1807 Rcm Jobs - Page 23

Provide weekly market commentary/narratives and reporting associated to month and quarter end Create Presentation materials and RFPs for client engagement. Responding to client queries by reviewing front office data trade and performance data Create and maintain Product Marketing PPT templates and slide library for shared use across the firm. Example assist with coordination of content (commentaries and other materials), adding and formatting of charts. Run batch reports and prepare material for commentary and reporting purposes

TRIARQ Health is a Physician Practice Services company that partners with doctors to run modern patient- centered practices so they can be rewarded for delivering high-value care. TRIARQs Physician-led partnerships simplify practices transition to value-based care by combining our proprietary, cloud-based practice, care management platform and patient engagement services to help doctors focus on better outcomes. Were hiring a passionate and detail-oriented Assistant Team Leader to join our growing Charge Posting team. If you come from a Medical Billing AR background and are ready to step into a leadership role, we want to hear from you! Key Responsibilities: Lead and support a team handling Charge Posting functions. Monitor team performance and ensure accurate and timely billing. Coordinate with clients, internal teams, and leadership to resolve issues. Mentor and train new team members and act as a subject matter expert (SME). Drive process improvement and maintain high standards of compliance and quality. Eligibility Criteria: Minimum 6 years of experience in US Medical Billing. Must be currently working as a Team Coach , Subject Matter Expert (SME) , or in an equivalent leadership/support role on paper . Strong understanding of Charge Entry/Posting processes. Experience in AR (Accounts Receivable) will be considered a plus. Preferred Skills: Excellent communication and team management skills. Detail-oriented with strong problem-solving abilities. Ability to work under pressure and meet deadlines. Contact & Email: HR Danish - 9082644346 / danish.penkar@triarqhealth.com Walk-in Details: Office address:- 12th Floor (Press 7 in Elevator), IT Building Q1, Aurum Platz Private Limited SEZ, Plot No. Gen 4/1, Trans Thane Creek Industrial Area, MIDC, Thane-Belapur Road, Ghansoli, Thane, Navi Mumbai, Maharashtra, 400710

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 : Mohammed Whatsapp me @ 9980472471 Regards, Team HR

Role & responsibilities Computer science graduate 4 5 years of relevant work experience Technical Skills At least 4-5 years’ experience in business analysis, requirements management and SuccessFactors Talent. At least two full life-cycle SAP SuccessFactors integration implementation. experience on SuccessFactors integration with CPI, Integrated with third party system, SuccessFactors Integration center system and SuccessFactors Intelligent service center. Experience SuccessFactors modules (Recruitment/Employee Central), end to end integrations including requirements gathering (functional specifications), configuration design, configuration, and testing is preferred. Responsible for creating documentation including requirement User Stories, Acceptance Criteria, Feature Description PowerPoint decks, Process Flows and Analysis Models, Journey Maps, Wireframes and User Guides. Should manage the Product Backlog for a Product, working with the onsite BSA and Engagement Manager to prioritize requirements. Good analytical and problem-solving skills. Preferred candidate profile

Job Description: 6+ years of experience as SAP SuccessFactors Consultant, having worked on three or more implementations and at least one support project.• Experience on SuccessFactors EC/RM/RCM/RMK (Any two) with onboarding experience

Role & responsibilities We are hiring experienced AR Medical Billing Executives for our Gurugram location. Candidates must have hands-on experience in Revenue Cycle Management (RCM), Denial Management, AR Follow-up, and AR Billing . Key Responsibilities: End-to-end AR follow-up on insurance claims Handle denials and resolve issues in a timely manner Ensure compliance with all billing policies and procedures Work collaboratively with team members to meet performance goals Requirements: Minimum 1 year of relevant experience in US medical billing Strong knowledge of RCM, denial management, and AR processes Graduation is mandatory Excellent communication skills Should be open to working in night shifts Immediate joiners preferred Perks and Benefits: Competitive salary Growth opportunities within the organization Employee-friendly work environment Interested candidates can share their resume to Sadhika - 9811174195.

Greetings!! Designation: AR Caller/Eligibility & Benefits Verification(RCM) Openings: 100 Exp:1-5 Yrs Job Loc: Mum/Hyd CTC :Upto 5 Lpa Call: Saloni :9783779123 Priyal : 9772840956 or Apply to: priyalconverse@gmail.com Rgrds, Team Converse

Greetings from Sagility ! We are hiring for Manager Business analyst for US Healthcare in Revenue cycle management . Looking for good experience in RCM AR , Hospital billing and physicians billing Role: Manager Business Analytics (US Healthcare) Experience: 10+ years Shift: 4 PM to 3 AM IST any 9 hours window CTC: Negotiable Transportation: Both side cab will be provided Are you a strategic thinker with a passion for healthcare analytics? We're looking for analytics professional to lead data-driven initiatives that enhance operational efficiency and financial performance across our US healthcare operations. Looking for experience Business analyst from Revenue cycle management . What You'll Lead: Oversee analytics for the full revenue cycle: patient access, billing, coding, and collections. Drive performance improvement through data insights and process optimization. Collaborate with leadership across finance, operations, and compliance. Develop and manage dashboards tracking KPIs like A/R days, denial rates, and net collections. Ensure adherence to US healthcare regulations and payer policies. What You Bring: Proven experience in US healthcare revenue cycle management AR follow up Hospital and Physician. Strong leadership and stakeholder management skills. Expertise in Excel and SQL. Deep understanding of payer reimbursement, coding standards, and compliance. Interested folks can please share your updated cv to : sunkari.srikanth@sagility.com or whats app your cv on : 9949217482

We are Hiring Candidates who are experienced in AR Calling specialized in Denial Management (International Voice only) for Medical Billing in US Healthcare Industry. *Roles and Responsibilities* Reviews the work order. Follow-up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in-case of rejections. Ensure deliverables adhere to quality standards. *Candidates with excellent communication and strong knowledge in Denial Management can apply.* ONLY IMMEDIATE JOINERS PREFERRED. Denial Management experience required. Ability to work in night shift - US shift Cab provided (both pick up and drop) 5 days work (Weekend fixed OFF) Job location : Chennai Share your updated resume and photograph. Contact Monisha HR 7339696444

We Advantum Health Pvt. Ltd - US Healthcare MNC looking for Data Scientist for our Hyderabad location. We Advantum Health Private Limited is a leading RCM and Medical Coding company, operating since 2013. Our Head Office is located in Hyderabad, with branch operations in Chennai and Noida. We are proud to be a Great Place to Work certified organization and a recipient of the Telangana Best Employer Award. Our office spans 35,000 sq. ft. in Cyber Gateway, Hitech City, Hyderabad Job Title: Data Scientist Location: Hitech City, Hyderabad, India Work from office Ph: 9177078628, 7382307530, 9059683624 Address: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Job Summary: We are seeking a highly skilled and results-driven Data Scientist with strong AI/ML expertise to join our technology team in Hyderabad. This role will play a critical part in designing, developing, and deploying machine learning models that support strategic initiatives across healthcare operations, RCM automation, and intelligent decision-making platforms. Location: Hyderabad, India Job Type: Full-time Experience Level: 3 to 8 years Key Responsibilities: Design and implement advanced machine learning and AI algorithms for real-world business use cases (e.g., Denial Prevention, Prior Authorization AI, Coding AI). Work with structured and unstructured healthcare data (e.g., claims, clinical notes, payer data) to create actionable insights. Collaborate with cross-functional teams including data engineers, product managers, and automation developers to deploy end-to-end AI solutions. Build and maintain model pipelines: data preprocessing, feature engineering, training, evaluation, and deployment. Develop NLP models to extract, classify, and interpret clinical and operational data from free-text sources. Evaluate model performance using appropriate metrics and iterate to improve accuracy, precision, and recall. Document experiments, methodologies, and findings to ensure traceability and reproducibility. Contribute to ML Ops efforts to ensure scalable, robust, and production-ready model deployments. Required Skills and Qualifications: Bachelors or Masters in Computer Science, Data Science, AI/ML, or a related field. 3+ years of hands-on experience in data science and machine learning. Proficiency in Python and ML libraries such as Scikit-learn, TensorFlow, PyTorch, Hugging Face Transformers. Strong experience in NLP, classification, entity recognition, or sequence labeling tasks. Familiarity with model versioning, deployment (e.g., Flask, FastAPI), and cloud platforms (Azure, AWS, or GCP). Experience working with healthcare datasets (e.g., claims, EHR, CPT, ICD-10) is highly preferred. Strong problem-solving and communication skills with the ability to explain complex models to non-technical stakeholders. Preferred Qualifications: Exposure to MLOps, model monitoring, and continuous model training pipelines. Experience working in RCM or healthcare IT environments. Contributions to open-source projects or relevant AI/ML publications. Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9177078628, 7382307530, 9059683624

Hiring For International Voice In US Healthcare #Shift: US Shift #Salary: Up to 30K CTC #Location: Ahmedabad, Gujarat >>Fluent English Required<<

AR Caller Minimum of 6 months experience required Excellent English communication Fixed night shift Cab provided for night shifts Salary up to 35K CTC (Depends on Interview)

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : General Electric (GE) Application Performance Management (APM) Good to have skills : NAMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various teams to ensure that application performance meets organizational standards, addressing any issues that arise, and guiding your team through the development process. You will also engage in strategic planning sessions to align application capabilities with business objectives, ensuring that the solutions provided are both effective and efficient. Your role will require you to stay updated on industry trends and best practices to continuously improve application performance and user experience. Roles & ResponsibilitiesMust have an exposure to client facing roles for requirements gathering business analysis and delivery management. Must have a business experience on APM functionalities - criticality analysis, RCA, RCM, FMEA, Asset Strategy, Mechanical Integrity (RBI, Inspections, Thickness Monitoring), IOWs, HAZOP, SIS Management, KPIs, System Integrations. Must have hands on experience on APM architecture, APM functionalities and related system integrations.At least one end-to-end project execution of APM implementation and system integrations around it with SAP, Process historian and any other systems to cater to reliability & integrity functions Expert knowledge in building n-tier applications and their maintenance with good expertise in C#, ASP.Net, Vb.Net, MS SQL Server, SSRS, SSAS, .Net Framework 3.5, web services,GE APM , Oracle 10g Excellent communication and interpersonal skills clear understanding of business rules in GE-APM Professional & Technical Skills: Experience in Working on GE-APM platform with version v4.3+. Extensive knowledge on technical areas of Meridium APM as below.Policy Expertise in setup & optimize workflow, handle complex logic. Family Policy Entity level validation & logic implemented using family policy taking care not to affect performance of tool.State Management Help business to setup workflow by using the state management along with security scope.Dashboard, Widgets & Hyperlinks Design Designing of custom dashboard, widgets & add hyperlink to provide easy navigation in to application.Data Loaders creation & execution Created custom data loaders to insert, update & delete record, link family using relationship loader.Queries, Sub-Queries Created various queries to provide data to reports, dashboards & alerts that fetch data from families & other queries with input parameters.Conditional Alerts Hands-on experience of create & configure alerts to notify users based on respective work area scope. R Script While working on policy implementation, developed R script programs to accommodate complex looping & conditional logic. Recommendation Deliver the recommendation workflow to business to streamline the acknowledge, approval & mitigation action plan.AHM & Health indicators Help end users to configure & monitor the assets health using AHM module.Configuration (Family, field, Import/Export etc) As a developer, create, edit entity family, fields & field behavior, create, deploy packages using import export functionality. Additional Information:The candidate should have minimum 10+ years of experience in General Electric (GE) Application Performance Management (APM). This position is based at our Pune office. 15 years full time education is required. Qualification 15 years full time education

Role & responsibilities - -AR follow -up with insurance companies & patients. -To follow up on claims assigned. -To Complete EDI rejections. - End to End RCM Knowledge. Preferred candidate profile - Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process)

*Hiring AR Callers* Experience :- Minimum 1+ years in AR Calling *Package :- Upto 41K Take-home* Qualification: Inter & Above Notice Period : Preferred Immediate Joiners, Relieving is not Mandate Location : Mumbai, Hyderabad Work from Office Two way cab facility 5 Days Working - Monday to Friday Saturday & Sunday - Fixed Off Interested candidates can Call Or Send Resume to HR Charitha - 9542034803 Referrals are welcome.

We are Hiring for Senior AR Callers!! Position: AR caller - RCM Exp: Denial Management (HB / PB) Shift Details: US Shift Cab Boundary Limit: We provide cab Up to 23 km (One way drop cab | Doorstep only) from the below venue Venue: 5th Floor, Block 1, Survey No 142, BSR Builders LLP IT SEZ Nanakramguda Village, Serilingampalle (M), Hyderabad, Telangana 500008 Roles & Responsibilities: Understand Revenue Cycle Management (RCM) of US Healthcare Providers. Good knowledge on Denials and Immediate action to resolve them. Reviews the work order. Follow-up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverables adhere to quality standards. Eligibility Criteria: Candidates should have experience in AR Calling, Denials Management, Web Portals, Denial Claims! Minimum 1year experience. Work from Office mode. Immediate Joiners and candidates those who are in notice period can apply. Should have proper documents (Education certificates, offer letter, Pay-slips, Relieving letter etc..) Note : Kindly mention HR Nawaz Khan on top of CV at the time of walk-in Interview 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 abhilash.cbb@firstsource.com

Hiring || AR Callers ( RCM US Healthcare ) || PB & HB || Experience :- Min 1 year of experience in AR Calling (US Health Care) into Denial Handling Package :- Up to 41K Take home Locations :- Hyderabad , Mumbai , Chennai & Bangalore Hiring for Hospital Billing - 40k take home Qualification :- Inter & Above. Perks and Benefits: 1. 2 way cab 2. Incentives and Allowances Notice Period :- Preferred Immediate Joiners WFO ======================================================== Hiring || Pre Auth Voice Process ( RCM US Healthcare ) || Experience Min 1 year in Pre Auth Voice Process Max :- Up to 40K Take-home, Qualification :- Inter & Above Location :- Chennai , Mumbai Perks and Benefits: 1. 2 way cab 2. Incentives and Allowances Notice Period :- Preferred Immediate Joiners WFO Interested candidates can share your updated resume to HR Pinky -9603167483 (share resume via WhatsApp or Email) Email id : pinky.axisservices@gmail.com Refer your friend's / Colleagues

Role & responsibilities Develop and deploy a best in class Service Quality framework to drive higher performance on key business metrics in revenue cycle management Ensure standardization of Service Quality practices across the projects to drive measurable, repeatable and predictable operations Manage, oversee and support Internal Staff Development, Quality Management and Organization Development Promoting and Drive a culture of Quality Achievement and Performance Improvement throughout the Assigned Accounts Enabling strong Data Driven Organization Model Deployment of continuous improvement activities through Kaizen and Six Sigma Methodologies Effectively interact with Delivery Teams to maintain process adherence and help bringing improvements Working with training, hiring and transition Teams to establish input quality requirements Formulate and manage the development and implementation of Quality Goals. Setting QA Compliance objectives and ensuring targets are achieved Assessing the service delivery quality against customer requirements Liaising with customers, auditors and internal delivery stakeholders to ensure the execution of corrective action compliance with customers specifications Establishing standards of service for customers or clients Preferred candidate profile Graduate in any stream is a must, Graduate in Engineering / Post Graduation in Statistics / Mathematics would be preferred Minimum 15+ years and above experience in AR, PP, Billing OR EV/BV would be preferred which includes a minimum 12+ years of experience in quality assurance and process improvement Six Sigma Black Belt OR Master Black Belt certification would be preferred

Hiring: AR Caller / Senior AR Caller Locations: Bangalore Experience: 8 Months -5 Years Notice Period: Immediate Joiners Preferred We are hiring experienced AR Callers / Senior AR Callers with strong knowledge in Physician Billing . Experience in Hospital Billing is an added advantage. Job Description: Work on denial management and resolution Follow up with insurance companies for claim status Good understanding of the US healthcare RCM process Strong domain knowledge and communication skills required Requirements: 8 Months to 5 years of experience in AR Calling (US healthcare) Hands-on experience with denials Good understanding of Physician Billing; Hospital Billing is a plus Immediate joiners preferred For a quick response from HR, please WhatsApp your CV to: HR Phani 9494994261 Company: ACN Healthcare RCM Services Pvt Ltd. Venue: ACN Healthcare Indiqube Lexington Tower, 6th floor, Tavarekere main road, Chikka Audugodi, S G Palya, Bangalore - 560029 https://maps.app.goo.gl/SJapzVVoZrkac53MA?g_st=ipc

Ascent is looking for EVBV / Auth profile Experience: 1 year + Salary: Industry norms Location: Hyderabad (Uppal) Looking for only voice process Notice Period: Immediate Joiners

We are KGiS, hiring a Team Lead- International Voice Process Job Location- Coimbatore. Looking for a Team Lead with prior experience as a TL/SME in the international voice process. Job Description: Hands-on Experience in International Voice Process Excellent Communication Prior experience in team handling Drive the team, manage, and deliver business demand. Flexible to work the night shift Candidate skills: Hands-on Experience in International Voice Process Hands-on Experience in product sales as Team Lead Flexible to work the night shift Interested, kindly share your resume with divya.s@kgis.co

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 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

Required Prior Authorization / Pre Auth candidates

Shift:General Shift ( 9 a.m. to 6 p.m.) Work Mode:In Office. JOB DESCRIPTION Role & Responsibilities: Thoroughly review medical records and billing data to identify discrepancies and errors in coding, claims, and reimbursement. Ensure compliance with regulatory standards, coding guidelines, and payer policies. Familiarity with medical terminology and clinical documentation. Assesses the assigned diagnostic and procedural codes in the selected records. They check if the codes accurately reflect the documented healthcare services and if they comply with coding guidelines (such as ICD-10, CPT). Identify areas for improvement in billing processes to enhance revenue collection and reduce denials. Analyze data to identify trends, patterns, and potential issues in billing practices. Knowledge of payer policies, Medicare regulations, and other relevant regulations. Ability to analyze data, identify trends, and draw conclusions. Ability to communicate effectively with billing staff, healthcare providers, and other stakeholders. Ability to identify and resolve billing discrepancies and errors. Proficiency with medical billing software and other relevant software applications. Prepare audit reports, provide feedback to staff, and offer recommendations for corrective action. Educate and train billing staff and healthcare providers on coding, billing, and regulatory changes. Identify and mitigate risks related to billing fraud, compliance, and revenue loss. Stay current on billing regulations, payer policies, and medical coding updates. PREFERRED CANDIDATE PROFILE: Any graduate or Postgraduate degree. Minimum of 5 years of experience in medical billing, with a strong understanding of US healthcare billing practices and regulations. Basic knowledge in medical coding. Demonstrated ability to develop and deliver effective training programs. Excellent communication skills, both written and verbal, with the ability to provide clear and concise instructions and explanations to team members. Attention to detail and a commitment to accuracy and efficiency. Strong analytical and critical thinking skills. Proficiency in medical billing software and systems. Ability to work effectively in a fast-paced and dynamic environment. Ability to work under minimum supervision and demonstrate strong initiative. Willing to work extended hours.

SuccessFactors certification Manage the AMS team SF Modules: Employee Central, Recruiting (both Marketing and Management), Performance & Goals, Succession, Compensation, Onboarding and People Analytics Required Candidate profile Global Team Management and SAP success factors Proven experience in Cornerstone Learning Management System is a plus HR applications like Qualtrics (EX), Global Shares and Cornerstone.