3185 Rcm Jobs - Page 26

Roles and Responsibilities Manage accounts receivable calls to manage claim denials related to hospital billing. Handle denial management by identifying and resolving reasons for denials, appealing denied claims, and maintaining accurate records. Conduct RCM (Revenue Cycle Management) activities such as verification of patient demographics, insurance information, and medical necessity. Provide excellent communication skills to patients, providers, and internal stakeholders regarding billing-related matters. Ensure compliance with US healthcare regulations and industry standards in all aspects of AR calling operations. Desired Candidate Profile 1-4 years of experience in Accounts Receivable C...

Greetings from Newport Medical Solutions! We are hiring candidate with AR Experience with immediate to 30 days notice period. Eligible candidate can direct Walk in to office on 06th September 2025 i.e., on Saturday. Contact on: Nafees-9121175384 Shivani-8341128389 Job Title: Senior Associate - Account Receivables Years of Experience: 2-3 years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location: Hyderabad, Telangana Education Qualification: Any graduate Skill Set Requirements: Excellent Communication Skills and Analytical Skills Job Description AR callers with 2-3 Years of RCM Experience (Physician Billing). Hands-on knowledge of US healthcare billing, payers, claims processing, and AR ...

Identify, analyze, and manage all issues about accounts receivable and member service inquiries. Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met. Review and analyze past-due receivables with BSO global team every week. Monitor cash inflow and identify the roadblock which hindering the cash and highlight the same to the leadership team Active participation in weekly AR calls; denial review call with onshore team Oversee monthly A/R reporting, weekly ATB, monthly performance deck, Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. ...

Mega Hiring AR Caller (Physician Billing Denial Management) We are hiring experienced AR Callers across Mumbai, Hyderabad & Chennai locations! Grab this opportunity to grow your career with excellent packages, perks & joining bonuses. Role: AR Caller Physician Billing / Denial Management Experience: Minimum 1+ Year in AR Calling (Physician / Hospital Billing Denials) Qualification: Intermediate & Above Relieving Letter: Not Mandatory Notice Period: Immediate Joiners Preferred Interview Mode: Virtual Interview/ walkin Salary & Perks Mumbai: Up to 40,000 Take-Home + Incentives + 20,000 Joining Bonus Hyderabad: Up to 40,000 Take-Home + Incentives Software Knowledge: Nextgen / Paragon / Medisoft...

Follow up with payers to obtain claim status updates Identify reasons for denials and work towards resolution Must have Voice Experience Work on billing scrubbers and make necessary edits Handle contractual WhatsApp cv 7696517849 Required Candidate profile AR Caller With Experience for Hyderabad, Bangalore Night Shifts Cab Yes Excellent English Speaking WhatsApp cv 7696517849 Register For Call Back https://callcenterjobs.anejabusinessgroup.com/ Perks and benefits https://callcenterjobs.anejabusinessgroup.com/

Job Description What You Will Do Gather data from primary and secondary sources, ensuring the upkeep of databases and data systems. Detect, examine, and decode trends or patterns within intricate datasets. Cleanse data and scrutinize computer-generated reports and outputs to identify and rectify coding errors. Coordinate with management to align business and informational priorities. Track process metrics, SLAs, and drive improvement. Employ statistical techniques to scrutinize data and produce actionable business insights. Collaborate with the management team to determine and rank the needs of different business units. Develop data dashboards, charts, and visual aids to support decision-mak...

Job Description: What You Will Do Gather data from primary and secondary sources, ensuring the upkeep of databases and data systems. Detect, examine, and decode trends or patterns within intricate datasets. Cleanse data and scrutinize computer-generated reports and outputs to identify and rectify coding errors. Coordinate with management to align business and informational priorities. Identify opportunities for process enhancements. Employ statistical techniques to scrutinize data and produce actionable business insights. Collaborate with the management team to determine and rank the needs of different business units. Develop data dashboards, charts, and visual aids to support decision-makin...

Kickstart Your Career in Healthcare AR Callers Wanted! What We Need: 1+ Year Experience in AR Calling Qualification: Intermediate & Above Immediate Joiners (Relieving Letter not mandatory) What We Offer: Salary up to 40,000 + Incentives 2-Way Cab Facility Growth in Healthcare Domain Locations:- Hyderabad, Chennai & Mumbai Interested candidates can share your updated resume to HR Sumalika - 9030461574 (share resume via WhatsApp) Refer your friend's / Colleagues.

Key Responsibilities: Perform follow-up on unpaid or underpaid claims via phone calls, emails, and payer portals. Analyze Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and denial codes to determine root causes. Work on aging reports to prioritize claims based on timely filing limits and payer policies. Initiate appeals and reconsiderations for denied claims as per payer guidelines. Document all follow-up actions and maintain accurate records in the billing system. Collaborate with coding, billing, and patient access teams to resolve claim issues. Ensure compliance with HIPAA and other healthcare regulations. Meet daily productivity and quality targets set by the team l...

Experience in Physician Billing (CMS1500) Worked on Denials, Follow ups Strong Knowledge in Denials management process AR Good communication & analytical skills Two-way cab provided for Night Shift

Immediate Hiring Freshers Only Customer Service Associate | US Healthcare Voice Support Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working Eligibility: Freshers / Recent Pass-outs Job Overview Kickstart your career in US Healthcare Voice Support ! An excellent opportunity for freshers with strong English communication skills to begin their journey in the BPO industry. Key Responsibilities Handle inbound & outbound customer calls. Resolve queries with professionalism & accuracy. Maintain call records & follow SOPs. Achieve performance metrics (Quality, Accuracy, CSAT). Communicate effectively & actively listen to customers. Work in rotational shifts. Upsell/cross-...

Immediate Hiring Freshers Only Customer Service Associate | US Healthcare Voice Support Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working Eligibility: Freshers / Recent Pass-outs Job Overview Kickstart your career in US Healthcare Voice Support ! An excellent opportunity for freshers with strong English communication skills to begin their journey in the BPO industry. Key Responsibilities Handle inbound & outbound customer calls. Resolve queries with professionalism & accuracy. Maintain call records & follow SOPs. Achieve performance metrics (Quality, Accuracy, CSAT). Communicate effectively & actively listen to customers. Work in rotational shifts. Upsell/cross-...

Role & responsibilities Make outbound calls to insurance companies for benefit verification and prior authorization. Verify insurance coverage, co-pay, co-insurance, pre-auth requirements for patient procedures/therapies. Ensure accurate and clear documentation with zero assumptions, as this directly impacts patient care. Maintain compliance with HIPAA guidelines and protect patient health information. Communicate clearly and effectively with payors, resolving queries with professionalism. Preferred candidate profile 2+ years total experience , with 1+ year in US Healthcare Voice Process (mandatory) . Strong knowledge of benefit verification / AR calling / pre-authorization . Familiarity wit...

Job Summary: We are seeking a skilled and detail-oriented Analyst with experience in handling insurance denials and AR follow-up. The ideal candidate will be proficient in using health insurance portals, EHR systems, hands-on experience with Advanced MD software will be preferred. A strong background in healthcare billing and collections is essential for success in this role. Responsibilities: Utilize EHR to manage and process accounts receivable for healthcare services. Working on Insurance denials and follow up with payers on no response claims Ensure appropriate action on denials and timely follow up with insurance companies. Follow up on outstanding claims and denials to maximize collect...

Job Description: We are hiring an experienced SAP SuccessFactors Consultant to support implementation, configuration, and ongoing enhancements in SuccessFactors modules. The ideal candidate must have hands-on experience in any SuccessFactors module (Employee Central, LMS, PMGM, RCM, etc.) and be capable of driving functional delivery across global teams. Key Responsibilities: Configure and support one or more SAP SuccessFactors modules Gather business requirements and translate them into functional specifications Perform data uploads, system testing, UAT support, and go-live activities Work closely with business users, developers, and stakeholders Provide ongoing support, enhancements, and t...

As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead and guide your teams towards developing optimized high quality code deliverables, continual knowledge management and adherence to the organizational guidelines and processes. You ...

Job Summary: Omega Healthcare is looking for a dynamic and experienced Team Lead Charge Entry to manage and oversee the charge entry operations within our Physician Billing team. The ideal candidate will be responsible for ensuring accurate data entry of charges, leading a team of charge entry specialists, and collaborating with cross-functional teams to maintain a high level of quality and productivity. Key Responsibilities: Supervise and lead a team of charge entry professionals in the RCM domain. Ensure timely and accurate entry of medical charges into billing systems based on clinical documentation. Monitor daily workload distribution and performance metrics to meet productivity and qual...

Job Summary As an E&M / Denial / Surgery Medical Coder at Omega Healthcare, you will be responsible for reviewing clinical documentation and assigning accurate Evaluation and Management (E&M), diagnosis, and procedure codes. This role ensures compliance with coding standards, improves revenue cycle efficiency, and supports accurate claims processing. Key Responsibilities Review and analyze medical records to assign appropriate CPT, ICD-10, and HCPCS codes. Ensure coding accuracy and compliance with E&M and surgical coding guidelines. Evaluate denial cases and rework as needed for resolution. Maintain productivity and accuracy benchmarks as per company standards. Collaborate with physicians a...

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 Key Responsibilities: Enter charge data into billing systems with accuracy and efficiency. Review and verify charge information for completeness and accuracy. Resolve discrepancies and issues related to charge entries. Collabo...

Responsible for managing a team of 20+ team members Create an inspiring team environment with an open communication culture Set clear team goals Delegate tasks and set deadlines Oversee day-to-day operation Monitor team performance and report on metrics Motivate team members Discover training needs and provide coaching Listen to team members feedback and resolve any issues or conflicts Encourage creativity and risk-taking Suggest and organize team building activities Work closely with quality & training teams Job specifications: Minimum 5 years experience in US healthcare (Credentialing) Strong knowledge in concepts of RCM Good People Management Skills Good Interpersonal Skills Good Analytic...

Role & responsibilities Should have experience in Credentialing process in Medical Billing - Min of 1 year to Max 6 years. Credentialing in medical billing is the process that all healthcare service providers perform to become enlisted with insurance companies . Only trusted, vetted, and verified insurance companies include healthcare providers to serve their customers. Candidate who has good / trainable communication. Preferred candidate profile Should be flexible to work in US shift & Work from office Flexible to extend support on weekend based on requirement Should have experience in Credentialing Fluent verbal communication abilities / call center expertise (Semi Voice process) Immediate...

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, ...

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 infor...

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.

Greetings fromOmega Healthcare Pvt. Ltd.! We are currently hiring for Charge Entry & Payment Posting with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience:1Years to 5 Years Specialties :Charge Entry/Payment Posting Salary:Best in Industry Work Mode: WFO Notice Period:Immediate Joiners Shift:Day Key Responsibilities: Enter charge data into billing systems with accuracy and efficiency. Review and verify charge information for completeness and accuracy. Resolve discrepancies and issues related to charge entries. Collaborate with other departments to ensure proper billing practices and resolve any billing issues. Maintain up-to-date knowledge of billing cod...