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10.0 - 20.0 years

10 - 20 Lacs

Lucknow

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Job Title: AR Manager / Sr. Manager Revenue Cycle Management Job Summary: We are looking for a strategic and performance-focused AR Manager / Senior Manager to take ownership of the full revenue cycle processfrom patient intake and billing to collections and denial management. The ideal candidate will bring strong expertise in healthcare revenue operations , including billing, coding, payer relations, and compliance , and will play a key role in driving operational efficiency, timely reimbursements, and reduced AR days . Key Responsibilities: Lead and manage the end-to-end revenue cycle including patient registration, billing, collections, denial management, and accounts receivable. Monitor key performance indicators (KPIs) like DSO, clean claim rate, denial rate, collection rate, etc., and implement strategies for continuous improvement. Supervise and mentor RCM team members including billing specialists, AR analysts, and coders. Collaborate with internal stakeholders (e.g., clinical teams, compliance, IT) to improve workflows and reduce claim denials. Ensure compliance with federal and state regulations, including HIPAA, and payer-specific guidelines. Drive automation and system optimization initiatives using tools like EHR, billing software, and analytics platforms. Prepare monthly financial and operational reports for senior leadership, highlighting trends, risks, and opportunities. Maintain and update payer contracts and fee schedules in coordination with the contracting team. Support audits, credentialing, and other regulatory requirements as needed. Qualifications: Bachelor's degree in any discipline 10+ years of experience in revenue cycle management, with at least 2–3 years in a leadership role. Strong knowledge of billing processes (UB-04, CMS-1500), ICD-10, CPT, and HCPCS codes. Experience with healthcare systems (e.g., Epic, Cerner, Athenahealth, NextGen, eClinicalWorks) and RCM tools. Proven track record in improving RCM performance metrics. Excellent analytical, leadership, and communication skills. Contact :8885719802 (Ravali) Share profiles to ravali.gouni@eclathealth.com

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3.0 - 5.0 years

0 - 3 Lacs

Pune

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Dear Candidates, We are hiring Data Analyst at Saisystems Health Engineering and Product. Please find below job details and job descriptions. Experience - 3+ years Location - Pune Mode of Work - Office Notice Period - Immediate - 15 days Job Description Position Summary: We are seeking a highly motivated Data Analyst / Product Owner to join our healthcare product team. This hybrid role requires a unique blend of analytical rigor, technical proficiency, product ownership, and client engagement. You will play a key role in bridging business needs with data-driven product enhancements, working closely with both internal teams and external healthcare clients. Key Responsibilities: Product Ownership Serve as the voice of the customer in product planning, prioritizing features and data capabilities based on user needs and business goals. Own and manage the product backlog for data and reporting features. Translate business requirements into detailed user stories and technical specifications for the development team. Lead cross-functional sprint planning and backlog grooming sessions. Data Analysis & Reporting (Required) Conduct deep-dive analysis using SQL to support product decisions and client requests. Build and maintain a comprehensive data dictionary and system map across product modules. Develop prototype reports, dashboards, and KPIs to support operational, clinical, and financial workflows. Analyze product usage and client behavior to uncover insights and opportunities. Power BI Development (Nice to Have) Design and build insightful Power BI dashboards and visualizations. Collaborate with clients to understand reporting needs and translate them into functional outputs. Ensure data accuracy, integrity, and performance in visualizations and datasets. Client Engagement & Communication (Required) Act as a key point of contact for clients regarding reporting and analytics needs. Lead client discovery sessions to understand business goals, workflows, and data requirements. Provide product demos, reporting walkthroughs, and documentation for stakeholders. Work closely with client success and implementation teams to support on boarding and long-term success. Qualifications: Required: 3+ years of experience in a Data Analyst, Business Analyst, or Product Owner role (healthcare domain preferred). Advanced proficiency in SQL , including complex joins, sub queries, CTEs, and performance optimization. Working knowledge of Power BI capable of building interactive reports and dashboards. Experience with data modeling, normalization, and working with large datasets. Strong analytical thinking and attention to detail. Exceptional written and verbal communication skills with both technical and non-technical audiences. Proven ability to self-direct, organize and document work, and manage multiple priorities. Understanding of healthcare data (EHRs, RCM, claims, encounters, patient data, etc.) is highly preferred. Preferred: Experience with Agile/Scrum methodologies. Exposure to healthcare compliance frameworks such as HIPAA. Familiarity with HL7, FHIR, or healthcare interoperability concepts. What You’ll Love About This Role: The opportunity to shape data tools that improve healthcare outcomes. High visibility across product, engineering, and client teams. A supportive team that values innovation, initiative, and results. Flexibility and autonomy in shaping your roadmap and deliverables.

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1.0 - 5.0 years

1 - 5 Lacs

Noida, Uttar Pradesh, India

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US Healthcare Knowledge (Payer / Provider) able to give complete RCM overview Able to lead the joint application design/enhancement with various stakeholders Has ability to define business requirement documents (BRD, FRD etc) and acceptance criteria/test cases based on client specification Has worked in agile environment and has delivery/functional exposure to all the Healthcare domains Develop test strategies/test scenarios/cases based on requirement documents Oversight role and monitoring each stage of product (execution, system fix strategies) supporting all stages of life cycle Demonstrate any executed project. Data analysis Capable of understanding Legacy mainframe application Capable of writing and understanding SQL queries Added advantage: Smile CDR / FHIR / HL7 standard Capable of supporting UAT

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0.0 - 5.0 years

1 - 4 Lacs

Mumbai

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We are seeking an experienced AR Caller to join our team remotely. The ideal candidate will be responsible for managing Accounts Receivable follow-ups with insurance companies in the US healthcare domain. Your primary task will be to follow up on outstanding claims, resolve billing issues, and ensure timely reimbursement. Key Responsibilities: Follow up with insurance companies on unpaid or underpaid claims. Analyze and understand denial reasons and initiate corrective actions. Communicate effectively with insurance representatives. Maintain accurate documentation of claims and follow-ups. Meet daily/weekly productivity and quality targets. Ensure compliance with HIPAA regulations and internal policies.

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8.0 - 12.0 years

8 - 12 Lacs

Bengaluru

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Location: Coimbatore Job Type: Full-Time, Onsite (Night Shift) Experience Required: 10+ years Shift Timings: US Shift 6:30 PM to 3:30 AM Notice Period: Immediate to 30 Days About LogixHealth LogixHealth is a physician-founded company delivering cutting-edge revenue cycle management services to healthcare providers nationwide. With a commitment to driving better healthcare outcomes, we combine advanced technology, clinical insight, and unmatched service excellence. Since the 1990s, we have expanded across 40 states, providing innovative coding, billing, and business intelligence solutions that allow providers to focus on patient care while we ensure financial success. Discover more about us at www.logixhealth.com. What We Offer A leadership role in a growing healthcare technology company Inclusive and performance-driven work culture Competitive salary and leadership incentives Continued learning and career advancement opportunities Exposure to advanced RCM platforms and industry best practices Role Overview We are looking for a highly motivated RCM Team Lead with deep expertise in Accounts Receivable (AR) Calling and Denial Management . This role demands a strong leader capable of managing a high-performing team while overseeing complex RCM workflows and driving performance metrics. Key Responsibilities Lead and manage a team of AR callers and denial management specialists Oversee end-to-end accounts receivable processes, including follow-ups, appeals, and denial resolution Analyze and improve team KPIs to ensure process efficiency and target achievement Provide coaching, training, and performance feedback to team members Ensure accuracy and timeliness in billing processes in line with payer requirements Collaborate with internal stakeholders to streamline workflows and escalate issues as needed Utilize RCM software such as Allscripts, ECW, or Medisoft (experience preferred) Prior experience in Emergency Department (ED) specialty billing is a strong advantage Qualifications Minimum 10+ years of experience in Revenue Cycle Management with a focus on AR calling & denials Proven team leadership and management experience In-depth understanding of CMS-1500 claim forms and multispecialty denials Strong analytical and decision-making capabilities Excellent verbal and written communication skills Able to thrive under pressure and meet strict deadlines Willing to work onsite (WFO) and in US Night Shift

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2.0 - 7.0 years

3 - 8 Lacs

Ahmedabad

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Company is in US Healthcare Revenue Cycle Management (RCM) There are 2 openings - 1) AR Exe - Followup with US Insurance company for claim realization 2) AR Team Coach - Will handle team of AR Exe 5 DAY Work Policy In Query, Call at 8000044060 Required Candidate profile Only 2 Year+ Experienced Candidate in AR (Accounts Receivable) In any US Healthcare RCM C can apply. Candidate must have knowledge of follow up with US Insurance co, analyze n resolve Claim Denial. Perks and benefits All Saturday and Sunday Holiday

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2.0 - 4.0 years

1 - 3 Lacs

Hyderabad

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Role & responsibilities Preferred candidate profile

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2.0 - 5.0 years

1 - 3 Lacs

Hyderabad

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Hiring for Credentialing Process - US Healthcare || Upto 3.9 CTC & 29K Take-home + Night Shift Allowance of 11000 || Eligibility Criteria :- Min 2+ years of credentialing experience Package :- Upto 3.9 CTC & 29K Take-home + Night Shift Allowance of 11000 Location :- Hyderabad Qualification :- Degree Immediate Joiners Preferred Relieving Mandate WFO 2 Way Cab Interested candidates Can Call Or Send Resume to HR Suvarna - 7095162832 Mail ID :- suvarna2508kondepogu@gmail.com

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1.0 - 3.0 years

2 - 5 Lacs

Hyderabad

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The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership. Eligibility: Graduate with Minimum 1- 3 Years experience in Hospital Billing-Denial Management (RCM/AR Domain) & EPIC platform experience is an added advantage! Primary Responsibilities: Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle Ensure all workflow items are completed within the set turn-around-time within quality expectations Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and leading to process improvements Perform other duties as assigned Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Role & responsibilities Must be a Graduate (10+2+3) Minimum 1-3 Years experience in Healthcare accounts receivable with (Denial Management) -Hospital Billing UB04 Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers) In-depth working knowledge of the various applications associated with the workflows Must possess proven experience in Hospital Billing-UB04 If you are passionate about healthcare and meet the required criteria, we encourage you to attend and share this opportunity with your friends or colleagues who might be interested. Knowledge / Skills / Abilities: Solid knowledge and use of the American English language skills with neutral accent Ability to communicate effectively with all internal and external clients Ability to use good judgment and critical thinking skills; ability to identify and resolve problems Proficient in MS Office software; particularly Excel and Outlook Efficient and accurate keyboard/typing skills Solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information Interview Venue: Optum (UnitedHealth Group) aVance; Phoenix Infocity Private Ltd, SEZ 3rd floor, Site-5; Building No. H06A HITEC City 2, Hyderabad-500081 Date: 29-May-2025 Time: 11:00 AM Point Of Contact: Lakshmi Deshapaka Email: deshapaka_vijayalakshmi1@optum.com Things to Carry: Updated resume Government-issued photo ID (e.g., Aadhaar, Passport, or Driver's License) Passport-size photographs (2) Looking forward to seeing you and your referrals at the drive! Please Note: Dress Code: Business Formals Entry will be allowed only after showing the physical copy of this interview invite Kindly Ignore if you have appeared for a walk-in drive with us in the last 30 Days & not open to night shifts If you have no experience in Hospital Billing-UB04

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1.0 - 5.0 years

1 - 4 Lacs

Bengaluru

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

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1.0 - 6.0 years

1 - 6 Lacs

Noida, Gurugram, Delhi / NCR

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R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Hiring Location : Noida / Gurugram Both Walk-in Day : Monday to Friday Walk in Timings :12 PM to 3 PM Walk in Address: Tower 1, 2nd Floor Candor tech space, sector 48 Tikri, Gurugram HR : Abhishek Tanwar 9971338456 / atanwar712@r1rcm.com Qualifications: Graduate in any discipline a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development, and engagement programs, R1 offers transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

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1.0 - 5.0 years

3 - 6 Lacs

Mumbai, Hyderabad

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Initiate and complete prior authorization requests for medical services and procedures. Also, follow up with insurance companies to verify the approval/denial status Contact 8977711182 Required Candidate profile Accurately document authorization details in the system, ensuring compliance with insurance guidelines

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1.0 - 3.0 years

1 - 4 Lacs

Hyderabad

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Dear Candidate, Greetings from AGS Health! Job Title: Process Associate/Sr Process Associate Job Role: Responsible for calling US Insurance companies on behalf of doctors/physicians and following up on outstanding Accounts Receivable. Should have basic knowledge of the entire RCM (Revenue Cycle Management) Perform analysis of accounts receivable data and understand the reasons for pending claims in AR and the top denial reasons Process : International Voice process - AR Calling Interview Process: Rounds off interviews: 1. HR screening 2. Online Assessment Test 3. Operational/Technical Round Transport: Two-way transport is available based on boundary limits. Location: Western Pearl, Kondapur, Kothaguda, Hyderabad - 5000884 Job Type: Full-time, Regular / Permanent Benefits: 5 days work Work from the Office PF ESI Health insurance Performance bonus Required Skills: Minimum 1 year of experience in AR calling Calling experience on Denial Management - Physician Billing/Hospital Billing Should be comfortable working with Night shifts Good Communication skills Looking for an aspirant who can join us immediately. Interested candidates can WhatsApp their resume to 9150092587 Regards, Shashank Rao HR- Talent Acquisition AGS Health

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0.0 years

0 - 2 Lacs

Hyderabad

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Greetings from AGS Health.! Job Title: Trainee Process Associate - AR Caller Process: International Voice Process Roles & Responsibilities: To address outstanding or assigned AR through analysis and phone calls by using available resources. Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment. To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager. To meet the established SLAs (service level agreements) for production and quality To update the outcome of the calls or analysis in a clear and coherent manner in the billing system To utilize the P & Ps (policies and procedures) established for the process and also stay updated with changes done with the P & Ps To improve the performance based on the feedback provided by the reporting manager / quality audit team. Qualification: Graduate fresher- BBA.,MBA, BA., B.Com., BCA., B.Sc (Physics, Chemistry, CS,MBA, MCA Maths)and 10+12+Diploma., Passed out year - 2019 to 2024 Please Note : B.E/B.Tech/ME/MTech & life science candidates - are not eligible to apply Interview Process Rounds of Interview: 1. HR Interview 2. Online Assessment - Grammar & Aptitude 3. Versant Test - Language Assessment 4. Operational/Technical Interview Shift Timing: 05:30 PM to 2:30 AM Or 7.00 PM to 4.00 AM Night Shift (US Shift) Should be flexible for both the shift. Transport : Two-way transport available based on boundary limits. Location: Hyderabad - western Pearl, Kondapur - should be flexible to work in any facility. Job Type: Full-time, Regular / Permanent Benefits: Saturday Sunday fixed Week Offs PF ESI Gratuity Health insurance. Performance bonus Competitive remuneration Free cab transport Required Skills: Good Verbal and Written Communication skills Should be comfortable working with Night shifts. Sound analytical skills Logical thinking Interested candidates can WhatsApp your updated resume to 9150092587 or mail to shashank.rao@agshealth.com Regards Shashank Rao HR

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1.0 - 4.0 years

1 - 5 Lacs

Coimbatore

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Role & responsibilities Responsible for doing denials and rejections Ensure that the quality and production meet Industry Standards. Sound knowledge of U.S. Health Care Domain(Provider side) Constantly keeping track of both electronic and paper claims Preferred candidate profile At least 1+yrs of experience in US Health Care stream (End to End RCM Process) in Medical Billing. Good organisation skills demonstrating the ability to execute timely follow-up Willingness to be a team player and show initiatives where needed. Immediate Joiners are preferred Interested can walk in directly to the below mentioned venue between 11 am to 2 pm (29th May 2025 to 30th May 2025) Venue:- Tidelpark,Hopes college,Vilankurichi RD,Coimbatore. Interested can contact at 7708136379

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2.0 - 6.0 years

6 - 10 Lacs

Noida

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JOB TITLE Technical Business Analysis Engineer II RESPONSIBILITIES May perform one or more of the following: Requirement/Analysis Ability to comprehend Business Requirement Documents (BRD) Maintain and Update Data/Vendor Interfaces BRD Interprets requirements to create systems specifications documents to build and execute system. Perform Data Analysis, Audit, and associated research and provide subsequent resolutions. Understanding of database/SQL Query Writing Work alongside with Sr. members or individually (as required) to assist in smooth integration/transition of processes and create/maintain documentations for the same. Responsible for solving the data and Vendor files related issues and preparation of annual calendar, as applicable. Execute & Manage the assigned tasks {Data Analysis, Vendor files, Requirement Analysis} specific to your Tower HW Domain knowledge is good to have. Process Ability to think and conceptualize and/or implement ideas of process automation. Follow the standard practices and procedures specific to your Tower. Accountability/Communication Work independently on tasks assigned. Should be able to Coach & mentor team members. Demonstrate ownership on work assigned to self and immediate sub-ordinates. Manage Offshore/Onshore interaction and stakeholder communication as per the business needs. Update all documentation with task details and provide regular updates to team. All other tasks as assigned. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:click here to access or download the form. Complete the form and then email it as an attachment toFTADAAA@conduent.com.You may alsoclick here to access Conduent's ADAAA Accommodation Policy. At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

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1.0 - 6.0 years

1 - 4 Lacs

Chennai

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Dear Aspirants, Warm Greetings!! We are hiring for the following details, DIRECT WALKin ( Reference Name : NAUSHEEN HR / 9043004655) Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Credentialing (Night Shift) 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 Saturday ( 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 Begum H Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen Begum H - HR Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen Begum H nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

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7.0 - 12.0 years

1 - 6 Lacs

Kochi, Thiruvananthapuram

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Responsibilities Thorough knowledge of US healthcare, US Dental industry, and Revenue Cycle Management for US healthcare. Deep understanding of obtaining and verifying completed insurance information, including the prior authorization process, co-pay assistance, and coordination of benefits Planning and managing the operations of the unit. Developing the team to efficiently execute business operations and cater to projected growth. Training the team and developing operating processes & systems, to deliver outstanding customer services. Analysing the workflow to improve process quality and enhance productivity. Contribute to the teams' processes and quality standards. Developing the organization's policies to motivate & retain the manpower. Skills and Qualifications 7-15 years extensive exposure in patient Eligibility and Benefits Verification in US Healthcare RCM process At least 5 years experience in team management Exceptional organizational skills and attention to detail. Proven ability in both written & verbal communication. Previous experience with Microsoft Office suite experience (Word & Excel).

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0.0 - 1.0 years

1 - 3 Lacs

Hyderabad

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1. Job Title : Process Executive - B&L 2. Job Summary : The Process Executive - B&L role is designed for individuals with up to one year of experience focusing on managing accounts receivables and provider-related tasks. The candidate will work from the office during night shifts utilizing their expertise in MS Excel to streamline processes and enhance efficiency. This position offers an opportunity to contribute to the companys financial operations and impact the overall business success. 3. Experience : 0 - 1 years 4. Required Skills : Technical Skills: MS Excel Domain Skills:Accounts Receivables Provider 5. Nice to have skills : Domain Skills: 6. Technology : Custom Service 7. Shift : Night 8. Responsibilities : - Manage accounts receivables processes to ensure timely and accurate financial transactions. - Utilize MS Excel to analyze and report on financial data enhancing decision-making processes. - Collaborate with team members to resolve discrepancies and improve financial accuracy. - Support the provider domain by maintaining up-to-date records and documentation. - Ensure compliance with company policies and financial regulations in all tasks. - Provide regular updates and reports to management on accounts receivables status. - Assist in the preparation of financial statements and reports as required. - Contribute to process improvements by identifying inefficiencies and suggesting solutions. - Communicate effectively with internal and external stakeholders to resolve issues. - Participate in training sessions to enhance skills and stay updated on industry trends. - Maintain confidentiality and security of financial information at all times. - Adapt to changing priorities and work effectively under pressure during night shifts. - Demonstrate a proactive approach to problem-solving and continuous improvement. Qualifications - - Possess strong proficiency in MS Excel for data analysis and reporting. - Have foundational knowledge of accounts receivables processes and best practices. - Exhibit excellent communication skills for effective stakeholder interaction. - Show attention to detail and accuracy in financial documentation. - Demonstrate ability to work independently and as part of a team. - Display willingness to learn and adapt to new technologies and processes. - Prior experience in provider domain is a plus but not mandatory. 9. Job Location : Primary Location :INTSHYDA14(BPIND HYD - DLF -2 Block-2 SEZ) Alternate Location :NA NA Alternate Location 1 :NA NA 10. Job Type : Process Executive - Voice [85DL03] 11. Demand Requires Travel? : No 12. Certifications Required : Certification in MS Excel or related financial software is preferred.

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1.0 - 3.0 years

2 - 3 Lacs

Mohali

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Hiring AR Caller Location- Mohali Salary- 20k to 26k Exp- 6 months+ Experience in AR Calling specifically in physican profile Process- US Healthcare Call@9877874996

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7.0 - 12.0 years

9 - 12 Lacs

Pune

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Graduate with Min. 10+ years of experience in US healthcare Provider enrollment, specific to Credentialing experience is mandatory. • More than 2+ year of experience as Manager/ Sr. Manager • Excellent spoken and written communication skills. • Should have good experience in Team management. • Should have experience in preparing KPI reports and interacting clients Key Responsibilities: • Manage and oversee the end-to-end credentialing process for Physicians, ensuring compliance with accreditation and regulatory requirements. • Oversee the credentialing and re-credentialing process for all healthcare providers, ensuring accuracy and timeliness in the submission of credentialing documents. • Ensure Compliance with Healthcare regulations, including HIPAA and Medicare/Medicaid rules. • Supervise and train Credentialing team, ensuring high productivity and efficiency. • Set goals for the team and implement best practices.

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1.0 - 6.0 years

3 - 6 Lacs

Hyderabad

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The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership. This role is crucial for improving cash flow, reducing bad debt, and ensuring financial stability for healthcare providers by optimizing the revenue cycle process. Eligibility: Graduate with Minimum 1 - 6 Years experience in Physician & Hospital Billing-Denial Management (RCM/AR Domain); EPIC platform experience will be an added advantage! Primary Responsibilities: Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR Investigate and resolve denied, aged, or complex medical claims to maximize reimbursement. Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle Ensure all workflow items are completed within the set turn-around-time within quality expectations Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and leading to process improvements Perform other duties as assigned Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Proven experience in Physician Billing -CMS1500. Hospital Billing -UB04 Claims will be an added advantage Responsible for handling complex and escalated claims within the US Healthcare Revenue Cycle Management (RCM) process. Internal Required Qualifications: Should be a Graduate (10+2+3) 1 Year and above experience in healthcare accounts receivable required (Denial Management) Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers) In-depth working knowledge of the various applications associated with the workflows Required Knowledge / Skills / Abilities Qualifications: Solid knowledge and use of the American English language skills with neutral accent Ability to communicate effectively with all internal and external clients Ability to use good judgment and critical thinking skills; ability to identify and resolve problems Experience with revenue cycle software and electronic health record (EHR) systems. Proficiency in Excel, SQL, Power BI, or Tableau for reporting preferred Advance Excel and strong ability to analyze data, identify patterns. Understanding of CPT, ICD-10, HCPCS and payer billing reimbursement methods Proficient in MS Office software; particularly Excel and Outlook Efficient and accurate keyboard/typing skills Solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information Soft skills: Strong leadership, communication, and team management abilities. Excellent analytical, problem-solving, and decision-making skills. Strong understanding of US healthcare RCM processes (Billing, Coding, Denials, AR, Payments, Compliance) Strong knowledge of medical billing, coding (CPT, ICD-10, HCPCS), payer contracts, and reimbursement methodologies. Knowledge of regulatory compliance, including HIPAA and healthcare financial regulations. Knowledge of RCA tools and their effectiveness If you are passionate about healthcare and meet the required criteria, we encourage you to attend and share this opportunity with your friends or colleagues who might be interested. Interview Venue: Optum (UnitedHealth Group) aVance; Phoenix Infocity Private Ltd, SEZ 3rd floor, Site-5; Building No. H06A HITEC City 2, Hyderabad-500081 Date: 29-May-2025 Time: 11:00 AM Point Of Contact: Lakshmi Deshapaka Email: deshapaka_vijayalakshmi1@optum.com Things to Carry: Updated resume Government-issued photo ID (e.g., Aadhaar, Passport, or Driver's License) Passport-size photographs (2) Dress Code - Business Formals Looking forward to seeing you and your referrals at the drive! Please Note: Entry will be allowed only after showing the physical copy of this interview invite Kindly Ignore if you have appeared for a walk-in drive with us in the last 30 Days & not open to night shifts

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1.0 - 4.0 years

2 - 4 Lacs

Mohali

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Hiring Eligibility Verification and Authorization Location- Mohali Salary- As per market strandard Qualification- 12th/Graduation Should have 6 months + experience on same profile Interested can call@9877874996

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1.0 - 6.0 years

1 - 4 Lacs

Chennai

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Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & QC - Payment 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 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer( HR Name Vineetha vs) 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)

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5.0 - 10.0 years

3 - 5 Lacs

Chennai

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Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position : - Team Leader (Non Voice process only) Salary: Based on Performance Overall exp min 7+ yrs Exp : Min 2 years as TL End to end RCM process Knowledge ( AR Analyst ,Charge , Payment ) Male candidates can only apply Joining: Immediate Joiner / Maximum 10 days Work from office only Direct Walkins Only Interview time ( 2 pm to 7 Pm ) Mail Id : vineetha@novigoservices.com Call / Whatsapp ( 9600082835 ) Refer HR VINEETHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VINEETHA Call / Whatsapp ( 9600082835 ) Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32

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Exploring RCM Jobs in India

Revenue Cycle Management (RCM) is a crucial aspect of the healthcare industry in India, ensuring that healthcare providers receive proper reimbursement for services rendered. The demand for RCM professionals in India is on the rise, with many opportunities available for job seekers in this field.

Top Hiring Locations in India

  1. Bangalore
  2. Mumbai
  3. Delhi
  4. Hyderabad
  5. Chennai

Average Salary Range

The average salary range for RCM professionals in India varies based on experience and location. Entry-level positions typically start at around ₹2-4 lakhs per annum, while experienced professionals can earn upwards of ₹8-12 lakhs per annum.

Career Path

In the RCM field, a typical career path may progress as follows: - RCM Analyst - RCM Team Lead - RCM Manager - RCM Director

Related Skills

In addition to expertise in RCM, professionals in this field are often expected to have skills in: - Medical coding - Healthcare billing systems - Data analysis - Communication skills

Interview Questions

  • What is Revenue Cycle Management and why is it important? (basic)
  • Can you explain the difference between ICD-10 and CPT coding? (medium)
  • How do you ensure compliance with healthcare regulations in RCM? (medium)
  • What experience do you have with electronic health record (EHR) systems? (basic)
  • How do you handle denials and appeals in the revenue cycle process? (advanced)
  • Can you walk us through a successful RCM process you implemented in your previous role? (medium)
  • How do you stay updated on changes in healthcare billing and coding regulations? (basic)
  • What metrics do you track to measure the success of an RCM operation? (medium)
  • How do you handle communication with patients regarding billing inquiries? (basic)
  • Have you ever dealt with a difficult insurance company in the RCM process? How did you handle it? (medium)
  • What software programs are you proficient in for RCM tasks? (basic)
  • How do you prioritize tasks in a fast-paced RCM environment? (medium)
  • What strategies do you use to reduce accounts receivable days in the revenue cycle? (advanced)
  • How do you ensure accuracy in patient demographic information for billing purposes? (basic)
  • Can you explain the concept of clean claims in RCM? (medium)
  • How do you handle disputes with payers in the revenue cycle process? (advanced)
  • What are some common challenges you face in RCM and how do you overcome them? (medium)
  • How do you ensure data security and confidentiality in RCM operations? (basic)
  • Describe a time when you had to train others on RCM processes. How did you approach it? (medium)
  • What steps do you take to prevent revenue leakage in the billing process? (advanced)
  • How do you handle changes in healthcare regulations that impact RCM operations? (medium)
  • Can you discuss a time when you had to lead a team through a challenging RCM project? (advanced)
  • How do you approach continuous process improvement in RCM operations? (medium)
  • What do you think sets you apart from other candidates applying for this RCM position? (basic)

Closing Remark

As you explore opportunities in the RCM job market in India, remember to showcase your skills and experience confidently during interviews. Prepare thoroughly and demonstrate your knowledge of the field to stand out as a top candidate. Best of luck in your job search!

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