3185 Rcm Jobs - Page 17

Designation : Operations Manager Location: Sec-21 GGN Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance ...

Position Title: Operation Delivery Leader (Coding Quality) Function: Coding Location: Hyderabad Shift Timings: 12:00 to 22:00 Hrs. (flexible) Reporting To: Director Responsibilities: Lead a team of quality senior managers/managers/ assistant managers for multiple business units/customers and across locations. Lead closer calibrated quality outcomes for end customers. Drive customer satisfaction for quality of coding output including corrective and preventive actions for customer quality concerns. Build and operate a predictable quality model and well aligned outcome-based quality assurance unit for coding. Actively collaborate new customer engagements for better quality outcomes including ca...

Job Description: Analyze the claim submission process and how to create batches & submit claims. Should know all types of rejections. Should be aware of Eligibility rejections. Medicare & Medicaid Payer guidelines. Different payer website knowledge. Must have knowledge of Scrubber edits.CMS 1500 OR UB04 Billing. Should be aware of the basic RCM cycle. Must be aware of the Secondary claim process. Knowledge on different Clearing Houses. Required Skills: Min one year of experience in relevant skills Ability to communicate effectively Good analytical skills Contact: HR Revati Mobile: 7219717605 Email: hr@mdcsglobal.com

Greetings from R1RCM! We have an opening in our HR team on a 1-year contract. The associate will be responsible for a variety of tasks related to the employee lifecycle, from recruitment and onboarding. Role & responsibilities 2+ years of experience in full-cycle recruitment, manage the entire recruitment process from job posting and candidate sourcing to offer negotiation and onboarding. Proven experience using ATS (Applicant Tracking Systems) and various sourcing tools. Excellent communication, interpersonal, and negotiation skills . Ability to build rapport and strong relationships with candidates and hiring managers. Strong organizational and time management skills , with the ability to ...

Were Hiring AR Caller (Denial Management) | Hyderabad Requirements Minimum 1+ Year Experience in AR Calling Physician / Hospital Billing Qualification: Intermediate & Above Immediate Joiners Preferred (Relieving letter not mandatory) What We Offer Salary: Up to 40,000 Take-Home 2-Way Cab Facility Attractive Allowances & Benefits Location: Hyderabad Interested candidates can share their resumes with HR Dharani - 9100982938 Mail ID : dharani.palle@axisservice.co.in

Immediate Hiring Freshers Only Customer Service Associate | US Healthcare Voice Support Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working Eligibility: Freshers / Recent Pass-outs Job Overview Kickstart your career in US Healthcare Voice Support ! An excellent opportunity for freshers with strong English communication skills to begin their journey in the BPO industry. Key Responsibilities Handle inbound & outbound customer calls. Resolve queries with professionalism & accuracy. Maintain call records & follow SOPs. Achieve performance metrics (Quality, Accuracy, CSAT). Communicate effectively & actively listen to customers. Work in rotational shifts. Upsell/cross-...

Location Hyderabad & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate informatio...

HIRING ALERT | CUSTOMER SERVICE SPECIALIST US HEALTHCARE (NIGHT SHIFT) Role: Customer Service Specialist US Healthcare Location: Airoli, Navi Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We are looking for smart professionals with excellent communication skills and a great attitude to deliver outstanding customer experiences! Your Impact Handle inbound & outbound customer calls Deliver timely and accurate resolutions at high productivity Build client & domain knowledge for first-call resolution Ensure adherence to SLAs CSAT, Handle Time, Customer Effort Maintain quality & compliance standards Document queries/issues and follow up effectively Support operational improvements ...

Desired Candidate Profile * Develop and deliver RCM (Revenue Cycle Management) training content to improve client revenue cycle efficiency. * Collaborate with cross-functional teams to identify areas of improvement in denial management and implement process enhancements. * Provide ongoing support and coaching to clients on RCM best practices, ensuring successful adoption of new processes. * 1-6 years of experience in Training Management or a related field, preferably in the US healthcare industry. * Strong understanding of RCM (Revenue Cycle Management) principles, including billing, claims processing, and revenue cycle optimization. * Experience with denial management strategies and techniq...

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Callers with minimum 6 months of experience into Medical Billing Domain. Basic Requirements: Experience: 0.6 Years to 4 Years Salary: Best in Industry Work Mode:WFO Location: Vepery\Velachery Notice Period: Immediate Joiners Shift: Night Preferably candidates with experience in Denials Management- PROVIDER BILLING & HOSPITAL BILLING Mode of interview: Video call Interview . Interested candidate contact or share your updated resume to MALINI HR 9003239650 / 8925808598 [Whatsapp] Regards, MALINI HR 90032 39650

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for Credentialing Calling & Enrollment Process with minimum 6 months of experience into Medical Billing Domain. Basic Requirements: Experience: 1 - 4years, Salary: Best in Industry, Notice Period: Preferably Immediate Joiners/15 days Shift: Night JOB DESCRIPTION: 1.Timely follow-up with the payer to track application status. 2.Obtain the enrolment number from the payer and communicate the state of the application to the physician. 3.Periodic updates of the document library for credentialing purposes 4.Good Knowledge in Provider credentialing (Doctor side). 5.Experience in Insurance callin...

Employee Name : Job Details Job TitleGDC EngineerDepartmentQualityReporting toSection Head Quality ManagerJobs Reporting IntoOperator / InspectorsLocation/PlantJakkasandraNo. of Reportees (Direct & Indirect)- Job Objective Responsible to lead the team of Supervisors and Operators, providing them with technical guidance to ensure adherence to quality parameters on regular basis with focus on quality produced and rejections. The position is also responsible to focus on continuous improvement activities for the section like 5S, Kaizen etc on a regular basis Primary ResponsibilitiesFinancial Support the production team to minimize the cost due to rejection and rework Ensure adherence to departme...

Key Responsibilities: Provide strategic leadership to the training and L&D functions across large-scale RCM operations. Design and implement robust training frameworks for end-to-end RCM functions. Drive capability building, performance enhancement, and continuous learning programs. Align training strategy with business goals, compliance needs, and client requirements. Ensure quality-focused onboarding, process training, and upskilling initiatives. Lead and mentor senior training managers, SMEs, and cross-functional L&D teams. Skills & Competencies: Strong expertise across US Healthcare RCM functions and processes. Proven experience in building and scaling training functions in large organiz...

Key Responsibilities: Provide strategic leadership to the training and L&D functions across large-scale RCM operations. Design and implement robust training frameworks for end-to-end RCM functions. Drive capability building, performance enhancement, and continuous learning programs. Align training strategy with business goals, compliance needs, and client requirements. Ensure quality-focused onboarding, process training, and upskilling initiatives. Lead and mentor senior training managers, SMEs, and cross-functional L&D teams. Skills & Competencies: Strong expertise across US Healthcare RCM functions and processes. Proven experience in building and scaling training functions in large organiz...

Greetings from Legacy Health Pvt Ltd We have an Immediate Opening for QA Director (US Healthcare) Designation: QA Director Department: Medical Billing (AR - Quality) Experience: 12+ years Location: Chennai Job Profile Develop and implement a comprehensive quality assurance strategy aligned with organizational goals and RCM industry best practices. Define and track Key Performance Indicators (KPIs), SLAs, and quality benchmarks for all RCM processes. Oversee internal audits of coding, billing, collections, and other RCM operations. Ensure compliance with HIPAA, CMS guidelines, payer-specific rules, and other applicable regulations. Collaborate with compliance teams to implement corrective act...

Role Responsibilities Follow up with US insurance companies to resolve denied or unpaid medical claims Manage appeals, refiling, and denial resolution processes Meet quality and productivity targets in claim follow-up Accurately document outcomes and ensure timely collections Key Deliverables Resolved denials and underpayments with proper documentation Reduced accounts receivable aging through proactive follow-ups Clear communication with payers for payment clarification Maintenance of high standards in claim follow-up quality and timelines

Role Responsibilities Contact insurance companies to resolve denials, underpayments, and delayed claims Perform accurate follow-ups and work on appeals, refiling, and denial management Maintain quality and productivity standards in accordance with client expectations Communicate effectively to resolve billing issues and ensure timely reimbursements Key Deliverables Manage entire AR cycle, including denial resolution and payment follow-ups Ensure proper documentation of calls and claim status updates Meet daily/weekly productivity and quality benchmarks Coordinate with team leads and provide updates on claim statuses and escalations

As an EMR EHR Systems Specialist at our company, you will be responsible for utilizing your in-depth knowledge of systems like EPIC, Cerner, Athena, and various HIS modules such as Clinical Management, Patient Management, RCM, and patient engagement digital platforms. Key Responsibilities: - Utilize your working knowledge of Healthcare APIs and Integration with EMR modules - Implement experience in FHIR and healthcare interoperability standards - Demonstrate a strong understanding of value-based care, clinical workflows, and population health initiatives - Contribute to project experience in AI RPA based transformation for Healthcare Providers - Apply your strong analytical, problem-solving,...

Requisition Id : 1603401 As a global leader in assurance, tax, transaction and advisory services, we hire and develop the most passionate people in their field to help build a better working world. This starts with a culture that believes in giving you the training, opportunities and creative freedom. At EY, we don't just focus on who you are now, but who you can become. We believe that it's your career and It's yours to build which means potential here is limitless and we'll provide you with motivating and fulfilling experiences throughout your career to help you on the path to becoming your best professional self. The opportunity : Executive-National-TAX-TAX - GCR - ACR - Bangalore TAX - G...

Greetings from Collar Jobskart, Huge opening for AR Callers - Denial Mangement Designation: AR Caller ONLY EXPERIENCED CANDIDATES. (Minimum 1year experience needed) Preferring Immediate joiners. Relieving letter is not mandotary. Shift: Night Shift (6pm to 3am) Week off: Saturday & Sunday. Package: Good Hike from previous package. Free Cab: Two-way pickup & drop available with free of cost. Location: Chennai, Bangalore. Interview: Two rounds of interview (Technical and salary discussion round) Salary Upto 40K take home Contact: HR Ishaa HR Talent Acquisition Mobile NO: 6381687743

As a skilled Business Analyst with expertise in the healthcare provider domain, particularly in Electronic Medical Records (EMR), Hospital Information Systems (HIS), patient experience management, and value-based care models, your role will involve acting as a critical bridge between business stakeholders and the IT delivery team. You will play a crucial part in defining and shaping solutions that aim to enhance patient care and operational efficiency within the organization. Key Responsibilities: - Engage with business stakeholders to understand their requirements and concerns effectively. - Gather and document detailed requirements for various healthcare IT projects. - Collaborate with the...

Hiring For AR Caller QA QA Paper mandatory Need Minimum 4 +Years of experience End to End RCM Work From Office Walkin interview Looking Immediate Joiner Salary Best In Industry Job Location - Chennai Contact Nandhini HR - 9176457453

R1 RCM India is proud to be a Great Place To Work Certified organization which clearly states the culture and employee centric approach. Great Place To Work (GPTW) partners with more than 11,000 organizations annually across over 22 industries and assesses organizations through an employee survey on key parameters such as trust, pride, camaraderie, and fairness; and this certification puts us in the league of leading organizations for great workplace culture.R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. With over 30,000 employees globally, we are about 14,000 strong in...

Roles & Responsibilities: Monitor calls of AR Callers and provide feedback to improve call quality, communication skills, and adherence to processes. Identify training needs and assist in conducting refresher sessions for AR callers. Ensure compliance with quality standards, client guidelines, and HIPAA regulations. Analyze call data and prepare daily/weekly/monthly quality reports. Work closely with the operations team to enhance performance and reduce errors. Drive continuous process improvement initiatives. Handle escalations related to quality and client feedback. Desired Candidate Profile: Graduate in any discipline. 25 years of experience in US Healthcare RCM, with at least 1 year as a...

Sutherland is hiring Immediate joiners Sutherland is seeking a skilled and experienced RCM Specialist to join our dynamic healthcare team. If you have a strong understanding of physician billing, CMS 1500, and Denial management this is the perfect opportunity to advance our career with global leader in business process transformation AR Calling - For Provider Minimum 12 Months work experience required CTC 3 LPA - 5.5 LPA Looking for Immediate joiners Physician billing, CMS 1500 End to end Denial Experience/ Modifiers/ CPT Codes Night shift/ Fixed week off Mandate WFO, no hybrid Transport radius should be 25KM Contact person: Pyaram Aishwarya Contact number: 9030711720 Kindly write HR Muskan ...