Job Title : AR Process Associate / Senior Process Associate Department : Medical Billing Location : Remote / India [Currently work from Home] Reports To : Joint VP RCM Operations Experience : 4 9 Years Shift Time : 5:30 Pm to 2:30 Am IST Company Website : https://www.modulemd.com Welcome to ModuleMD At ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare providers. Were on a mission to revolutionize revenue cycle management through AI, and we’re looking for innovators who are ready to help us shape the future. Our Culture & Values "We foster a culture of inclusivity, innovation, and integrity. Our team values collaboration, continuous improvement, and a passion for excellence." Role Overview As an AR Caller /Senior AR Caller, you will be responsible for handling complex accounts, resolving aged claims, and ensuring timely follow-up with payers in compliance with US healthcare regulations. You will also support process improvements. Role Purpose: What You’ll Be Doing Handle insurance AR follow-up on behalf of physicians in the US (denials, underpayments, no response). Work claims from the aging bucket to ensure timely resolution. Communicate effectively with payers to secure payment on outstanding claims. Verify and validate insurance details provided by patients for accuracy and clarity Resolve aged claims across Medicare, Medicaid, and Commercial payers. Analyze denial codes ( CO, PR, CR ) and initiate appeals or reprocessing. Use EHR/EMR systems to track claims and billing data accurately. Provide weekly AR reports and support in forecasting collections Ensure HIPAA-compliant documentation of all interactions. Meet individual KPIs and update production logs regularly. Achieve daily, weekly, and monthly targets. Follow all internal policies and procedures with discipline. Key Responsibilities: What Makes You A Fit Strong understanding of US healthcare RCM and medical billing processes Ability to handle claim denials, rejections, and underpayments independently. Proficient in working on AR aging reports and prioritizing high-value claims. Excellent verbal communication and negotiation skills with insurance representatives. Skilled in analyzing denial reasons and executing appropriate follow-up actions (appeals, re-submissions). Familiarity with EHR/EMR platforms, payer portals, and claim status workflows. Consistent achievement of KPIs—daily productivity, quality, and turnaround time. Detail-oriented with strong documentation and compliance practices (HIPAA). Capable of working under pressure and adapting to fast-paced environments. A proactive team player with a problem-solving mindset. Must-Have Skills: Strong verbal communication skills – Clear, confident, and professional while speaking with US insurance payers. Thorough knowledge of denial codes (CO, PR, CR) and AR workflows. Hands-on experience with EHR/EMR systems Expertise in US insurance processes – Medicare, Medicaid, and commercial payers. Analytical skills – Ability to identify trends in denials, resolve escalations, and suggest improvements. Proficiency in payer portals and claims follow-up tools. Appeals and Reprocessing knowledge – Writing effective appeal letters and understanding payer timelines. Attention to detail – Accurate documentation and adherence to HIPAA guidelines. Time management & multitasking – Handling high volumes with timely resolution. Team collaboration – Ability to coordinate with billing, coding, and client teams. Preferred Specialty Experience Experience in billing for the following specialties is an added advantage: Allergy Asthma Immunology Pulmonology Candidates with prior exposure to these domains will be given preference due to the nuanced nature of coding and claim processing in these specialties. Required Qualifications 3+ years in healthcare ML (denial management preferred). Graduate in Science or Arts Should be willing to work in US Shift Experience in Healthcare Revenue Cycle Management process Should have minimum 2 years of AR calling Experience must. Strong listening and verbal communication skills Good computer skills including Microsoft Office suite. Ability to prioritize and manage work queue. Ability to work independently as well as in a team environment. Strong analytical and problem-solving skills Good typing skills with a speed of min 30-35 words /min Why Join ModuleMD? Join a future-forward healthcare company where AI and automation are transforming revenue cycle management—giving AR callers the tools to work smarter and faster. Be part of an innovative team that bridges traditional billing expertise with cutting-edge technology to reduce denials and accelerate reimbursements. Gain exposure to AI-driven workflows and platforms, setting you apart in a rapidly evolving healthcare industry. Thrive in a flexible, collaborative, and learning-focused culture that values your domain knowledge and encourages continuous growth. Application Process : "Our hiring process includes an initial screening, a technical assessment, and a final interview with the team. We aim to keep the process transparent and timely." Equal Opportunity Statement : "We are an equal opportunity employer and value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, or disability status." Ready to Join the Future of Healthcare AI? Apply now with your GitHub/portfolio link and CV.
Job Title : Front-End Developer Department : Digital Marketing Location : Remote / India [Currently work from Home] Reports To : Digital Marketing Director Experience : 5+ Years Shift Time : 2:00 Pm to 11:00 Pm IST Company Website : https://www.modulemd.com Welcome to ModuleMD At ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare providers. As we integrate AI into every aspect of our business, we are shaping the future of revenue cycle management. If you're a frontend specialist whos passionate about clean design and impactful user experiences, wed love to hear from you. Our Culture & Values "We foster a culture of inclusivity, innovation, and integrity. Our team thrives on collaboration, continuous learning, and a passion for making healthcare smarter through technology. Role Overview As a Front-End Developer, youll lead the development of dynamic, responsive web applications that sit at the intersection of digital marketing and healthcare innovation. You will work closely with cross-functional teams to ensure that our solutions offer world-class user experiences optimized for performance and discoverability . Role Purpose: What You’ll Be Doing Design and develop responsive, high-performance web interfaces using HTML5, CSS3, JavaScript, and Angular. Build, customize, and manage websites using WordPress. Translate Figma or AdobeXD wireframes into efficient, scalable frontend components. Integrate with RESTful APIs and backend services. Create and maintain reusable component libraries and codebases. Debug and optimize existing applications for maximum performance. Collaborate in Agile sprints and participate in code reviews and stand-ups Key Responsibilities: What Makes You A Fit Must-Have Skills: 4+years of frontend development experience, primarily with Angular (2+). Strong proficiency in HTML5, CSS3, JavaScript, Bootstrap, and responsive design. Hands-on experience with WordPress and custom theme/plugin development. Hands-on experience with jQuery and web animation techniques. Proven ability to optimize front-end performance using tools like Lighthouse and PageSpeed. Experience in HTML5 Google Banner Ads and UI/UX implementation. Familiarity with Git version control and Agile development methodologies. Nice-to-Have Skills: Experience with CMS integrations and building custom CMS templates. Basic understanding of backend tech stacks like Node.js or Express.js. Knowledge of SSR and SPA principles in Angular. Exposure to design systems and component-based architecture. Tools We Use (and You Will Too) HTML5, CSS3, JavaScript, jQuery, Angular WordPress, Bootstrap, Git, REST APIs Google Lighthouse, Adobe XD/Figma, CMS platforms Required Qualifications Bachelor’s degree in computer engineering, Computer Science, or a related field. Excellent verbal and written communication skills. Strong organizational skills and attention to detail. Why Join ModuleMD Be part of a company that merges AI and healthcare for real-world impact. Work on meaningful products that improve medical efficiency and patient outcomes. Enjoy a flexible, remote work environment with a culture of continuous learning. Collaborate with a close-knit team that values autonomy, creativity, and results. Application Process : "Our hiring process includes an initial screening, a technical assessment, and a final interview with the team. We aim to keep the process transparent and timely." Equal Opportunity Statement : " We are an equal opportunity employer and value diversity at all levels. Discrimination has no place here—we welcome talent from all walks of life”. Ready to Join the Future of Healthcare AI? Apply now with your GitHub/portfolio link and CV.
Job Title : Manager - Revenue Cycle Operations Department : Medica Billing Location : Remote / India [Currently work from Home] Experience : 12+ years Shift Time : 5:30 Pm to 2:30 Am IST Company Website : https://www.modulemd.com Welcome to ModuleMD At ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare providers. Were on a mission to revolutionize revenue cycle management through AI, and were looking for innovators who are ready to help us shape the future. Our Culture & Values "We foster a culture of inclusivity, innovation, and integrity. Our team values collaboration, continuous improvement, and a passion for excellence." Profile Overview We are seeking a detail-oriented, proactive, and client-focused Manager Revenue Cycle Operations to join our team. This role will oversee the entire Revenue Cycle Management (RCM) function, including: Billing Operations Oversight Compliance & Regulatory Adherence Team Leadership & Training Reporting & Analytics Vendor & Payer Relations Process Improvement Patient Billing & Support The ideal candidate will have strong expertise in US Healthcare provider side, in AR Denial Management , including performing root cause analysis, and proven experience in managing billing accounts independently . Since this is a client-facing role , excellent communication and relationship management skills are very essential and MUST. The Medical Billing Manager is responsible for leading and managing the overall medical billing operations of the organization. This role involves overseeing billing teams, ensuring accuracy and compliance in all billing and collection processes, and maintaining adherence to healthcare regulations and payer requirements. The Medical Billing Manager drives efficiency in workflows, monitors key performance metrics, and resolves complex billing and reimbursement issues to support the organizations financial performance. The role also includes end-to-end oversight of medical billing functions from claims submission and payment posting to patient collections and denial management ensuring timely and accurate revenue capture. Role Purpose: What Youll Be Doing 1. Billing Operations Oversight Manage day-to-day medical billing operations, including claim submission, follow-ups, payment posting, and collections, AR, Denials, appeals, Patient Billing and managing Client accounts. Ensure accuracy and timeliness of claims processing for government (Medicare/Medicaid) and commercial payers. Review of claims to ensure they are clean to avoid rejections Review rejections and file corrected claims. Research and appeal denied claims. Access carrier websites for claim and eligibility information Interpret and process Explanation of Benefits. Monitor client accounts and provide weekly updates identifying issues and possible resolutions. Post payments Bill patients for responsible portions and have the ability to relay information regarding copays, deductibles and coinsurance. Answer patient calls regarding statements and balances. 2. Revenue Cycle Management (RCM) Oversee the full revenue cycle from charge capture to payment posting and denial resolution. Monitor key metrics like days in A/R, denial rates, and collections. Client resolution - Interact professionally with medical offices and their staff on behalf of ModuleMD providing education and information to assist in retention and improve revenue. 3. Compliance & Regulations Ensure billing practices comply with HIPAA, CMS, and payer regulations. Stay updated with coding changes (ICD, CPT, HCPCS) and payer policies. 4. Team Leadership & Training Supervise and train billing specialists/coders. Conduct performance reviews, assign tasks, and provide ongoing coaching. 5. Reporting & Analytics Generate regular financial and operational reports (A/R aging, collection trends, denial analysis). Provide insights to leadership to improve efficiency and reduce revenue leakage. 6. Vendor & Payer Relations Communicate with insurance companies for claim disputes and escalations. Collaborate with external vendors (EHR/RCM software providers). 7. Process Improvement Identify gaps in billing workflows and implement process improvements. Standardize procedures to minimize denials and maximize reimbursements. 8. Patient Billing & Support Oversee patient billing, statements, and inquiries. Ensure patient-friendly billing practices while maintaining collections Denial Management Duties 9. Claim Review & Analysis Identify, track, and analyze claim denials from payers. Categorize denials (technical, clinical, administrative, coding-related). 10. Root Cause Identification Investigate patterns of recurring denials. Determine root causes (e.g., incorrect coding, missing documentation, eligibility issues). 11. Denial Resolution Correct claim errors and resubmit to payers. Appeal denied claims within payer deadlines. Work with providers to obtain additional medical records or documentation. 12. Prevention Strategies Implement process improvements to reduce future denials. Collaborate with coding, registration, and clinical staff to prevent errors at the front end Monitor client accounts and provide weekly updates identifying issues and possible resolutions. 13. Tracking & Reporting Maintain denial logs and track success rates of appeals. Report denial trends and financial impact to management. 14. Payer Communication Contact insurance companies for clarification, dispute resolution, or escalation. Maintain updated knowledge of payer policies and guidelines. 15. Staff Training Train billing and coding staff on common denial reasons and prevention methods. Share best practices across departments. 16. We need Strong understanding of all downstream revenue cycle like Payment Posting, AR Follow-up and Denial Management, appeals and Patient Billing. 17.Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection and Client SLA, Strong interpersonal skills and ability to liaise with support function. Must-Have Skills: Strong understanding of RCM end and 10+ years of experience in US Healthcare provider side AR. Experience in quality audits, team mentoring, and process improvements Excellent communication and reporting skills Coaching & development of the subordinates through training need identification. Experience with electronic health records (EHR) systems, prior authorization software, and Microsoft Office Suite. Strong analytical skills to interpret data, identify trends, and make informed decisions. Experience with electronic health records (EHR) systems. Hands-on experience with TriZettos platforms (e.g., STEM portal, Facets, or QNXT) or similar clearinghouse systems (e.g., Waystar, Availity) is highly preferred. Knowledge of healthcare compliance standards, including HIPAA and payer-specific regulations and other healthcare compliance standards. Prior experience in a client-facing role, providing training or technical support. Nice-to-Have Certifications : Certifications: Certified Revenue Cycle Professional (CRCP) or similar certification. Technical Knowledge: Experience with electronic health records (EHR) systems. Strong skills in Denial management, Payment Posting, AR Follow-up, Appeals and Patient Billing with strong Knowledge of the US healthcare industry and RCM. Proficiency in computer applications, PMS, Excel, and PPT. 10+ years of experience in US Healthcare provider side AR. Required Qualifications Education: Bachelors degree Healthcare Administration, or a related field. Minimum of 10 years of experience in revenue cycle management in US Healthcare provider side AR. And minimum 4-5 years working experience as a Manager for RCM process. Strong understanding of medical billing, coding, and collections processes. Proficiency in RCM software and Microsoft Office Suite. Excellent communication and interpersonal skills to interact with clients and payers. Proficiency in Microsoft Office (Excel, Word, Outlook). Detail-oriented with strong organizational and problem-solving skills. Ability to multitask in a fast-paced environment and meet deadlines. Why Join ModuleMD? You’ll work at the intersection of AI and healthcare—real-world impact every day. Opportunity to work on cutting-edge healthcare technology and onboarding processes. Join a tight-knit, mission-driven team that values curiosity, autonomy, and innovation. Flexible work environment and a culture of continuous learning. Application Process : "Our hiring process includes an initial screening, a technical assessment, and a final interview with the team. We aim to keep the process transparent and timely." Equal Opportunity Statement : " We are an equal opportunity employer and value diversity at all levels. Discrimination has no place here—we welcome talent from all walks of life”. Ready to Join the Future of Healthcare AI? Apply now with your GitHub/portfolio link and CV.
Job Title : Senior Medical Biller Department : Medica Billing Location : Remote / India [Currently work from Home] Experience : 7+ years Shift Time : 5:30 Pm to 2:30 Am IST Company Website : https://www.modulemd.com Welcome to ModuleMD At ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare providers. Were on a mission to revolutionize revenue cycle management through AI, and were looking for innovators who are ready to help us shape the future. Our Culture & Values "We foster a culture of inclusivity, innovation, and integrity. Our team values collaboration, continuous improvement, and a passion for excellence." Profile Overview We are seeking a Senior Medical Biller who is responsible for managing the complete medical billing cycle, ensuring accurate claim submissions, denial management, appeals, and compliance with payer regulations. The role requires hands-on experience with insurance portals like CHAMPS, Medicaid, and Medicare, and an in-depth understanding of billing workflows, A/R processes, and medical coding standards. The ideal candidate will have strong expertise in US Healthcare provider side, in AR Denial Management , including performing root cause analysis, and proven experience in managing billing accounts independently . Since this is a client-facing role , excellent communication and relationship management skills are very essential and MUST. Role Purpose: What You’ll Be Doing Perform end-to-end billing and collections for assigned accounts, ensuring claims are submitted accurately and in a timely manner. Work extensively on insurance websites such as CHAMPS, Medicaid, and Medicare to verify eligibility, check claim status, and process payments. Handle denials management, A/R follow-ups, rejections, and appeals efficiently to maximize reimbursement. Prepare and submit Medicare reconsiderations/appeals and understand related procedures such as ABN (Advance Beneficiary Notice), COB (Coordination of Benefits). Demonstrate strong working knowledge of what information should be included when filing an appeal for a denied claim. Apply accurate ICD-10 and CPT codes, ensuring compliance with payer and coding requirements. Review and interpret EOBs (Explanation of Benefits) and Payment Vouchers for payment posting and reconciliation. Maintain strict compliance with HIPAA regulations — including privacy, access, and release of information. Collaborate with internal teams to resolve complex billing issues and reduce denials. Keep updated with payer policy changes and medical billing guidelines. Maintain documentation on the client software to support insurance submissions and ensure a clear audit trail for future reference. Directly communicate with practices for billing clarifications, documentation, or dispute resolution. Post payments accurately as required. Conduct Denials Management and A/R follow-ups : Analyze accounts receivable data to identify reasons for underpayments and high A/R days. Track and document top denial reasons and apply appropriate codes in the billing system — MUST . Record after-call actions and complete post-call analysis for claim follow-ups — MUST . Comply with all terms of the employment contract, company policies, and procedures. Must-Have Skills: Strong understanding of RCM end and 7+ years of experience in US Healthcare provider side AR and denial management. Excellent communication and reporting skills Strong analytical skills to interpret data, identify trends, and make informed decisions. Hands-on experience with TriZetto’s platforms or similar clearinghouse systems (e.g., Waystar, Availity) is highly preferred. Knowledge of healthcare compliance standards, including HIPAA and payer-specific regulations and other healthcare compliance standards. Technical Knowledge: Strong skills in Denial management, Payment Posting, AR Follow-up, Appeals with strong Knowledge of the US healthcare industry and RCM. Proficiency in computer applications, PMS, Excel, and PPT. 7+ years of experience in US Healthcare provider side AR and Denial management. Required Qualifications Education: Bachelor’s degree Healthcare Administration, or a related field. Minimum of 7 years of experience in revenue cycle management in US Healthcare provider side AR. Strong understanding of medical billing, coding, and collections processes. Proficiency in RCM software and Microsoft Office Suite. Excellent communication and interpersonal skills to interact with clients and payers. Proficiency in Microsoft Office (Excel, Word, Outlook). Detail-oriented with strong organizational and problem-solving skills. Ability to multitask in a fast-paced environment and meet deadlines. Why Join ModuleMD? You’ll work at the intersection of AI and healthcare—real-world impact every day. Opportunity to work on cutting-edge healthcare technology and onboarding processes. Join a tight-knit, mission-driven team that values curiosity, autonomy, and innovation. Flexible work environment and a culture of continuous learning. Application Process : "Our hiring process includes an initial screening, a technical assessment, and a final interview with the team. We aim to keep the process transparent and timely." Equal Opportunity Statement : " We are an equal opportunity employer and value diversity at all levels. Discrimination has no place here—we welcome talent from all walks of life”. Ready to Join the Future of Healthcare AI? Apply now with your GitHub/portfolio link and CV.