3229 Rcm Jobs - Page 42

Job Title: Prior Authorization (voice process) Company: Vee Healthtek Pvt Ltd Locations: Chennai Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Card & Two-way Cab Key Responsibilities: • Review and process prior authorization requests for medical treatments and services. • Communicate with insurance companies to ensure timely approvals. • Work closely with healthcare professionals to gather necessary documentation. • Maintain accurate records and follow up on pending authorizations. • Ensure compliance with healthcare regulations and company policies. Who Can Apply? • AR Caller Prior Authorization: 1 year of experience in healthcare AR call...

Careers That Change Lives As the Manager of Revenue cycle, is responsible for the operational management of the multiple processes within Patient Financial Services, Diabetes. This position will support the Director at conducting end-to-end business analysis and review of production, revenue, and cash to enhance strategies and deliver revenue targets. Diabetes Operating Unit: The Diabetes Operating Unitfocuses on improving the lives of those within the global diabetes community.As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Were committed to meeting people with di...

Greetings from Vee HealthTek...! We are hiring for Charge Entry, Demo Entry & Payment Posting @ Salem Experience: 1 Yrs. to 4 Yrs. (Relevant Medical Billing experience) Process - US Healthcare (Non-Voice) Location - Salem Designation : Processor / Senior Processor Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Sakthivel R Contact Number - 8667411241 (What's App) Mail Id - sakthivel.r@veehealthtek.com

Job Title: Credentialing Specialist Company: Vee Healthtek Pvt Ltd Location: Hyderabad Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Card & Two-way Cab Mandatory Requirements: Minimum 12 years of provider credentialing experience. Proven experience making high-volume or detailed outbound calls related to credentialing or provider data verification. Strong knowledge of CAQH, PECOS, NPPES, and payer portals. Excellent written and verbal communication skills. Proficiency with credentialing software and MS Office Suite. If your interested in joining our team, please reach out to Vinith R at 9566699374 or email your resume to vinith.ra@veehealt...

Role & responsibilities Design and deliver comprehensive training modules on US healthcare RCM processes, including Billing, Posting, Insurance verification, AR follow up, Rejections and Denials. Conduct training needs assessments to identify skill gaps and tailor content accordingly. Prepare training materials such as presentations, job aids, cheat sheets, and reference guides. Facilitate engaging sessions using demonstrations, group exercises, role-playing, and case studies. Customize training approaches for freshers and experienced professionals. Encourage active participation through Q&A, feedback loops, and discussions. Administer assessments to evaluate trainee understanding and set be...

Job Title: AR Caller & Senior AR Caller Company: Vee Healthtek Pvt Ltd Location: Trichy Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Card & Two-way Cab Key Responsibilities: • Contact insurance companies to follow up on pending claims and secure timely payments. • Investigate claim denials and work towards quick resolutions. • Understand insurance policies, coverage limitations, and reimbursement processes. • Maintain and update records of follow-up activities and payment statuses. • Collaborate with internal teams to escalate unresolved claims. • Ensure compliance with industry regulations and company policies. Who Can Apply? • AR Caller...

Role & responsibilities SAP SuccessFactors RCM Candidate should have SAP SuccessFactors Recruitment Module (RCM) experience. Should have configuration and support experience in RCM Preferred candidate profile

Hiring for SuccessFactors Consultants. All Modules- Employee Central PMGM ONB & RCM Compensation LMS

Role & responsibilities SAP SuccessFactors RCM Candidate should have SAP SuccessFactors Recruitment Module (RCM) experience. Should have configuration and support experience in RCM Preferred candidate profile

Position: Medical Coder Job Summary: Experienced Medical Coder responsible for accurate assignment of ICD-10-CM, CPT, and HCPCS codes across inpatient, outpatient, physician, home-health and hospice settings. The role requires deep familiarity with Medicare/Medicaid rules, payer policy nuances, and specialty coding (including PDGM/OASIS interplay for home health and hospice billing rules). Coders will partner closely with QA, clinical SMEs, and RCM operations to meet TAT and accuracy SLAs. Core Responsibilities: Review clinical documentation (EHR notes, discharge summaries, OASIS, visit notes) and assign accurate ICD-10, CPT, and HCPCS codes. Ensure coding supports correct bill type (UB-04/8...

Candidates should have experience in Denial Management(EHM) Minimum 1 Year of experience Looking for Immediate joiners preferred (WFO) Two way cab Salary - Best in industry Mode of interview - Direct Location - Hyderabad Regards, Muthu Hr 9361304375

Comapny - Pacific Access Healthcar Location - Noida Position - Executive / Sr Executive Contact - 9891404338 / 7303413866 (Whatsapp & call ) Roles and Responsibilities Obtain prior authorizations from payers according to established guidelines. Follow up on outstanding prior authorizations until approvals are received. Ensure accurate coding of authorization requests and maintain records accordingly. Collaborate with healthcare providers to resolve billing discrepancies related to prior authorizations. Desired Candidate Profile 1-5 years of experience in Prior Authorization, US Healthcare, RCM (Revenue Cycle Management), or similar roles. Strong understanding of authorization processes and r...

About us: Pacific BPO, an Access Healthcare company, is a leading provider of cost and process optimization solutions to clients in the healthcare industry. We bring technology enabled, and analytics-driven transformation of revenue cycle processes of physician practices, hospitals, and revenue cycle intermediaries. Our strategic focus on the healthcare industry provides us with domain expertise and best practices that help our clients. URL - https://www.pacificbpo.com/ Job Location - Noida (WFO) Connect with 9891404338 / 9718558800 Share CV on whatsapp Job Overview: As the Assistant Vice President and AVP of Operations for Revenue Cycle Management (RCM), you will play a critical role in ove...

We’re Hiring – Customer Service Associate (Night Shift) Location: Mumbai (Airoli) | WFO US Healthcare – International Voice Process 20K in-hand + incentives + night allowance Call HR Khushi – 9389460353 |

We’re Hiring – Customer Service Associate (Night Shift) Location: Mumbai (Airoli) | WFO US Healthcare – International Voice Process 20K in-hand + incentives + night allowance Call HR Khushi – 9389460353 |

We’re Hiring – Customer Service Associate (Night Shift) Location: Mumbai (Airoli) | WFO US Healthcare – International Voice Process 20K in-hand + incentives + night allowance Call HR Khushi – 9389460353 |

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees like proper relieved or without Required doc. Required Candidate profile looking for AR caller/Sr AR Caller/SME. Experience in to Hospital Billing/Physician Billing. Who have experience in CMS1500 or UB04.Pick up and drop is there and Incentive based upon your performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

Role Overview: We are looking for a detail-oriented Payment Posting Associate to join our team. The role involves accurately posting payments, adjustments, and denials to patient accounts in line with payer remittances, ensuring reconciliation, and supporting overall revenue cycle efficiency. Key Responsibilities: Post insurance and patient payments, adjustments, and denials into the billing system accurately and timely. Review and reconcile deposits with ERA/EOBs and bank statements. Identify posting discrepancies and work with AR/denial teams for resolution. Maintain accuracy in patient accounts and ensure compliance with US healthcare billing standards. Generate and maintain daily/weekly ...

We are seeking an experienced Medical Coder with a strong background in Cardiology coding to join our growing team. The ideal candidate will possess deep knowledge of cardiovascular procedures and diagnostic codes, ensuring accurate and compliant coding to optimize reimbursement and maintain regulatory standards. Key Responsibilities: Accurately assign ICD-10-CM, CPT, and HCPCS Level II codes for cardiology-related procedures and diagnoses. Review and analyze medical documentation provided by physicians to ensure coding reflects the services rendered. Stay updated with changes in coding guidelines and payer-specific requirements related to cardiology. Collaborate with physicians and clinical...

Overview The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Responsibilities Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reaso...

Overview The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Responsibilities Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reaso...

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 ...

Responsible for accurate payment posting, reconciliation, denial support, reporting, and communication with insurers/patients. Ensure compliance, maintain confidentiality, and drive process improvements in payment posting workflows. Required Candidate profile Graduate preferred with 1-2 years in healthcare payment posting/RCM. Skilled in data entry, reconciliation, communication; familiar with billing, insurance, HIPAA, and coding.

WALKIN INTERVIEW Level-TL Min exp-6 Years in US healthcare AR calling, denial management, end to end RCM with 1.5yrs as a team lead on papers Location-Noida US Shifts work from office Notice-Immediate-30 days Share resume on-archi.g@manningconsulting.in Contact number-8302372009

Are you an experienced AR Caller with expertise in denial management? Join our team and advance your career in the US healthcare industry! Roles & Responsibilities: > Review work orders and follow up with insurance carriers for claim status. >Check the status of outstanding claims and receive payment details. >Analyze claim rejections and take necessary actions. > Ensure all deliverables meet quality standards. Who Can Apply? >Experience: 1 - 2Years >Candidates with excellent communication skills and strong knowledge of denial management. > Immediate joiners preferred. > Physician Billing (CMS 1500) >Willing to work night shifts (US shift). Perks & Benefits: >5-day working (Weekends Off) >Jo...