Home
Jobs

777 Rcm Jobs - Page 26

Filter Interviews
Min: 0 years
Max: 25 years
Min: ₹0
Max: ₹10000000
Setup a job Alert
Filter
JobPe aggregates results for easy application access, but you actually apply on the job portal directly.

1 - 6 years

1 - 5 Lacs

Chennai

Work from Office

Naukri logo

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: Credentialing (exp) Denials, Patient Follow-up, or Insurance Calling must under US Healthcare Experience: Min 1 year Experience must Ar caller Fresher - Any Degree (Good English communication preferred) Requirements : Any Degree / PG Excellent communication Pass outs 2022, 2023, 2024 & 2025 Only work from Office Night Shift PF, ESI & Food available Dinner & can available Arrears not consider. Salary: Based on Performance Shift: Night Shift Interview Time: 05.00 pm to 07.00 pm Interview Date: 16th May to 23rd May 2025 Gender: Male / Female Joining: Immediate Joiner only Contact person : Nausheen HR( 9043004655) Bring 2 updated resumes Refer( HR Name Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen on top of your resume Please Note: Only Chennai residing candidates. We would like to invite you to come to our office (address given below) for the direct face to face interview. Reference: Nausheen Begum H - HR (Kindly mention on top of your resume) Required documents for the Interview: Updated Resume If you have already attended or if not suitable, kindly ignore & you can refer your friends. Kindly Note: This is Work from Office & Only Chennai Residing Candidates or those who can relocate can come directly (No option for Telephonic round of Interview). --- Warm Regards, Nausheen Begum H Hr Recruiter Novigo Integrated Services, Sai Sadhan, 1st Floor, T.S No. 125, North Phase, SIDCO, Thiru-vi-ka Industrial Estate, Ekkattuthangal, Chennai -600032. Nearest Bus Stop: Kalaimagal Nagar / Jaya TV Bus stop Nearest Railway Station: Guindy Nearest Metro Train: Ekkattuthangal

Posted 1 month ago

Apply

- 2 years

1 - 2 Lacs

Ahmedabad

Work from Office

Naukri logo

We’re Hiring: AR Executive / Sr. AR (Medical Billing) Key Responsibilities: AR Voice Process Follow-up with insurance companies for claim status How to Apply: Mail at harshita.p@crystalvoxx.com contact us at 7567356888

Posted 1 month ago

Apply

1 - 3 years

2 - 5 Lacs

Mohali

Work from Office

Naukri logo

JOB DESCRIPTION- AR Designation - Analyst / Senior Analyst Location - Mohali Salary Range - INR 2,50,000 - 5,00,000 PA Years of Experience - 1 year - 3years Position Description -They must have excellent communication skills and the ability to remain pleasant during difficult conversations regarding outstanding bills or debts. Primary Responsibilities : 1) Accounts receivable analysts are responsible for monitoring all aspects of the collection of outstanding debts owed to the company. 2) Maintain records on account activity, as well as review current accounts for unpaid amounts and determine what course of action to take based on a variety of factors such as age, amount of debt, and the customers history. 3) They may interact with customers directly resolving outstanding debt or billing issues, including in evaluating the likelihood of (or a timeline for) repayment. Skills and Competencies : •Problem Solving •Team Collaboration •Attention to Detail •Verbal & Written Communication Requirements/Qualifications: •At least 1-year previous Medical Billing & Follow-up experience •Proven track record working collaboratively in an office or virtual work environment.

Posted 1 month ago

Apply

1 - 5 years

0 - 3 Lacs

Ahmedabad

Work from Office

Naukri logo

1+ years of experience in AR - Medical Billing - voice process Should have experience in RCM - denials handling Timings: 5:30 PM to 2:30 AM - work from office - Ahmedabad Eligible and can updated CV at 75670 60888 / glory.m@crystalvoxx.com

Posted 1 month ago

Apply

1 - 5 years

2 - 7 Lacs

Pune

Work from Office

Naukri logo

AR Specialist is responsible for managing and tracking insurance payments to ensure timely reimbursement for US healthcare services. They handle tasks like submitting insurance claims, following up on outstanding payments, addressing denials.

Posted 1 month ago

Apply

1 - 3 years

1 - 4 Lacs

Hyderabad

Work from Office

Naukri logo

Sutherland is seeking a skilled and experienced AR Caller / RCM Specialist to join our dynamic healthcare team. If you have a strong understanding of Physician Billing, CMS 1500, and Denial Management, this is the perfect opportunity to advance your career with a global leader in business process transformation. Key Responsibilities: Review and resolve denied claims, ensuring timely follow-up with insurance providers. Work on CMS 1500 claim submissions, corrections, and reprocessing. Identify and analyze denials, take necessary actions, and resubmit claims as needed. Apply knowledge of Modifiers, Hoopa Guidelines, and insurance policies to maximize reimbursements. Handle AR follow-ups and maintain accurate documentation of interactions. Collaborate with internal teams to enhance billing processes and reduce denials. Meet productivity and quality benchmarks set by the company. Required Skills & Qualifications: Minimum 12 months of experience in CMS 1500 claims processing. Strong expertise in Denial Management and AR calling. Familiarity with Physician Billing, Modifiers, and Hoopa Guidelines. Excellent communication and negotiation skills. Ability to work in a fast-paced, target-driven environment. Any Undergraduate/Graduate degree. What We Offer: Competitive Salary Package Rotational Night Shifts Transportation Facilities Comprehensive Benefits Package Career Growth & Development Opportunities Join Sutherland and be part of an innovative team driving excellence in healthcare revenue cycle management possibilities

Posted 1 month ago

Apply

- 1 years

1 - 2 Lacs

Chennai

Work from Office

Naukri logo

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We're looking for enthusiastic freshers with excellent communication skills to join our team as AR Callers. This is an exciting opportunity for graduates who are eager to start their career in the healthcare revenue cycle management industry. Key Responsibilities: Contact insurance companies to follow up on outstanding claims. Understand and analyze denials to resolve billing issues. Maintain accurate documentation of interactions and claim statuses. Requirements: Experience: Freshers are welcome Education: Any Graduate(Compulsory completion required) Location: Candidates residing nearby Velachery, Chennai, are preferred. Salary: 20000 CTC Work Mode: WFO Shift: Night Skills: Good Communication skills Basic understanding of healthcare or willingness to learn Good analytical and problem solving skills Ability to work in a fast paced environment Interested candidates can share your resume to this WhatsApp Number - 8925808592 Regards, Harini S HR Department

Posted 1 month ago

Apply

1 - 3 years

3 - 5 Lacs

Mohali

Work from Office

Naukri logo

JOB DESCRIPTION- AR- BH Designation - Analyst / Senior Analyst Location - Mohali Years of Experience - 1 year - 3 years Position Description -They must have excellent communication skills and the ability to remain pleasant during difficult conversations regarding outstanding bills or debts. Primary Responsibilities : 1) Accounts receivable analysts are responsible for monitoring all aspects of the collection of outstanding debts owed to the company. 2) Maintain records on account activity, as well as review current accounts for unpaid amounts and determine what course of action to take based on a variety of factors such as age, amount of debt, and the customers history. 3) They may interact with customers directly resolving outstanding debt or billing issues, including in evaluating the likelihood of (or a timeline for) repayment. Skills and Competencies : •Problem Solving •Team Collaboration •Attention to Detail •Verbal & Written Communication Requirements/Qualifications: •At least 1-year previous Medical Billing & Follow-up experience •Proven track record working collaboratively in an office or virtual work environment.

Posted 1 month ago

Apply

- 3 years

2 - 4 Lacs

Hyderabad

Work from Office

Naukri logo

Job Title : AR Caller / Medical Billing Executive Job Description: We are seeking experienced AR Callers/Medical Billing Executives to join our dynamic healthcare team. The ideal candidate will have a strong understanding of the revenue cycle management (RCM) process, excellent communication skills, and the ability to resolve claims issues with insurance companies effectively. Key Responsibilities: AR Calling: Follow up with insurance companies to check the status of outstanding claims. Claims Resolution: Identify and resolve issues related to denials, rejections, and underpayments. Billing Process: Handle end-to-end medical billing processes, including charge entry, claim submission, and payment posting. Insurance Verification: Verify patients' insurance coverage and ensure accuracy in claim submissions. Documentation: Maintain accurate records of claim status, correspondence, and follow-ups in the billing system. Compliance: Ensure adherence to HIPAA guidelines and healthcare billing policies. Team Collaboration: Work closely with the team to meet billing targets and deadlines. Required Skills and Qualifications: Proven experience in AR calling and medical billing (minimum 1-2 years preferred). Strong knowledge of US healthcare processes, insurance terminologies, and claim adjudication. Excellent verbal and written communication skills in English. Proficiency in using medical billing software. Ability to analyze and resolve denials effectively. Attention to detail and strong organizational skills. Willingness to work night shifts. Preferred Candidates: 0-3 Years of experience in accounts receivable follow-up/denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge of Denials management and A/R fundamentals will be preferred Willingness to work continuously on night shifts Basic working knowledge of computers. Prior experience working in a medical billing company and using medical billing software will be considered an advantage. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus Freshers are Eligible Willingness to work from the office.

Posted 1 month ago

Apply

2 - 6 years

2 - 5 Lacs

Coimbatore

Work from Office

Naukri logo

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 Joiners Perks and benefits Salary will be as per company standards and lucrative for the role offered. Interested candidates may share your updated resume Keziya.Prasadbabu@omegahms.com Contact number -8712312855 Thanks & Regards, Keziya Agraharam

Posted 1 month ago

Apply

1 - 5 years

3 - 5 Lacs

Hyderabad/ Secunderabad

Work from Office

Naukri logo

Full Job Description Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint 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 have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors Fresh graduates are most Welcome.. Perks and Benefits Paid Time off and Holidays Long Service Recognition Mobile and Internet Allowance COVID Emergency Support Transportation Medical Facility on Premise Mediclaim Insurance - Self & Dependents Voluntary Top Up on Mediclaim Insurance Personal Accidental Insurance Life Insurance Maternity/ Paternity Leave Telemedicine services Day Care Program Provident Fund Employee Pension Scheme Provident Fund (Voluntary) Gratuity Professional Development Calendar Manager Development Programs Domain Knowledge Expertise Maternity/ Paternity Leave Maternity Leave As per ESIC/Maternity Benefit Act whichever is applicable. 5 Paternity leave granted to the father of a new-born. Day care Benefit Program : childcare facilities to all its female associates so that they are able to focus on their work and achieve their career aspirations without compromising on childcare. We provide near site day care facilities tie up information and a reimbursement of up to INR 8000/- per month per child for up to 2 children per family. Paid Time Off and Holidays Under the paid time off program associates are entitled for different types of paid leaves 30 leave (Earned Leave + Casual Leave) per calendar year. Leave accrues every month. Only earned leave up to a maximum of 30 can be carried forward to the next year. 10 Holidays every calendar year; published in the beginning Regards Amit Soni Call or what's App: 9560589907

Posted 1 month ago

Apply

2 - 4 years

1 - 6 Lacs

Hyderabad

Work from Office

Naukri logo

We Are Hiring || AR Caller || Up to 40 K Take-home || Eligibility Criteria :- Min 2+ yrs experience into AR Calling Package :- Up to 40k take home Location :- hyderabad Work From Office 2 Way Cab Notice Period :- Preferred Immediate Joiners Relieving is not Mandate Immediate Joiner Interested candidates can share your updated resume to HR Nandini - 9705749568 share resume via WhatsApp Refer your friend's / Colleague

Posted 1 month ago

Apply

1 - 4 years

0 - 3 Lacs

Ahmedabad

Work from Office

Naukri logo

1+ years experience in Authorization - US Healthcare (Voice process) Timings: 5:30 PM to 2:30 AM (Work from office - Ahmedabad) Graduation compulsory Share updated CV at glory.m@crystalvoxx.com / 75670 60888

Posted 1 month ago

Apply

6 - 11 years

5 - 8 Lacs

Hyderabad

Work from Office

Naukri logo

Preferred candidate profile Minimum experience of 6+ years in medical billing and charge entry People management on papers experience is required Should have experience in Excel. Excellent Communication Hyderabad Walkin Package upto 9.2 LPA US Night shifts For more details, call on below Chhavi Bhatt 8955611211 Chhavi.bhatt@manningconsulting.in

Posted 1 month ago

Apply

10 - 14 years

11 - 16 Lacs

Pune

Work from Office

Naukri logo

Looking for an experienced End-to-End RCM Manager (US Healthcare) skilled in Credentialing, Payment Posting, Charge Entry, Authorization, Eligibility Verification, Medical Billing, and knowledge of Adaptive Behavior Assessment. Responsible for managing the entire revenue cycle, ensuring compliance, optimizing revenue flow, and leading the RCM team effectively. Roles & Responsibilities Revenue Cycle Management: Manage and optimize the entire RCM process. Credentialing: Oversee provider credentialing, revalidations, and insurance enrollments. Payment Posting & Charge Entry: Ensure accurate and timely payment postings and charge entries. Authorization & Eligibility Verification: Manage insurance eligibility checks and authorization processes. Medical Billing & Claims: Supervise billing, reduce denials, and enhance collections. Adaptive Behavior Assessment: Knowledge of ABAS or similar tools; ensure proper documentation and billing. Team Leadership: Train, mentor, and enhance team productivity. Reporting & Analysis: Generate reports, analyze data, and improve revenue generation. Client & Stakeholder Communication: Address queries, resolve issues, and provide updates. Continuous Improvement: Stay updated with industry changes and implement process improvements. Immediate Joiner. Open for WFO. Please share CV at annu.misra@rsystems.com

Posted 1 month ago

Apply

1 - 4 years

2 - 5 Lacs

Gurugram

Work from Office

Naukri logo

Role Objective: Payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The cash/payment posting staff posts these payments immediately into the respective patient accounts, against that claim to reconcile them. Essential Duties and Responsibilities: Need to work on payment posting and denial batches. Must work on ERA discrepancies. Need to do bank reconciliation. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint 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 have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Posted 1 month ago

Apply

2 - 5 years

5 - 9 Lacs

Gurugram

Work from Office

Naukri logo

Reports to (level of category) : Individual COA( Performance Management) 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.? Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Able to interact independently with counterparts. Performance management First level of escalation Work in all shifts on a rotational basis WFO only 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 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 smal l.

Posted 1 month ago

Apply

2 - 5 years

3 - 7 Lacs

Hyderabad

Work from Office

Naukri logo

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: 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 have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Posted 1 month ago

Apply

3 - 6 years

6 - 10 Lacs

Gurugram

Work from Office

Naukri logo

Reports to (level of category) : Manager - Operations Role Objective Will be responsible for running and creating Query for SQL (Advance) and Snowflake and able to do modification basis the requirement. Should have knowledge of Python and hands on experience in excel. Should be good in creating the Dashboards and also a creating excel based Macros as well. Essential Duties and Responsibilities Understanding the Logic and able to create / modify SQL query. Analysis data to identify process gaps, prepare reports. Work in all shifts on a rotational basis Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute Should have knowledge of 1. Should have strong Analytical Skills. 2. Should have Strong knowledge on Python Programming. 3. Should have Strong knowledge on PowerBi Programming. 4. Should have Strong knowledge on SQL (Advanced). 5. Should have Hand's-on Experience in Advanced Excel. Good communication Skills (both written & verbal) Skill Set Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and small.

Posted 1 month ago

Apply

2 - 5 years

3 - 7 Lacs

Noida

Work from Office

Naukri logo

Role ObjectiveWe are currently seeking a Lead - BI Analytics to contribute to Analytics & BI Development process. This is a hands-on technical and Individual Contributor role. This position requires that the candidate be a skilled on Advance Excel, SQL, Python and support on Reporting and Analytics applications. The candidate needs to have strong technical knowledge and be very structured and analytical in his/her approach. Essential Duties and Responsibilities Primary responsibility involves advanced SQL and advanced Excel report design and development.Publishing and scheduling SSIS\SSRS report as per the business requirements. Will be responsible for END TO END BI & Visualization solutions development and projects delivery across multiple clients. Drive the development and analysis of data, reporting automation, Dash boarding, and business intelligence programs.Would be supporting in consulting engagement and should be able to articulate and architect the solution effectively to bring-in the values which data analytics & visualization solution can deliver. Good understanding of database management systems and ETL (Extract, transform, load) frameworkConnecting to data sources, importing data and transforming data for Business Intelligence. Experience in using advance level calculations on the data set. Responsible for design methodology and project documentation.Able to properly understand the business requirements and develop data models accordingly by taking care of the resources. Should have knowledge and experience in prototyping, designing, and requirement analysis.QualificationsGraduate (BE-BTEC Computer science /BCA/MCA/MSc Computers) or have an equivalent academic qualificationGood communication Skills (both written & verbal)2+ years experience in Reporting and Analytics with Python, SQL and excel must have prior experience on Relational Database and BI developer using SQL server, SSIS, Power BI, Tableau, Advance Excel. Skill Set: Good to have:Experience on Design and develop relational database models/schemas and Query performance tuning and write ad-hoc SQL queries.Exposure to Snowflake would be ab added advantageExperience with advanced query design, stored procedures, views, functions. Ability to communicate with technical and business resources at many levels in a manner that supports progress and success.Understanding of Python and different libraries - Pandas, Numpy etc Exposure to Cloud Computing such as Microsoft AzureGood knowledge/expertise on different versions of .Microsoft Sql Server 2008, 2012, 2016, 2017, 2020

Posted 1 month ago

Apply

2 - 5 years

4 - 7 Lacs

Gurugram

Work from Office

Naukri logo

We are currently seeking a Lead - BI Analytics to contribute to Analytics & BI Development process. This is a hands-on technical and Individual Contributor role. This position requires that the candidate be a skilled on Advance Excel, SQL, Python and support on Reporting and Analytics applications. The candidate needs to have strong technical knowledge and be very structured and analytical in his/her approach. Essential Duties and Responsibilities Primary responsibility involves advanced SQL and advanced Excel report design and development. Publishing and scheduling SSIS\SSRS report as per the business requirements. Will be responsible for END TO END BI & Visualization solutions development and projects delivery across multiple clients. Drive the development and analysis of data, reporting automation, Dash boarding, and business intelligence programs. Would be supporting in consulting engagement and should be able to articulate and architect the solution effectively to bring-in the values which data analytics & visualization solution can deliver. Good understanding of database management systems and ETL (Extract, transform, load) framework Connecting to data sources, importing data and transforming data for Business Intelligence. Experience in using advance level calculations on the data set. Responsible for design methodology and project documentation. Able to properly understand the business requirements and develop data models accordingly by taking care of the resources. Should have knowledge and experience in prototyping, designing, and requirement analysis. Qualifications Graduate (BE-BTEC Computer science /BCA/MCA/MSc Computers) or have an equivalent academic qualification Good communication Skills (both written & verbal) 2+ years experience in Reporting and Analytics with Python, SQL and excel must have prior experience on Relational Database and BI developer using SQL server, SSIS, Power BI, Tableau, Advance Excel. Skill Set: Good to have: Experience on Design and develop relational database models/schemas and Query performance tuning and write ad-hoc SQL queries. Exposure to Snowflake would be ab added advantage Experience with advanced query design, stored procedures, views, functions. Ability to communicate with technical and business resources at many levels in a manner that supports progress and success. Understanding of Python and different libraries - Pandas, Numpy etc Exposure to Cloud Computing such as Microsoft Azure Good knowledge/expertise on different versions of .Microsoft Sql Server 2008, 2012, 2016, 2017, 2020

Posted 1 month ago

Apply

2 - 5 years

3 - 7 Lacs

Gurugram

Work from Office

Naukri logo

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: 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 have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Posted 1 month ago

Apply

- 1 years

1 - 4 Lacs

Hyderabad

Work from Office

Naukri logo

Education: * B.Pharmacy/M.Pharmacy/Pharma-D * BSC/MSC in Nursing * BPT / BHMS / BAMS * Candidates should be 2024/2023/2022 passed outs *Should have 60% (CGPA 6.5) and above throughout the academics Other Skills: * Should possess good clinical knowledge and have wide awareness around anatomy, pharmacology and disease process * Good analytical and problem-solving skills * Ability to work independently and be flexible to work in shifts (WFO) * Good verbal and written communication

Posted 1 month ago

Apply

1 - 6 years

2 - 6 Lacs

Hyderabad

Work from Office

Naukri logo

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business.

Posted 1 month ago

Apply

4 - 6 years

4 - 8 Lacs

Hyderabad

Work from Office

Naukri logo

Position Summary Job Summary : We are seeking a passionate Trainer to join our team with good exposure and experience in the project. The Trainer will be responsible for designing, developing, and delivering training programs to enhance the skills and knowledge of our employees. The ideal candidate will have a strong background in training and development, excellent communication skills, and the ability to engage and motivate learners. Key Responsibilities: Develop and implement training programs that meet the needs of the organization and its employees. Conduct training sessions using various methods, including in-person, virtual, and blended learning approaches. Assess training needs through surveys, interviews with employees, or consultations with managers. Create training materials, such as manuals, handouts, and visual aids, to support training sessions. Evaluate the effectiveness of training programs and make necessary adjustments to improve outcomes. Provide ongoing support and coaching to employees to ensure they can apply what they have learned. Stay updated with the latest trends and best practices in training and development. Collaborate with other departments to ensure training programs align with organizational goals. Experience : Minimum of 4 years of experience in the healthcare industry, with a focus on payment posting, claims management, or related roles. Proven experience in handling denials and performing quality assurance tasks. Familiarity with healthcare billing systems and software (e.g., EPIC, Cerner, or other EMR systems). Preferred Skills : Knowledge of healthcare insurance types (Commercial, Medicaid, Medicare) and payment processes. Strong understanding of claim denial reasons, appeals processes, and payer requirements. Excellent verbal and written communication skills. Familiarity with healthcare regulations, including HIPAA, and other compliance standards. Ability to work independently and as part of a collaborative team. Excellent communication and presentation skills. Strong organizational and time management skills. Proficiency in using training software and tools. Knowledge of adult learning principles and instructional design. Qualifications : Bachelors degree in education, Human Resources, or a related field. Proven experience as a Trainer or similar role.

Posted 1 month ago

Apply

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!

cta

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.

Job Application AI Bot

Job Application AI Bot

Apply to 20+ Portals in one click

Download Now

Download the Mobile App

Instantly access job listings, apply easily, and track applications.

Featured Companies