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8.0 - 10.0 years

8 - 11 Lacs

Noida

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Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention. Analysis data to identify process gaps, prepare reports. Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications: Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Subject matter expert in AR follow up Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

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2.0 - 4.0 years

13 - 17 Lacs

Thane

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We at Smart Infrastructure Division in Siemens Ltd. is one of the top tier global suppliers of products, systems, solutions, and services for the efficient, reliable, and intelligent transmission and distribution of electrical power. As the trusted partner for the development and extension of an efficient and reliable power infrastructure that industry and the portfolio they need. JOIN US! WE MAKE REAL WHAT MATTERS. THIS IS YOUR ROLE Major Responsibilities: 1. Performing routine testing of MV Panels as per relevant IEC & IS standard, product check lists, quality code book, and customer requirement to ensure the best quality product. 2. Trouble shooting and solving the issues during routine testing of panels. 3. Working as per LEAN principle and to suggest improvement to eliminate waste. 4. Good knowledge of SLD, Standard Schematic & Electrical drawings of switchgears. 5. Understanding of electrical protection system & protection relays. 6. Providing feedback to concerned supervisor regarding drawing related issues. 7. Good knowledge of EHS guideline to be followed during electrical / mechanical testing. 8. Ensure readiness of the Panels before customer inspections 9. Participation and demonstration of FATs test to the customers. 10. Submission of compliance and incorporation of necessary changes suggested by customer during inspection and ensuring the same in the Panel before dispatch. Qualification: 1. Diploma Electrical Engineer with 2 to 4 years of experience in Manufacturing and testing of AIS switchgear Products. Skills : 1. Good business communication skills. 2. Competent with Microsoft Office suite (Excel, Word, PowerPoint, etc.) 3. Good understanding required about EHS guideline to be followed during electrical / mechanical testing. 4. Self-motivation, Team working, Flexible working, Assertive, high in ethics.

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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 ( 12 pm to 7 Pm ) Mail Id : vibha@novigoservices.com Call / Whatsapp ( 9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32

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1.0 - 5.0 years

2 - 5 Lacs

Chennai

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@ Job Description We are seeking experienced AR Callers specializing in Denial Management to join our revenue cycle team. The AR Caller will be responsible for handling insurance claim denials by contacting payers, understanding the reasons for denials, and taking appropriate action to resolve and appeal them, ensuring maximum reimbursement for services rendered. Role & responsibilities Review and analyze denied claims to identify the root cause and categorize denial reasons (e.g., coding, medical necessity, eligibility, etc.). Contact insurance companies via phone and/or portal to resolve denied or unpaid claims. Initiate and follow up on appeals and reconsiderations based on payer guidelines and internal protocols. Document all actions taken on accounts in the billing system clearly and accurately. Coordinate with coders, billers, and client representatives to resolve complex denials. Meet daily/weekly/monthly productivity and quality targets. Keep updated on payer-specific guidelines, industry regulations, and policy changes. Escalate unresolved or chronic denial trends to supervisors for intervention. Preferred candidate profile Candidates with excellent Communication and strong knowledge in Denials can apply Physician Billing / Hospital Billing Ability to work in Night Shift - US Shift Candidates can apply anywhere from Tamil Nadu Only Immediate Joiners. Perks & Benefits Two way Cab Facility 5 Days of working - (Weekend Fixed week off) Job Location - Chennai. Contact : Vimal HR - 9791911321 ( Call / whatsapp) vimal.palani@accesshealthcare.com

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3.0 - 6.0 years

2 - 4 Lacs

Bengaluru

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Job Opportunity for AR Analyst and Senior AR Analyst at Flatworld HealthCare Service!! Job Title: AR Analyst - Medical Billing Location: Bangalore Experience: 3 to 6 years Job Type: Full-time Shift: Day Shift Job Summary: We are seeking a detail-oriented Accounts Receivable (AR) Analyst with experience in medical billing to manage the end-to-end follow-up on insurance claims. The ideal candidate will ensure timely collection, reduce accounts receivable days, and improve cash flow for the healthcare organization. Role & responsibilities : Review and analyze aging reports and follow up on unpaid claims with insurance companies. Handle claim denials, rejections, and underpayments by identifying root causes and taking corrective actions. Communicate effectively with payers through calls, emails, and web portals to resolve outstanding claims. Maintain accurate and detailed documentation of claim statuses and follow-up actions in billing software. Coordinate with coding, charge entry, and payment posting teams to resolve discrepancies. Ensure all processes are compliant with HIPAA regulations and internal policies. Generate AR reports and participate in performance review meetings. Work towards reducing Days Sales Outstanding (DSO) and achieving collection targets. Stay updated with insurance guidelines, industry changes, and payer requirements. Preferred candidate profile : 3 years of experience in AR follow-up and denial management in the US healthcare domain. Strong knowledge of insurance claim lifecycle, CPT/ICD-10 coding, and EOBs. Familiarity with billing platforms such as EPIC, Athena, eClinicalWorks, or similar. Perks and Benefits : *General Shift * 5 Days of working with fixed weekend off -- Thanks & Regards Danuja.S HR Recruiter Ph: 9035473862 Email: Danuja.s@finnastra.com

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3.0 - 7.0 years

4 - 6 Lacs

Hyderabad

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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The SWOT (Special Work Operations Team) in Back Office RCM is responsible for handling complex and escalated claims within the US Healthcare Revenue Cycle Management (RCM) process. The team ensures efficient resolution of denied or aged claims, identifies root causes of payment delays, and implements corrective actions to improve revenue recovery. This role is crucial for improving cash flow, reducing bad debt, and ensuring financial stability for healthcare providers by optimizing the revenue cycle process. Primary Responsibilities: Claims Management: Investigate and resolve denied, aged, or complex medical claims to maximize reimbursement Denial Analysis & Resolution: Identify patterns in claim denials using CARC & RARC combinations, work on root cause analysis, and take corrective actions AR Follow-up: Perform follow-ups with insurance providers (Payers) to resolve outstanding balances as needed. This will include miscellaneous commercial payers follow up tip sheets & work arounds towards claims resolution Payer provider guidelines: Download, review, share and update teams in Front, Middle & Back functions (FMB) about the payer behavior impact on acute and ambulatory scope of work. Recommend registration teams check lists, provider liability waiver forms, edits and rules to be put in practice management system and clearing house for impactful cash collections Billing & coding guideline correlation & impact analysis: Should be able to connect dots between coding and billing combinations that must be billed for acute & ambulatory Process Optimization: Identify inefficiencies and suggest workflow improvements to enhance revenue cycle performance Compliance & Documentation: Ensure adherence to HIPAA, payer policies, and internal guidelines while maintaining accurate documentation along with industry regulations Collaboration: Work closely with Front, Middle & back functions (Registration, Eligibility & benefits, billing, coding, payment posting & AR) to streamline operational workflows and process flows by presenting As Is & To Be model for efficiency and efficacy Training & Knowledge Sharing: Train, coach and mentor team members aligned to by providing meaningful insights and best practices to enhance project performance Root cause analysis: Identify issues hindering resolution of claims by performing process deep dives (FMEA), RCA’s, audits / reviews wherever needed and recommend corrective and preventive actions (across FMB functions) Financial KPI management: Evaluate & comprehend logic behind KPIs like collection goals, denial %, rejections %, AR days, AR >90+% & provider bad debt (write offs) 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 Qualifications - External Required Qualifications: Bachelor's degree in finance, healthcare administration, business, or a related field 3+ years of experience in revenue cycle management, with at least 3+ years in a leadership/mentorship role Experience in AR follow-up, appeals, and dispute resolution Solid knowledge of US healthcare RCM, insurance claim adjudication, and denial management Knowledge of HIPAA and payer-specific policies Proficiency in RCM tools and healthcare billing software (eg, EPIC, eClinicalWorks, Athenahealth, etc) Proven solid analytical, problem-solving, and communication skills Proven ability to maneuver through ambiguity Preferred Qualification: Experience in process improvement methodologies (Lean, Six Sigma) Technical skills: Experience with revenue cycle software and electronic health record (EHR) systems Proficiency in Excel, SQL, Power BI, or Tableau for reporting Advance Excel and solid ability to analyze data, identify patterns Understanding of CPT, ICD-10, HCPCS and payer billing reimbursement methods Soft skills: Solid leadership, communication, and team management abilities Solid understanding of US healthcare RCM processes (Billing, Coding, Denials, AR, Payments, Compliance) Solid 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 Excellent written and verbal communication skills Excellent analytical, problem-solving, and decision-making skills Solid decision-making and problem-solving skills Ability to work independently and as a part of a team Role & responsibilities Preferred candidate profile

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1.0 - 5.0 years

1 - 3 Lacs

Chennai

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Company Name: Optum Experience: 1+ Years Location: Chennai Interview Mode: F2F Interview Date: 24th May (Saturday) Interview Rounds: 2-3 Rounds Notice Period: Immediate to 30 days Generic description: Roles and Responsibilities : Manage AR calls to resolve outstanding accounts receivable issues with patients, insurance companies, and other stakeholders. Identify and address denials by investigating root causes, appealing denied claims, and implementing corrective actions. Collaborate with internal teams such as medical billing, hospital administration, and patient access to resolve complex billing discrepancies. Maintain accurate records of all interactions with patients, insurers, and other parties involved in the revenue cycle management process. Job Requirements : 1-5 years of experience in AR calling or related field (RCM). Strong knowledge of US healthcare regulations and industry standards for medical billing. Excellent communication skills for effective interaction with customers over phone calls. Ability to work independently with minimal supervision while prioritizing multiple tasks simultaneously.

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0.0 - 4.0 years

2 - 6 Lacs

Coimbatore

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About Calpion is an 18-year-old Dallas-headquartered technology firm that offers customers artificial intelligence solutions by building custom deep learning and machine learning algorithms, custom enterprise application development and maintenance, RPA solutions, cloud services, Salesforce consulting, customized invoice management software solutions, and other technology services We also offer automated bot-driven medical billing services Our healthcare offering includes a Salesforce platform-based practice management and billing software with automated patient e-statements and a payment portal, Along With Being SOC-certified And HIPPA-compliant, We Have Certified experts in deep learning & machine learning to provide intelligent solutions for your business, Helped Fortune 500 companies build custom enterprise-level applications, Provide remote & accurate AutoCAD Drawing, Drafting, 2D &3D modeling, and design services, Strategic partnerships with Microsoft, Amazon, SAP, HP, Worksoft, Microfocus, Tricentis, etc Partnered with UiPath to provide RPA solutions, We are headquartered in Dallas with multiple global Centers of Excellence around the industry, Focus: Healthcare, Logistics, Supply chain, Biotechnology, Hospitality, Manufacturing, and Airlines, ? Life at Calpion Inc, Calpion offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence, At Calpion, you'll be part of a vibrant team that thrives on creativity and problem-solving You'll have the chance to work on cutting-edge projects, harnessing the latest technologies and methodologies to deliver intelligent solutions that make a real difference for our clients, Calpion prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance If you are enthusiastic about joining a vibrant organization that values your input, Calpion is the ideal place to pursue your career goals, ? Job Title: Senior AR Caller / AR Caller Report To: Team Leader Experience: 1 5 Years Qualification: PUC / 12th Location: Bangalore / Coimbatore Shift Time: 6:30PM 3:30 AM Night shift Mode: Work from office Terms-Fulltime/Part time/Contractual: Full-time ? Job Summary As an AR caller/Senior AR Caller, you will be responsible for tasks related to medical billing These include contacting insurance companies, patients, or responsible parties to resolve unpaid or denied medical claims This role aims to ensure timely payment, maximize revenue, and minimize financial losses for healthcare providers, ? Key Responsibilities Meet Quality and productivity standards, Contact insurance companies for further explanation of denials & underpayments, Experience working with multiple denials is required, Take appropriate action on claims to guarantee resolution, Ensure accurate & timely follow-up where required, Should be thorough with all AR Cycles and AR Scenarios, Should have worked on appeals, refiling, and denial management Mandatory Skills Excellent written and oral communication skills, Minimum 1-year experience in AR calling Understand the Revenue Cycle Management (RCM) of US Healthcare providers, Basic knowledge of Denials and immediate action to resolve them, Follow up on the claims for collection of payment, Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables, Should be able to resolve billing issues that have resulted in payment delays, Must be spontaneous and enthusiastic ? Desired Skills Experience Physician billing is an added advantage Experience in EPIC, ATHENA and NextGen ? Talk about our culture and values At Calpion, we're not just a company?we're a dynamic culture fueled by six core values: Agile, Collaborative, Innovative, Fun, Inclusive, and Passionate These values drive our every move: Agile: We thrive on change, adapting swiftly to new challenges, Collaborative: Together, we achieve greatness through teamwork and diverse perspectives, Innovative: We push boundaries, constantly exploring new ideas and solutions, Fun: Laughter and camaraderie make our workplace a joyous one, Inclusive: Diversity is our strength, ensuring every voice is heard and valued, Passionate: We approach every task with dedication and enthusiasm, Join us at Calpion and be part of a culture that's not just about work?it's about innovation, growth, and making an impact,

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2.0 - 5.0 years

7 - 11 Lacs

Pune

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Join us as a Senior Developer at Barclays where you will spearhead the evolution of our infrastructure and deployment pipelines, driving innovation and operational excellence You will harness cutting-edge technology to build and manage robust, scalable and secure infrastructure, ensuring seamless delivery of our digital solutions, To be successful as Senior Developer you should have experience with: Actimize AIS and RCM experience, Database SQL/PLSQL and Unix scripting experience Understanding of Scheduling tools Understands a problem enough to determine cause and provide appropriate solutions Some Other Highly Valued Skills Includes Understanding of Java SDLC lifecycle Understands how to implement the delivery of a product or an application Ability to understand, analyse & document complex processes, features and stories You may be assessed on key critical skills relevant for success in role, such as risk and controls, change and transformation, business acumen, strategic thinking and digital and technology, as well as job-specific technical skills, The role is based out of Pune, Purpose of the role To design, develop and improve software, utilising various engineering methodologies, that provides business, platform, and technology capabilities for our customers and colleagues, Accountabilities Development and delivery of high-quality software solutions by using industry aligned programming languages, frameworks, and tools Ensuring that code is scalable, maintainable, and optimized for performance, Cross-functional collaboration with product managers, designers, and other engineers to define software requirements, devise solution strategies, and ensure seamless integration and alignment with business objectives, Collaboration with peers, participate in code reviews, and promote a culture of code quality and knowledge sharing, Stay informed of industry technology trends and innovations and actively contribute to the organizations technology communities to foster a culture of technical excellence and growth, Adherence to secure coding practices to mitigate vulnerabilities, protect sensitive data, and ensure secure software solutions, Implementation of effective unit testing practices to ensure proper code design, readability, and reliability, Analyst Expectations To perform prescribed activities in a timely manner and to a high standard consistently driving continuous improvement, Requires in-depth technical knowledge and experience in their assigned area of expertise Thorough understanding of the underlying principles and concepts within the area of expertise They lead and supervise a team, guiding and supporting professional development, allocating work requirements and coordinating team resources, If the position has leadership responsibilities, People Leaders are expected to demonstrate a clear set of leadership behaviours to create an environment for colleagues to thrive and deliver to a consistently excellent standard The four LEAD behaviours are: L Listen and be authentic, E Energise and inspire, A Align across the enterprise, D Develop others, OR for an individual contributor, they develop technical expertise in work area, acting as an advisor where appropriate, Will have an impact on the work of related teams within the area, Partner with other functions and business areas, Takes responsibility for end results of a teams operational processing and activities, Escalate breaches of policies / procedure appropriately, Take responsibility for embedding new policies/ procedures adopted due to risk mitigation, Advise and influence decision making within own area of expertise, Take ownership for managing risk and strengthening controls in relation to the work you own or contribute to Deliver your work and areas of responsibility in line with relevant rules, regulation and codes of conduct, Maintain and continually build an understanding of how own sub-function integrates with function, alongside knowledge of the organisations products, services and processes within the function, Demonstrate understanding of how areas coordinate and contribute to the achievement of the objectives of the organisation sub-function, Make evaluative judgements based on the analysis of factual information, paying attention to detail, Resolve problems by identifying and selecting solutions through the application of acquired technical experience and will be guided by precedents, Guide and persuade team members and communicate complex / sensitive information, Act as contact point for stakeholders outside of the immediate function, while building a network of contacts outside team and external to the organisation, All colleagues will be expected to demonstrate the Barclays Values of Respect, Integrity, Service, Excellence and Stewardship our moral compass, helping us do what we believe is right They will also be expected to demonstrate the Barclays Mindset to Empower, Challenge and Drive the operating manual for how we behave,

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3.0 - 7.0 years

8 - 12 Lacs

Pune

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About The Role : Job TitleProduct and Change Specialist, VP LocationPune, India Role Description Our organization within Deutsche Bank is AFC Production Services. We are responsible for providing technical L2 application support for business applications. The AFC (Anti-Financial Crime) line of business has a current portfolio of 25+ applications. The organization is in process of transforming itself using Google Cloud and many new technology offerings. As a Vice President, your role will include hands-on production support and be actively involved in technical issues resolution across multiple applications. You will also be working as application lead and will be responsible for technical & operational processes for all application you support. Deutsche Banks Corporate Bank division is a leading provider of cash management, trade finance and securities finance. We complete green-field projects that deliver the best Corporate Bank - Securities Services products in the world. Our team is diverse, international, and driven by shared focus on clean code and valued delivery. At every level, agile minds are rewarded with competitive pay, support, and opportunities to excel. You will work as part of a cross-functional agile delivery team. You will bring an innovative approach to software development, focusing on using the latest technologies and practices, as part of a relentless focus on business value. You will be someone who sees engineering as team activity, with a predisposition to open code, open discussion and creating a supportive, collaborative environment. You will be ready to contribute to all stages of software delivery, from initial analysis right through to production support. What we'll offer you As part of our flexible scheme, here are just some of the benefits that youll enjoy Best in class leave policy Gender neutral parental leaves 100% reimbursement under childcare assistance benefit (gender neutral) Sponsorship for Industry relevant certifications and education Employee Assistance Program for you and your family members Comprehensive Hospitalization Insurance for you and your dependents Accident and Term life Insurance Complementary Health screening for 35 yrs. and above Your key responsibilities Lead and drive production support strategy, ensuring alignment with business objectives and SRE/RTB transformation goals Provide thought leadership in implementing ITIL principles to enhance automation, monitoring and operational efficiency. Manage regional L2 team and vendor teams supporting the application. Ensure the team is up to speed and picks up the support duties. Guiding technical subject matter experts on the applications being supported including business flows, application architecture, and hardware configuration. Own, define and track KPIs, SLAs, Dashboards and operational metrics to measure and improve application stability and performance. Build and maintain effective and productive relationships with the stakeholders in business, development, infrastructure, and third-party systems / data providers & vendors. Fostering a culture of continuous learning, proactive monitoring, and incident prevention. Establish governance frameworks for production support operations, ensuring effective tracking and reporting of incidents, problems and changes Mentor and guiding AVPs, fostering technical upskill and knowledge sharing. Provide strategic input into disaster recovery planning, failover strategies and business continuity procedures Collaborate and deliver on initiatives and install these initiatives to drive stability in the environment. Perform reviews of all open production items with the development team and push for updates and resolutions to outstanding tasks and reoccurring issues. Evaluate and implement emerging technologies to enhance production support capabilities. Ensure regulatory and compliance adherence, managing audits, access reviews, and security controls in line with organizational policies. Drive Programs and Projects for RTB function across domains Lead Application onboarding for all new applications coming into RTB remit to ensure safe and timely transition Develop executive-level reporting on production health, risk, and stability metrics for senior leadership. The candidate will have to work in shifts as part of a Rota covering APAC and EMEA hours between 07:00 IST and 09:00 PM IST (2 shifts). In the event of major outages or issues we may ask for flexibility to help provide appropriate cover. Weekend on-call coverage needs to be provided on rotational/need basis. Your skills and experience 13-20+ years of experience in providing hands on IT application support. Experience in managing vendor teams providing 24x7 support. Preferred VP or head of domain role experience, Experience in an investment bank, financial institution or Managed Service Industry Bachelors degree from an accredited college or university with a concentration in Computer Science or IT-related discipline (or equivalent work experience/diploma/certification). Preferred ITIL v3 foundation certification or higher. Knowledgeable in cloud products like Google Cloud Platform (GCP), AWS and hybrid applications. Understanding of SII and Audit concepts and ability to drive Audit calls Strong understanding of ITIL / DEVOPS best practices for supporting a production environment. Monitoring ToolsKnowledge of Control M, Grafana, Geneos, Google Cloud Monitoring. Understanding of database concepts and exposure in working with Oracle, MS SQL, Big Query etc. databases. Ability to work across countries, regions, and time zones with a broad range of cultures and technical capability. Skills That Will Help You Excel Strong written and oral communication skills, including the ability to communicate technical information to a non-technical audience and good analytical and problem-solving skills. Proven experience in leading and managing large L2/L3 support teams, including managing vendor teams and offshore resources. across multiple geographies. Able to train, coach, and mentor and know where each technique is best applied. Experience with GCP or another public cloud provider to build applications. Experience in an investment bank, financial institution or large corporation using enterprise hardware and software. Knowledge of Actimize, Mantas, and case management software is good to have. Prior experience in automation projects is great to have. Budget and resource planning experience, optimizing operational costs and workforce efficiency. Strong stakeholder management skills ensuring seamless coordination between business, development, and infrastructure teams. Ability to manage high-pressure issues, coordinating across teams to drive swift resolution. Strong negotiation skills with interface teams to drive process improvements and efficiency gains. How we'll support you Training and development to help you excel in your career Coaching and support from experts in your team A culture of continuous learning to aid progression A range of flexible benefits that you can tailor to suit your needs

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1.0 - 3.0 years

0 - 3 Lacs

Chennai

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Role & responsibilities- Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 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. 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 #'s, 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 Required Qualifications: Graduate 12+ months and above experience in healthcare accounts receivable required (Denial Management) - Hospital Billing experience mandatory. Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers) In-depth working knowledge of the various applications associated with the workflows Knowledge / Skills / Abilities: Solid knowledge and use of the American English language skills with neutral accent Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information Proficient in MS Office software; particularly Excel and Outlook Proven ability to communicate effectively with all internal and external clients Proven ability to use good judgment and critical thinking skills; ability to identify and resolve problems Proven to be efficient and accurate keyboard/typing skills Proven solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction

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1.0 - 6.0 years

1 - 6 Lacs

Noida, Gurugram

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Please mention Veerashri at the top of your resume and when you will reach to office, please ask for Veerashri, please email me your resume before you come for the interview to vvijayzagade67@r1rcm.com Please apply only if you have experience into US Healthcare , AR Follow-up Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies. Essential Duties and Responsibilities: • Follow up with the payer to check on claim status. • Identify denial reason and work on resolution. • Save claim from getting written off by timely following up. • Should have sound knowledge of working on Billing scrubbers and making edits. • Work on Contractual adjustments & write off projects. • Should have good Cash collected/Resolution Rate. • should have calling skills, probing skills and denials understanding . Shift timing 06:00 PM to 03:00 PM Qualifications: Graduate in any discipline from a recognized educational institute. • Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. • Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management. • Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. • Ability to interact positively with team members, peer group and seniors

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2.0 - 6.0 years

2 - 5 Lacs

Chennai

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Generate and analyze AR reports to identify trends and areas for improvement. Follow up on submitted claims, monitor unpaid claims, and identify underpaid and unbilled claims, ensuring all necessary corrections and documentation are completed. Excellent skills in analyze and resolve denied claims, identify reasons for denials, and implement strategies to minimize future denials. Review Explanation of Benefits (EOB) / Electronic Remittance Advice (ERA) denials, along with patient history notes, to understand and resolve discrepancies in claims. Perform pre-call analysis and check status by calling the payer or using IVR Actively contact insurance companies to inquire about the status of pending claims and resolve any issues. Good knowledge about insurance policies, billing codes, and denial reasons to effectively resolve issues and secure payment Exposure in multiple specialties and billing software. Walk-In Between : Monday to Friday : 03.00 PM to 09.00 PM Location: A7, Industrial Estate, Mogappair West, Chennai, Tamil Nadu 600037. Call HR @ 9176359249 / 9150941118 to confirm your interview time or to know more about us.

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1.0 - 6.0 years

4 - 9 Lacs

Bengaluru

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Looking for minimum 1 year experince in Provider Credentialing or Provider Enrollment in Voice process Should be aware about CAQH / EFT / ERA or EDA Looking for immediate Joiners , virtual Interview available Contact 8977711182

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7.0 - 10.0 years

0 - 1 Lacs

Mumbai Suburban, Navi Mumbai, Mumbai (All Areas)

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Exciting opportunities for AR Manager (US Healthcare) Role & responsibilities Day-to-Day Management: Oversee A/R related tasks and resources, ensuring that performance standards are met. Monitor and maintain high levels of customer service across the team. Establish clear, measurable objectives for the services team and regularly track performance. Provide coaching and discipline as required to ensure continuous improvement. Performance Monitoring & Reporting: Track and analyze departmental statistics and trends to evaluate the overall performance. Provide regular reports to the senior Management Team for weekly status meetings. Offer proactive follow-up, communication, and issue management to resolve concerns and ensure customer satisfaction. Contractual and Customer Satisfaction: Ensure contractual obligations are met and a high level of customer satisfaction is maintained. Be the point of escalation for customer A/R issues and work closely with Account Managers regarding dissatisfied clients. Process Improvement & New Initiatives: Identify and implement new processes where needed to improve team and department efficiency. Address routine denials or process challenges, providing education to staff and identifying opportunities for Account Managers to discuss with clients. Identify denial trends, document findings, and escalate to Account Managers for review and action. Team Development & Communication: Conduct regular staff meetings to address issues, identify training needs, and keep the team updated on changes in payor policies. Schedule weekly/bi-weekly meetings with A/R Team Leads, either in a group setting or one-on-one. Foster a team-oriented environment that encourages collaboration and continuous learning. Leadership & Oversight: Supervise team performance, ensuring staff is meeting objectives and delivering high-quality service. Review employee time tracking to ensure accurate logging against the correct customers. Approve weekly timecards, PTO, and Sick/Safe time in Workday. Revenue Cycle Management: Manage the billing and posting processes, identifying and escalating any errors to functional area managers for correction. Ensure a thorough understanding of all aspects of revenue cycle management, billing, and collections within the team Minimum Qualifications: Proven 7 to 10 years of work experience in-depth knowledge of revenue cycle management, including billing and collections. Proven 3 to 4 years of recent experience in managing a team. Ability to analyze performance data, identify trends, and take action to address issues. Proven experience in advanced Excel operations, including data cleaning, analysis, and visualisation of complex datasets. Experience in dealing with customer issues and escalations, ensuring high levels of satisfaction. Strong organizational skills with the ability to plan, schedule, and ensure sufficient team coverage. Strong leadership and interpersonal skills with the ability to coach, mentor, and develop team members. Preferred Skills: Proven experience working with practice management software such as eClinicalWorks (eCW), Athenahealth, CareTracker, ePic, HealthFusion, and other relevant healthcare platforms for efficient patient data handling, appointment scheduling, billing, and clinical documentation. Familiarity with MGMA standards and customer service best practices. Experience with WorkDay or similar HR management software. Ability to handle multiple priorities and meet deadlines in a fast-paced environment. Shift timings: 7:oopm IST to 4:00am IST Interested Candidates can apply on below link and put source in the site as Naukri https://harriscomputer.wd3.myworkdayjobs.com/en-US/1/job/Office---Mumbai-(Vikroli)/Manager--Accounts-Receivable_R0029952/apply/autofillWithResume

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0.0 - 2.0 years

1 - 2 Lacs

Navi Mumbai

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Good Communication Skills Typing skills - 20wpm with 80% accuracy Analytical Thinking Comfortable working for a voice process & ok with Rotational shifts Qualification : Undergrad/Graduate Freshers Night shifts Cabs Saturday & Sunday fix off Walk-ins Required Candidate profile Meet production & quality as per project SLAs /Timelines Responsible for follow up with the Insurance companies on outstanding accounts receivable on behalf of doctors/physicians/RCM companies in USA Perks and benefits #Best Salary in Ind./Cabs #Direct Company Walk-ins

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1.0 - 6.0 years

2 - 5 Lacs

Hyderabad, Chennai, Bengaluru

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Urgently Required AR Callers / Senior AR Callers / Team Leader !!! . Min 1 year Exp in AR calling in Denials For more details contact: Sushmi - 7397286767 Gayathri - 8680056668 Subasri - 7358321828 Required Candidate profile Salary & Appraisal - Best in Industry. Excellent learning platform with great opportunity. Only 5 days working (Monday to Friday) Two way cab will be provided. Dinner will be provided.

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1.0 - 5.0 years

1 - 4 Lacs

Noida, Gurugram

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Job description 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 Walk-in Days : Monday to Friday Walk in Timings : 1PM to 4 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Information: Alina Zaman-9289544594/Keshav Kaushal-9205669978/ Nasar Arshi 9266377969/Arpita Mishra-8840294345, Anushka- 8317044614/ Vishal-9560031640 Desired Candidate Profile Candidate must possess good communication skills. Only Immediate Joiners can apply. Only Candidate with relevant experience in AR/Denial Management can apply Provident Fund (PF) Deduction is mandatory from the organization worked. B.Tech/B.E/LLB/B.SC Biotech aren't eligible for the Interview. Undergraduate with Min. 12 Months Exp is mandatory. 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 - 6.0 years

0 - 3 Lacs

Noida, Gurugram

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R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 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 Walk-in Day : 24-May-25 (Saturday) Walk in Timings : 11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Information : Alina Zaman-9289544594/Keshav Kaushal-9205669978/ Nasar Arshi 9266377969/Arpita Mishra-8840294345, Anushka- 8317044614/ Vishal-9560031640 Desired Candidate Profile: Candidate must possess good communication skills. Only Immediate Joiners can apply. Provident Fund (PF) Deduction is mandatory from the organization worked. Candidate must be comfortable working for Gurgaon Work Location. B.Tech/B.E/LLB/B.SC Biotech aren't eligible for the Interview. Undergraduate with Min. 12 Months Exp is mandatory. *Please note Candidates not having relevant US Healthcare AR Follow Up experience shouldn't have more than 24 Months of Total Experience. 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 - 6.0 years

1 - 4 Lacs

Chennai

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Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: (Experience) - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walk-ins Only) Monday to Friday ( 11 am to 6 pm ) Everyday Contact person VIBHA HR( 9043585877) Interview time (11am to 6 pm) Bring 2 updated resumes Refer( HR Name VIBHA HR) Mail Id : vibha@novigoservices.com Call / WhatsApp (9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA - HR Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR VIBHA vibha@novigoservices.com Call / Whatsapp ( 9043585877)

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1.0 - 6.0 years

1 - 6 Lacs

Bengaluru

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Job Summary As an AR caller/Senior AR Caller, you will be responsible for tasks related to medical billing. These include contacting insurance companies, patients, or responsible parties to resolve unpaid or denied medical claims. This role aims to ensure timely payment, maximize revenue, and minimize financial losses for healthcare providers. Key Responsibilities • Meet Quality and productivity standards. • Contact insurance companies for further explanation of denials & underpayments. • Experience working with multiple denials is required. • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow-up where required. • Should be thorough with all AR Cycles and AR Scenarios. • Should have worked on appeals, refiling, and denial management Mandatory Skills • Excellent written and oral communication skills. • Minimum 1-year experience in AR calling • Understand the Revenue Cycle Management (RCM) of US Healthcare providers. • Basic knowledge of Denials and immediate action to resolve them. • Follow up on the claims for collection of payment. • Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables. • Should be able to resolve billing issues that have resulted in payment delays. • Must be spontaneous and enthusiastic Desired skills • Experience in All-scrip t and NextGen is an added advantage Regards: Mohammed Nawaz Human Resources Omega Healthcare LinkedIn: https://www.linkedin.com/in/mohammed-nawaz-371767296 Phone: +91 9380309508 Email: Mohammednawaz.shaikbabu@omegahms.com

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1.0 - 6.0 years

2 - 6 Lacs

Chennai

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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 Candidates from Anywhere in Tamilnadu can apply. Share your updated resume and photograph. Contact: N.Anusiya 7397531828 (Call/WhatsApp)

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1.0 - 6.0 years

2 - 5 Lacs

Bengaluru

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Hi All, Greetings from Omega Healthcare Pvt Ltd Job Description: Charge Entry Position Title: Process Executive / Senior Process Executive Location: Bangalore ( WFO only) Shift : As per the business requirement Job Summary: We are seeking a meticulous and detail-oriented Charge Entry Specialist to join our medical billing team. The successful candidate will be responsible for accurately entering and processing patient charges, ensuring that billing information is correct and up-to-date. This role is crucial in maintaining the financial health of the organization by facilitating timely and accurate billing processes. Should have min 1 Years of experience into charge entry, RCM, CPT, & Modifiers. Contact HR: Mohammed Nawaz PH: 9380309508 Regards Mohammed Nawaz PH: 9380309508 https://www.linkedin.com/in/mohammed-nawaz-371767296

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1.0 - 5.0 years

1 - 5 Lacs

Bengaluru

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Dear Applicant, Excellent opportunity ! Location Bangalore & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization ( Voice Process ) Good understanding of the medical terminology and progress notes How to Apply Ready to take your career to the next level? Apply now! Email your resume to: Mohammednawaz.shaikbabu@omegahms.com Call: +91 9380309508 Regards: Mohammed Nawaz Human Resources Omega Healthcare LinkedIn: https://www.linkedin.com/in/mohammed-nawaz-371767296 Phone: +91 9380309508 Email: Mohammednawaz.shaikbabu@omegahms.com

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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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