1807 Rcm Jobs - Page 33

R1 RCM India is proud to be a Great Place To Work Certified organization. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. We are looking for Analyst / Senior Analyst (Medical Transcriptionist Direct Upload) Technical Skills Proficient on escription, eS O ne/ Em dat & Fluency for Transcription (FFT) Platform. Eligibility criteria Any Undergraduate, Graduate or Post-graduate Should be trained, preferably certified and a relevant work experience with minimum 2 years as a Medical Transcriptionist/ Editor . Must be able to coordinate with managers and team. Members to ensure adequate client/customer support coverage. Must have excellent time management skills. Must be able to maintain multiple site information and must be able to multitask. Must be ready to work in a 24/7 environment with majority of time working in evening/night shifts. Must be ready to work with week off(s) other than weekends . Work experience as a medical transcriptionist/editor on a variety of medical specialties and work types. Experience and knowledge of other transcription platforms would be an added advantage. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit Visit us on

Hiring: AR Caller / Senior AR Caller Locations: Hyderabad & Bangalore Experience: 1-5 Years Notice Period: Immediate Joiners Preferred We are hiring experienced AR Callers / Senior AR Callers with strong knowledge in Physician Billing . Experience in Hospital Billing is an added advantage. 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: 1 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: HR Phani 9494994261 Mega Walk-In Drive Bangalore | 28th June 2025 (Friday) Time: 1:00 PM to 5:00 PM Company: ACN Healthcare RCM Services Pvt Ltd. Venue: No. 14, Indiqube Grandeur, Walton Road, Shantala Nagar, Ashok Nagar, Bangalore 560001 Important Instructions: If youre planning to attend the walk-in, please WhatsApp your CV to 9494994261 (HR Phani) Mention HR Phani Reference on your CV before attending the interview Walk in confidently on 28th June 2025 (Friday)

Hiring: AR Caller / Senior AR Caller Locations: Hyderabad Experience: 1-5 Years Notice Period: Immediate Joiners Preferred We are hiring experienced AR Callers / Senior AR Callers with strong knowledge in Physician Billing . Experience in Hospital Billing is an added advantage. 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: 1 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: HR Phani 9494994261 Mega Walk-In Drive Hyderabad | 28th June 2025 (Friday) Time: 1:00 PM to 5:00 PM Company: ACN Healthcare RCM Services Pvt Ltd. Venue: ACN Healthcare RCM Services Pvt Ltd. Ground Floor, Sanali Spazio, Next to Inorbit Mall, Software Units Layout, Madhapur, Hyderabad, Telangana 500081, INDIA Walk in confidently on 28th June 2025 (Saturday)

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

Mandatory leadership experience is required & responsible for managing a team of 50+ associates under at least 2-3 team leads. Responsible for timely and accurate posting of all payments. Experience in Payment posting, Denials Postings and Insurance rejections & Claims. Responsible to handle team and maintain teams production & quality, client coordination Should Possess extensive knowledge in Reviewing Explanation of Benefits (EOB) and Electronic remittance advice (ERA) documents, matches with electronic funds transfers (EFTs) and post payment to appropriate accounts. This Role involves extensive knowledge in Payment and Denial Posting, ERA posting, Correspondence posting, Insurance Portals, Bank Reconciliations, Marchant portals, Refund process, Statement and Collection process, EOM Reporting. Excellent skill sets required in Microsoft products, especially excel spreadsheet for reports and analyze data using tools like VLOOKUP. Pivot table etc. The right candidate should be able to handle the work pressure during End of Month and will take the challenge to meet the day-to-day deliverables. Ensuring the Daily/Weekly and Monthly reports are to be shared with the stakeholders in a timely manner and within the given time. Good communication and interpersonal skills especially with the team members and clients. Preferred Only Immediate Joiner Salary will not be a constraint to a right candidate & at par with the Industry standard.

Educational Bachelor of Engineering,BCA,BTech,MTech,MBA,MCA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion 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 would be a key contributor to building efficient programs/ systems and if you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you!If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Technical and Professional : Domain experiencePayer core – claims/Membership/provider mgmt. Domain experienceProvider clinical/RCM, Pharmacy benefit management Healthcare Business Analysts - with Agile/Safe-Agile Business analysis experience Medicaid, Medicaid experienced Business Analysts FHIR, HL7 data analyst and interoperability consulting Healthcare digital transformation consultants with skills/experience of cloud data solutions design, Data analysis/analytics, RPA solution design KeywordsClaims, Provider, utilization management experience, Pricing,Agile, BA Preferred Skills: Domain-Healthcare-Healthcare - ALL Technology-Analytics - Functional-Business Analyst

Educational Bachelor of Engineering,BTech,BCA,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities As a ‘Senior Product Manager’ you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the Infosys platform that enables payers and providers to deliver better care. Additional Responsibilities: Experience in market leading healthcare products (key emphasis). Proven track record of at least 8 years in software product management roles. Capability/Feature planning and design, manage the specifications of their development, and monitor their on-going operation to better understand customer experiences. Clearly communicating progress towards delivery, technical challenges that may occur. Act as a thought leader and subject matter expert in the assigned product area, develop essential product documentation including business case, business requirements and use cases. Own product backlog and collaborate closely with the platform engineering team. Create Journey Maps that re-imagine/re-define the healthcare problematic process areas. Understanding of trends affecting customer adoption. Experience of working with enterprise customers, both technical and business, and at all levels. Influence leaders in diverse functional areas Strong business acumen including experience in estimation and pricing, market research. Demonstrated ability to navigate ambiguity and adapt quickly to modern technology and processes. Strong analytical ability with exposure to data science and automation Teaming/Collaboration - Demonstrates exceptional leadership and team management skills, with a collaborative and empowering approach to achieve results through influence. Excellent communication, presentation, and interpersonal skills to develop lasting relationships with senior business or technical leaders with the highest levels of business acumen and technical expertise. Technical and Professional : Payer/ Provider/ PBM organizations Product Management/Product Engineering /Healthcare Operations Experience working with industry leading Enrollment, Claims, Billing or EHR systems. Managing product lifecycle in whole – from ideation, exploration, approval, development, implementation, measurement, and ongoing development. Expertise in US Government Program Line of Business - Medicare, Medicaid, Duals, Marketplace Plan Sponsor & Product, Enrollment & Billing, Provider Data Management, Provider Network Management, Claims, Encounters, Medicare, and Marketplace Risk Adjustment. Developing results-oriented strategies to solve complex and open-ended business problems. Market Analysis and Product fitment Communicating and facilitating architecture design discussions/decisions and impacts to key stakeholders. Customer success on managing customer engagements and requirements. Leading business pursuits and product demonstrations. Agile Product Development Methodology Preferred Skills: Domain-Healthcare-Healthcare - ALL

Educational Bachelor of Engineering Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to get to the heart of customer issues, diagnose problem areas, design innovative solutions and facilitate deployment resulting in client delight. You will develop a proposal by owning parts of the proposal document and by giving inputs in solution design based on areas of expertise. You will plan the activities of configuration, configure the product as per the design, conduct conference room pilots and will assist in resolving any queries related to requirements and solution design You will conduct solution/product demonstrations, POC/Proof of Technology workshops and prepare effort estimates which suit the customer budgetary requirements and are in line with organization’s financial guidelines Actively lead small projects and contribute to unit-level and organizational initiatives with an objective of providing high quality value adding solutions to customers. If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Additional Responsibilities: Hands on experience in RCM Data Models customization, Onboarding/ Offboarding and Cross boarding Recruiting processes leveraging the SF RCM capabilities Experience in integrating RCM - ONB - EC - Offboarding Experience in integrating background elements to Employee Central Ability to build strong working relationships across all levels and functional teams within the organization and with 3rd party implementation partners. Strong verbal, written communication and organizational skills. Responsible for maintaining configuration workbooks. Must have experience in creating reports.Location of posting - Infosys Ltd. is committed to ensuring you have the best experience throughout your journey with us. We currently have open positions in a number of locations across India - Bangalore, Pune, Hyderabad, Chennai, Chandigarh, Trivandrum, Indore, Nagpur, Mangalore, Noida, Bhubaneswar, Kolkata, Coimbatore, Mumbai, Jaipur, Vizag, Mysore, Kolkata, Hubli.While we work in accordance with business requirements, we shall strive to offer you the location of your choice, where possible. Technical and Professional : Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education. At least 12+ years of experience with Information Technology At least 6 years of exp in SF with minimum 3 E2E implementations in RCM/RMK/ONB2.0 Certified in SuccessFactors RCM/RMK, Onboarding (ONB)2.0/EC Should have in depth knowledge of Role-Based Permissions Experience translating client business rules to technical business requirements Offboarding 2.0 Process, Onboarding 2.0 Process Essential Features and Provisioning Settings to Enable Onboarding 2.0 Rehire Process with Onboarding 2.0 Document Template Management and e-Signatures Recruiting Management Integration with Onboarding 2.0 Internal Hire Process with Onboarding 2.0 Preferred Skills: Technology-SAP Functional-SAP Success Factors

Urgent opening for AR Caller/SR AR Caller Job Loc: Mumbai Exp: 1 yr to 4yrs Salary: 40k Max Skills: PB/HB Billing, Denial Management exp is must Contact: 8056407942 kausalyahr23@gmail.com REGARDS; Kausalya

SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions. ** Hand on experience in ECW software preferrable**

Hiring for US Healthcare - Blended Process Graduate Freshers can apply. NO BE/B.Tech Good Comms Skills Required Salary 16k inhand Fixed Night Shifts Sat/Sun Fixed Off Meals Medical Allowance Both side cabs Gurgaon Call/WhatsApp Muskaan 9218076434 Required Candidate profile Candidate must have good communication skills. Must be comfortable with complete night shifts. Should have all the documents of education Must be and immediate joiner Walk-in Interviews only Perks and benefits Incentive Cabs Meals Medical Allowance Sat/Sun off

We're Hiring: Business Development Executive, US Healthcare (Medical Billing & Credentialing) Location: Manekbaug, Ahmedabad 380015 (Relocating soon to Prahladnagar) Shift: US Shift (Night Shift) Work from Office Apply at: hr@collabglobus.com Company: Collab Softech Pvt Ltd. (www.collabsoftech.com.au) Experience Required: 13 Years At Collab Softech , we are expanding our presence in the US Healthcare outsourcing industry and are looking for a dynamic Business Development Executive to help us scale. If you have experience in Medical Billing, Credentialing, or RCM , and are driven by targets and client success, this opportunity is for you. Key Responsibilities: Identify and engage potential clients in the US healthcare sector (clinics, hospitals, billing companies, solo providers). Pitch a comprehensive suite of services, including Medical Billing, Provider and Facility Credentialing, as well as Revenue Cycle Management (RCM). Develop strategies for lead generation and outreach via email, LinkedIn, and other platforms. Maintain strong client relationships and act as a bridge between clients and delivery teams. Track and manage the sales pipeline using CRM tools; report progress and forecast to management. Research market trends, competition, and new business opportunities in the US healthcare space. Prepare business proposals, service decks, pricing models, and contracts. Must Have: Prior experience working with US-based clinics, medical billing firms, or provider credentialing services . Excellent communication & negotiation skills (US client handling experience preferred). Strong understanding of US healthcare processes and terminology (HIPAA, CMS, etc.). Willingness to work on the night shift (US time zone) . Were hiring! If you have the drive for business development and a background in US healthcare, this is your opportunity to shine.

Job Summary We are seeking a highly skilled Test Lead with 8 to 12 years of experience to join our team. The ideal candidate will have expertise in PLM Functional Knowledge and Windchill with a preference for experience in the Provider domain. This is a work-from-home position with day shifts and no travel required. The Test Lead will play a crucial role in ensuring the quality and reliability of our products contributing to the companys success and societal impact. Responsibilities Lead the testing efforts for PLM systems ensuring all functionalities meet the required standards. Oversee the development and execution of test plans and test cases for Windchill applications. Provide guidance and support to the testing team fostering a collaborative and efficient work environment. Collaborate with cross-functional teams to identify and resolve defects ensuring seamless integration of PLM solutions. Analyze test results and provide detailed reports to stakeholders highlighting areas for improvement. Ensure compliance with industry standards and best practices in all testing activities. Develop and maintain automated testing scripts to enhance testing efficiency and coverage. Monitor and evaluate the performance of testing processes implementing improvements as needed. Coordinate with development teams to ensure timely resolution of issues and defects. Contribute to the continuous improvement of testing methodologies and processes. Ensure that all testing activities align with the companys goals and objectives driving quality and innovation. Engage in knowledge sharing and training sessions to enhance team capabilities and expertise. Support the implementation of new testing tools and technologies to improve testing outcomes. Qualifications Possess strong PLM Functional Knowledge and expertise in Windchill applications. Demonstrate experience in the Provider domain is a plus. Exhibit excellent analytical and problem-solving skills. Show proficiency in developing and executing test plans and cases. Have experience with automated testing tools and methodologies. Display strong communication and collaboration skills. Maintain a proactive and detail-oriented approach to testing activities. Certifications Required ISTQB Certified Tester Windchill Certification

Job description Greetings from Lincoln reimbursement Service PVT Limited!! Role : Senior Credentialing specialist Location : Chennai (WFH) Experience : 4 Years to 7 Years Benefits: Salary Credit on 25th Every month PF & 20 Lakh ICICI Health And Personal Insurance Permanent work from home Reports To: Credentialing Manager Job Summary: The Credentialing Specialist is responsible for managing the end-to-end credentialing and recredentialing process for healthcare providers with various insurance payers, including HMOs, IPAs, Medicare, Medicaid, and commercial insurers . This role ensures compliance with federal, state, and payer-specific regulations while maintaining accurate provider records to facilitate seamless billing and reimbursement. Key Responsibilities: 1. Provider Credentialing & Enrollment Process and submit credentialing applications to Medicare (PECOS), Medicaid, HMOs, IPAs, and commercial payers . Ensure timely enrollment in CAQH, NPPES, and payer-specific portals . Track application statuses and follow up with payers to resolve delays. 2. Provider File & Database Management Maintain individual provider files with up-to-date documentation (licenses, DEA, board certifications, malpractice insurance, etc.). Keep an organized tracking log for all contracted Managed Care Organizations (MCOs), Medicare, Medicaid, and CAQH updates . Ensure all provider portal logins (PECOS, NPPES, CAQH, payer systems) remain active and accessible. 3. Compliance & Revalidation Monitor and renew state licenses, DEA registrations, board certifications, and malpractice insurance before expiration. Ensure CAQH profiles are attested and updated per CMS and payer schedules. Stay updated on Medicare/Medicaid and MCO credentialing regulations . 4. Provider & Payer Communication Work directly with providers to collect and verify required credentialing documents. Serve as a liaison between providers, billing teams, and insurance payers to resolve credentialing issues. Notify management of any credentialing delays that may impact billing. Qualifications & Skills: 4+ years of credentialing experience in US medical billing , preferably with HMOs, IPAs, Medicare, and Medicaid . Strong knowledge of CAQH, PECOS, NPPES, and payer enrollment portals . Familiarity with provider enrollment forms (CMS-855I, CMS-855O, etc.) . Detail-oriented with strong organizational and tracking skills . Ability to manage multiple deadlines and prioritize workload. Interested candidates, please share your profiles to Email ID recruiting@lincolnrs.com with the following Application Question(s): How many years of experience do you have in Credentialing? Do you have WFH setup? What is your last take-home salary? What is your expected take-home salary? May I know your notice period?

HUGE OPENINGS FOR AR CALLER/CALLING WORK FROM OFFICE MODE OF INTERVIEW - VIRTUAL JOB LOCATION - BENGALURU, CHENNAI & NAVI MUMBAI EXPERIENCE - 1 TO 7 YRS. (EASY SELECTION, RELIEVING LETTER NOT MANDATORY) (NEED IMMEDIATE JOINERS) Interested Candidates, Please call/watsapp me @ 9962492242 or send your Updated resume to info@mmcsjobs.com Please share this information, also with your friends. Thank you very much for the support

Focus on the implementation, configuration, and support of SAP SuccessFactors Employee Central Payroll and SAP EC Payroll modules. Ensure smooth payroll operations, compliance, and accurate reporting.

AR Caller Excellent English communication is a must Location- Makarba, Ahmedabad Shift Timing: US Shift (Night Shift) Facilities - Cab Facility 5 days Work-Week Saturday, Sunday fixed off Freshers & Experienced both can apply

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Callers with minimum 6 months of experience into Medical Billing Domain from both Hospital Billing and Physician Billing. Job Title : AR Caller Experience: 0.6 Years to 4 Years Work Mode: WFO Location: Velachery/Vepery Notice Period: Immediate Joiners Shift: Night Key Responsibilities: Follow up on unpaid or denied claims with insurance companies. Resolve billing discrepancies and ensure accurate payment processing. Maintain up-to-date records of communications and account statuses. Verify insurance details and submit claims per payer guidelines. Address patient and provider inquiries in a professional manner Mode of interview: Virtual - MS Teams Interested candidates can share your updated Resume/CV to this WhatsApp Number 8925808592 Regards Harini S HR Department

Job Roles & Responsibilities : Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective clients. Develop the Operations strategy for the organisation, keeping in mind the business requirements. Manage onshore centers for Patient collections and Insurance billing Coordinate with the other department for smooth functioning of the process Should have experience in project transition. Should have handle entire functions of Healthcare RCM Process, AR & Denial Management (voice & Non voice) Exposure on Client Relationship Management. Should have experience in expanding operations and work on prospect clients, RFPs, SOPs and DOU’s etc. Analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing team. Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external) Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees. Staff development including training, coaching and competence assessment Motivate and lead high performance management team.

We are hiring for "ELIGIBILITY VERIFICATION ROLE" for an MNC for CHENNAI Location. Salary : Upto 7 LPA Shift : Any 5 Days working WORK FROM OFFICE Need Good English Comm. skills Must have good knowledge of RCM. Only Immediate Joiners needed Required Candidate profile Must have 3 to 5 Yrs of exp. in same profile. Verifying patient insurance coverage, ensuring accurate eligibility & benefits information, & supporting seamless claims processing. Call : 9335-906-101

Job Title: Quality Auditor Medical Coding (HCC) Location: Office-Based Experience Required: 3–6 Years Employment Type: Full-Time Roles & Responsibilities Review and audit coded medical charts to ensure accuracy, completeness, and compliance with ICD-10 and CPT guidelines. Conduct quality audits specifically for HCC-coded charts , ensuring adherence to CMS risk adjustment coding requirements. Identify documentation gaps, coding errors, and trends across multi-specialty charts (e.g., E/M, ED) Work closely with the coding team to provide constructive feedback and training based on audit findings. Maintain audit records and prepare quality reports reflecting coder performance and compliance issues. Support the development of corrective and preventive action plans (CAPA) to address audit findings. Assist in maintaining client-specific coding accuracy benchmarks, typically 96% or higher , and support continuous improvement efforts. Stay updated with ICD-10, CPT, CMS, and payer-specific guidelines , and ensure coders are updated on changes. Requirements Only those candidates may apply who: Have 3 to 6 years of experience in medical coding and/or chart auditing. Have hands-on experience in HCC coding ; experience with multi-specialty coding is also acceptable. Possess strong expertise in ICD-10-CM guidelines and application across various specialties. Certified in CPC, CRC, COC, or CCS or equivalent AAPC/AHIMA certification. Have experience in reviewing coded charts for quality and providing performance feedback. Are proficient in Microsoft Office tools (especially Excel and Word). Maintain a high level of professional integrity, attention to detail, and a commitment to quality standards.

Job Title: Accounts Receivable (AR) Caller Medical Billing Job Type: Full-Time Job Summary: We are looking for an Accounts Receivable (AR)/EV Caller to join our dynamic medical billing team. The ideal candidate will be responsible for handling the follow-up on unpaid claims, resolving billing discrepancies, and working directly with insurance companies to ensure timely payment. This role requires strong communication skills, attention to detail, and knowledge of medical billing practices. Key Responsibilities: Follow up on outstanding insurance claims and unpaid accounts. Communicate with insurance companies to resolve claims issues, including denials and underpayments. Ensure accurate and timely payment posting into the system. Work with the billing team to correct any claim discrepancies or coding errors. Review EOBs (Explanation of Benefits) and identify any errors or discrepancies. Maintain detailed records of all communication and updates with insurance companies and clients. Escalate unresolved issues to higher management as needed. Keep up to date with changes in insurance policies and reimbursement regulations. Qualifications & Requirements: Experience: Minimum 1-3 years in accounts receivable, medical billing, or related field. Knowledge: Understanding of medical billing, AR processes, and insurance terminology (Medicare, Medicaid, PPO, HMO, etc.). Skills: Strong verbal and written communication skills. Attention to detail and problem-solving abilities. Familiarity with medical billing software (e.g., Kareo, Athenahealth, eClinicalWorks). Ability to multitask and prioritize effectively. Shift: Night shift (for US-based clients) Transportation: No cab facility provided candidates must arrange their own commute. Benefits: Competitive salary & incentives Career growth opportunities Training & development programs Interested Candidates please contact Saranya devi HR- 7200153996

Job Roles & Responsibilities: Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective clients Develop the Operations strategy for the organisation, keeping in mind the business requirements. Manage onshore centers for Patient collections and Insurance billing. Coordinate with the other department for smooth functioning of the process. Should have experience in project transition. Should have handle entire functions of Healthcare RCM Process, AR & Denial Management (voice & Non voice) Exposure on Client Relationship Management. Should have experience in expanding operations and work on prospect clients, RFPs, SOPs and DOUs etc. Analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing team. Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external) Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees. Staff development including training, coaching and competence assessment. Motivate and lead high performance management team.

Job description Job Title: Team Lead Medical Coding (HCC) Location: Noida Employment Type: Full-time Role Overview: We are seeking an experienced Team Lead Medical Coding (HCC) to join our team. The ideal candidate will have 7-12 years of expertise in Hierarchical Condition Categories (HCC) and ICD-10/CPT guidelines. Key Responsibilities: Lead and mentor a team of medical coders, ensuring accuracy and compliance with coding guidelines. Ensure adherence to ICD-10-CM, CPT, and CMS guidelines. Are interested in being part of a team dedicated to delivering quality work. Collaborate with internal teams to enhance coding accuracy and efficiency. Stay updated with regulatory changes and industry best practices. Maintain a high degree of professional and ethical standards. Focusing on continuous improvement by working on projects that enables customers to arrest revenue leakage while being in compliance with the standards. Requirements: Proven experience in a Team Lead role is required. 7+ years of medical coding experience, with expertise in HCC risk adjustment coding. Certified in CPC, CRC, or equivalent AAPC/AHIMA certification. Strong knowledge of ICD-10, CPT, and CMS-HCC guidelines. Experience in team management, quality audits, and process improvement. Excellent analytical and communication skills. If you are a detail-oriented professional with leadership skills and a strong background in HCC medical coding, apply now!

Oversee billing workflows, billing accuracy, compliance with payer and regulatory guidelines. SME in Practice Mgt (PM), Billing, PM software, payer portals, clearinghouses. POC & supports project mgt for billing onboarding for new practices in RCM