13 Provider Rcm Jobs

Excellent Opportunity for AR Callers on 11th June 2025 Timings: 10:30AM- 2:00PM Venue: No, 138,602/3, Medavakkam High Road, Elcot Sez, Sholingnallur, Chennai, Tamil Nadu - 600119. POC: Shinaz Shift: Night Shift (US Shift) Work Location: Sholinganallur JOB SUMMARY We seek an experienced RCM Customer Service Executive Voice to join our team. The role involves collaborating with US healthcare providers to ensure accurate and timely reimbursement. The ideal candidate should possess strong communication skills, attention to detail, and be willing to work in US shifts. KEY WORDS Excellent Verbal and Written Communication Skills, Revenue Cycle Management, Denial Handling, AR Calling, US Healthcare, Medical Billing, RCM. ESSENTIAL RESPONSIBILITIES : Review and analyze denied claims to identify root causes and trends. Develop and implement strategies to reduce claim denials and improve reimbursement rates. Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. Monitor and track the status of appeals and follow up as needed. Maintain accurate records of all denial management activities and outcomes. Provide regular reports on denial trends, appeal success rates, and other key metrics to management. Stay updated on industry regulations and payer policies to ensure compliance. SKILLS AND COMPETENCIES Strong verbal and written communication skills Should possess neutral accent and good adoption to US culture. Ability to resolve provider queries in the first point of contact. Focus on delivering a positive customer experience Should be professional, courteous, friendly, and empathetic Should possess active listening skills Good data entry & typing skills Ability to multi task. Capable of handling fast-paced, innovative, and constantly changing environment Should be a team player. Ability to contribute to the process through improvement ideas. FORMAL EDUCATION AND EXPERIENCE Graduation (any stream) 0.6 Months - 24 months of process experience in Denial Management and Provider/DME AR calling.

Mega Walk-in Drive for AR Callers(US Healthcare) - 4th of June 25 Timings: 11:00AM- 2:00PM Venue: 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119. JOB SUMMARY We seek an experienced RCM Customer Service Executive Voice to join our team. The role involves collaborating with US healthcare providers to ensure accurate and timely reimbursement. The ideal candidate should possess strong communication skills, attention to detail, and be willing to work in US shifts. KEY WORDS Excellent Verbal and Written Communication Skills, Revenue Cycle Management, Denial Handling, AR Calling, US Healthcare, Medical Billing, RCM. ESSENTIAL RESPONSIBILITIES : Review and analyze denied claims to identify root causes and trends. Develop and implement strategies to reduce claim denials and improve reimbursement rates. Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. Monitor and track the status of appeals and follow up as needed. Maintain accurate records of all denial management activities and outcomes. Provide regular reports on denial trends, appeal success rates, and other key metrics to management. Stay updated on industry regulations and payer policies to ensure compliance. SKILLS AND COMPETENCIES Strong verbal and written communication skills Should possess neutral accent and good adoption to US culture. Ability to resolve provider queries in the first point of contact. Focus on delivering a positive customer experience Should be professional, courteous, friendly, and empathetic Should possess active listening skills Good data entry & typing skills Ability to multi task. Capable of handling fast-paced, innovative, and constantly changing environment Should be a team player. Ability to contribute to the process through improvement ideas. FORMAL EDUCATION AND EXPERIENCE Graduation (any stream) 12 - 24 months of process experience in Denial Management and Provider/DME AR calling.

Walk-in Drive for Quality Analyst & Quality Team Lead- 3rd June 25 Timings: 11:00AM- 12:00PM Shift: Night Shift(US Shift) Work Location: Sholinganallur_Chennai JOB SUMMARY This position is responsible for the daily quality review of transactions and calls from voice staff in support of healthcare operations, overseeing quality assurance and improvement. Additionally, the position entails identifying, recommending, and implementing quality improvement programs and practices aimed at enhancing process improvement, customer experience and ensuring high-performing operation. It will be an individual contributor. KEY WORDS Quality Analyst, Good Communication, Customer feedback response handling, Agent feedback and coaching, RCA, CAPA, Quality Tools, RCM, US Healthcare. ESSENTIAL RESPONSIBILITIES : Achieve daily QA targets Review and assess transactions, including calls Provide fair, concise, and objective feedback Report findings to agents and leads for training and improvement Collaborate on quality processes and scoring techniques Timely report quality monitoring for agents Raise and resolve QA concerns promptly Coach and provide feedback to monitored personnel and supervisors Identify quality improvement opportunities using business tools Calibrate scores objectively Ensure consistency across sites and teams focusing on customer experience and performance Analyze quality data to identify root causes and recommend improvements Prepare monthly and ad hoc QA reports timely Work with leads and training team to address areas for improvement from QA results. SKILLS AND COMPETENCIES Provides regular coaching and feedback to agents Motivates employees for better results Strong communication and listening skills Capable of coaching for performance improvement Knowledgeable about the US Healthcare industry Understands healthcare provider business policies and practices Advanced interpersonal, presentation, and communication skills Effective problem-solving, decision-making, and innovative thinking Proficient in Microsoft Office. FORMAL EDUCATION AND EXPERIENCE Graduation in any stream Experience in denial management and calling. 1-2 years of experience as full time quality analyst in US Healthcare

Excellent Opportunity for AR Callers - 3rd June 25 Timings: 11:00AM- 12:30PM Contcat Person:Sobiya Shift: Night Shift(US Shift) Work Location: Sholinganallur JOB SUMMARY We seek an experienced RCM Customer Service Executive Voice to join our team. The role involves collaborating with US healthcare providers to ensure accurate and timely reimbursement. The ideal candidate should possess strong communication skills, attention to detail, and be willing to work in US shifts. KEY WORDS Excellent Verbal and Written Communication Skills, Revenue Cycle Management, Denial Handling, AR Calling, US Healthcare, Medical Billing, RCM. ESSENTIAL RESPONSIBILITIES : Review and analyze denied claims to identify root causes and trends. Develop and implement strategies to reduce claim denials and improve reimbursement rates. Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. Monitor and track the status of appeals and follow up as needed. Maintain accurate records of all denial management activities and outcomes. Provide regular reports on denial trends, appeal success rates, and other key metrics to management. Stay updated on industry regulations and payer policies to ensure compliance. SKILLS AND COMPETENCIES Strong verbal and written communication skills Should possess neutral accent and good adoption to US culture. Ability to resolve provider queries in the first point of contact. Focus on delivering a positive customer experience Should be professional, courteous, friendly, and empathetic Should possess active listening skills Good data entry & typing skills Ability to multi task. Capable of handling fast-paced, innovative, and constantly changing environment Should be a team player. Ability to contribute to the process through improvement ideas. FORMAL EDUCATION AND EXPERIENCE Graduation (any stream) 0.6 Months - 24 months of process experience in Denial Management and Provider/DME AR calling.

HCLTech Walk-in Drive for Senior Team Lead Opeartions - Collections - 2nd &3rd of June 25 Timings: 11:00AM- 2:00PM Venue: 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119. JOB SUMMARY Responsible for overseeing daily operations for a team of 15 to 25, ensuring production targets are met with quality output. Additionally, responsible for maintaining compliance, standards and following regulations. coordinate with agents, management and clients to ensure process & performance streamlining. KEY WORDS International call center, US Healthcare, RCM, Team Management, Quality management, Provider RCM, Attrition and Shrinkage Control, Team motivation and engagement, Client calls. ESSENTIAL RESPONSIBILITIES : Responsible for the day-to-day management of 15 25 front level agents Adhering to agreed Key Performance Indicators, Service Level Agreements and quality standards to maximize customer satisfaction Minimize errors/feedback and increase first touch resolution through effective coaching, support, supplemental training and understanding of departmental procedures to maximize utilization of resources Provide feedback on performance, monitoring attendance, leave requests, ensure accuracy of hours worked and adherence to company policies and procedures Recommend and/or make decisions in personnel related matters (Attrition, disciplinary actions, and terminations). Assist with attendance documentation, weekly timesheet validation and schedule adherence. Monitor and adjust staffing levels to ensure service levels are being met with continued focus on exceeding performance requirements. Act as point of contact for escalated account issues or problems that occur by directly responding to escalated calls from customers Timely response to emails. SKILLS AND COMPETENCIES Proficiency in Microsoft Office (Excel and PPT) High proficiency in communication (Written and spoken) Focuses on delivering a positive customer experience. Proven leadership experience. Should be a team player. Ability to develop, lead and motivate a team. Ability to identify process improvement ideas for implementation Ability to provide and support a vision and direction. Proficiency to assemble, organize and sequence work. FORMAL EDUCATION AND EXPERIENCE Bachelors degree in any stream and progressive work experience in Healthcare RCM Minimum 1-2 year of experience as team leader 4-6 years of overall experience

HCLTech Walk-in Drive for Quality Analyst & Quality Team Lead- 2nd &3rd of June 25 Timings: 11:00AM- 2:00PM Venue: 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119. JOB SUMMARY This position is responsible for the daily quality review of transactions and calls from voice staff in support of healthcare operations, overseeing quality assurance and improvement. Additionally, the position entails identifying, recommending, and implementing quality improvement programs and practices aimed at enhancing process improvement, customer experience and ensuring high-performing operation. It will be an individual contributor. KEY WORDS Quality Analyst, Good Communication, Customer feedback response handling, Agent feedback and coaching, RCA, CAPA, Quality Tools, RCM, US Healthcare. ESSENTIAL RESPONSIBILITIES : Achieve daily QA targets Review and assess transactions, including calls Provide fair, concise, and objective feedback Report findings to agents and leads for training and improvement Collaborate on quality processes and scoring techniques Timely report quality monitoring for agents Raise and resolve QA concerns promptly Coach and provide feedback to monitored personnel and supervisors Identify quality improvement opportunities using business tools Calibrate scores objectively Ensure consistency across sites and teams focusing on customer experience and performance Analyze quality data to identify root causes and recommend improvements Prepare monthly and ad hoc QA reports timely Work with leads and training team to address areas for improvement from QA results. SKILLS AND COMPETENCIES Provides regular coaching and feedback to agents Motivates employees for better results Strong communication and listening skills Capable of coaching for performance improvement Knowledgeable about the US Healthcare industry Understands healthcare provider business policies and practices Advanced interpersonal, presentation, and communication skills Effective problem-solving, decision-making, and innovative thinking Proficient in Microsoft Office. FORMAL EDUCATION AND EXPERIENCE Graduation in any stream Experience in denial management and calling. 1-2 years of experience as full time quality analyst in US Healthcare

HCLTech Walk-in Drive for- 2nd &3rd of June 25 Timings: 11:00AM- 2:00PM Venue: 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119. JOB SUMMARY We are seeking a highly skilled and detail-oriented Medical Coding Specialist with expertise in Durable Medical Equipment (DME) and Cardiology coding for the US healthcare market. This is an individual contributor role that demands precision, deep domain knowledge, and a commitment to compliance and quality. The ideal candidate will play a critical role in ensuring accurate coding, minimizing denials, and supporting revenue cycle integrity. KEY WORDS US Medical Coder, Certified Professional Coder (CPC), Certified Coding Specialist (CCS), AAPC / AHIMA certified, Individual Contributor, Specialist Coder, Remote Medical Coding, ICD-10-CM, CPT Coding, HCPCS Level II, EMR / EHR systems, Revenue Cycle Management, Medical Necessity Documentation, Coding Compliance, HIPAA Compliance, Denial Management, Coding Audits, Risk Adjustment Coding, Cardiology Coding, DME Coding (Durable Medical Equipment), Medicare & Commercial Insurance, US Healthcare Reimbursement. ESSENTIAL RESPONSIBILITIES : Perform accurate and timely coding of DME and Cardiology-related medical records using ICD-10-CM, CPT, and HCPCS Level II codes. Review clinical documentation to ensure coding reflects the services provided and supports medical necessity. Collaborate with physicians, billing teams, and auditors to resolve coding discrepancies and improve documentation quality. Stay updated with the latest coding guidelines, payer policies, and regulatory changes. Ensure compliance with HIPAA, CMS, and other applicable regulations. Participate in internal audits and contribute to continuous improvement initiatives. SKILLS AND COMPETENCIES Certification: CPC, CCS, or equivalent AAPC/AHIMA certification is mandatory. Experience: Minimum 35 years of hands-on coding experience in DME and Cardiology. Strong understanding of US healthcare reimbursement systems and payer-specific requirements. Proficiency in using EMR/EHR systems and coding software. Excellent analytical, communication, and problem-solving skills. Ability to work independently with minimal supervision. Expertise on coding guidelines and good knowledge on billing guidelines. FORMAL EDUCATION AND EXPERIENCE Graduation in any stream Experience with denial management and appeals. Exposure to coding audits and compliance reviews. Familiarity with Medicare and commercial insurance guidelines. Experience in managing customer relationship

HCLTech Walk-in Drive for Healthcare Trainer- 2nd &3rd of June 25 Timings: 11:00AM- 2:00PM Venue: 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119. JOB SUMMARY We are seeking a knowledgeable and experienced US Healthcare RCM Trainer to join our team. The ideal candidate will be responsible for training agents on various aspects of revenue cycle management, including insurance processing, registration, eligibility, claims management, billing, collections, and denials. The trainer will develop and deliver training programs to ensure that agents are well-versed in RCM processes and best practices. It will be a individual contributor role. KEY WORDS US Healthcare Trainer, Revenue Cycle Management Trainer, Claims Management Trainer. ESSENTIAL RESPONSIBILITIES : Train new agents on client-specific processes and ensure they are process-ready with the necessary skills. Evaluate, Review and identify training needs to equip staff with essential knowledge. Assist in developing training standards and assess performance. Update and keep training materials current. Collaborate with stakeholders on training methods and scoring. Implement feedback from training managers and leads for improvements. Responsible for maintaining high throughput from training to production. SKILLS AND COMPETENCIES Effective public speaking and presentation skills Skilled in engaging and motivating trainees Comprehensive understanding of US healthcare and RCM Advanced interpersonal, presentation, MS office and written communication skills Hands on experience on preparing training documents and SOP. FORMAL EDUCATION AND EXPERIENCE Graduation in any stream 2 - 4 years of full-time trainer in US healthcare and provider RCM

HCLTech Walk-in Drive for AR Callers - 2nd &3rd of June 25 Timings: 11:00AM- 2:00PM Venue: 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119. JOB SUMMARY We seek an experienced RCM Customer Service Executive Voice to join our team. The role involves collaborating with US healthcare providers to ensure accurate and timely reimbursement. The ideal candidate should possess strong communication skills, attention to detail, and be willing to work in US shifts. KEY WORDS Excellent Verbal and Written Communication Skills, Revenue Cycle Management, Denial Handling, AR Calling, US Healthcare, Medical Billing, RCM. ESSENTIAL RESPONSIBILITIES : Review and analyze denied claims to identify root causes and trends. Develop and implement strategies to reduce claim denials and improve reimbursement rates. Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. Monitor and track the status of appeals and follow up as needed. Maintain accurate records of all denial management activities and outcomes. Provide regular reports on denial trends, appeal success rates, and other key metrics to management. Stay updated on industry regulations and payer policies to ensure compliance. SKILLS AND COMPETENCIES Strong verbal and written communication skills Should possess neutral accent and good adoption to US culture. Ability to resolve provider queries in the first point of contact. Focus on delivering a positive customer experience Should be professional, courteous, friendly, and empathetic Should possess active listening skills Good data entry & typing skills Ability to multi task. Capable of handling fast-paced, innovative, and constantly changing environment Should be a team player. Ability to contribute to the process through improvement ideas. FORMAL EDUCATION AND EXPERIENCE Graduation (any stream) 12 - 24 months of process experience in Denial Management and Provider/DME AR calling.

RCM & Denial Management - Hiring for Team Lead/Manager & Sr.Manager . For Healthcare - Revenue Cycle Management & Denail Management Experienced - Team Leads, Manager & Sr.Manager, Date: 31st May'25 Experience: 2 - 13yrs. Shift: US Shift (Night Shift) Work Location: Sholinganallur , 5 Days WFO(Strictly) KEY WORDS International call center, US Healthcare, RCM, Team Management, Quality management, Provider RCM, Experienc in Denials , Attrition and Shrinkage Control, Team motivation and engagement, Client calls ESSENTIAL RESPONSIBILITIES: Responsible for the day-to-day management of 15 25 front level agents Adhering to agreed Key Performance Indicators, Service Level Agreements and quality standards to maximize customer satisfaction Minimize errors/feedback and increase first touch resolution through effective coaching, support, supplemental training and understanding of departmental procedures to maximize utilization of resources Provide feedback on performance, monitoring attendance, leave requests, ensure accuracy of hours worked and adherence to company policies and procedures Recommend and/or make decisions in personnel related matters (Attrition, disciplinary actions, and terminations). Assist with attendance documentation, weekly timesheet validation and schedule adherence. Monitor and adjust staffing levels to ensure service levels are being met with continued focus on exceeding performance requirements. Act as point of contact for escalated account issues or problems that occur by directly responding to escalated calls from customers Timely response to emails SKILLS AND COMPETENCIES Proficiency in Microsoft Office (Excel and PPT) High proficiency in communication (Written and spoken) Focuses on delivering a positive customer experience. Proven leadership experience. Should be a team player. Ability to develop, lead and motivate a team. Ability to identify process improvement ideas for implementation Ability to provide and support a vision and direction. Proficiency to assemble, organize and sequence work. FORMAL EDUCATION AND EXPERIENCE Bachelors degree in any stream and progressive work experience in Healthcare RCM Minimum 1-2 year of experience as team leader Required relevant experience basis the roles Documents to be carried: 2 Copies of your updated resume 2 ID proof

RCM & Denial Management - Hiring for Team Lead/Manager & Sr.Manager . For Healthcare - Revenue Cycle Management & Denail Management Experienced - Team Leads, Manager & Sr.Manager, Venue: HCLTech , AMB6, No. 8, M T H Road, AMB 6, Ambattur Industrial Estate, Ambattur, Chennai - 600058, Tamil Nadu, India. Date: 27th May'25 Experience: 6 - 13yrs. Shift: US Shift (Night Shift) Work Location: Sholinganallur , 5 Days WFO(Strictly) KEY WORDS International call center, US Healthcare, RCM, Team Management, Quality management, Provider RCM, Experienc in Denials , Attrition and Shrinkage Control, Team motivation and engagement, Client calls ESSENTIAL RESPONSIBILITIES: Responsible for the day-to-day management of 15 25 front level agents Adhering to agreed Key Performance Indicators, Service Level Agreements and quality standards to maximize customer satisfaction Minimize errors/feedback and increase first touch resolution through effective coaching, support, supplemental training and understanding of departmental procedures to maximize utilization of resources Provide feedback on performance, monitoring attendance, leave requests, ensure accuracy of hours worked and adherence to company policies and procedures Recommend and/or make decisions in personnel related matters (Attrition, disciplinary actions, and terminations). Assist with attendance documentation, weekly timesheet validation and schedule adherence. Monitor and adjust staffing levels to ensure service levels are being met with continued focus on exceeding performance requirements. Act as point of contact for escalated account issues or problems that occur by directly responding to escalated calls from customers Timely response to emails SKILLS AND COMPETENCIES Proficiency in Microsoft Office (Excel and PPT) High proficiency in communication (Written and spoken) Focuses on delivering a positive customer experience. Proven leadership experience. Should be a team player. Ability to develop, lead and motivate a team. Ability to identify process improvement ideas for implementation Ability to provide and support a vision and direction. Proficiency to assemble, organize and sequence work. FORMAL EDUCATION AND EXPERIENCE Bachelors degree in any stream and progressive work experience in Healthcare RCM Minimum 1-2 year of experience as team leader Required relevant experience basis the roles Documents to be carried: 2 Copies of your updated resume 2 ID proof

Exclusive Walkin Drive - US Health care - Team Lead Date : 27th May 2025 Venue : HCL Tech, 104-8, Sai Nagar, Ambattur Industrial Estate, Chennai, Tamil Nadu 600076 POC : Sobiya JOB SUMMARY The Candidate is responsible for overseeing daily operations for a team of 15 to 25, ensuring production targets are met with quality output. Additionally responsible for maintaining compliance, standards and following regulations. The Team Lead will coordinate between Front End users, management and client for streamlined performance ESSENTIAL RESPONSIBILITIES : Responsible for the day-to-day management of 15 25 front level employees Adhering to agreed Key Performance Indicators, Service Level Agreements and quality standards to maximize customer satisfaction Minimize errors/feedback and increase first touch resolution through effective coaching, support, supplemental training and understanding of departmental procedures to maximize utilization of resources Provide feedback on performance, monitoring attendance, leave requests, ensure accuracy of hours worked and adherence to company policies and procedures Recommend and/or make decisions in personnel related matters (Attrition, disciplinary actions, and terminations). Assist with attendance documentation, weekly timesheet validation and schedule adherence. Monitor and adjust staffing levels to ensure service levels are being met with continued focus on exceeding performance requirements. Act as point of contact for escalated account issues or problems that occur by directly responding to escalated calls from customers Timely response to mails SKILLS AND COMPETENCIES Microsoft Office (Excel and PPT Preferred) High proficiency in communication (Written and spoken) Focuses on delivering a positive customer experience Proven leadership experience. Should be a team player. Ability to develop, lead and motivate a team. Ability to identify process improvement ideas for implementation Ability to provide and support a vision and direction. Proficiency to assemble, organize and sequence work. FORMAL EDUCATION AND EXPERIENCE Bachelors degree in any stream and progressive work experience in Healthcare RCM Minimum 1-2 year of experience in current role 4-6 years of overall experience

Exclusive Walkin Drive - US Health care - Team Lead Date : 24th May 2025 Venue : HCL Tech, 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119 POC : Shinaz JOB SUMMARY The Candidate is responsible for overseeing daily operations for a team of 15 to 25, ensuring production targets are met with quality output. Additionally responsible for maintaining compliance, standards and following regulations. The Team Lead will coordinate between Front End users, management and client for streamlined performance ESSENTIAL RESPONSIBILITIES : Responsible for the day-to-day management of 15 25 front level employees Adhering to agreed Key Performance Indicators, Service Level Agreements and quality standards to maximize customer satisfaction Minimize errors/feedback and increase first touch resolution through effective coaching, support, supplemental training and understanding of departmental procedures to maximize utilization of resources Provide feedback on performance, monitoring attendance, leave requests, ensure accuracy of hours worked and adherence to company policies and procedures Recommend and/or make decisions in personnel related matters (Attrition, disciplinary actions, and terminations). Assist with attendance documentation, weekly timesheet validation and schedule adherence. Monitor and adjust staffing levels to ensure service levels are being met with continued focus on exceeding performance requirements. Act as point of contact for escalated account issues or problems that occur by directly responding to escalated calls from customers Timely response to mails SKILLS AND COMPETENCIES Microsoft Office (Excel and PPT Preferred) High proficiency in communication (Written and spoken) Focuses on delivering a positive customer experience Proven leadership experience. Should be a team player. Ability to develop, lead and motivate a team. Ability to identify process improvement ideas for implementation Ability to provide and support a vision and direction. Proficiency to assemble, organize and sequence work. FORMAL EDUCATION AND EXPERIENCE Bachelors degree in any stream and progressive work experience in Healthcare RCM Minimum 1-2 year of experience in current role 4-6 years of overall experience