1807 Rcm Jobs - Page 24

Hiring: AR Caller / Senior AR Caller Locations: Bangalore Experience: 01 -05 Years Notice Period: Immediate Joiners Preferred We are hiring experienced AR Callers / Senior AR Callers with strong knowledge in Physician Billing . 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: Thanks & Regards Shama Senior Executive HR Mobile: +91-9606032618 Email : shama.fayaz@acnhealthcare.com

Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

Cognizant is hiring Senior AR Callers with experience in DME Process (Durable Medical Equipment) in Bangalore location. We are looking for a Senior AR Caller from Provider side with experience in DME process - Insurance Verification, (Benefits and Authorization), Benefit Investigation and Pre-authorization. Experience - 1 Year to 4 Years Job Location - Bangalore Shift timings - 8:30pm IST to 6:30am IST (or) 9:30pm to 7:30am IST Work Mode - Hybrid Notice - Immediate to 30 days preferred Job Responsibilities: Experience in provider calling Communicate effectively with providers to gather necessary information Execute the Order to Cash workflow with precision and efficiency Verify eligibility and benefits to Ensure accurate billing and reimbursement Handle Order entry for DME supplies with attention to detail Possess technical expertise in Order to Cash workflow Familiarity with Order entry for DME supplies is advantageous. Knowledge of eligibility and benefit verification is beneficial. Understanding of revenue cycle management is preferred. Strong communication and interpersonal skills. Interested candidates please share your profile to - Naga.SatyaTanujaSri@cognizant.com

Greetings from HappieHire! We are hiring for the following position: Position: AR Caller Denials / Voice Process / Physician or Hospital Billing Location: Mumbai / Bangalore / Chennai / pune Experience: 1 to 4 years in AR calling Salary: Up to 41000 In-Hand Interview Mode: Virtual Joiners: Immediate joiners only Key Requirements: Experience in US healthcare process (denials handling preferred) Strong communication skills for voice-based process Background in physician or hospital billing is a must If you or someone you know fits this role, refer or apply now! Contact: 8925221508 HR Contact: yoga

We are Hiring AR Caller & Senior AR Caller Physician & Hospital billing Location: Bangalore / Chennai / Mumbai Hemalatha HR - 7200053787 / hemalatha.b@jobixoindia.com Thirsha HR - 7200176823 / thirsha.k@jobixoindia.com

Key Responsibilities Identify and evaluate clients risk areas covering all significant processes and provide comprehensive input to the development of a risk-based annual internal audit plan. Supervise a team of internal audit personnel across different client engagements. Plan, organize, direct and monitor internal audit operations, including overall quality of deliverables, processes and completion of projects within budgeted timeline. Oversee billing and collections. Develop relevant audit programs & procedures including Risk & Control Matrix (RCM). Manage performance of audit procedures. This includes identifying and defining issues, developing criteria, reviewing and analyzing evidence, and documenting client processes and procedures. Demonstrate technical competence in related domain. Communicate the results of assignments through written reports and oral presentations on a timely basis to engagement director as well as client management. Assist engagement director with identification for any new firm services at existing or new clients. Prepare & track proposals and conduct proposal meetings with clients. Develop and engage team through individual contacts and group meetings. Assist with hiring, training, and evaluation of staff and take effective actions to address performance matters. Desired profile Strong relevant business practice management experience in a related field (Business Risk), preferably in professional services and/or industry. Qualified Chartered Accountant or an MBA from a premium business school Understanding of business processes and internal control concepts (COSO, COBIT); knowledge of process gaps identification and auditing methodologies (including flowcharting), IT Infrastructure, Sarbanes-Oxley Act provisions and methodologies for achieving compliance Proficient in Microsoft Office suite applications Key Personal Attributes Ability to think laterally, showcase business acumen and well versed in current trends and developments across business & economy A good blend of creative thinking and rigorous analysis in solving business problems Demonstrated excellent leadership and interpersonal skills. Excellent project management and client relationship skills. Proven business development skills. Must be able to maintain a professional demeanor in times of high stress. Must work well in a team-oriented environment as well as independently. Prior management and direct supervisory experience in a team environment required. Demonstrated mentoring and people development skills Excellent communication and presentation skills. Excellent time management skills. Must have ability to multi-task. Ability to travel as necessary to meet client needs

Greetings from HappieHire! We are hiring for the following position: Position: AR Caller Denials / Voice Process / Physician or Hospital Billing Location: Mumbai / Bangalore / Chennai Experience: 1 to 4 years in AR calling Salary: Up to 41000 max In-Hand Interview Mode: Virtual Joiners: Immediate joiners only Key Requirements: Experience in US healthcare process (denials handling preferred) Strong communication skills for voice-based process Background in physician or hospital billing is a must If you or someone you know fits this role, refer or apply now! whatsapp resume to immediate response Contact: 8925221508 HR Contact: yoga

Job Summary: Responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for RCMS clients. The position involves detailed research and follow-up on medical insurance claims and careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. Supports the RCMS BU's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results. No budget responsibilities but must meet established RCM KPI's. What you will contribute: • Strong customer service skills for client satisfaction and client AR health answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information Timely management of unpaid claims as assigned, through the use of the clients office management/administrator. aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference/maintenance. Effectively handle complex payer denials; responsible for ensuring that secondary claims are processed and paid • Monitoring and reconciliation of claims to include: Unbilled vouchers Held vouchers Denial trends Patient balance report Credits and refunds • Manage and track information requests to clients. • Answer and resolve all incoming calls and requests in a timely manner . • Complies with and enforces policies and procedures • Achieves goals set forth by RCM management regarding error-free work, transactions, processes, productivity and compliance requirements. Specific goals include 1,400 accounts worked per month • May act as partner for new hires to assist them in learning • Other duties as assigned Thanks & Regards

Verify documents received from internal teams and Ensure timely updation of account details Share account details with insurance companies as per the agreed TAT Proactively address issues arising from account detail errors Coordinate with Medi Assist branches to get necessary documents required for account updation Follow up with internal teams to ensure data collection and issue resolution. Manage grievances and follow-up with internal stakeholders. Report daily on updated and pending account details updation Identify and implement process improvements for efficient account detail updation. Knowledge and Skill Requirement: Knowledge of Excel formulas Soft-spoken yet firm in interactions Keen eye for detecting errors and inconsistencies in data Meticulous in verifying and validating documents and information Strong follow-up skills to ensure timely completion of tasks and collection of data.

Roles & Responsibilities: We are looking for a Functional Profile where the candidate should be strong in : Full Life Cycle Implementation Strong experience in any 2 modules : EC , RCM , LMS And PMGM Basic knowledge of ABAP.

Position: *AR Caller with Denials Management* *Billing: Hospital/Physician* Location : *Mumbai/Chennai/Bangalore/ Pune/ Trichy *EXP : 1-4YRS* *SALARY* - 40K * Relieving Letter is not Mandatory* share your Resume -Sangeetha - 6379093874

AR Callers & Senior AR Callers Locations: Chennai | Hyderabad | Bangalore | Mumbai | Pune Do you have 1+ year of experience in AR Calling? We want to hear from you! Salary 40kmax Reach out to Anushya at 8122771407 (Call or WhatsApp)

Job Title: Senior Manager – AR Operations Location: Mumbai / Navi Mumbai Shift: Night Mode: Work from Office Statement of the Job: The role involves managing and guiding a team of AR associates responsible for analyzing receivables due from healthcare insurance companies and initiating necessary follow-up actions to ensure reimbursement. The work includes a combination of voice and non-voice follow-up, along with undertaking appropriate denial and appeal management protocols. Duties of the Job: Lead teams to efficiently meet client expectations and guide them in reducing AR aging and optimizing collections. Manage day-to-day activities of the team, including but not limited to: Monitoring and managing workflow or daily targets to ensure timely delivery of agreed SLAs. Tracking and maintaining metrics for various data, including collections reports and operations reports. Develop processes to improve productivity and quality within the team. Participate in new pilot projects and work towards a smooth transition of knowledge to the team. Collaborate with the team to resolve any personnel issues or conflicts that may arise. Learn and implement new client systems; coordinate and organize training for new joiners and existing team members based on project requirements. Conduct regular conference calls with clients to identify ways to improve client satisfaction. Identify training gaps within the team and develop a plan with the department trainer for retraining sessions, ensuring successful implementation. Manage client relationships effectively. Eligibility: Minimum of 11 years of experience in AR US Healthcare, with the designation of Manager or above. Willingness to work night shifts. Experience in AR Follow-up and Denial Management US Healthcare RCM. Availability to join within 30 days

Designation: Executive / Senior Executive - HR (Recruitment) Location: Hyderabad Office Timings: 10 AM to 7PM11:00 AM to 8:00 PM Working Days: Monday to Friday Experience: Minimum 3+ years in Human Resource Recruitment, specifically managing lateral hiring for US Healthcare RCM Provider/Payer side Job Description Responsibilities End-to-End Recruitment: Manage the full recruitment lifecycle including drafting job descriptions, sourcing candidates via job portals, references, headhunting, and building a strong candidate network and database through research and outreach. Candidate Sourcing: Utilize online channels such as LinkedIn, headhunter platforms, and other job-seeker sites to identify and engage candidates with the required skill sets. Proactively pitch the company to potential candidates and organize walk-in interviews when necessary. Interviewing: Conduct candidate interviews (on-site or virtual), assessing their suitability for the role and alignment with company culture. Serve as the candidate’s first point of contact for high-level positions. Onboarding: Support the employee induction and onboarding process, ensuring all employee files and databases are accurately maintained. Networking: Build and maintain a positive reputation for the company among candidates to encourage future applications and referrals. Qualifications & Skills Graduate in any discipline with at least 3 years of recruitment experience in US Healthcare RCM Provider/Payer side Strong background in HR recruitment, with proven skills in screening and evaluating candidates effectively. Proficient in using social media and professional networking platforms for talent sourcing. Excellent verbal and written communication skills. Ability to manage teams and make sound recruitment decisions. Strong interpersonal skills to build and maintain candidate relationships and company reputation.

Designation: Executive / Senior Executive - HR (Recruitment) Location: Airoli, Navi Mumbai Office Timings: 11:00 AM to 8:00 PM Working Days: Monday to Friday Experience: Minimum 3+ years in Human Resource Recruitment, specifically managing lateral hiring for US Healthcare RCM Provider/Payer side or Non-IT recruitment. Job Description Responsibilities End-to-End Recruitment: Manage the full recruitment lifecycle including drafting job descriptions, sourcing candidates via job portals, references, headhunting, and building a strong candidate network and database through research and outreach. Candidate Sourcing: Utilize online channels such as LinkedIn, headhunter platforms, and other job-seeker sites to identify and engage candidates with the required skill sets. Proactively pitch the company to potential candidates and organize walk-in interviews when necessary. Interviewing: Conduct candidate interviews (on-site or virtual), assessing their suitability for the role and alignment with company culture. Serve as the candidate’s first point of contact for high-level positions. Onboarding: Support the employee induction and onboarding process, ensuring all employee files and databases are accurately maintained. Networking: Build and maintain a positive reputation for the company among candidates to encourage future applications and referrals. Qualifications & Skills Graduate in any discipline with at least 3 years of recruitment experience in US Healthcare RCM Provider/Payer side or Non-IT recruitment. Strong background in HR recruitment, with proven skills in screening and evaluating candidates effectively. Proficient in using social media and professional networking platforms for talent sourcing. Excellent verbal and written communication skills. Ability to manage teams and make sound recruitment decisions. Strong interpersonal skills to build and maintain candidate relationships and company reputation.

Roles & Responsibilities Utilize strong communication skills to effectively handle billing queries and concerns. Collaborate with internal teams to resolve complex medical billing discrepancies. Maintain accurate records of all interactions with insurance companies and other stakeholders. Implement and execute robust denial management strategies, including root cause analysis and appeals, to minimize claim rejections and write-offs. Manage AR calls to resolve outstanding accounts receivable issues with healthcare providers. Perform consistent AR Follow-up activities, proactively pursuing unpaid or underpaid claims with insurance companies to ensure timely reimbursement . Work closely with insurance companies to confirm patient eligibility and benefits, ensuring accurate claim submissions and minimizing delays. Preferred candidate profile 1-5 years of experience in AR calling, denial management, denials follow up, eligibility and benefits verification, or a related field (medical billing). Strong knowledge of US healthcare regulations, eligibility and benefits verification processes, and revenue cycle management principles. Excellent voice processing skills with the ability to communicate clearly over phone calls. Proficiency in AR, denials follow up, denial handling, denials, RCM (Revenue Cycle Management), and eligibility verification processes. Interested candidates may send their resume to 9063520022

Role: Director Quality Department: Accounts Receivable Reporting to: Head of Business Excellence Job Location: Airoli, Navi Mumbai Shift: US/UK Work Mode: Work from Office Principal Duties and Responsibilities 1. To conduct performance management of quality analysts and play a role in satisfying their developmental needs 2. Responsible to ensure quality coverage across different work scope of a project 3. Allocate work in proportion to the productivity goals and guidelines 4. Monitor the performance levels of quality analyst and improve upon the areas of opportunities 5. Ensure that quality analysts are minimum at 98% calibration with client quality levels 6. Create dashboard, perform analysis, work out sampling methodology etc all other performance indicative MIS 7. To comprehend & translate customer needs into viable processes 8. Keep the customer complaints & concerns in check and execute the action plan as agreed 9. Meet and exceed all expectations of organizations quality management system (QMS) 10. Drive / support Business Excellence initiatives; high impact projects which are cross functional and cross geography. 11. Assist with tracking of all initiatives, coordinating internal and external audits for ISO certifications, internal process 12. Implement strong governance to address Operations Quality and Improvement projects and initiatives. 13. Support/ drive strategic Lean / Six Sigma and other Continual Improvement projects and initiatives by providing basic data analytics, dashboards, coordinating projects 14. Support independent reporting practices such as troubled account status, contractual metrics tracking and reporting. 15. Generate business impact through Continual Improvement initiatives. Experience: 13+ years in US Healthcare Revenue Cycle Management (RCM), with at least 3 years in a Quality function. Current Role: Senior Manager or above, managing Quality teams in Medical Billing and Accounts Receivable. Skills: Strong team management and leadership capabilities. Proficient in change management and facilitation. Excellent program and project management skills. Deep understanding of quality concepts and tools. Expertise in end-to-end process mapping and process improvement/re-engineering. Interested candidates may share their profiles at: anandi.bandekar@gebbs.com

Huge HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 9 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers 3 plus Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Should have experience in handling team of 25 to 100 employees Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM to 2:30 AM). Whatsapp your resume to 9059683624, 7382307530, 8247410763 Address: Advantum Health Pvt Ltd, Cybergateway, Block C, 4th Floor, Hitech City, Hyderabad Location: https://goo.gl/maps/yVe5kkAcv9Ers3mr8 Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Follow us on LinkedIn, Facebook and Instagram 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: 9059683624, 9100337774, 7382307530, 8247410763

Location- Ahmedabad Shift Timing: US Shift (Night Shift) Facilities - Cab Facilities 5 days’ Work-Week Saturday, Sunday fixed off Experienced required

Huge HIRING Experienced Provider Enrollment QA of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 5 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers Must have one year experience as QA 3 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM to 2:30 AM). Good typing skills with a speed of min 30-35 words /min. Whatsapp your resume to 9059683624, 7382307530, 8247410763 Address: Advantum Health Pvt Ltd, Cybergateway, Block C, 4th Floor, Hitech City, Hyderabad Location: https://goo.gl/maps/yVe5kkAcv9Ers3mr8 Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Role & responsibilities: Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. Maintain internal provider grid to ensure all information is accurate and logins are available. Update each providers CAQH database file timely according to the schedule published by CMS. Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid etc. Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing. Maintain accurate provider profiles on CAQH, PECOS, NPPES, Payer directory and CMS databases. Maintain strict confidentiality in accordance with HIPAA regulations and company policy Meeting daily/weekly and monthly targets set for an individual. Follow us on LinkedIn, Facebook and Instagram 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: 9059683624, 9100337774, 7382307530, 8247410763

HIRING US Healthcare Openings for experienced in Payment Posting, Charges at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Payment Posting / Charge Posting Location : Hyderabad Work from office Ph: 9100337774, 7382307530, 8247410763, 9059683624 Email: jobs@advantumhealth.com 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 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: 9100337774, 7382307530, 8247410763, 9059683624

Urgently Required AR Callers / Senior AR Callers / Team Leader!!! . Min 1 year Exp in AR calling (Experience in Lab calling) For more details contact: Sushmi - 7397286767 Alice - 7305188864 Subasri - 7358321828 Sushmi - 7397286767 Divya - 7358399847 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.

We Are 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 . 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 shivani.axisservices@gmail.com HR Shivani - 9030323106 (share resume via WhatsApp ) Refer your friend's / Colleagues

Excellent Opportunity for Associate - (Prior Authorization or Eligibility Verification) with Leading American Healthcare Providers. Please share your resume or call on 9226254897/ 8308816436/ 9356590554 Work Location: Mumbai / Hyderabad Shift Time: 5:30 PM to 2:30 AM OR 6:30 PM to 3:30 AM Benefits: Incentives Night shift allowance Two-way cab facility 1) Role For Prior Authorization: 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 companies with clinical information necessary to secure prior-authorization or referral. Good understanding of the medical terminology and progress notes. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Request retro-authorizations when needed. 2) Role for EVBV (Eligibility Verification): Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient. Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified. Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. Responsible for analyzing an account and taking the correct action. Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned. Task claims to appropriate teams where a specific department within clients assistance is required to resolve them.

We are seeking an experienced and highly motivated professional to join our team as a Revenue Cycle Services Manager , focusing on Inpatient Rehabilitation Facility (IRF) and Long-Term Acute Care Hospitals (LTACHs) billing. The ideal candidate will bring strong domain knowledge, leadership ability, and a track record of driving results through effective revenue cycle operations. Excellent communication, stakeholder coordination, and compliance management are essential. Role & responsibilities Manage full scope of RCM operations, including billing, denials, collections, AR management, and reporting. Collaborate with clients to define goals, resolve escalations, and improve service delivery. Track and report productivity metrics, TAT, AR aging, and denial trends on a regular basis. Lead and coach large teams (including TLs and AR specialists), ensuring alignment with SLA and performance targets. Conduct weekly/monthly/quarterly client business reviews (WBR/MBR/QBR) with actionable insights. Drive hiring decisions, attrition control, team development, and succession planning. Operational Oversight & Client Service: Oversee and coordinate with offshore billing partners for IRF & LTACH claims submission and follow-up. Monitor Discharge Not Billed (DNB) queues and collaborate with clients for timely resolution. Review payer contracts and escalate discrepancies in payments, rates, and allowances. Ensure AR and denial follow-ups are timely and accurate, adhering to payer and industry guidelines. Track and resolve issues in interface eligibility, claims submission, and remittance advice processes. Coordinate daily client communications and respond to inquiries with high professionalism. Claims & Billing Quality Control: Ensure claims are scrubbed and billed accurately by the billing partner. Address clearinghouse rejections and escalate unresolved issues. Review billing logs, rejection trends, and cash logs for accuracy and reconciliation. Access portals (Medicare, Medicaid, payer-specific) to review EOBs, RTPs, COBs, and claim statuses. Review credit balances and bad debts, including Medicare reporting. Process Improvement & Governance: Participate in regular RCM review meetings and escalate negative performance trends. Coordinate RCM meetings with clients and internal stakeholders. Support clearinghouse enrollments and lockbox access as needed. Ensure compliance with client SLAs, industry regulations, and internal policies. Baseline Competencies: Attention to Productivity and Quality Strong Customer Service Orientation Critical Thinking and Problem Solving Effective Communication Skills (Written and Verbal) Job Competencies: Proficient in Microsoft Office Suite (Word, Excel, Outlook) Sound knowledge of healthcare claims processing, AR follow-up, and collections Strong understanding of IRF & LTACH billing workflows and payer guidelines Comfortable with EMR systems, clearinghouses, and portal-based workflows Preferred candidate profile IRF & LTACH domain expertise Medical Billing Certification (AHIMA/AAPC or equivalent) Experience working with US healthcare clients or offshore delivery models Exposure to metric-based performance tracking and reporting