1806 Rcm Jobs - Page 15

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - Operations Manager ( Male candidates Only ) Job description:- Min 8+ years experience in US Healthcare Industry in End to End RCM. At least 3 + years experience as a Manager Operations. (day shift ) Have good Knowledge of entire Medical Billing Processes such as Charge Entry, EDI, Cash Posting, Denial, and AR & MIS. Has Clear understanding of functioning of major Insurance Carriers, Health Care Facilities and Billing offices in USA. Has ability to drive a RCM process from different aspects, Such as Bad Debt Management, Denial Management, AR Management, Credit Balance Management & KPI Tracking, Good Knowledge in Provider credentialing (Doctor Side). Experience in Insurance calling. Initiate process improvement methods and best practices that will improve the performance of the team Proven ability to meet & exceed performance expectations set by upper management. Proven ability to independently manage large teams & advise business leaders of the same. Identifying and implementing ways to build better team effectiveness by encouraging a healthy environment for the team Strong business communication skills including the ability to work with all levels of the organization. contact person Vineetha HR ( 9600082835 ) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

Job Title: AR Caller & Senior AR Caller Company: Vee Healthtek Pvt Ltd Location: Pune Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Card & Two-way Cab Key Responsibilities: • Contact insurance companies to follow up on pending claims and secure timely payments. • Investigate claim denials and work towards quick resolutions. • Understand insurance policies, coverage limitations, and reimbursement processes. • Maintain and update records of follow-up activities and payment statuses. • Collaborate with internal teams to escalate unresolved claims. • Ensure compliance with industry regulations and company policies. Who Can Apply? • AR Caller: 1 year of experience in healthcare AR calling. • Senior AR Caller: Minimum 2+ years of experience in AR calling with expertise in claim resolution. • Strong understanding of US healthcare revenue cycle management. • Excellent communication and analytical skills. • Ability to work night shifts and meet performance targets. If your interested in joining our team, please reach out to Vinith R at 9566699374 or email your resume to vinith.ra@veehealthtek.com. We look forward to welcoming you to Vee Healthtek Pvt Ltd!!!!

Hiring For " AR Caller " Work From Office Skills: physician billing and Hospital billing Experience: 1+ yrs Location: Chennai / Bangalore / Trichy / Hyderabad/ Mumbai Immediate Joiner Interested call /WhatsApp Divya 9659451176

Join Us as a Quality Analyst RCM Specialist! Are you detail-oriented and passionate about driving quality in healthcare processes? Step into a rewarding role where your expertise makes a real impact! We’re looking for a Quality Analyst with strong experience in RCM, Lab AR, and Denial Management to join our dynamic team. Key Responsibilities: Quality Audits : Conduct thorough audits to ensure process compliance and accuracy Reporting : Prepare and present detailed audit reports Feedback Delivery : Provide constructive feedback to associates through one-on-one and team sessions Process Improvement : Identify trends and implement Corrective and Preventive Actions (CAPA) for recurring issues Skills & Qualifications: Strong analytical and communication skills In-depth knowledge of Lab AR and Denial Management Ability to coach and guide team members effectively Proficiency in identifying process gaps and driving improvements Eligibility: Experience : Minimum of 3 years in RCM Domain Expertise : Hands-on experience in Lab AR and Denial Management What We Offer: A collaborative and growth-oriented work environment Competitive compensation and benefits Opportunities for continuous learning and career advancement Location : Hyderabad Send your CV to : careers@datamarshall.com Learn more : www.datamarshall.com Take the next step in your career with us – Apply now and be a part of our quality-driven journey!

Contact insurance companies in the US to follow up on unpaid or denied medical claims Review patient account information resolve denials or rejections Work on hospital billing claims Analyze denial codes, understand reason for denials Required Candidate profile Document update the system with call outcomes and next steps Ensure adherence to HIPAA guidelines internal quality std Meet daily and weekly targets for call volume resolution Communicate effectively Perks and benefits Perks and Benefits

Green Apples is looking for dedicated and experienced outbound callers for interacting with US clients. The candidates should be comfortable working in US shift (US Eastern Time). Local candidates from Delhi-NCR only need to apply. Freshers with excellent command over English may also apply. Details Responsible for following up with clients for outstanding accounts receivable on behalf of medical providers/physicians/clinics and following the HIPAA and confidentiality Excellent command over English language with exceptional speaking/comprehension/writing skills. Ability to speak and grasp the US accent with ease. Ability to work as a team member needing coordination and effective interaction & communication Candidate should be a local of Delhi-NCR. Should be willing to work in US shift (US Eastern Time zone). Qualification Graduate or Post-graduate in any discipline

Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient.Addressing the claims to insurance or Self Pay(Patient Attention) based on eligibility identified.Shift:5:30 PM-2:30 AM/6:30 PM to 3:30 AM

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

Hiring: AR Caller / Senior AR Caller Locations: Bangalore Experience: 6 Months -5 Years Notice Period: Immediate Joiners Preferred For a quick response from HR, please WhatsApp your CV to: HR Phani 9494994261 We are hiring experienced AR Callers / Senior AR Callers with strong knowledge in Physician Billing . Experience in Hospital Billing is an added advantage. Job Description: Work on denial management and resolution Follow up with insurance companies for claim status Good understanding of the US healthcare RCM process Strong domain knowledge and communication skills required Requirements: 6 Months to 5 years of experience in AR Calling (US healthcare) Hands-on experience with denials Good understanding of Physician Billing; Hospital Billing is a plus Immediate joiners preferred Special Note: Candidates currently based in Hyderabad or Chennai are welcome to attend virtual interviews . However, relocation to our Bangalore office is mandatory upon selection . Please apply only if you are open to relocating post-offer. For a quick response from HR, please WhatsApp your CV to: HR Phani 9494994261 Company: ACN Healthcare RCM Services Pvt Ltd. Special Note: Candidates currently based in Hyderabad or Chennai are welcome to attend virtual interviews . However, relocation to our Bangalore office is mandatory upon selection . Please apply only if you are open to relocating post-offer.

Dear Aspirants, We are hiring for the following details, Position : - AR Analyst Should Know denial action take part. They should know at least 5 denial codes with action. If they have experience in a denial management team, we can consider proceeding with them to assign an AR f/u team. Good knowledge of the claim form (HCFA) field used for billing. General medical billing. Modifier usage & CPT codes Claim Appeals submission & Payer Website access knowledge to check claim status. Monday to Friday Interview time ( 10 Am to 6 Pm ) ( Experienced candidates only can apply ) RCM US HealthCare Medical Billing Salary: Based on Performance & Experience Exp: Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only ( Direct Walkins Only ) Contact person - Rekha HR Interview time ( 10 Am to 6 Pm ) Bring 2 updated resumes ( Refer to HR Name Rekha ) Call / Whatsapp ( 9043004654) Refer HR Rekha Locaion : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Rekha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Rekha Call / Whatsapp ( 9043004654)

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position : - Team Leader Salary: Based on Performance Overall exp min 7+ yrs Exp : Min 2 years Required in TL role End to end RCM process Knowledge ( AR Analyst ,Charge , Payment ) Male candidates only Joining: Immediate Joiner / Maximum 10 days Work from office only Direct Walkins Only Interview time (12pm to 6pm ) Mail Id : vibha@novigoservices.com Call / Whatsapp ( 9043585877) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32

Opening for Quality Analyst/AR Analyst/Payment Posting We are looking for a experienced Quality Analyst/AR Analyst/Payment Posting Specialist to join our medical billing team. The ideal candidate will have 1-4 years of experience in medical billing with a strong focus on Quality Analyst/AR Analyst/payment posting Quality Analyst(Day shift): Key Responsibilities: Conduct regular audits of medical billing, and payment posting transactions. Identify discrepancies and ensure compliance with healthcare billing regulations. Monitor team performance metrics such as accuracy, productivity, and adherence to policies. Prepare quality analysis reports and present findings to leads. Provide feedback and coaching to team members based on audit findings. Collaborate with training and operations teams to implement process improvements. Ensure timely documentation and tracking of errors and corrective actions. Participate in calibration sessions to align quality standards across teams. Payment Posting(Day shift): Key Responsibilities: Payment Posting: Accurately post payments from insurance companies and patients into the billing system. Charge Entry: Input charges for medical services and procedures, ensuring accuracy and proper coding. Claims Processing: Verify and process claims, ensuring compliance with insurance and billing guidelines. Reconciliation: Balance daily payment batches, addressing discrepancies promptly. Data Management: Maintain accurate patient billing records, including demographics, insurance details, and payment histories. Reporting: Generate reports on payment posting and charge entry to identify trends and areas for improvement. 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. Minimum 1-2 years of Payment posting experience. Proficiency with billing software and EHR systems. Interested candidates please contact Saranya Devi(HR)- 7200153996.

Job Description: We are hiring AR Callers (Account Receivable Callers) for a leading US healthcare process. The role involves following up with insurance companies in the US to resolve outstanding claims and ensuring revenue cycle management efficiency. Key Responsibilities: Follow-up with insurance companies for claim status. Analyze and resolve denied and unpaid claims. Understand US healthcare revenue cycle management (RCM). Work on aged accounts, EOB, and ERA. Maintain productivity and quality standards as per process requirements. Skills Required: Excellent English communication skills. Knowledge of US healthcare terms (EOB, Denials, AR follow-ups). Experience in voice-based process (preferably healthcare). Strong analytical and problem-solving skills. Willingness to work in Night Shifts. To Apply: Please Contact us / Walk-in Directly (Monday to Saturday, 9 AM to 6 PM) Free Job Placement Assistance White Horse Manpower Get placed in Fortune 500 companies. Address: #12, Office 156, 3rd Floor, Jumma Masjid Golden Complex, Jumma Masjid Road, Bangalore 560051. Contact Numbers: 8884139292 / 8884572014

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. Call/WhatsApp- 9311316017 (HR Manish Singh)

Greetings from Vee Healthtek....! Immediate hiring for AR Caller's Underpayments....... Hiring Experienced AR Caller US Healthcare Location: Chennai (Underpayment) Shift: Night Shift (US Process) Job Description: We are hiring experienced AR Callers to join our growing team in Chennai and Bangalore. If you have solid knowledge of the US healthcare RCM process and are looking for a great work environment with exciting perks we want to hear from you! Responsibilities: Follow up with US insurance companies on outstanding medical claims Analyze and resolve claim denials, rejections, and underpayments Maintain accurate documentation in the billing system Meet daily/weekly productivity and quality targets Collaborate with the team to improve AR performance Requirements: Minimum 1 year of experience in AR Calling (US healthcare) Strong communication and analytical skills Knowledge of denial management and revenue cycle process Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200rs worth food coupon every month * Incentives based on performance Interested candidate can reach Sahithya 8925866803 or sahithya.m@veehealthtek.com

Job description Greetings from Vee HealthTek...!!! We are hiring for candidates who have experienced in AR Caller - Denial Management for medical billing in the US Healthcare industry... Experience - 1 to 4 years excellent communication skills. Designation - AR Caller/Senior AR Caller Joining: Immediate/ or a max of 10-15 days Shift Timing: Night shift (US Shift) (5.30PM 2.30AM IST) Work Mode: Work from Office Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way home cab available * Night shift allowance * 1200rs worth food coupon * Incentives based on performance Interested candidate's kindly contact HR: - Name - Sterling Jos Contact Number - 9597592977 Mail Id - SterlingJos.J@veehealthtek.com

Greetings From Vee HealthTek Private Limited....!! " Immediate Hiring for Quality Analyst/ Senior Quality Analyst (AR - RCM ) - Mohali" Process - US Process (Healthcare) Experience - 3+Years Designation: Quality Analyst/ Senior Quality Analyst Location - Mohali & Pune "Note - On Papers QA ( Medical Billing -AR) is Mandatory" Skills required: Good Domain Knowledge Good Oral & Written Communication skills Proficient in MS Word/Excel Excellent analytical skills with understanding of health care claims processing. Ability to multi-task Willingness to be a team player and show initiative where needed. Willingness to work in Flexible Shifts Roles & responsibilities: Ensure all Quality parameters are met by removing errors. Work towards Service Levels and meet the productivity and quality requirements. Counsel the team members on quality issues. Document all errors and feedback given to each team member in the prescribed format. Ensure all client updates are recorded and shared across the team. Execute quality check are done as per the latest updates. Ensure timely communication with the clients. Identify and update your supervisor on the training requirements of your team. Interested candidates can reach out to Subiksha G - subiksha.g@Veehealthtek.com/ 9606003487

Job Summary: The Medical Biller is responsible for submitting medical claims to insurance companies and payers, including Medicare and Medicaid. The role ensures the accuracy and timely processing of claims to maximize reimbursement. Key Responsibilities: Prepare and submit clean claims to insurance companies (electronically/paper). Review and verify patient billing data from EMR systems. Work with providers and coding team to correct claim discrepancies. Follow up on unpaid claims within standard billing cycle timeframe. Monitor and resolve claim rejections and denials. Verify eligibility and benefits with insurance companies when needed. Maintain patient confidentiality and adhere to HIPAA regulations. Skills & Qualifications: Good understanding of CPT, ICD-10, and HCPCS coding. Knowledge of insurance guidelines (Medicare, Medicaid, commercial payers). Familiarity with billing software (e.g., Kareo, AdvancedMD, eClinicalWorks). Attention to detail and data entry accuracy. Strong communication and analytical skills.

About the Role: This role is required to manage and conduct IT audits and integrated audits with finance, IT, and process auditors. This role covers stakeholders management, manage external consultants, manage timelines, excellent quality documentation of RCM, audit workpapers and audit reports. This role also requires contribution in risk assessment, conducting projects to identify new technologies & audit areas, working as advisory to other organization functions, and providing trainings on cybersecurity areas & audit processes. Role & responsibilities To assist in Co-ordinating internal audits (IT Domain) across all FK group entities. To independently manage IT audit engagements To assist in planning and preparation of audit assignment and special projects To execute the audit engagements, ensuring that methodologies governing internal audits are followed and coverage of all risks for the in-scope processes To effectively and continuously communicate findings and recommendations to Senior Management Independently prepare/ modify the audit programs to ensure coverage of all risks and be able to execute the audit as per the audit program. Provide assurance that IT operations and processes conform to current policies and procedures and how to improve them. Independently prepare the internal audit report, ensuing that the issues are adequately communicated and is supported with facts. To comply with Internal Audit mandates and timelines Preferred candidate profile B.E/B.Tech or any other similar qualification with experience as a infosec and auditor professional for at least 4+ years Currently working with Big4, reputed professional firm or corporate audit group of a reputed company. Possess certificates like ISO 27001, CISA, CISSP, CIA, CEH

====================================================================== Walk-in Details:- Job Mode:- Work from Office Interview Dates:- 16-Jul-25 (Wednesday) to 31-Jul-25 (Thursday) (Except Sundays) Interview Timings:- 03:00 PM to 08:30 PM Interview Location:- Confiance House Near Shree Punjabi Seva Samaj, Behind Navrangpura Bus Stop, Swastik Society, Navrangpura, Ahmedabad, Gujarat 380009 ====================================================================== Role & responsibilities Performing outbound calls to insurances regarding medical claims (in the US) to collect outstanding Accounts Receivables. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs. Responding to customer requests by phone and/or in writing to ensure timely resolution of unpaid medical insurance claims. Resolving complex situations following pre-established guidelines. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team. Organizing and completing tasks according to assigned priorities. Preferred candidate profile Excellent English Communication required (Oral & Verbal) Graduation or above Should be Comfortable with US Shifts Goal oriented and stable Positive attitude towards work Perks and benefits 5 working days Overtime benefits. Health Insurance. Other employee benefits. If you are not able to attend the walk-in interview or have any doubt then you can connect on 7486008424 or work@confiancebizsol.com Open Positions AR Caller:- 15

Job Summary - A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients to achieve better results, which ultimately allows them to provide better patient care. Minimum Degree Required (BQ) *: Bachelor Degree Degree Preferred: Required Field(s) of Study (BQ): Computer Science, Data Analytics, Accounting Preferred Field(s) of Study: Minimum Year(s) of Experience (BQ) *: US 5 years of experience Certification(s) Preferred: Preferred Knowledge/Skills *: Demonstrates proven success in roles and extensive abilities to lead client-facing consulting teams, including the following areas: Identifying and addressing client needs: build, maintain, and utilize networks of client relationships; Managing resource requirements, project workflow, budgets and status updates; Managing and conducting quantitative and qualitative analyses of large and complex dat;a Examining feasibility of activities from short and long term perspective; Communicating effectively in written and oral formats to various situations and audiences; and, Leveraging MS Excel, PowerPoint, Word, Project, Visio to communicate effectively in written and oral formats to various situations and audiences. US Hospital and/or Medical Group Accounts Receivable Management US Hospital and/or Medical Group Performance Reporting and KPI Improvement US Healthcare Revenue Cycle Performance Management Reporting US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Denials Management (technical and clinical) US Healthcare Underpayment/Payment Variance Management Ability to lead client-facing consulting teams Strong Client relationship skills Ability to analyze complex data Resource management Project workflow management Strong working knowledge of MS office tools Strong stakeholder management skills Thorough understanding of state and federal regulations Epic Resolute, HB and PB Patient Accounting Cerner RevElate Patient Accounting Meditech Patient Accounting Experience Level: 8 to 12 years. Shift timings: Flexible to work in night shifts (US Time zone) Preferred Qualification: Bachelors degree in finance or Any Graduate PMS Experience: Epic HB & PB experience is Mandatory

Mandatory Requirements Bachelors degree in computer science or a related field (graduate). 5--8 years plus industry experience. Have hands-on experience with at least 1 end to end implementation and upgrade cycle. SAP SuccessFactors Certification in EC & People Analytics is a must. Proficient in modules like PMGM, Learning, RCM & Onboarding 2.0. their functionalities, and business processes. Proficiency in using OData v2 and v4 APIs, as well as knowledge of SuccessFactors' API endpoints and data structures. Knowledge of integration center and Intelligent Services A strong SAP SuccessFactors system integration testing skillset with ability to develop comprehensive test plans, create test cases, and execute tests effectively. Aware of basic cloud concepts Private, public, SaaS, IaaS, PaaS. Able to lead and own deliveries on global scale with analytical mind, critical thinking and problem-solving skills and build adaptive scalable solutions in the most optimized manner. Ability to chair meetings and Scrum calls and interpret ideas in a clear and crisp manner across the team and stakeholders. Desirable Requirements Knowledge of Documentation and collaboration tools (Confluence, SharePoint, JIRA). Comfortable working in Agile methodology and full SDLC process. Excellent interpersonal, communication and team building skills with ability to explain complex topics clearly. Self-motivated with pro-active approach. flexibility to work on multiple items, open minded and willing to contribute in an individual capacity.

• Minimum 5 years of hands-on experience with SuccessFactors. • Proven experience in the end-to-end implementation of SuccessFactors Onboarding (ONB) 2.0 is mandatory

RCM AR Caller with 2-4 years exp in US healthcare AR medical billing, claim process, claim settlement Night shift good in English communication

Job Summary: We are looking for a skilled and detail-oriented AR Caller to join our healthcare RCM team. The AR Caller will be responsible for following up with insurance companies and patients on outstanding medical claims, ensuring accurate and timely reimbursement for healthcare services rendered. Key Responsibilities: Review unpaid or denied medical claims from insurance companies. Follow up with insurance companies via phone calls to understand claim status and resolve denials or delays. Initiate appeals or re-submissions as required to ensure maximum claim reimbursement. Document all call details and actions taken accurately in the billing system. Analyze and understand Explanation of Benefits (EOBs) and denial reasons. Meet individual and team productivity and quality targets. Maintain up-to-date knowledge of insurance rules, billing guidelines, and coding standards. Coordinate with internal teams for additional documentation or information needed for claim processing.