physician Billing (CMS-1500) Strong understanding of CMS-1500 claim forms and related processes Strong in Denial Management Good communication skills Required Candidate profile Notice Period: Immediate joiners or candidates with a max 7 day notice period are highly preferred Shift : Day Shift Job Location: Bangalore Email:manijob7@gmail.com Call / Whatsapp 9989051577

Requires Team lead for Trainers and trainers in Client Services in International BPO Team lead experience of 1 yr or 4 -5 years in training required Contact 8977711182 Required Candidate profile Extensive knowledge of the US healthcare industry specifically payer operations and/or provider office operations, knowledge of claims processing system US shift , WFO

Greetings from Vee Healthtek!! Immediate Hiring Team Lead/Senior Team (RCM Background)!!!!!!! We are hiring for the position of Team Lead (AR Calling) specializing in end-to-end denials under the US Healthcare process. Designation: Team Coach/ Team Lead/ Senior Team Lead Department: Medical Billing (AR Calling) Experience: 4+ years (Minimum 1 year as Team lead) Location: Hyderabad (Work from office only) "On paper designation as Team Coach/ Team Lead/ Senior Team Lead is mandatory". Skills required: Excellent Domain Knowledge On papers team Lead is appreciable Good Oral & Written Communication skills Good Team Handling Skills Excellent Analytical skills Should be good at Muti-Tasking Roles & responsibilities: Design & implement workflow processes. Ensure quality of Deliverables Interaction with clients Ensure timely client communication Ensure proper execution of projects Monitor the quality and provide feedback to individuals or team. Maintain process documents and ensure regular updates Ensure all updates from clients are recorded Ensure proper allocation of work to team members Ensure the Turnaround time is adhered as per SLAs Participate in conference calls with the clients/ top management . The role offers exciting opportunities to lead a team and deliver exceptional results. Interested candidates can reach out to Subiksha G - subiksha.g@Veehealthtek.com/ 9606003487

Job description Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus We are hiring fresh graduates as well as experienced resources

Greetings From Prochant !!! Key Responsibilities and Duties: As a Team Leader you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to manage the team and ensure production and quality targets are met as per company requirement. You are responsible for identifying issues and alerting the appropriate parties before these issues are identified by the client. Your job is to enhance and expand the capacity of your team members, allowing Prochant to expand the scope of its teams to include a much larger client base. Essential Functions Production Monitoring - overall responsibility for monitoring daily production for assigned clients and updating the Connect Portal with this information. Review Reports review key reports for accuracy and quality. These reports include: Production log (Target Vs. Achieved), Cash posting log, Cash to back reports, Transmission log such as claims entry log, commercial rejection log, BT rejection log and printing log. Daily Standing Meeting - Prepare respective report for daily meeting, reporting results and associated red flags. Always bring proposed solutions when reporting these issues. Allocation of work - Prepare downloads of respective process and allocate the work to the subordinates and ensure a smooth flow of production. Escalations - Identifying issues, resolving and escalating it to the Senior Team Leader and Managers . Quality Assurance - Overall responsible for the quality of the team for all Day process. Communication - Good rapport with Senior Team Leader and Assistant Manager, review emails and tasks typically sent to the Senior Account Manager and respond or forward as appropriate, taking a significant work load off of the SAM. Month End - overall responsibility for ensuring that month end procedures like Client invoicing reports and month end closing reports are maintained in timely manner. Training - Interface with the training team based on red flags and accuracy issues to ensure proper staff education. Performance Review - Periodic one to one meeting on Performance review. Team Meeting - Responsible to conduct Team meetings on regular basis to update and coordinate the Team performance Note: we are looking for the candidate who have mandatory experience in payment posting, charge entry, FEB, rejection and denials. Benefits Salary & Appraisal - Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Upfront Leave Credit Only 5 days working (Monday to Friday) Contact Person : Harini P Interested candidates call / whats app to 8870459635 or share your updated CV to harinip@prochant.com

Greetings from Vee Healthtek....! We are hiring AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Location - Bangalore Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Bhagyashree V Contact Number - 9741406191 Mail Id - Bhagyashree.v@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon every month * Incentives based on performance

Senior Finance Analyst Accounts Receivable Client Finance - JLL Business Service (Gurugram) What this job involves: Conduct a comprehensive analysis of bank deposits and execute precise application of deposits to designated tenant accounts Perform in-depth analysis of tenant ledger histories to identify and resolve discrepancies in payment transactions Performing quality checks to ensure all the deposits are correctly applied against each tenant's accounts Query handling working upon all queries received and keeping a close tab on any pending queries that could be resolved, and following up on the rest Collaborate with Accounting and Property Management professionals to facilitate appropriate payment application Investigate duplicate payments and transaction errors to maintain financial accuracy Participate in special department projects/initiatives as directed Maintain exemplary documentation systems for archiving, records retention, and audit compliance Identify and escalate unresolved matters through appropriate channels with recommended solutions Provide expert support to cross-functional teams and processes when required Maintain comprehensive and current process documentation, including SOP, Process Maps, and tracking mechanisms Provide technical guidance to team members and support performance improvement initiatives Sounds like you To apply, you need to have the following: Employee Specifications Strong Finance background, Commerce graduate or Post Graduate is preferred. Minimum 3-5 years of experience in Order to Cash, specifically the Cash Application role is preferable Strong analytical skills with attention to detail and logical thinking and carries a positive attitude to develop solutions quickly Impactful communication (written and verbal) to interact with clients and strong interpersonal skills Demonstrated consistency in values, principles, and work ethic Working knowledge of MS Office (MS Word, Excel, PowerPoint, Outlook) required Performance Objectives Works within established procedures with a moderate degree of supervision Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures, and makes sound decisions

Role & responsibilities Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility. Assist US-based members and providers with accurate and timely information. Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows. Accurately document customer interactions and transactions in the system. Ensure HIPAA compliance and protect patient privacy at all times. Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT). Collaborate with internal teams for escalation resolution and process improvement. Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating the member website, and other websites while encouraging and reassure them to become self-sufficient. Please connect with Neeraj Salariya@8285244315. Preferred candidate profile Minimum 6 months to 3 years of experience in international voice process (preferably Healthcare & Welfare). Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design) Excellent verbal and written communication skills in English. Strong interpersonal skills with the ability to remain patient and empathetic. Comfortable working night shifts and rotational offs. Basic computer literacy and typing skills. Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations). Knowledge of HIPAA regulations. Graduate in any stream (preferably Life Sciences, Healthcare, or related fields). Undergraduates with relevant BPO experience are eligible to apply Knowledge of billing practices and procedures preferred Proficiency with word processing and spreadsheet software and required. Please connect with Neeraj Salariya@8285244315. Perks & Benefits Salary ranges from 3 to 3.43 LPA. Cab Facility or Transport Allowance Medical Insurance Life Insurance.

Neolytix provides management solutions aimed at igniting long-term success for healthcare providers nationwide. We provide a platform to incubate a conducive collaboration based on creating revenue and cost transformation within healthcare organizations. Work with a company where your work can make a real impact! As a Training process trainer specializing in US Healthcare processes, you will be responsible for creating engaging and comprehensive training materials, SOPs, and conducting On Job Training for the ramp-up period of training graduates. And a key resource for the SOP management. Leveraging your expertise in instructional design principles and your ability to conduct insightful interviews, you will craft high-quality trainer-led training content that ensures our workforce remains up-to-date and proficient in all areas of healthcare operations. Responsibilities: - Conduct thorough interviews with subject matter experts and stakeholders to gather comprehensive insights on US Healthcare processes, including medical billing, credentialing, etc. - Design and implement effective process knowledge test assessments to measure the understanding and proficiency of employees in key healthcare processes, fostering continuous improvement and skill development. - Regularly update the SOPs and enhance existing SOPs to reflect the latest developments, trends, and changes within the process, and maintain work hygiene. - Conduct On-Job-Training during the ramp-up period of the new Hires post the graduation of the training. - Conduct process training on RCM modules. - Utilize applications used in operations and create SOPs based on them to design training accordingly. - Proven experience in creating engaging and effective trainer-led training materials in the healthcare sector, focusing on medical billing, credentialing, and clinical documentation management. - Familiarity with learning management systems and multimedia tools to develop interactive and visually appealing training content. - Knowledge of US Healthcare regulations, compliance standards, and industry-specific best practices. Essential Functions: - Work collaboratively with Revenue Cycle colleagues to ensure work products meet quality and quantity expectations. - Possess critical and analytical thinking skills to strategize solutions and work independently. - Strong computer skills required, especially in EPIC, Availity, Waystar, and Microsoft Office tools. - Excellent verbal and written communication skills with the ability to demonstrate diplomacy and conflict resolution techniques. - Engage in teamwork, maintain positive working relationships, and ensure OJT work production meets defined expectations. - Perform other duties as assigned. Requirements: - Skills: Proficiency in computer applications like Explorer, Excel, Word, Outlook, EPIC (or other EHR software). - Ability to multi-task, assess organization/customer needs, and translate them into learning objectives. - Good communication skills both verbal and written. - Education: College graduation in any stream. - Knowledge of insurance billing, medical terminology, rules, regulations, US Insurances, managed care contracts, and compliance. - Experience: 4+ years of healthcare accounts receivable experience with expertise in un-adjudicated claim management, appeals, and pre-collections. Demonstrated ability to develop and train staff on processes and procedures. Neolytix is an equal-opportunity employer, celebrating diversity and committed to creating an inclusive environment for all employees.,

We have an opportunity for the role of Team Manager in RCM, the details of which are mentioned below: Designation: Team Manager (RCM) No. of Openings: AR Team Manager - 3 Experience: 5+ years Location: Hyderabad (Uppal) Skills Required: Work experience of 5+ years and experience in the AR function of a US Healthcare Setup of at least 3+ years. Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills. Graduation in any stream. Responsibilities : Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates. Help manage team work life balance through efforts on leave planning and rostering. Communicate effectively within & with team members & escalate issues to the management for timely resolution. Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent. If interested, please share your updated CV on shivani.tripathi@ikshealth.com

We have an opportunity for the Associate Director posiiton in Hyderabad, the details of which are as given below: Position : Associate Director - RCM Operations Location : Hyderabad (Uppal) Qualifications: Graduate from any discipline is a must Functional Competencies & Role Prerequisites: Experience of working for at least 10 years into any of the RCM lines of business. Knowledge of AR function is a must. Knowledge of federal and the top 5 commercial payors is a must. Basic Knowledge of Microsoft Tools / Gsuite would be mandatory. Good Feedback and Coaching Skills. Delegation. Profile Description: This role includes managing a team responsible for delivering services as per the SOW. It also involves analyzing reports and trends to ensure smooth delivery of operations. Responsible for running initiatives in the team towards managing building engagement and motivation in the team. Key Responsibilities: Process: Manage team production and conduct process Quality monitoring Manage work assignment allocation & review of work list Encourage & engage team members for continuous improvement / process optimization / automation ideas Manage Business Intelligence through reports & MIS for internal / client use Determine validity of move to client, either send back instructions to Rep or approve & move to client Review coding review requests & quantify preventable issues Communicate to Billing, PP or Coding as applicable Scenario findings to all staff for examples that were not valid coding review needs Work with Coding on responses that can be used in appeals when, coded correctly Review denial adjustments for validity - quantify preventable issues Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions. Review high risk/aged/ excessive incomplete action account balances. Manage up review AR findings and feedback Create QA & Tip for week from client, payer, and account assessment scenarios Manage Global Issues Review process / function managed for Global Issues, high risk / aged items, Payer Trends, training needs for team members. Create case studies on identified issues impacting team performance / client business and share inputs with Quality & Training Teams Ensure highest levels of Organization and Healthcare related compliance requirements are adhered to Ensure adherence to maintaining all necessary process documentation as per the QMS Team Management: Drive high levels of employee engagement (include Daily, weekly, monthly team connects to enable high retention and satisfaction rates Help manage team work life balance through efforts on leave planning and rostering Communicate effectively within & with team members & escalate issues to the management for timely resolution Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent Monthly One-on-One connects to be closed with all the team members Client Management: Being part of daily/weekly client update calls OR reviews. Timely response to client queries and requirements over email Partner and support the BI team in preparing important client reports for the process and releasing the same to the clients as per deadlines. If interested, kindly share your resume on shivani.tripathi@ikshealth.com.

Key Responsibilities: Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be up to date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Desired Candidate Profile Required Qualifications Graduate in any discipline Should have minimum 2 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com

Key Responsibilities Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be upto date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor) Should be able to identify upskilling requirement and initiate content creation either for ILT (Instructor Led Training) or E Learning Being the custodian of all knowledge requirements, will be actively participating in all transition activities Will be the client interface for all knowledge related discussions and should be able to gain a consultant position Should be well versed in SOP creation, documentation, preparing process flows Desired Candidate Profile Required Qualifications Graduate/Post-Graduation in any discipline Should have minimum 5 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills TTT ( Train The Trainer ) certification is preferred Understand the concepts for creating E Leaning modules Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com

The opportunity offers you the chance to work with a client-focused organization rather than one that is technology-focused. You will be eligible for attractive bonus packages in addition to highly competitive compensation. The work environment is described as challenging, vibrant, and growing, providing individuals with the opportunity to develop new skill sets. You should possess 1-5 years of experience in Medical Billing to be considered for this position. Your responsibilities will include having experience in the end-to-end process of medical/healthcare billing in the U.S. It is essential to have good knowledge in denials management, with capturing and action taken experience being mandatory. The working hours are in the general shift from 9am to 6pm, with lunch provided. You will be working 5 days a week with every alternate Saturday off.,

As a Same Day Surgery Medical Coder, you will be responsible for handling the day-to-day operations of Same-day Surgery Coding. Your primary tasks will include coding records according to prescribed coding standards such as ICD-9/ICD-10 and CPT, assigning diagnosis and procedure codes for patient charts, and ensuring adherence to the company's Coding Compliance policy/plan. It is essential to have a minimum of two years of Same-day Surgery Coding experience and hold a CPC or COC certification. A graduation in Life Science or medical sciences is also required. Your role will involve working towards service levels to meet productivity and quality requirements. You will be expected to improve performance based on feedback provided by the reporting manager and prepare and maintain status reports. This position is based in Chennai and offers a salary ranging from 4 to 7.5 LPA Max. The work timings are during the day shift with Saturday and Sunday as fixed offs. The ideal candidate for this position must have CCS or CIC certification, with a preference for CPC or COC certification. The job falls under the Healthcare & Life Sciences functional area in the BPO/KPO Call Centre industry. This is a full-time, permanent employment opportunity. If you meet the qualifications and experience required for this role, please share your updated CV with raghu@starworthglobal.com or contact 9176668384 to express your interest.,

PFB J.D: Job Title: Medical Billing & Revenue Cycle Management (RCM) Expert (title will vary depending on current role but must be willing to work as IC) Location: Remote Contract: 6 months Experience: 8 to 12 years Job Summary We are looking for a dedicated and proactive Medical Billing & Revenue Cycle Management (RCM) Executive to join our growing team. The ideal candidate will have hands-on experience with end-to-end medical billing processes, claim submissions, payment posting, denial management, and working with US (or international) healthcare systems. This role is a critical part of our SME-focused medical billing/RCM operations. Key Responsibilities Process patient and insurance claims accurately using practice management and billing software. Submit claims to insurance companiesboth electronically and manually—ensuring all supporting documentation is included. Review, track, and resolve claim denials and rejections. Post payments from insurance providers and patients into billing systems. Follow up on outstanding accounts receivable and unpaid claims. Verify patient eligibility and coverage details as required. Communicate with insurance companies, healthcare providers, and patients to resolve billing issues. Maintain up-to-date knowledge of medical coding guidelines, payer policies, and RCM industry best practices. Prepare and present RCM/billing reports as directed by management. Contribute to process improvement and compliance initiatives. Requirements Bachelor’s degree or diploma in a relevant field (Commerce, Healthcare Administration, Life Sciences, etc.). 8 to 12 years’ experience in medical billing, RCM, or health insurance processes (US/International healthcare preferred). Familiarity with CPT, ICD-10, HCPCS codes, and common billing software/platforms (e.g., Kareo, Athena, AdvancedMD, etc.). Understanding of healthcare insurance terminology (EOB, denials, AR, etc.). Proficiency in MS Office Suite (Excel, Outlook). Strong analytical, problem-solving, and communication skills. Attention to detail and ability to work independently or in a team environment. Ability to manage multiple priorities in a fast-paced setting. Preferred Qualifications (not mandatory) Certification as a Certified Professional Coder (CPC) or similar credential. Previous experience working with SME medical billing vendors or BPO/KPO sector. Knowledge of US HIPAA compliance. Compensation and Benefits Competitive salary (commensurate with experience). Incentives/performance bonuses. Healthcare and wellness benefits. Opportunities for training and career advancement.

As an Authorization & Referral Analyst at our company, you will play a crucial role in ensuring the proper authorization and referral documentation for all medical services. Your responsibilities will include reviewing patient charts, communicating with healthcare providers, submitting requests to insurance companies, tracking request status, analyzing denials, and implementing strategies to enhance processes and reduce denials. Maintaining accurate records, resolving billing issues, and collaborating with the team are also key aspects of this role. To qualify for this position, you should have a high school diploma or equivalent, at least 2 years of experience in a healthcare setting with a focus on medical billing, and a strong understanding of medical terminology. Specific experience in drugs/Medicine under primary care and urgent care settings is preferred. Proficiency in Microsoft Office Suite, excellent communication skills, analytical abilities, and attention to detail are essential. The role requires working independently and as part of a team, managing multiple tasks efficiently, and prioritizing effectively. This is a full-time position with benefits including provided food and Provident Fund. The work schedule is Monday to Friday with night shifts in the US time zone. The job location is in person. If you meet the qualifications and are looking to utilize your skills in a dynamic healthcare environment, we encourage you to apply for this exciting opportunity.,