1807 Rcm Jobs - Page 44

Hi All, We infinx healthcare hiring Quality Analyst for our AR department, interested candidates can apply via jeeviya.s@infinx.com.Please find the JD below. JD: Minimum 4 yrs experience in denial management is must. 1yr experience in quality department is mandate Notice period accepted, immediate joining is an added advantage. Night Shift - work from office - Hyderabad. Regards, HR Team.

Hiring: AR Caller (US Healthcare RCM) Location: Pune & Mumbai (Work from Office) CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Graduate Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

Dear Candidates Greetings From Q ways Technologies We are hiring for AR Caller & Senior AR Callers - Epic & Athena Process: Medical Billing Designation: AR Caller , Senior AR Caller Salary: As per standards Location: Chennai & Coimbatore Free Pick up and Drop Interview Mode: Virtual & Direct Should have good domain knowledge Experience in end to end RCM would be preferred more Should be flexible towards jobs and the requirements Should be a good team player Must Have exp in Epic or Athena Software Interested candidate can ping me in Whatsapp or can call directly Pls watsapp to the below given numbers. Number: 7397746782- Maria (Ping me in Watsapp) Regards HR Team Qway Technologies RR Tower 3, 3rd Floor Guindy Industrial Estate Chennai

Dear Candidates, We are hiring for Credit Balance Executive, Process: US healthcare Exp: 1 to 4 Yrs Shift: EST Location: Guindy Free pickup and drop will be provided Required Skills * Voice Process in Credit Balance *Flexible for Shifts Interested pls share me your resume to below watsapp number Priyanga Hr : 7997746206 Regards HR Team Qway Technologies

Qualifications: Must have a strong background in US Healthcare Revenue Cycle Management (RCM) with expertise in auditing Demo & Charges, Payment Posting, Denial/AR Management, including process audits. Minimum 5 years of experience in a team management role. Roles and Responsibilities: Manage a team of 15-20 Quality Experts to ensure quality outcomes aligned with SLAs. Conduct audits, prepare reports, and perform detailed analysis to uphold quality standards. Collaborate with cross-functional teams (Operations, Training, etc.) to address process gaps and implement action plans. Drive client and internal calibrations to align quality metrics with expectations. Monitor and present process and business performance dashboards to internal and external stakeholders, including senior management. Perform end-to-end business diagnostics to identify risks, gaps, and areas for improvement. Plan resource allocation and execute the QA framework effectively. Facilitate ideation sessions to foster innovation and process enhancements. Coach and guide the team to achieve deliverables, including PKTs, audits, and regular team engagements. Key Skills: Expertise in auditing key RCM processes (Demo & Charges, Payment Posting, Denial/AR Management). Strong coaching, feedback, and mentoring capabilities. Analytical skills to identify process gaps and propose actionable improvements. Advanced report management and data interpretation abilities. Proficiency in numerical and statistical analysis. Note: Candidates without experience in the US Healthcare Medical Billing domain are requested not to apply for this position.

Provider Credentialing (US healthcare medical billing) 1. Collect all the data and documents required for filing credentialing applications from the physicians 2. Store the documents centrally on our secure document management systems 3. Understand the top payers to which the practice sends claim and initiate contact with the payers 4. Apply the payer-specific formats after a due audit 5. Timely follow-up with the Payer to track application status 6. Obtain the enrolment number from the Payer and communicate the state of the application to the physician 7. Periodic updates of the document library for credentialing purposes. Required Candidate profile Desired Candidate Profile: 1. Should have worked as a Credentialing Analyst for at least 3-year medical billing service providers 2. Good Knowledge in Provider credentialing (Doctor side). 3. Good knowledge in clearing house setup - Electronic Data Interchange setup (EDI) - Electronic Remittance Advice Setup (ERA) - Establish Insurance Portals (EFT) 4. Experience in Insurance calling. 5. Good knowledge in filling insurance enrollment applications. 6. Good experience in CAQH, PECOS application. 7. Experience in Medicare, Medicaid, Commercial insurance enrollment. 8. Positive attitude to solve problems 9. Knowledge of generating aging report 10. Strong communication skills with a neutral accent Note: Minimum of 8 to 12 years of Provider Credentialing experience must. Location: Coimbatore (Onsite job) Preference will be given to candidates who can start immediately or with short notice. Candidates who are freshers or have experience in other domains are kindly requested not to apply for this position.

Opening For SAP SuccessFactors PMGM / RCM / Compensation. Leads a functional development area for the SuccessFactors competency: SuccessFactors for Employee Central, Recruitment, Learning, Performance and Goals etc"

Roles and Responsibilities Client Onboarding & Enablement: Guide new clients through product setup, AI training, and initial use to ensure a smooth and successful implementation. Relationship Management & Engagement: Conduct regular check-ins and business reviews to assess progress, gather feedback, and foster long-term client relationships. Performance Monitoring & Reporting: Track customer health metrics and success KPIs; deliver regular insights and outcome reports to leadership and clients. Issue Resolution & Escalation: Identify and resolve client issues efficiently, coordinating with internal teams for escalation and timely resolution. Collaboration & Communication: Maintain strong cross-functional communication by sharing insights, performance metrics, and client feedback through regular reports and updates with internal stakeholders and clients. Role & responsibilities Preferred candidate profile

Job Description: Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always meets industry standards. Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials. Constantly keep track of both electronic and paper claims. Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company. Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices. Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties. Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials. Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient. Monitor aging reports to identify and prioritize accounts that require immediate attention. Take proactive measures to expedite payment collection on aging accounts. Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues. Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices. Qualifying Criteria: Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary: Remuneration will be at par with the best industry standards ; will not be a constraint for the right candidate. Perks & Benefits : Attractive Incentives Plan Travelling Allowance Mediclaim Monthly Rewards Interested Candidate can also share their resumes directly to the recruiters below: Shubham Patil - 9623058586 shubhamp@first-insight.com Address details: Registered Office Address- Pune: First Insight Software Solutions (I) Pvt. Ltd., 4th Floor, Gaikwad Avenue, AG Technology Park, Off ITI Road, Aundh, Pune, Maharashtra 411 007. Mumbai: Unit No. 302, 3rd Floor, New Technocity, Plot No. X-4/5A, TTC Industrial Area, Mahape MIDC, Navi Mumbai - 400 710 Nagpur: Unit No. 201, 2nd Floor, Wing - C, VIPL IT Park, Plot No. 28, MIDC IT Park, Gayatri Nagar Road, Parsodi, Nagpur - 440 022

Job Position- RCM Manager Experience- 9+ years Job Location- Pune Support a Team of Go-Getters Our professional billing experts help organizations ensure accurate billing and coding, and partner with them at every step of the revenue cycle. Dedicated account managers deliver a comprehensive approach for improving the financial health of any practice. Job Summary: Manages an RCM team who are responsible for all related medical billing activities for the purpose of maximizing accounts receivable collections for clients. In addition to performing similar work, the Manager will oversee and ensure group productivity and performance in accordance with financial goals to ensure the health of the client's Accounts Receivable. Supports RCM Management by efficiently and effectively providing oversight and review of the team, processes and workload. What you will contribute: • Strong customer service skills for client satisfaction, health of client AR and management of RCM team o answering client inquiries; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally o acts as primary point of contact for team members and provides guidance on work matters • Track clients AR productivity and health (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis as needed to ensure the client and company expectations are met • Analyze reports to determine when, how and why decrease in clients AR; includes denials, unbilled, credit issues, holds; determine corrective actions and communicate with client and staff to resolve. Follow up to ensure actions are taken that achieve the results needed and/or determine other resolution needed • Responsible for staff productivity for follow-up of all unpaid, denied, and underpaid and overpaid claims. This includes but is not limited to contacting insurance companies for claim status, reviewing all insurance claims and patient documentation, reviewing and ensuring appropriate coding, handling correspondence, and making appropriate decisions for follow-up action. Must be effective at handling several accounts simultaneously and ensuring maximum accounts receivable and expedient collection turnaround for clients. • Meets with Client representatives to review billing progress, status of accounts and review and resolve any issues presented by clients. • Ensures that staff and/or vendor, as applicable, enters all charges into the medical billing system accurately and correctly for reimbursement. This includes but is not limited to: ensuring correct CPT codes, modifiers, and ICD codes, authorizations for services, patient demographics, and health insurance data. • Responsible for staff who enter all patient, insurance, and third-party payments into the medical billing system. This includes a thorough knowledge and understanding of medical EOBs, patient deductibles and co pays, insurance or third-party correspondence, contractual payments and adjustments. • Interact with clients and their patients, engage in proactive resolution of issues and t imely response to questions and concerns. • Deliver timely required reports to the RCM Management; initiates and communicates the resolution of • Meet regularly with staff; in-person and as a group to confirm the status of client accounts and build/sustain staff engagement to drive business results and improvements • Remain current with companys policies and procedures regarding AR activity such as, reviewing month end reports to ensure the AR and cash collections are meeting agreed upon benchmarks, identifying trends, reviewing denial reports • Review work performed by outside vendors for accuracy and production. Determine changes/improvement needed and works promptly and appropriate with applicable individuals to bring about such changes/improvement • Achieve goals set forth by management and compliance requirements • Follows, enforces and models adherence to all policies, procedures and processes

Roles and Responsibilities Manage accounts receivable (AR) processes, including invoicing, billing, and collections. Assist with medical billing and revenue cycle management (RCM) activities. Utilize non-voice process skills to efficiently manage AR functions. Collaborate with internal teams to resolve customer queries related to AR. Perform denial management tasks such as investigating and resolving denied claims. Desired Candidate Profile 1-4 years of experience in AR Analyst role in Healthcare Industry Strong understanding of medical billing principles and practices. Proficiency in managing denials through investigation and resolution. We are Hiring for AR Analyst (Non-Voice) need immediate joiners in Chennai location ( Chennai-01) Intrested candidate Reach HR Vinodhini(7904391931) only whatsapp

We Are Hiring || AR Callers || Upto 4.6LPA || 2-WAY CAB || HYD Experience Required: Minimum 1+ years in AR Calling Package: Upto 4.6 LPA ( Hike depends upon last CTC and TakeHome ) + Incentives Qualification: Degree Mandatory Notice Period: 0 to 30 Days (Serving Notice) Location: Hyderabad Work from Office 2 Way Cab(within 30km radius) Shift Timings: Night Shifts Monday - Friday (WORKING DAYS) - Saturday - Sunday (WEEK OFF) Need Candidates with Good Communication Skills Interested candidates can Call Or Send Resume to HR LAVANYA - 9063062913 Can also Drop your Resume to Email Id : lavanya05.axisservices@gmail.com

Role - Actimize Support lead/Manager Looking for minimum 4 years of experience in Actimize support side. Proficiency tool AIS/RCM/Actone Looking for PAN India location

Roles and Responsibilities: For Payment Posting: Posting insurance and patient payments into the billing software accurately. For AR Calling: Calling insurance companies in the US to follow up on unpaid or underpaid claims. Over time allowance Gratuity

Hiring for AR Caller / AR calling (US healthcare) Rcm Company - Ascent Business solution experience - 1+ years salary - As per company norms location - Nagpur looking for a immediate joiner Contact number - 8956069774

we have a wonderful job opportunity for AR Callers to move to AR Analyst. Should have experience in denial Management/Physician Billing.AR Voice Process looking for AR Analyst. AR Voice to Non 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 AR Operations day shift. Preferably Immediate Joinees. Perks and benefits plus performance incentives

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Accounts Receivable Process Improvement Medical Billing MIS Outsourcing Vendor Management Transition Management Operations Management Revenue Cycle BPO Education Qualification No data available CERTIFICATION No data available Processing of Medical Data Entering charges and posting payments in the software Ensure that the deliverables to the client adhere to the quality standards. To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of Payment Posting or Demo & Charge or Correspondence or Charge Entry Understand the client requirements and specifications of the project Ensure targets are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Applying the instructions/updates received from the client when doing the production. Update their production count in SRP and Online score card. Prepare and Maintain reports

Skills Skill Medical Coding Healthcare CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 HIPAA Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Accounts Receivable Process Improvement MIS Medical Billing Vendor Management Accounting Financial Analysis Outsourcing CRM BPO Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs\ Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Business Development Vendor Management Project Management Business Strategy Solution Architecture Product Management Enterprise Software Outsourcing Cloud Computing CRM Education Qualification No data available CERTIFICATION No data available DEPARTMENT Pre-Sales & Solutions JOB TITLE GM/AD/D + (Any suitable profile & designation) REPORTING TO AVP - Solutions ROLE Solution Development Skill sets Required Essential Skills Strong domain expertise in one or multiple areas RCM processes – Front-end - Scheduling, Registration, EV/ BV etc.. Mid-Cycle - Medical Coding, HCC coding, Charge entry etc. and Backend - AR, Denial Management, Payment posting, Revenue integrity etc. Analytics – Analyze, Interpret and summarize data in providing insightful updates to leadership and for taking it to client for discussions, create staffing strategies. Suggest and validate Technology driven solutions based on In-house capabilities and Industry requirements. Creating transformative & compelling solutions which will drive savings to customers. Understanding of different pricing methodologies like transaction based, contingency based, FTE based. Experience in creating them will be an added advantage. Job description – As part of the Pre-Sales and Solutions team you will play a critical role in the overall growth strategy and will directly report to AVP Solutions. Responsible for acquiring new clients by selling services provided by Omega, building strong and sustainable relationships with the Management and decision-makers. Help Company meet customer acquisition and revenue growth targets by keeping our company competitive and innovative. Expected to have a thorough understanding of the business to be able to propose tailor-made products/services to the potential customers Work closely with the senior leadership to achieve organizational goals Ability to build and lead large deals single handedly and lead team members Excellent communication skills with ability to build rapport quickly over phone calls/meetings; strong negotiation skills are essential. Lead any due diligence and discovery workshops Drive complete end to end Solutions / Pricing Drive meetings, maintain minutes to ensure stakeholders are aware of the scope of the RFP and timely follow up on open items. Ensure timely completion of customer submission documents adhering to deadlines Work with Sales team/Client services and all internal support teams to respond RFP, RFIs and other pre-sales deliverables Ensure successful conversion of opportunities. Maintain a culture of high customer service both internal and external Continue to build domain capability in chosen sub-domain, including keeping updated on new technology, regulations, etc. PREREQUISITES TO HIRE Ability to lead discussions with U.S based clients and across internal team Good communication skills (verbal & written) Medium to advanced level skill in MS office tools like excel, power point, word, Visio, etc. Good Communication Skills – Both Verbal and Written. Eye for Details, Logical thinking. Good Analytical Skills and should be a quicker learner. Ability to work with limited supervision. Ability to multi-task and manage time efficiently under the pressure of deadlines. Flexibility to work in shifts. Sensitivity to the confidential nature of the data and proprietary company information EDUCATIONAL QUALIFICATION Graduate from any stream with minimum 12+ years of Exp in US Healthcare Industry (Payer or Provider or Both) Strong Analytical skills . PERFORMANCE STANDARDS MEASURABLE Meeting all SLAs defined NON MEASURABLE Self-motivation Ability to work un-supervised Team Player Reliability Professionalism Achievement orientation Relationship building ability Personal grooming and etiquette Initiatives

Skills Skill Accounts Receivable BPO Process Improvement MIS Medical Billing Vendor Management Accounting Financial Analysis Outsourcing CRM Education Qualification No data available CERTIFICATION No data available Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

Role & responsibilities Follow up with the Insurance company to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Insurance Collection Insurance Ageing. Will be involved in various AR reports preparation such as Aging reports, Collection reports etc. Analyzing Claims. Initiate telephone calls to insurance companies requesting status of claim in queue regarding past due invoices and establishment payment arrangements. Meet Quality and productivity standards. Processing the Health insurance claims. Contact insurance companies for further explanation of denials & underpayments. Take appropriate action on claims to guarantee resolution. Auditing the claims Ensure accurate & timely follow up where required. Review denials to determine necessary steps for Claim review Respond to client inquiries via phone and email regarding account or software issues. NOTE : It's available only for Noida/Ghaziabad/Mayur Vihar/New Ashok Nagar/Laxmi Nagar/Vinod Nagar/Ghazipur/Khora candidates. Perks and benefits

Role & responsibilities Follow up with the Insurance company to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Insurance Collection Insurance Ageing. Will be involved in various AR reports preparation such as Aging reports, Collection reports etc. Analyzing Claims. Initiate telephone calls to insurance companies requesting status of claim in queue regarding past due invoices and establishment payment arrangements. Meet Quality and productivity standards. Processing the Health insurance claims. Contact insurance companies for further explanation of denials & underpayments. Take appropriate action on claims to guarantee resolution. Auditing the claims Ensure accurate & timely follow up where required. Review denials to determine necessary steps for Claim review Respond to client inquiries via phone and email regarding account or software issues. NOTE : Fact to Face Interview will be conducted in office premises. It's temporary WFH and is available only for Noida/Ghaziabad/Mayur Vihar/New Ashok Nagar/Laxmi Nagar/Vinod Nagar/Ghazipur/Khora candidates. Perks and benefits