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3.0 - 5.0 years
3 - 5 Lacs
Chennai
Work from Office
Job Summary: We are looking for a dedicated and experienced Medical Billing Trainer to design and deliver comprehensive training programs focused on U.S. healthcare revenue cycle processes. The trainer will be responsible solely for delivering structured classroom sessions. The ideal candidate should have a strong foundation in medical billing concepts, payer guidelines, and compliance standards, along with excellent communication and instructional skills. Job Title: Medical Billing Trainer Department: Training & Development Location : Okkiyampettai Thoripakkam, Chennai. Exp :3 to 5 years(Medical billing) Shift timings: US Shift (5:30 pm - 2:30 am) Key Responsibilities: Develop and deliver structured training modules covering: Patient registration and demographic entry Insurance eligibility and verification Charge entry and coding overview (CPT, ICD-10, modifiers) Claims submission processes (paper and electronic) Payment posting concepts (EOB/ERA handling) Introduction to denial types and resolution workflows Overview of AR follow-up practices and payer policies Create training materials including manuals, SOPs, presentations, assessments, and job aids. Conduct initial training for new hires in a classroom. Deliver refresher training and periodic knowledge updates to existing staff as per business needs. Coordinate with Operations and Quality teams to gather inputs on training needs. Track trainee progress through evaluations, quizzes, and feedback forms. Stay up to date with industry changes (e.g., payer guidelines, compliance updates) and incorporate them into training content. Ensure training delivery aligns with compliance and HIPAA regulations. Qualifications: Education: Bachelors degree Experience: 3+ years of hands-on experience in U.S. medical billing 1+ year of experience in a training or instructional role Knowledge Required: End-to-end medical billing cycle and RCM processes Basic understanding of coding (ICD-10, CPT), claim life cycle, payer-specific rules Familiarity with medical billing software Skills: Strong verbal and written communication skills Excellent presentation and facilitation skills Proficiency in Microsoft Office (Word, Excel, PowerPoint) Strong documentation and analytical abilities Preferred Certifications: CPB (Certified Professional Biller) or equivalent Preferred, not mandatory Work Environment: Onsite based on business requirement. May require flexible hours to align with U.S. clients or learners Note: Looking for candidates with Excellent communication and interpersonal skills. Immediate Joiners are preferred. Candidates must be comfortable with Night Shifts (5:30 pm - 2:30 am) and work from the office. Candidates should be located within a 10 to 15 km radius of Thoripakkam Own transportation is required as no cab facility is provided. Interested candidates are requested to apply for this position. Shortlisted applicants will be contacted within 2 to 3 business days.
Posted 3 days ago
1.0 - 6.0 years
2 - 6 Lacs
Chennai, Bengaluru
Work from Office
HUGE OPENINGS FOR AR CALLER/CALLING WORK FROM OFFICE MODE OF INTERVIEW - VIRTUAL JOB LOCATION - CHENNAI & BENGALURU EXPERIENCE - 1 TO 7 YRS. SALARY - MAX.42K TAKE HOME (EASY SELECTION, RELIEVING LETTER NOT MANDATORY) (NEED IMMEDIATE JOINERS) Interested Candidates, Please call/watsapp me @ 9962492242 or send your Updated resume to info@mmcsjobs.com Please share this information, also with your friends. Thank you very much for the support
Posted 3 days ago
18.0 - 20.0 years
27 - 30 Lacs
Chennai, Thiruvananthapuram
Work from Office
Job Title : Associate Director - Operations (RCM) Company : Prochant India Pvt Ltd. Experience : 18+ Years Work Location : Chennai & Trivandrum Salary : Best in Industry Industry Type : KPO / ITES (U.S. Healthcare RCM) Functional Area : Healthcare, Medical, Revenue Cycle Management (RCM) Employment Type : Full Time, Permanent Role Category : Operations / Senior Management Job Description Prochant, a leading outsourced billing service provider in the U.S. healthcare industry, is looking for a seasoned Associate Director - Operations (RCM) to be based out of our Chennai or Trivandrum office. The ideal candidate will bring deep domain knowledge of U.S. medical billing and proven leadership experience to manage operations, ensure quality output, and lead performance excellence. Roles and Responsibilities : Oversee and manage RCM operations: Cash Posting, Billing, AR Follow-up, EV/PA, Transmission, Correspondence, Medicare Audits, MIS & Support Teams Ensure production & quality SLAs are met consistently Analyze KPIs, identify gaps, and implement process improvements Develop and mentor high-performing RCM teams Ensure full compliance with U.S. healthcare regulations and payer policies Collaborate with internal departments for seamless operational integration Leverage RCM tools & automation for process optimization Prepare and present business performance reports to senior leadership Desired Candidate Profile : Minimum 18+ years of experience in U.S. Healthcare RCM Minimum 10 years in leadership roles (Manager, Sr. Manager, Director, etc.) Strong expertise in end-to-end RCM processes Excellent communication, leadership, and problem-solving skills Open to working in Night Shift Preferred location: Candidates from Chennai or Trivandrum Perks and Benefits : Best-in-industry salary & appraisals Quarterly Rewards & Recognition Dinner provided for night shifts Upfront Leave Credit 5-day work week (Monday to Friday) Excellent learning and career growth opportunities in U.S. medical billing Number of Openings : 2 Mode of Interview : Microsoft Teams Work Mode : Work from Office (Chennai or Trivandrum) Contact Person : Sushil Kumar Call/WhatsApp : +91 70100 70581 Email : sushilk@prochant.com
Posted 3 days ago
0.0 years
2 - 2 Lacs
Hyderabad
Work from Office
Welcome to Your Future! Freshers, Join Our Walk-In Drive and Explore Exciting Opportunities with Us! Job Title: Junior Analyst-AR (Fresher) Responsibilities: Call to check claim status and verify payments. Contact US insurance companies for claim issues. Validate and appeal claims. Ensure timely follow-up and resolve issues. Document actions in billing notes. Prioritize claims for follow-up, adhering to HIPAA. Requirements: Strong problem-solving and listening skills. Team player. Detail-oriented and accurate. Quick learner. Good communication skills. Willing to work night shifts (6pm - 3am). Eligibility: Must be a Graduate (Not considering candidates from B.Tech, Diploma & MCA) Walk-In Details: Days: Wednesday - Thursday (30 July 2025 to 31 July 2025) Time: 10:00 AM - 11:00 PM Location: Data Marshall, 1st Floor, Sri Ram Towers, Taj Deccan, Erramanzil Colony, Somajiguda, Hyderabad, Telangana 500082 Why Attend? Kickstart your dream career Connect with Industry Experts Explore exclusive opportunities Enjoy Attractive Compensation: 2.76LPA - 2.91 LPA (Guaranteed tenure bonus, travel benefits, Incentives and other paid benefits) Ready to take the leap? Join us and unlock a world of thrilling opportunities while supercharging your earnings! Don't forget to bring: A copy of your Aadhar Your resume Visit: www.datamarshall.com "Success is not the key to happiness. Happiness is the key to success. If you love what you are doing, you will be successful." Albert Schweitzer Spread the word and tag someone who might be interested! Lets grow together!
Posted 3 days ago
7.0 - 10.0 years
0 - 0 Lacs
Chennai
Work from Office
We are looking for a Team Lead to manage and oversee Revenue Cycle Management (RCM) operations, ensuring customized solutions for specific accounts. This role involves handling individual workloads while supervising training, auditing, and monitoring team performance to ensure efficiency and accuracy in Accounts Receivable (AR) follow-ups and Denial Management . The Team Lead will also be responsible for maintaining seamless workflows, including payment collection and insurance carrier coordination , while supporting both clients and internal teams. Key Responsibilities: Team Leadership & AR Management: Lead a team of analysts and a team coach to reduce AR aging and optimize collections. Denial Management: Provide expertise in AR follow-ups and denial analysis to maximize recovery. Process Oversight: Supervise daily team activities, track progress, and ensure SLA commitments are met. Quality Assurance: Conduct quality checks on AR follow-ups and Explanation of Benefits (EOB) denial analysis before submission to clients. Client & Escalation Handling: Respond to client queries and manage first-level escalations effectively. Performance Monitoring: Track and maintain key metrics, including attendance, productivity, and workflow management . Process Improvement: Develop and implement strategies to enhance productivity and quality within the team. Training & Development: Mentor and supervise analysts, senior analysts, and new trainees , fostering strong AR follow-up skills. Pilot Projects & Knowledge Transition: Participate in new projects, ensuring smooth knowledge transfer to the team. Conflict Resolution: Work with managers to address and resolve team-related concerns effectively. Hands-on AR Work: Support follow-up tasks when required to ensure efficiency and completion of workflows. Trend Analysis: Identify patterns within portfolios to aid in collections optimization and drive better outcomes. Mandatory Skills & Qualifications: Experience: Minimum 7 + years in AR follow-ups, Denial Management, or Revenue Cycle Management (RCM) . Leadership: Strong mentoring and team management skills. Communication: Excellent verbal and written English proficiency. Detail-Oriented: High attention to accuracy and process compliance. Problem-Solving: Ability to multitask and handle multiple responsibilities effectively. Analytics: Strong analytical skills with a results-driven mindset. Process Improvement: Keen eye for enhancing workflows and quality standards in AR management. Industry Knowledge: In-depth understanding of healthcare RCM and insurance processes . Preferred Skills: Strong problem-solving abilities. Experience in training and mentoring team members. Proficiency in Microsoft Office (Word, Outlook, Excel). Excellent in MS Excel, Power Bi, MS PPT, other applications of MS Office . Very good in Reports Creation and Submission. Excellent Communication and Accent and experience in handling US clients and Providers . Share your resume along with your last three months' pay slips via you can also email the CV to hr@acpbillingservices.com Work Location: ACP Billing Services Pvt LtdNO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark: Next to ICICI Bank Madhavaram Branch.
Posted 3 days ago
1.0 - 5.0 years
1 - 4 Lacs
Bengaluru
Work from Office
Job Alert! AR Callers Needed | Day & Night Shifts| 40KTH | Bangalore Experience : Min 1 Year in AR Calling (US Healthcare) Salary : Up to 40,000 Take-Home Shifts : Day & Night Cab : 2-Way Cab Provided Relieving Letter : Not Mandate Qualification : Inter & Above Immediate Joiners Preferred Why Join Us? Stable Company Good Hike Shift Allowance Career Growth Apply Now & Secure a Bright RCM Future! Interested? Share your updated resume with us! Contact: HR Suvarna : 7095162832/ Share resume via (WhatsApp Or Mail) Mail ID :- suvarna2508kondepogu@gmail.com
Posted 3 days ago
4.0 - 9.0 years
3 - 8 Lacs
Hyderabad
Work from Office
We are seeking an experienced Trainer with a strong background in US Healthcare processes and contact center operations. The ideal candidate will be responsible for delivering high-impact training programs to new hires and existing employees, ensuring readiness for client interactions and operational excellence. Key Responsibilities: Deliver training sessions on US Healthcare processes including Claims, billing, eligibility, and customer service protocols. Facilitate onboarding and nesting programs for new hires in a contact center setup. Collaborate with operations, quality, and client teams to ensure training alignment with business goals. Conduct refresher and upskilling sessions for existing staff based on performance and process updates. Maintain training effectiveness through assessments, feedback, and continuous improvement. Support process transitions and updates through timely training interventions. Create and update training materials, SOPs, and e-learning content. Participate in calibration sessions with QA and client teams. Provide floor support and troubleshoot process-related queries post-training. Eligibility Criteria: Minimum 1-2 years of experience in training roles within US Healthcare contact center operations. Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com
Posted 3 days ago
7.0 - 12.0 years
10 - 16 Lacs
Bengaluru
Work from Office
Requires Team lead for Trainers and trainers in Client Services in International BPO Team lead experience of 1 yr or 4 -5 years in training required Contact 8977711182 Required Candidate profile Extensive knowledge of the US healthcare industry specifically payer operations and/or provider office operations, knowledge of claims processing system US shift , WFO
Posted 3 days ago
1.0 - 6.0 years
2 - 6 Lacs
Bengaluru
Work from Office
Dear Applicant, Excellent opportunity ! Position / Title : AR Caller / Senior AR Caller Responsibility Areas 1. Should handle US Healthcare providers/ Physicians/ Accounts Receivable. 2. To work closely with the team leader. 3. Ensure that the deliverables to the client adhere to the quality standards. 4. Responsible for working on Denials, Appeals,Rejections, LOA's to accounts etc. 5. To review emails for any updates 7. Identify issues and escalate the same to the immediate supervisor 8. Update Production logs 9. Strict adherence to the company policies and procedures. Desired Profile 1. Sound knowledge in Healthcare concept (Physician Billing). 2. Should have Minimum 2 Year of AR calling Experience . 3. Excellent Knowledge on "RCM, Medicare, Medicade, Hospice, HMO, PPO, POS, EPO, MCO plans, Modifiers, Office code visit, CPT codes, Drug codes, Appeals, Denial management, CMS-1500 form, clearing house" etc . 4. Understand the client requirements and specifications of the project 5. Should be proficient in calling the insurance companies. 6. Ensure targeted collections are met on a daily / monthly basis 7. Meet the productivity targets of clients within the stipulated time. 8. Ensure accurate and timely follow up on pending claims wherein required. 9. Prepare and Maintain status reports. Interested candidate please share your resume below mail id or share the resume on WhatsApp. Contact HR : Rakesh B R Mail Id : Rakesh.Rajesh@omegahms.com WhatsApp me @9206591872 Regards, Team HR
Posted 3 days ago
4.0 - 9.0 years
7 - 8 Lacs
Hyderabad
Work from Office
Greetings from Vee Healthtek!! Immediate Hiring Team Lead/Senior Team (RCM Background)!!!!!!! We are hiring for the position of Team Lead (AR Calling) specializing in end-to-end denials under the US Healthcare process. Designation: Team Coach/ Team Lead/ Senior Team Lead Department: Medical Billing (AR Calling) Experience: 4+ years (Minimum 1 year as Team lead) Location: Hyderabad (Work from office only) "On paper designation as Team Coach/ Team Lead/ Senior Team Lead is mandatory". Skills required: Excellent Domain Knowledge On papers team Lead is appreciable Good Oral & Written Communication skills Good Team Handling Skills Excellent Analytical skills Should be good at Muti-Tasking Roles & responsibilities: Design & implement workflow processes. Ensure quality of Deliverables Interaction with clients Ensure timely client communication Ensure proper execution of projects Monitor the quality and provide feedback to individuals or team. Maintain process documents and ensure regular updates Ensure all updates from clients are recorded Ensure proper allocation of work to team members Ensure the Turnaround time is adhered as per SLAs Participate in conference calls with the clients/ top management . The role offers exciting opportunities to lead a team and deliver exceptional results. Interested candidates can reach out to Subiksha G - subiksha.g@Veehealthtek.com/ 9606003487
Posted 3 days ago
5.0 - 10.0 years
7 - 9 Lacs
Kochi, Kolkata, Hyderabad
Work from Office
Candidate should have experience working as a Team Leader OR Process Trainer OR QA in RCM process for US Healthcare. Qualification - Graduate Shift - US Shifts Work Location - Hyderabad Required Candidate profile Immediate Joiners OR Max 15 days notice period candidates can apply Call HR Sadiq @ 8904378561 for more details.
Posted 3 days ago
1.0 - 4.0 years
2 - 3 Lacs
Noida
Work from Office
Job description 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 We are hiring fresh graduates as well as experienced resources
Posted 3 days ago
5.0 - 7.0 years
4 - 6 Lacs
Coimbatore
Work from Office
Greetings From Prochant !!! Key Responsibilities and Duties: As a Team Leader you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to manage the team and ensure production and quality targets are met as per company requirement. You are responsible for identifying issues and alerting the appropriate parties before these issues are identified by the client. Your job is to enhance and expand the capacity of your team members, allowing Prochant to expand the scope of its teams to include a much larger client base. Essential Functions Production Monitoring - overall responsibility for monitoring daily production for assigned clients and updating the Connect Portal with this information. Review Reports review key reports for accuracy and quality. These reports include: Production log (Target Vs. Achieved), Cash posting log, Cash to back reports, Transmission log such as claims entry log, commercial rejection log, BT rejection log and printing log. Daily Standing Meeting - Prepare respective report for daily meeting, reporting results and associated red flags. Always bring proposed solutions when reporting these issues. Allocation of work - Prepare downloads of respective process and allocate the work to the subordinates and ensure a smooth flow of production. Escalations - Identifying issues, resolving and escalating it to the Senior Team Leader and Managers . Quality Assurance - Overall responsible for the quality of the team for all Day process. Communication - Good rapport with Senior Team Leader and Assistant Manager, review emails and tasks typically sent to the Senior Account Manager and respond or forward as appropriate, taking a significant work load off of the SAM. Month End - overall responsibility for ensuring that month end procedures like Client invoicing reports and month end closing reports are maintained in timely manner. Training - Interface with the training team based on red flags and accuracy issues to ensure proper staff education. Performance Review - Periodic one to one meeting on Performance review. Team Meeting - Responsible to conduct Team meetings on regular basis to update and coordinate the Team performance Note: we are looking for the candidate who have mandatory experience in payment posting, charge entry, FEB, rejection and denials. Benefits Salary & Appraisal - Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Upfront Leave Credit Only 5 days working (Monday to Friday) Contact Person : Harini P Interested candidates call / whats app to 8870459635 or share your updated CV to harinip@prochant.com
Posted 3 days ago
1.0 - 5.0 years
1 - 4 Lacs
Pune, Bengaluru
Work from Office
Greetings from Vee Healthtek....! 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 - 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
Posted 3 days ago
3.0 - 5.0 years
3 - 7 Lacs
Gurugram
Work from Office
Senior Finance Analyst Accounts Receivable Client Finance - JLL Business Service (Gurugram) What this job involves: Conduct a comprehensive analysis of bank deposits and execute precise application of deposits to designated tenant accounts Perform in-depth analysis of tenant ledger histories to identify and resolve discrepancies in payment transactions Performing quality checks to ensure all the deposits are correctly applied against each tenant's accounts Query handling working upon all queries received and keeping a close tab on any pending queries that could be resolved, and following up on the rest Collaborate with Accounting and Property Management professionals to facilitate appropriate payment application Investigate duplicate payments and transaction errors to maintain financial accuracy Participate in special department projects/initiatives as directed Maintain exemplary documentation systems for archiving, records retention, and audit compliance Identify and escalate unresolved matters through appropriate channels with recommended solutions Provide expert support to cross-functional teams and processes when required Maintain comprehensive and current process documentation, including SOP, Process Maps, and tracking mechanisms Provide technical guidance to team members and support performance improvement initiatives Sounds like you To apply, you need to have the following: Employee Specifications Strong Finance background, Commerce graduate or Post Graduate is preferred. Minimum 3-5 years of experience in Order to Cash, specifically the Cash Application role is preferable Strong analytical skills with attention to detail and logical thinking and carries a positive attitude to develop solutions quickly Impactful communication (written and verbal) to interact with clients and strong interpersonal skills Demonstrated consistency in values, principles, and work ethic Working knowledge of MS Office (MS Word, Excel, PowerPoint, Outlook) required Performance Objectives Works within established procedures with a moderate degree of supervision Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures, and makes sound decisions
Posted 3 days ago
1.0 - 2.0 years
0 - 2 Lacs
Chennai
Work from Office
Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse. For more information, please look on to About | Guidehouse If this role excites you, please share your resume to mb@guidehouse.com Mode of Interview - Face to Face (Note : Screened & Shorlisted candidate will receive the call letter to attend the In Person Interview from Guidehouse TA Team ) Responsibilities: Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket to make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity, and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Do you have this: Only 1 -2 of experience in AR Calling Denial Management (Mandatory) Expert in listening and resolving problems Expert to work in a team Proficient in delivering high quality result Ability to work accurately and parry detail attention Capable of grasping new concepts quickly Good communication skills (written and verbal) Willing to work in flexible shift including night. Excellent communication Qualification Graduation and above ( mandatory , no backlogs )
Posted 3 days ago
6.0 - 10.0 years
18 - 42 Lacs
, Qatar
On-site
*JOB DESCRIPTION* *Position:* *Expert Recruiting Management (RCM)* *About the Role:* We are looking for a dynamic SuccessFactors consultant with deep expertise in Recruiting Management (RCM), Onboarding (ONB 1.0 & 2.0) and Recruitment Marketing/Career Site Builder (RMK/CSB). *General requirements:* * Configure and Support modules across RCM, ONB (1.0 & 2.0) and RMK/CSB * Deliver client-centric solution aligned with regional compliance and data privacy needs (GDPR, IAS/IPS) * Coordinate integrations with other SF modules and ensure system stability * Lead and contribute to at least two full-cycle implementations, driving both technical and functional success * Collaborate with cross-functional teams to optimize candidate experience and process efficiency *Educational Qualification* * Bachelor's degree *Required Professional Qualifications/Skills* * 4+ years of hands-on experience in SAP SuccessFactors Talent Acquisition suite * Proven success in delivering at least two end-to-end implementations of RCM, ONB 2.0, and RMK * Solid understanding of GDPR principles and IAS/IPS configuration * Strong analytical and problem-solving skills with detail-oriented mindset * Effective communicator with the ability to adapt solutions to user needs across diverse regions
Posted 3 days ago
5.0 - 7.0 years
6 - 7 Lacs
Hyderabad
Work from Office
We have an opportunity for the role of Team Manager in RCM, the details of which are mentioned below: Designation: Team Manager (RCM) No. of Openings: AR Team Manager - 3 Experience: 5+ years Location: Hyderabad (Uppal) Skills Required: Work experience of 5+ years and experience in the AR function of a US Healthcare Setup of at least 3+ years. Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills. Graduation in any stream. Responsibilities : Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates. Help manage team work life balance through efforts on leave planning and rostering. Communicate effectively within & with team members & escalate issues to the management for timely resolution. Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent. If interested, please share your updated CV on shivani.tripathi@ikshealth.com
Posted 4 days ago
9.0 - 14.0 years
12 - 14 Lacs
Hyderabad
Work from Office
We have an opportunity for the Associate Director posiiton in Hyderabad, the details of which are as given below: Position : Associate Director - RCM Operations Location : Hyderabad (Uppal) Qualifications: Graduate from any discipline is a must Functional Competencies & Role Prerequisites: Experience of working for at least 10 years into any of the RCM lines of business. Knowledge of AR function is a must. Knowledge of federal and the top 5 commercial payors is a must. Basic Knowledge of Microsoft Tools / Gsuite would be mandatory. Good Feedback and Coaching Skills. Delegation. Profile Description: This role includes managing a team responsible for delivering services as per the SOW. It also involves analyzing reports and trends to ensure smooth delivery of operations. Responsible for running initiatives in the team towards managing building engagement and motivation in the team. Key Responsibilities: Process: Manage team production and conduct process Quality monitoring Manage work assignment allocation & review of work list Encourage & engage team members for continuous improvement / process optimization / automation ideas Manage Business Intelligence through reports & MIS for internal / client use Determine validity of move to client, either send back instructions to Rep or approve & move to client Review coding review requests & quantify preventable issues Communicate to Billing, PP or Coding as applicable Scenario findings to all staff for examples that were not valid coding review needs Work with Coding on responses that can be used in appeals when, coded correctly Review denial adjustments for validity - quantify preventable issues Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions. Review high risk/aged/ excessive incomplete action account balances. Manage up review AR findings and feedback Create QA & Tip for week from client, payer, and account assessment scenarios Manage Global Issues Review process / function managed for Global Issues, high risk / aged items, Payer Trends, training needs for team members. Create case studies on identified issues impacting team performance / client business and share inputs with Quality & Training Teams Ensure highest levels of Organization and Healthcare related compliance requirements are adhered to Ensure adherence to maintaining all necessary process documentation as per the QMS Team Management: Drive high levels of employee engagement (include Daily, weekly, monthly team connects to enable high retention and satisfaction rates Help manage team work life balance through efforts on leave planning and rostering Communicate effectively within & with team members & escalate issues to the management for timely resolution Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent Monthly One-on-One connects to be closed with all the team members Client Management: Being part of daily/weekly client update calls OR reviews. Timely response to client queries and requirements over email Partner and support the BI team in preparing important client reports for the process and releasing the same to the clients as per deadlines. If interested, kindly share your resume on shivani.tripathi@ikshealth.com.
Posted 4 days ago
2.0 - 5.0 years
4 - 5 Lacs
Navi Mumbai
Work from Office
Key Responsibilities: Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be up to date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Desired Candidate Profile Required Qualifications Graduate in any discipline Should have minimum 2 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com
Posted 4 days ago
5.0 - 10.0 years
6 - 8 Lacs
Navi Mumbai
Work from Office
Key Responsibilities Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be upto date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor) Should be able to identify upskilling requirement and initiate content creation either for ILT (Instructor Led Training) or E Learning Being the custodian of all knowledge requirements, will be actively participating in all transition activities Will be the client interface for all knowledge related discussions and should be able to gain a consultant position Should be well versed in SOP creation, documentation, preparing process flows Desired Candidate Profile Required Qualifications Graduate/Post-Graduation in any discipline Should have minimum 5 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills TTT ( Train The Trainer ) certification is preferred Understand the concepts for creating E Leaning modules Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com
Posted 4 days ago
4.0 - 8.0 years
0 Lacs
karnataka
On-site
As a SuccessFactors EC consultant with 4-5+ years of experience (Certification in EC is mandatory), your role will involve handling support tasks such as daily issues, new configuration changes, routine annual EC activities, and release upgrades. You should have at least 1 LMS implementation project experience and exposure to AMS support model with EC. It is essential to possess a good understanding of the HR business process set up in SuccessFactors and have proficiency in verbal and written communication skills in English. Additionally, familiarity with integration concepts of EC with other modules like LMS, PMGM, etc., would be advantageous. Candidates with experience in modules such as LMS, RCM, ONB, PMGM, and Comp will be preferred. The position is based in Bengaluru, Karnataka, and offers a hybrid work mode during day shift hours. This is a contract-to-hire role with 10 openings at VARITE INDIA PRIVATE LIMITED, a global IT, consulting, and business process services company. VARITE serves clients worldwide across diverse industries, providing technology-driven solutions to enhance efficiency and innovation. Interested candidates can apply by submitting their resume through the apply online button on this job post. VARITE is a global staffing and IT consulting company that offers technical consulting and team augmentation services to Fortune 500 Companies in the USA, UK, Canada, and India. VARITE is a primary vendor to leading corporations in various verticals, including Networking, Cloud Infrastructure, Digital Marketing, Financial Services, and more. Unlock Rewards: VARITE offers a Candidate Referral program where you can refer candidates and earn a one-time referral bonus based on the candidate's experience level. If the referred candidate completes a three-month assignment with VARITE, you can earn a referral bonus as per the following scale: - 0-2 Yrs. Experience: INR 5,000 - 2-6 Yrs. Experience: INR 7,500 - 6+ Yrs. Experience: INR 10,000 If this opportunity is not suitable for you, please feel free to share it with your network. Pass along this information to anyone who might be a good fit for the open positions at VARITE.,
Posted 4 days ago
5.0 - 9.0 years
0 Lacs
karnataka
On-site
You will be responsible for acting as the primary functional point of contact for SAP SuccessFactors RCM, RMK, and IAS modules. Your main duties will include gathering and analyzing business requirements, translating them into system configurations and functional specifications, and supporting the end-to-end recruiting process. This involves optimizing workflows and user experience, leading workshops and training sessions, and configuring recruiting templates such as requisition, application, offer, and candidate profile. Additionally, you will be expected to manage Career Site Builder (CSB) and RMK branding configurations, support multilingual and global site implementations, and collaborate with marketing and employer branding teams for RMK initiatives. You will work closely with technical teams to ensure proper configuration of IAS and IPS for candidate and employee access, and support functional testing of various processes like SSO, external candidate login, and user provisioning flows. Furthermore, your role will involve defining access policies, collaborating on role-based permission management, ensuring a consistent and secure login experience for internal and external users, and providing post-go-live support along with ongoing functional maintenance. You will partner with IT and technical consultants to resolve functional and integration issues, as well as bring your functional experience with SAP SuccessFactors Recruiting modules (RCM/RMK) and knowledge of IAS/IPS functional flows and user authentication principles to the table. Your strong stakeholder management and communication skills will be crucial as you work on Career Site Builder (CSB), recruiting process design, and candidate experience optimization. It is imperative that you have an excellent understanding of SuccessFactors provisioning, permissions, and recruiting-related data models, as well as familiarity with GDPR and compliance-related configurations in recruiting. Previous involvement in a global implementation or multi-country rollout will be beneficial, along with analytical thinking, problem-solving abilities, and a strong business acumen focused on talent acquisition. In this role, you must have the ability to translate business needs into system solutions, maintain a collaborative mindset, and possess cross-functional communication skills to effectively interact with various teams and stakeholders.,
Posted 4 days ago
6.0 - 11.0 years
22 - 25 Lacs
Gurugram
Remote
PFB J.D: Job Title: Medical Billing & Revenue Cycle Management (RCM) Expert (title will vary depending on current role but must be willing to work as IC) Location: Remote Contract: 6 months Experience: 8 to 12 years Job Summary We are looking for a dedicated and proactive Medical Billing & Revenue Cycle Management (RCM) Executive to join our growing team. The ideal candidate will have hands-on experience with end-to-end medical billing processes, claim submissions, payment posting, denial management, and working with US (or international) healthcare systems. This role is a critical part of our SME-focused medical billing/RCM operations. Key Responsibilities Process patient and insurance claims accurately using practice management and billing software. Submit claims to insurance companiesboth electronically and manually—ensuring all supporting documentation is included. Review, track, and resolve claim denials and rejections. Post payments from insurance providers and patients into billing systems. Follow up on outstanding accounts receivable and unpaid claims. Verify patient eligibility and coverage details as required. Communicate with insurance companies, healthcare providers, and patients to resolve billing issues. Maintain up-to-date knowledge of medical coding guidelines, payer policies, and RCM industry best practices. Prepare and present RCM/billing reports as directed by management. Contribute to process improvement and compliance initiatives. Requirements Bachelor’s degree or diploma in a relevant field (Commerce, Healthcare Administration, Life Sciences, etc.). 8 to 12 years’ experience in medical billing, RCM, or health insurance processes (US/International healthcare preferred). Familiarity with CPT, ICD-10, HCPCS codes, and common billing software/platforms (e.g., Kareo, Athena, AdvancedMD, etc.). Understanding of healthcare insurance terminology (EOB, denials, AR, etc.). Proficiency in MS Office Suite (Excel, Outlook). Strong analytical, problem-solving, and communication skills. Attention to detail and ability to work independently or in a team environment. Ability to manage multiple priorities in a fast-paced setting. Preferred Qualifications (not mandatory) Certification as a Certified Professional Coder (CPC) or similar credential. Previous experience working with SME medical billing vendors or BPO/KPO sector. Knowledge of US HIPAA compliance. Compensation and Benefits Competitive salary (commensurate with experience). Incentives/performance bonuses. Healthcare and wellness benefits. Opportunities for training and career advancement.
Posted 4 days ago
1.0 - 4.0 years
4 - 6 Lacs
Chennai, Bengaluru, Mumbai (All Areas)
Work from Office
we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees like proper relieved or without Required doc. Required Candidate profile looking for AR caller/Sr AR Caller/SME. Experience in to Hospital Billing/Physician Billing. Who have experience in CMS1500 or UB04.Pick up and drop is there and Incentive based upon your performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop
Posted 4 days ago
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