1804 Rcm Jobs - Page 3

wonderful job opportunity for AR Callers to move to AR Analyst. Should have experience in denial Management/Pre Authorisation.AR Voice Process looking for AR Analyst.AR Voice to Non Voice/Semi Voice AR Operations day shift.Preferably Immediate Joinee Required Candidate profile Should have experience in denial Management/Physician Billing.AR Voice Process looking for AR Analyst. AR Voice to Non Voice/Semi Voice AR Operations day shift. Preferably Immediate Joinees. Perks and benefits plus performance incentives

We have openings for RCM - Paradip, Barauni, Mongolia Qualification : B.E/B.Tech - Mechanical Industry : Oil & Gas exp Experience : B.E/B.Tech - 18+ years RCM heads the construction site organization. Requirement RCM is required to drive the project and is responsible for leading the site organization team towards completion of the project within budget cost and schedule to the satisfaction of the client and in line with the organizational goals. Major responsibilities : * Should have experience in Oil & Gas refinery projects. * Overall site management and leadership of site team. Understanding full scope of the contract and administrating the contract with client related to site activities. * Ensuring activities are performed safely and in compliance with the applicable project OSH policy, local laws and statutory requirements, Execution of all facets of construction. (Civil, Mechanical, Electrical, Instrumentation, Materials management, etc.). * Planning the construction activities, ensuring quality of deliverables and meeting the time schedule. * Site administration. (leave, statutory norms, site establishment/infrastructure, etc.). * Administering contract with the sub-contractors. Responsible for developing symbiotic relations with contractors and vendors in line with compliance and company values, to have a positive influence on project completion. * Managing construction activities as per schedule forecast probable slippages and take mitigation measures. * Keeping head office informed about the site status. * Ensuring seamless working between office and site. * Multitasking and executing all activities as per schedule. * Handing over the site to commissioning team after the completion of construction activities. * Ensuring timely site closure. Educational Qualification & Work Experience Candidate shall be BE / Diploma in Mechanical Engineering. Minimum 18 years of experience for Graduate Engineer and 25 years for Diploma Engineer in construction of refinery / petrochemical / fertilizer / chemical plants.Out of which minimum 10 years of work experience in the capacity of RCM / Area Manager in any medium to large project. Other Skill Competencies: Good communication, presentation, interpersonal skill and good in writing & speaking(English). Computer Knowledge: Microsoft office, Power point presentation skill If your interested for this position send your updated cv to gmohan@meghaeng.com

Dear Candidate, Greetings from Infinx Healthcare - Hyderabad. We are hiring for AR Calling. interested candidates can Send their CV's on. jyothi.babu@infinx.com or call 9014286986 JD: Good communication skills with excellent denial knowledge. Minimum 1 year of experience in denials and RCM is must. Ok with Night shift. Work from office - Location, Hyderabad Perks and benefits One Way transport [ Drop ] PF and ESIC Role: Healthcare & Life Sciences - OtherIndustry Type: IT Services & Consulting Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Healthcare & Life Sciences - Other

Generate New U.S. clients for offshore RCM services (Billing, Coding, AR) Pitch, close deals, and manage client onboarding Coordinate with India delivery team. Handle client communication, contracts and CRM Report meetings and calls in U.S. time zone Office cab/shuttle Health insurance Provident fund Annual bonus Food allowance

Position: Success Factor EC Consultant Experience: 4 -11 Years Location: Initial 6 Months Onsite Notice Period: Immediate Joiners Skills: SF Employee Central, Time Off, MDF Objects, Rules, and Workflows, RMK/RMC Job Description 4+ Years of SuccessFactors with minimum 3 End-End-To Implementations in EC Certified in SuccessFactors Employee Central (EC) End to end implementation experience in EC with Time off and Time sheet functionality, Hands on experience in MDF Objects, Rules, and Workflows Good Knowledge in HR Business Processes and Talent Management Processes Experience translating client business requirements to technical business rules Experience in SuccessFactors Integration with other SF Modules, SAP for Payroll and Benefits Experience with Biometric integration with SuccessFactors Experience in Time Management Calculations Experience with data migration and data management activities in SF, Any other module experience & Certification is an added advantage eg: RCM, RMK and Onboarding 2 0 Able to work independently and with others; self-directed; take initiative to solve problems and overcome roadblocks Results-oriented Experience defining, implementing, and supporting business processes Experience with system design, configuration, customization, integration, testing and Support, Experience with gap analysis and strategic roadmap/blueprint development Excellent analytical and problem solving skills Excellent verbal and written communication skills and can communicate clearly and concisely Strong executive presence and ability to interact with Customer Top Management Proven ability to transfer knowledge and stay aware of current trends and technical advancements Need to be a team player You understand that an employer brand is more than a logo, and know how to communicate the value prop of working at our company both authentically and transparently Bachelor or Master degree Willingness to travel Able to link the business wish to an IT solution Passionate about SAP, ready to learn and grow Business Travel: Project specific travelling is mandatory for all the SAP Consultants, Get empowered by NTT DATA Business Solutions! We transform SAPsolutions into Value For any questions related to Job Description, you may connect with below specified contact from Recruiting, Recruiter Name: Khaja Samiuddin Recruiter Email ID: samiuddin khaja@bs nttdata NTT DATA Business Solutions is a fast-growing international IT company and one of the worlds leading SAP partners We are a full service provider delivering everything from business consulting to implementation of SAP solutions, including hosting services and support, Show

We're Hiring ! Looking to grow your career in healthcare operations? Eligibility Verification Benefits Verification Prior Authorization Eligibility Criteria : Minimum 1+ year of RCM experience Immediate joiners preferred What We Offer: Attractive Incentives 5-Day Work A dynamic, growth-focused work environment Walk-In Drive | Mohali | DM to apply or walk in directly! Hemalatha HR -7200053787 hemalatha.bjobixoindia.com

FHRM is looking for Medical Billers - Billing Executive / Senior Billing Executive to join our dynamic team and embark on a rewarding career journey Reviewing patient medical records to identify services provided and entering the corresponding billing codes into billing software. Submitting claims to insurance companies and other payers, following up on unpaid claims, and resubmitting claims as necessary. Reviewing payment information and posting payments to patient accounts. Communicating with insurance companies, patients, and healthcare providers to resolve billing issues. Verifying patient insurance eligibility and benefits and explaining insurance coverage and payment options to patients. Ensuring compliance with federal and state healthcare billing regulations. Maintaining accurate patient billing records and performing periodic audits to identify errors and discrepancies. Knowledge of medical billing codes and insurance billing processes. Strong analytical, organizational, and communication skills. Medical Billing-Payment Posting, Charge Posting, Denial Handling.

FHRM is looking for Credentialing Specialist to join our dynamic team and embark on a rewarding career journey Credential Verification: Credentialing Specialists collect and verify all relevant documents and information from healthcare providers, including medical licenses, certifications, education, training, work history, and references. Provider Enrollment: They facilitate the enrollment of healthcare providers in insurance networks and government healthcare programs by ensuring that all necessary paperwork and credentials are in order. Compliance: Credentialing Specialists ensure that healthcare providers comply with legal and regulatory requirements, as well as with the organization's policies and standards. Application Processing: They process applications for medical staff privileges or employment, which typically involves gathering and assessing information about the provider's background and qualifications. Verification of References: Credentialing Specialists contact references and previous employers to verify the provider's work history and obtain feedback on their performance and professionalism. License and Certification Monitoring: They continuously monitor the status of licenses and certifications to ensure that they are up to date. This includes tracking expiration dates and initiating renewals when necessary. Peer Review: In some cases, they assist in coordinating the peer review process, where healthcare providers are evaluated by their peers to ensure that they meet the organization's clinical and ethical standards. Database Management: They maintain accurate records and databases of healthcare providers' credentials and documentation, making this information accessible to the organization's leadership and relevant departments. Communication: Credentialing Specialists liaise with healthcare providers, administrative staff, and regulatory authorities to ensure all requirements are met. Reappointment: They manage the recredentialing or reappointment process, ensuring that healthcare providers remain in compliance with all requirements for continued practice. Quality Improvement: They participate in quality improvement initiatives related to the credentialing process, making recommendations for process enhancements. Compliance with Accreditation Standards: They ensure that the credentialing process aligns with the accreditation standards of relevant accrediting bodies. Freshers may apply (with US dialing experience)

Hiring: Healthcare Voice Process Executive Location: Mohali Experience: Minimum 2 years in Healthcare Voice Process Qualification: Any Graduate Salary: Up to 5 LPA Roles & Responsibilities: Handle inbound and outbound calls related to healthcare services. Verify patient information and assist with appointment scheduling. Provide clear and accurate information regarding medical procedures and insurance details. Desired Skills & Experience: Minimum 3 years of experience in a healthcare voice process. Strong communication skills in English. Ability to handle sensitive patient information with discretion. Familiarity with medical terminology and healthcare procedures. Why Join Us? Competitive salary up to 5 LPA. Opportunity to work with leading healthcare providers. Dynamic and supportive work environment. How to Apply: Interested candidates can send their updated resume to mansi.sharma@manpower.co.in

What this job involves: Analysing cash/amount received in the bank deposits and making the application against the tenant accounts Analyse and research tenant ledgers history against the over/short payments. Query handling working on all queries received and keeping a close tab on any pending queries that could be resolved and following up on the rest. Contact accountants and Property teams whenever necessary to determine the proper payment application. Research and analyse duplicate and erroneous payments. Escalate unresolved issues/concerns. Assist in training new employees as needed. Working on different process-related and ad-hoc reports Keeping all the process-related documents intact on a real-time basis Sounds like you To apply, you need to have the following: Employee Specifications Strong Finance background, Commerce graduate or Post Graduate is preferred. Minimum 0-2 years of experience in Order to Cash, specifically Cash Application role is preferable. Strong analytical skills with attention to detail and logical thinking and carry a positive attitude to develop solutions quickly Strong interpersonal skills Demonstrated consistency in values, principles, and work ethics Working knowledge of MS Office (MS Word, Excel, PowerPoint, Outlook) required Performance Objectives Works within established procedures with a moderate degree of supervision Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures, and makes sound decisions

Hiring for AR Caller / SR AR Caller Job Location : Bangalore Salary : 40k max Night and Day shift Exp: 1yr to 6yrs Denial Voice Exp Mandtory Immediate or 30days notice candidate can apply Feel Free to call or Whatsapp ur resume Anushya 8122771407

Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse. For more information, please look on to About | Guidehouse If this role excites you, please share your resume to mb@guidehouse.com Mode of Interview - Face to Face (Note : Screened & Shorlisted candidate will receive the call letter to attend the In Person Interview from Guidehouse TA Team ) Responsibilities Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket to make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity, and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Do you have this: Only 1- 2 Years of experience in AR Calling Denial Management (Mandatory) Expert in listening and resolving problems Expert to work in a team Proficient in delivering high quality result Ability to work accurately and parry detail attention Capable of grasping new concepts quickly Good communication skills (written and verbal) Willing to work in flexible shift including night. Excellent communication Qualification Graduation and above ( mandatory , no backlogs )

Responsibilities : Assign ICD-10-CM, CPT, and HCPCS codes to medical procedures and diagnoses. Review documentation for accuracy and completeness. Collaborate with the billing team to resolve coding issues and denials. Participate in internal audits and QA checks. Stay updated with coding regulations and compliance guidelines (HIPAA, etc.). Must-Have Qualifications : CPC or CCS Certification (Mandatory) 24 years in E/M and Denial Management Coding Good communication skills (written & verbal) Attention to detail and strong analytical skills Preferred : Experience with Sleep Study coding Coding Audit exposure Willing to Work in night Shift WFH

Hiring for AR Caller || night shifts || UP T0 40k Take home || HYD || MUMBAI Experience : Min 1 year of experience into AR Calling Package : Up to 40K Take home Locations : Hyderabad & Mumbai Qualification : Inter & Above Notice Period : Preferred Immediate Joiners Cab : 1 Way cab facility Interview Mode : Virtual Interested candidates can share your updated resume to HR LAVANYA - 9063062913 Email : lavanya05.axisservices@gmail.com (share resume via WhatsApp or Email ) Refer your friend's / Colleagues

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. Primary Responsibilities: Drive Six Sigma quality culture in the organization Identify issues and challenges, lead/facilitate improvement projects, measure and validate project results, and facilitate successful implementation of all facets of process improvements or changes identified Execute a data-driven, statistical approach to problem solving, including gathering, analyzing and reporting data Define appropriate metrics to gage processes performance through structured reporting governance model Presenting project analysis and findings to senior leadership to obtain the approval, funding and other requirements to resolve the issue. Manage Bright Idea program Process trainings deployment which includes training need identification, preparation of training decks and training delivery. Collaborate well with US quality & operations teams Provide support for 200-400 FTEs and/or 5-10 mid to highly complex businesses Project Management Design Thinking Uses various tools and methods to align and prioritize resources on projects; is articulate about effectively using resources at the right time Uses multiple ways to frame information for difference audiences to facilitate understanding and acceptance Finds multiple links between addressing and working through challenges and the goals of the work unit and the enterprise Can generate solutions to problems on own; contributes effectively to group problem solving; can make up things that work on the fly Seeks to use strengths and expertise to work with others Builds a deep understanding of key facts/data. Can answer questions when asked; can respond when challenged Easily builds relationships with important stakeholders Knows how to navigate the organization efficiently and effectively; can find resources to get things accomplished Willing to test new ideas; identify learning; and try again Identifies opportunities for improvement to processes, products, or services; recommends solutions to problems, or provides options 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 Eligibility To apply to an internal job, employees must meet the following criteria Minimum 12 months in the current role Not on Active CAP at the time of applying for the IJP Employees designated currently on G-26 & G-27 can apply for this position Employees must notify their Current Manager before applying for the IJP Last Common Review rating should be Meeting Expectations or Exceeding Expectations Required Qualifications: Six Sigma certification from a recognized certification body or previous organization is an advantage Lean Six Sigma 3+ years of projects completed and/or certified 3+ years of Moderate work experience in Six Sigma and Continuous improvement projects Experience in projects involving emerging technologies (automation, machine learning, AI, etc) Experience solving major project or customer issues Demonstrated experience in change management Proven excellent communication & presentation skills Proven exposure to a US Healthcare account in previous role or organization. Proven exposure to Revenue Cycle Management would be an advantage. Preferred Qualification: Project Management certification / Masters of Business Administrator At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NJP #SSCorp

Role and Responsibilities: Experience in AR follow up / Payor calling Thorough understanding of RCM processes Cash Posting and Accounts Receivables Deep understanding of Unidentified process Create and maintain daily operational scorecards to track and report KPIs Generate and distribute management reports in accurate and timely manner Able to interact with the client effectively Willing to work in night shift / US timings Qualification: 3+ years of industry experience 2+ year Experience in relevant Cash Point function is a must Proficient in MS Excel Solid verbal and written communication skills are required Benefits and Amenities: 5 days working 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. R1 is a great workplace for women, and we strongly believe in being an equal opportunity organization. We provide maternity and paternity leaves as per the law and provide day-care facility for female employees. *Immediate Joiners preferred.

Greetings from Global Healthcare Billing Partners...! Exp Required: 1 - 5 Years of exp in AR Analyst/AR Calling Job Location: Velachery & Vepery - Chennai. Shift: Day/Night Job description: Should have 1 - 5 years Experience in AR Analyst/AR Calling. Good Knowledge of RCM and Denial management. Worked in Hospital Billing Analyze medical claims and resolve issues. Willingness to work in Any Shift. (Day / Night) Mode of interview: Virtual - MS Teams Interested candidates can contact or share your updated resume to this WhatsApp Number 8925808592. Regards, Harini S HR Department

Roles and Responsibilities : Manage AR calls to resolve outstanding accounts receivable issues with patients, insurance companies, and other stakeholders. Handle denials by investigating root causes, appealing denied claims, and reducing write-offs. Collaborate with internal teams such as medical billing, revenue cycle management (RCM), and patient access to ensure seamless communication and resolution of AR issues. Analyze data to identify trends and areas for improvement in the revenue cycle process. Job Requirements : 1-4 years of experience in AR calling or similar role in US healthcare industry. Strong knowledge of medical billing, RCM, denial management, and denial handling processes. Excellent communication skills for effective interaction with patients, insurance companies, and internal stakeholders.

Designation :AR Caller/SR AR Caller Location:Chennai & Bangalore Experience :1 to 4 Notice period :Immediate joiner Work mode : Work from office Interview mode:Online(virtual) Salary :Based on experience max(40k) Contact: 9043426511-Suvetha

Mega Walk-In Drive for Experienced AR Callers on 2nd Aug'2025 @EqualizeRCM ,Coimbatore Preferred candidate profile Exp : 1-4 Years in AR Calling Must have Good Communication Skills Strong Knowledge in Denial Management Professional Billing or Physician Billing experience is preferred Roles and Responsibilities Manage A/R, Denials and Rejections accounts by ensuring effective and timely follow-up. Understand the client SOP/requirements and specifications of the project. Perform pre-call analysis and check status of the insurance claim by calling the payer or utilizing insurance web portal services for the outstanding balances on patient accounts and take appropriate actions towards claim resolution. Post adequate documentation on the client software. Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact. Ensure to meet the productivity goals along with the quality standards. **Cab is provided only for female "pick and drop". **Fixed week offs (Saturday and Sunday) Thanks & Regards, Nithin R HR Trainee Talent Acquisition Mobile : +91-7395861852 Email: nithin.r@equalizercm.com

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience 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 & responsibilitiesObtains 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 with Surgery/Orthopedic Experience Good understanding of the medical terminology and progress notes How to Apply:Contact Person: Venkatesh R (HR)Phone Number: 8762650131 (Call or WhatsApp)Email: Venkatesh.ramesh@omegahms.comLinked in : https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ This opportunity is a work-from-office (WFO) position based in Bangalore.RegardsVenkatesh Rhttps://www.linkedin.com/in/venkatesh-reddy-01a5bb112/HR TEAM

Role & responsibilities Manage A/R, Denials and Rejections accounts by ensuring effective and timely follow-up. Understand the client SOP/requirements and specifications of the project. Perform pre-call analysis and check status of the insurance claim by calling the payer or utilizing insurance web portal services for the outstanding balances on patient accounts and take appropriate actions towards claim resolution. Post adequate documentation on the client software. Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact. Preferred candidate profile Exp: 1-4 in AR Calling Must have Good Communication Skills Strong Knowledge in Denial Management Professional Billing or Physician Billing experience is preferred Perks and benefits Cab , Pick and drop is provided Attractive Incentive plans Interested candidates please come for a direct walk-in on 2nd Aug'2025 directly to the below mentioned address,

EXP : 1 TO 6 YEARS IN AR CALLING ( DENIALS) - PHYSICIAN OR HOSPITAL BILLING LOCATION : CHENNAI AND BNAGALORE NEED IMMEDIATE JOINER , NO NEED RELIEVING LETTER SHARE CV TO 6374451871 / 9385437168

This is a full-time on-site role for an International Voice Process Team Member based in Jaipur. The role involves handling customer inquiries via phone, providing exceptional customer service, resolving billing issues, and ensuring a high level of customer satisfaction. Daily tasks include answering calls, data entry, and using healthcare-specific software systems to assist customers. The team member will work collaboratively with colleagues to ensure effective and efficient resolution of queries. Qualifications Must have 3.5+ years of experience in RCM industry Excellent verbal communication and customer service skills Experience in handling international voice processes and phone inquiries Proficient in data entry and basic computer applications Familiarity with healthcare-specific software systems is beneficial Ability to work in a team and handle customer concerns effectively College education or relevant field experience preferred Strong problem-solving skills and attention to detail Availability to work onsite in Jaipur Share your CVs at +91 89258 19416 or tanu.natani@agshealth.com

Location Hyderabad & 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 Note: Only Immediate Joiners are required, and freshers please ignore it. How to Apply Ready to take your career to the next level? Apply now! Email your resume to: Keziya.Prasadbabu@omegahms.com Call: +91 8712312855 Chat on WhatsApp: 8712312855 Regards: Keziya.A