1807 Rcm Jobs - Page 47

Job Details: Exp: 1–4 years in AR voice process Salary: Up to 38,000 per month (based on skills) Loc Chennai, Bangalore, Pune Interview Mode: Online

Job Summary: We are seeking experienced and dynamic professionals for Lead level positions (Team Leader / Group Coordinator) in our Healthcare RCM - AR Calling (Voice Process) team. The ideal candidate should have strong expertise in handling end-to-end Accounts Receivable (AR) processes, team management, client coordination, and driving performance to meet targets. Key Responsibilities: Manage a team of AR Callers handling US healthcare insurance claims (voice process). Monitor and ensure timely follow-up on outstanding claims with insurance companies. Review and analyze denied claims and develop resolution strategies. Ensure daily, weekly & monthly targets are achieved by the team. Handle escalations and complex claim issues to ensure resolution. Provide training, mentoring, and performance feedback to team members. Conduct regular team meetings, quality audits, and provide actionable feedback. Collaborate with internal departments and clients to improve processes and performance. Maintain excellent communication with clients regarding performance, updates, and issue resolution. Generate and analyze reports for management review. Ensure compliance with client guidelines, HIPAA, and data security norms. Required Skills & Qualifications: 4 to 7 years of experience in US Healthcare RCM (AR Calling - Voice Process). At least 1-2 years of experience in leading teams as a Team Leader / Group Coordinator or similar role. Strong knowledge of AR follow-up, denial management, insurance guidelines (Commercial, Medicare, Medicaid). Excellent communication and interpersonal skills. Strong analytical and problem-solving skills. Ability to manage team performance under pressure and tight deadlines. Flexible to work in US shifts. Email to Apply: Shifana.u@247mbs.com

Summary GM Analytics Solutions is looking for a driven, dedicated and experienced AR Caller proficient in US healthcare willing to work in Night shift. Job Description 1-3 years Experience is required in AR calling for US Healthcare Perform outbound calls to insurance companies to collection outstanding AR. Working on Denials, Rejection, Request for additional information. Strong RCM knowledge & possess good knowledge of HIPPA, CPT codes, Appeals & denial management. Good Analytical Skill and problem solving abilities Calling insurance companies for claim follow up, identify issue with claim based on information provided by insurance companies. Patient calling and client correspondence. having exposure in " Epic Software" Experience using software tools for claims management. Good verbal & Written communication skill Maintains compliance standards as per the policies and reports compliance issues as required. Excellent Analytical Skills. Proficiency in Microsoft office tools Willingness to work night shift Education/Experience Requirements: Qualifications: Graduate/Masters degree ina related field Minimum 1years' experience in A R follows up in multi-specialty physician group. Minimum 1 years of experience with a focus on US healthcare revenue cycle management Excellent computer skills Excellent written and verbal communication skills Excellent management skills Advanced computer skills in MS Office Suite, pMDsoft, Acumen, Athenahealt,h and other applications/systems preferred Competency Requirements: Must possess the following knowledge, skills & abilities to perform this job successfully: Broad understanding of clinical operations, front office, insurance and authorizations Ability to communicate effectively and clearly with all internal and external customers Detail-oriented with excellent follow-up. Solutions-minded, compliance-minded and results-oriented. Excellent planning skills with the ability to define, analyze and resolve issues quickly and accurately Ability to juggle multiple priorities successfully. Extremely strong organizational and communication skills. High-energy, a hands-on employee who thrives in a fast-paced work environment. Work Environment: Extensive telephone and computer usage. Use of computer mouse requires repetitive hand and wrist motion. Time offis restricted during peak periods. Regular reaching, graspin,g and carrying of objects Perks and Benefits Negotiable

Job description GM Analytics Solutions, based at Gurgaon with exclusive tie up with US Healthcare company is currently seeking a experienced professional for the position of Manager of Revenue Cycle Management., proficient in US healthcare willing to work in Night shift. This position will be responsible for all staff and operations of core healthcare related revenue cycle functions including billing, posting, AR, collections, coding and credentialing for multiple providers and provider groups. Candidates should be highly motivated to face challenges of a rapidly growing organization and committed to service excellence. . Responsibilities include but are not limited to: Upholds teaches and enforces GM Analytics Solutions Core Values. Manages the staff and operations of the RCM department Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office. Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization of current processes and/or procedures. Develops and maintains strong relationships with US based team. Effectively manages relationships and business processes of all clients and owners. Develops, implements and effectively manages policies, processes and procedures that result in maintaining key performance indicators at or above/below goal levels, as set by the Director of RCM. Provides education and policy updates for staff on a regular and as needed basis. Establishes and conducts performance reporting for all clients. Works collaboratively with leaders of all departments to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the billing staff throughout account life cycle. Provides regular revenue management reports to management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability as soon as they are identified. Ensures compliance with government and commercial billing and medical record regulations and standards (USA) while maximizing reimbursement for patient claims. Manages operational expenses in accordance with the budget.Directs and oversees the development of operating and capital budget for the department. Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs. Holds responsibility for implementation and standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of systems for billing and accounts receivable management. Requirements and Qualifications: 8+ years of experience in US healthcare Revenue Cycle Management with at least 5 years in an Executive Leadership role MBA degree from a reputed university required Expert level proficiency in core healthcare revenue cycle functions including billing, posting AR, collections, coding and credentialing. Certifications in medical billing/coding preferred Proven ability to lead and manage multiple projects and drive the team to results. Excellent interpersonal, oral, and written communication skills Ownership driven and results oriented Strong Microsoft Office skills, specifically Excel and PowerPoint. Have a flair for numbers, work well with people, aggressively anticipate impacts of workload/issues to team deadlines and have a positive work attitude including willing to work some long hours. Competency Requirements: Must possess the following knowledge, skills, and abilities to perform this job successfully: Strong presentation skills with internal and external customers. Experience to handle large teams Communicate effectively and clearly. An analytical mind. Ability to stick to time constraints and meet deadlines. Negotiation skills and the ability to develop strong working relationships. Solutions-minded, compliance-minded and results-oriented. Excellent organization and planning skills with the ability to define, analyze and resolve issues quickly and accurately. Ability to juggle multiple priorities successfully. High-energy, the hands-on employee who thrives in a fast-paced work environment. Flexible, adaptable and can adjust to a rapidly changing and growing environment. Ability to develop both tactical and strategic solutions to business challenges. This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.

Job description GM Analytics Solutions, based at Gurgaon with exclusive tie up with US Healthcare company is currently seeking a experienced professional for the position of Manager of Revenue Cycle Management., proficient in US healthcare willing to work in Night shift. This position will be responsible for all staff and operations of core healthcare related revenue cycle functions including billing, posting, AR, collections, coding and credentialing for multiple providers and provider groups. Candidates should be highly motivated to face challenges of a rapidly growing organization and committed to service excellence. . Responsibilities include but are not limited to: Upholds teaches and enforces GM Analytics Solutions Core Values. Manages the staff and operations of the RCM department Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office. Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization of current processes and/or procedures. Develops and maintains strong relationships with US based team. Effectively manages relationships and business processes of all clients and owners. Develops, implements and effectively manages policies, processes and procedures that result in maintaining key performance indicators at or above/below goal levels, as set by the Director of RCM. Provides education and policy updates for staff on a regular and as needed basis. Establishes and conducts performance reporting for all clients. Works collaboratively with leaders of all departments to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the billing staff throughout account life cycle. Provides regular revenue management reports to management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability as soon as they are identified. Ensures compliance with government and commercial billing and medical record regulations and standards (USA) while maximizing reimbursement for patient claims. Manages operational expenses in accordance with the budget.Directs and oversees the development of operating and capital budget for the department. Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs. Holds responsibility for implementation and standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of systems for billing and accounts receivable management. Requirements and Qualifications: 8+ years of experience in US healthcare Revenue Cycle Management with at least 5 years in an Executive Leadership role MBA degree from a reputed university required Expert level proficiency in core healthcare revenue cycle functions including billing, posting AR, collections, coding and credentialing. Certifications in medical billing/coding preferred Proven ability to lead and manage multiple projects and drive the team to results. Excellent interpersonal, oral, and written communication skills Ownership driven and results oriented Strong Microsoft Office skills, specifically Excel and PowerPoint. Have a flair for numbers, work well with people, aggressively anticipate impacts of workload/issues to team deadlines and have a positive work attitude including willing to work some long hours. Competency Requirements: Must possess the following knowledge, skills, and abilities to perform this job successfully: Strong presentation skills with internal and external customers. Experience to handle large teams Communicate effectively and clearly. An analytical mind. Ability to stick to time constraints and meet deadlines. Negotiation skills and the ability to develop strong working relationships. Solutions-minded, compliance-minded and results-oriented. Excellent organization and planning skills with the ability to define, analyze and resolve issues quickly and accurately. Ability to juggle multiple priorities successfully. High-energy, the hands-on employee who thrives in a fast-paced work environment. Flexible, adaptable and can adjust to a rapidly changing and growing environment. Ability to develop both tactical and strategic solutions to business challenges. This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.

Mega Walk-in Drive for AR Callers(US Healthcare) - Associate Walk-in Date: 19th of June 25 Time: 11am-2pm Interview Location: HCL Technologies, AMB 6, South Phase, Ambattur Industrial Estate, 8, Madras Thiruvallur High Rd, Ambattur, Chennai, Tamil Nadu 600058 Contact Person: Sobiya & Jefferson Designation: Associate Work location: Sholinganallur Shift: Night Shift(US Shift) Open Position: 20 JOB SUMMARY We seek an experienced RCM Customer Service Executive Voice to join our team. The role involves collaborating with US healthcare providers to ensure accurate and timely reimbursement. The ideal candidate should possess strong communication skills, attention to detail, and be willing to work in US shifts. KEY WORDS Excellent Verbal and Written Communication Skills, Revenue Cycle Management, Denial Handling, AR Calling, US Healthcare, Medical Billing, RCM. RESPONSIBILITIES: Review and analyze denied claims to identify root causes and trends. Develop and implement strategies to reduce claim denials and improve reimbursement rates. Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. Monitor and track the status of appeals and follow up as needed. Maintain accurate records of all denial management activities and outcomes. Provide regular reports on denial trends, appeal success rates, and other key metrics to management. Stay updated on industry regulations and payer policies to ensure compliance. REQUIRED SKILLS: Strong verbal and written communication skills Should possess neutral accent and good adoption to US culture. Ability to resolve provider queries in the first point of contact. Focus on delivering a positive customer experience Should be professional, courteous, friendly, and empathetic Should possess active listening skills Good data entry & typing skills Ability to multi task. Capable of handling fast-paced, innovative, and constantly changing environment Should be a team player. Ability to contribute to the process through improvement ideas. FORMAL EDUCATION AND EXPERIENCE Graduate (any stream) 0.6 months - 24 months of process experience in AR calling Heath Care, with knowledge of Denials and RCM.

Director Operations: Who are we looking for? We are looking for candidates with US Healthcare experience and strong leadership skills for the Delivery Leader role. Should be a Graduate with total 13+ years of experience of which minimum 8+ years experience should be in US Healthcare (Preferably on the provider side of business). Experience is required in Prior Authorization Experience in leading & managing teams of 50+ people. Experience in managing all aspects of the delivery function including operations management, P&L Management, Client Management and People Management is required. Excellent verbal and written communication skills in English Candidate with excellent aptitude, highly adaptable and willingness to learn Open to Travel Domestic & International as applicable M.B.A or Post Graduate qualification in Operations, Finance, Healthcare Management, International Business and General Management would be an added advantage. Location : Navi Mumbai (Airoli) & Hyderabad (Uppal) US Healthcare experience is a must Financials Own achieving profitability/ Operating Efficiency targets for account / assigned function(s) Ensure timely preparation and validation of monthly invoice Forecast IKS Revenue, Costs and Headcount for signed SOWs Manage to the contract (including scope creep, support contract renewals). Deliver to the SOW(s) Drive teams to achieve agreed SLA / Metrics by optimal use of resources, review & execution of identified action plans & team performance reviews Adherence to defined Quality norms & identify process issues impacting delivery or client business Proactively identify areas of improvement in overall performance and direction to direct reportees on delivery Course Correction (Analyze business metrics trends, potential issues & escalations, Client feedback & business strategy / goals) Embrace escalations and identified opportunities from clients / Client Services / or market leader. Run toward smoke as if you were literally on fire. Track smoke on a monthly basis. Fix the root cause of the issues Raise the bar of engagement & delivery to come across as a partner rather than a vendor Become a healthcare / RCM expert thus enable value conversations with Clients down to any depth Manage VOC & Customer Satisfaction for the account through governance and timely detection and prevention of issues while aligning with the client business objectives.

Urgent opening for AR Caller/SR AR Caller Job Loc: Chennai, Bangalore, Trichy, Hyderabad,pune Exp: 1 yr to 5yrs Salary: 45k Max Skills: Any Billing, Denial Management exp is must Contact: 7448929622 REGARDS; Muthamizh

* Review AR claims, understand the denial reason, call the payers if required resolve the issue. *Research and interpret from the available data in billing software, EOB, MR, authorization & understand the reasons for denial/underpayment/no response. Required Candidate profile * All kinds of Denials * Strong Technical Knowledge * RCM * Authorization * Timely Filed Limit * Phyician Billing/Hospital billing * Commercial/Federal Payers * AR CALLER Contact Info - 9384813917

Overview We have an exciting role of Manager - Medical Copywriter to drive and translate creative and contemporary ideas to solid design and impact. You will have a key role in design and deployment of creative campaigns with our global clients, including many Fortune 50 companies. About US We are an integral part of Annalect Global and Omnicom Group, one of the largest media and advertising agency holding companies in the world. Omnicom’s branded networks and numerous specialty firms provide advertising, strategic media planning and buying, digital and interactive marketing, direct and promotional marketing, public relations, and other specialty communications services. Our agency brands are consistently recognized as being among the world’s creative best. Annalect India plays a key role for our group companies by providing stellar products and services in areas of Creative Services, Technology, Marketing Science (data & analytics), Market Research, Business Support Services, Media Services, Consulting & Advisory Services. We are growing rapidly and looking for talented professionals like you to be part of this journey. Let us build this, together! Responsibilities This is an exciting role and would entail you to Manage cross-functional partners to deliver medical content for a variety of audiences (digital and print) while also handling medical copywriting and veeva submissions work Copywriting & Content Development Write clear, engaging, and medically accurate content for a range of audiences - including press materials, consumer campaigns, digital assets, and educational tools. •Translate complex clinical and scientific information into language that resonates with non- specialist audiences, including patients, caregivers, and media outlets. Develop a refined understanding of the brand, disease, and the overall therapeutic/treatment category Ensure the creation of all content is developed with appropriate tone, style, and structure based on brand strategy, creative brief, and client expectations Develop messaging that aligns with brand strategy, while simplifying technical data for broader understanding without compromising accuracy. Partner with internal teams (account, strategy, and creative) to ideate and execute content that is impactful, on-brand, and compliant. Revise and refine copy based on internal and client feedback and MLR reviewer input. Veeva Submission & MLR Review Support Prepare and submit materials in Veeva Vault PromoMats for MLR review, ensuring all metadata, references, and annotations are accurate and complete. Link supporting references to corresponding claims and manage annotation accuracy. •Track submission timelines and status; coordinate follow-ups, revisions, and final approvals. •Act as a bridge between creative/content teams and regulatory operations to ensure seamless submissions and compliance with SOPs. Maintain organized version control and documentation of submitted and approved materials Demonstrate an understanding of healthcare/pharma advertising communication requirements Be familiar with modular content and omnichannel marketing – develop and maintain content matrix and core claims documentation Qualifications You will be working closely with Our global creative agency teams. You will also be closely collaborating with our team of talented and designers to deliver high-quality services. This may be the right role for you if you have 11+ years of experience in healthcare communications agencies (AMA experience is preferred) Bachelor's degree or equivalent experience with a focus on pharma/science/medicine Portfolio containing work samples that demonstrate strong conceptual abilities, creative thinking, and exceptional writing skills in a variety of communication forms (e.g., sales aids, direct mail, websites, social media) for a variety of audiences (e.g., healthcare professionals, patients, consumers) Understanding of omnichannel marketing, modular content, and processes for content development Experience with referencing and annotating, and MLR submissions requirements and processes Excellent leadership, management and client-facing communication skills Strong organizational skills, attention to detail, and ability to multitask. An ability to understand and process healthcare information Ability to multi-task in a faced-paced environment as a member of a highly collaborative team The desire to work with a diverse group of teams, projects, and clients.

SUTHERLAND Hiring Immediate Joiners. WALK IN DATE: Jun 14, Sat WALK IN TIME: 12:00PM-2:00PM. LOCATION: DivyaSree TechRidge, Block P2, (North Wing) 7th Floor, Manikonda, HYderabad 500089, CONTACT PERSON: ARAVIND -7286960006 or AKSHAYA JM - 8072294017 MEGA RCM Hiring WALK-IN DRIVE Sutherland is seeking a skilled and experienced RCM Specialist to join our dynamic healthcare team. If you have a strong understanding of Physician Billing, CMS 1500, and Denial Management, this is the perfect opportunity to advance your career with a global leader in business process transformation. AR Calling - For Provider Minimum 12 Months work experience required CTC 3 LPA - 4.8 LPA Looking for Immediate joiners Physician billing, CMS 1500 End to end Denial Experience/ Modifiers/ CPT Codes Night shift/ Fixed week off Mandate WFO, no hybrid Transport radius should be 25KM Payment Posting - Provider Minimum 12 months - 3 years of experience Looking for Immediate joiners CTC 3 LPA - 4.8 LPA Fixed Week off / Day Shift Mandate WFO, no hybrid Transport radius should be 25KM Credit balance - Provider Minimum 12 months - 3 years of experience Looking for Immediate joiners CTC 3 LPA - 4.8 LPA Mandate WFO, no hybrid Fixed Week off / Day Shift Transport radius should be 25KM Charge entry - Provider Minimum 12 months - 3 years of experience Looking for Immediate joiners CTC 3 LPA - 4.8 LPA Mandate WFO, no hybrid Fixed Week off / Day Shift Transport radius should be 25KM QA - NON-VOICE Minimum 12 months - 3 years of experience Looking for Immediate joiners Max 6LPA CTC and Max 30% hike Mandate WFO, no hybrid Prior experience on Modmed and Practice Teck should be an added advantage Fixed Week off / Day Shift Transport radius should be 25KM QA Voice - AR Follow-up Flexible NIGHT SHIFTS Looking for Immediate joiners Max 6LPA CTC and Max 30% hike Mandate WFO, no hybrid Prior experience on Modmed and Practice Teck should be an added advantage Minimum 2 years' work experience Transport radius should be 25KM QA Non-Voice - Billing (Charges & Rejection) Fixed Week off / Day Shift Looking for Immediate joiners Max 6LPA CTC and Max 30% hike Mandate WFO, no hybrid Prior experience on Modmed and Practice Teck should be an added advantage Minimum 2 years' work experience Transport radius should be 25KM Join Sutherland and be part of an innovative team driving excellence in healthcare revenue cycle management "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com"

Job Summary - A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients to achieve better results, which ultimately allows them to provide better patient care. Minimum Degree Required (BQ) *: Bachelors Degree Degree Preferred: Bachelor’s Degree Required Field(s) of Study (BQ): Computer Science, Data Analytics, Accounting Preferred Field(s) of Study: Minimum Year(s) of Experience (BQ) *: US 1 year of experience Certification(s) Preferred: Required Knowledge/Skills (BQ): Preferred Qualification: Bachelor’s degree in finance or Any Graduate 1-4 years of progressive experience in healthcare revenue cycle management, with a focus on accounts receivable and claims resolution. Strong knowledge of medical billing processes, insurance reimbursement methodologies, and revenue cycle operations. Experience with healthcare billing software (e.g., Epic, Cerner, Meditech) and proficiency in Microsoft Office applications. Excellent leadership, communication, and interpersonal skills with the ability to mentor and motivate team members. Analytical mindset with the ability to interpret financial data, identify trends, and make data-driven decisions. Proven track record of achieving AR performance targets and improving revenue cycle efficiency. Experience Level: 1 to 4 years Shift timings: Flexible to work in night shifts (US Time zone) Preferred Knowledge/Skills *: Accounts Receivable Management: Oversee the accounts receivable process, including insurance and patient follow-up, to minimize outstanding balances. Monitor and analyze aging reports to prioritize and address delinquent accounts promptly. Implement strategies to improve collections and reduce accounts receivable days. Insurance and Payer Relations: Lead efforts in resolving complex insurance claim issues, including claim denials and underpayments. Establish and maintain relationships with insurance company representatives to facilitate prompt payment and claims processing. Stay updated on insurance policies, reimbursement regulations, and industry trends affecting revenue cycle operations. Patient Communication and Customer Service: Assist with escalated patient inquiries and complaints related to billing and insurance matters. Educate patients on insurance benefits, coverage details, and financial responsibilities. Collaborate with patient advocacy groups and financial counselors to ensure compassionate and effective patient interactions. Process Improvement and Training: Identify opportunities for process improvements within the revenue cycle management workflow. Develop training materials and conduct sessions to enhance the skills and knowledge of AR team members. Implement best practices to streamline AR operations and maximize efficiency. Reporting and Analysis: Generate and present regular reports on accounts receivable performance metrics, trends, and outcomes. Utilize data analytics to identify root causes of revenue cycle issues and implement corrective actions. PMS Experience: Epic HB & PB experience is Mandatory Compliance and Regulatory Adherence: Ensure compliance with HIPAA regulations, billing guidelines, and healthcare industry standards. Collaborate with compliance officers to implement and maintain effective internal controls.

We are hiring dynamic AR Callers with experience in Denial Management to work in the US Healthcare RCM domain. The candidate will be responsible for analyzing and resolving insurance claim denials to ensure accurate and timely reimbursement.

Role: Internal Audit & Risk Advisory (Senior Consultant | Deputy Manager) Roles & Responsibilities: Candidates having experience of working in a senior position of any leading consulting firms in the region with focus on Internal Audit, IFC, ICOFR including dispute resolution. Minimum 2+ years of industry related / relevant consulting experience within depth understanding of the Internal Audit and Risk Advisory domain. Key areas of expertise expected include project management, cost estimation, quantity surveying, budgeting and accounting. Exposure to industries in Non - FS EPC, Manufacturing, Healthcare, Pharmaceuticals etc. Must have strong local/regional community network and be an active member of trade and professional associations. Job Profile. Lead the Internal Audit practice, providing expertise and professional advice to the client organizations on effective implementation of Internal Audit assignments and deliver value from Internal Audit projects. Develop strong relationships with top executives at prospects (target clients) and existing clients. Identify the value we will be providing to clients. Collaborate on resource staffing to maximize value for the firm. Understand the client's requirements and develop effective proposals and any other collateral required. Ensure firm is included in responses to key industry and solution RFPs in the region. Build a strong network of contacts and leverage it for business development. Speak at/ chair local/regional conferences and initiate exploratory meetings with prospective clients. Develop relationships with key buyers and hunt for opportunities to expand our relationship network. Conduct interviews with clients (senior staff - CXOs & heads of business units), analyze the facts, establish hypotheses, and derive conclusions. Supervise a team of professionals across different client engagements. Ensure delivery of quality work in line with our value proposition. Demonstrate technical competence in related domain. Oversee billing and collections. Prepare client presentations (for different target audiences - CXOs, Board of Directors, Audit Committees). Lead presentations on assignment reports &/ project deliverables to client management. Soft Skills A good blend of creative thinking and rigorous analysis in solving business problems. High energy individual possessing excellent analytical, interpersonal, communication and presentation skills. Adept at preparing and presenting to senior audiences. Demonstrates excellent leadership and interpersonal skills. Must be able to maintain a professional demeanor in times of high stress. Prior management and direct supervisory experience in a team environment required. Excellent time management skills. Must have ability to multi-task. Regular reading habits to stay abreast of new trends & developments and exhibit high level of confidentiality. Enjoys travelling and meeting new people. Flexibility to travel to, and work in, other locations is essential. Interested candidates can share their resume on kirti.goyal@protivitiglobal.in or apply on the post.

Roles and Responsibilities Manage medical billing processes, including charge posting, cash posting, payment posting, and revenue cycle management (RCM). Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive patient information. Ensure accurate and timely submission of claims to insurance companies. Coordinate with healthcare providers to resolve any discrepancies or issues related to patient accounts receivable. Desired Candidate Profile 1-4 years of experience in US healthcare industry with expertise in medical billing. Strong knowledge of RCM principles and practices. Proficiency in charge posting, cash posting, payment posting, and other relevant software applications such as Epic Systems or similar systems.

HIRING Patient Help Desk Call Center Agent Roles & Responsibilities and other details Should have 2-7 years of patient help desk or call center experience, demonstrating excellent communication skills while supporting predominantly U.S.-based clients. Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 3pm to 6pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 65k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Patient Communication: Provide prompt and clear responses to patient inquiries via phone, ensuring each caller receives accurate and empathetic support. Information Management: Record, update, and manage patient data in the system, including appointment scheduling and verification of patient information, while maintaining high standards of confidentiality. Call Handling & Triage: Efficiently manage a high volume of calls, directing inquiries to the appropriate departments or personnel based on the nature of the request. Technical Proficiency: Operate multi-line phone systems and other digital tools to log call details and facilitate smooth communication between patients and healthcare providers. Problem Resolution: Address and resolve patient concerns by following established protocols and escalate issues to higher authorities when necessary. Collaboration: Work closely with other team members and departments to ensure seamless patient services and maintain an overall positive experience. This set of responsibilities ensures that all patient interactions are handled professionally and efficiently, contributing to a high level of customer satisfaction and operational excellence in healthcare services. Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Designation AR Specialist II Responsibilities: Serve as an AR Specialist on AR/Denial management strategies and best practices. Lead the resolution of high-level and escalated denial issues. Conduct root cause analysis to identify systemic issues contributing to denials. Develop and implement proactive measures to prevent future denials. Establish and maintain relationships with payer representatives to facilitate effective communication and negotiation. Train and mentor junior associates on advanced denial management techniques and payer communication strategies. Collaborate with cross-functional teams to implement process improvements and optimize revenue cycle performance. Monitor AR/Denial trends and provide regular reports and updates to leadership. Requirements: 2+ years of progressive experience in AR/Denial Management- Revenue Cycle Management, US Healthcare. In-depth knowledge of healthcare billing regulations and payer policies. Excellent communication, negotiation and relationship-building skills. Advanced proficiency in data analysis and reporting tools. Ability to drive change and implement process improvements effectively. Bachelor's degree in healthcare administration, finance, or related field. Location: - Vadodara, Gujarat- Work from Office only Time: - Night/US Shift Kindly apply to the below kink or visit our website https://www.qualifacts.com/ https://qualifacts.wd5.myworkdayjobs.com/Qualifacts_External_Careers/job/Vadodara/RCMS-AR-Specialist-II_R-101706

SUTHERLAND Hiring Immediate Joiners. MEGA RCM Hiring WALK-IN DRIVE Sutherland is seeking a skilled and experienced RCM Specialist to join our dynamic healthcare team. If you have a strong understanding of Physician Billing, CMS 1500, and Denial Management, this is the perfect opportunity to advance your career with a global leader in business process transformation. AR Calling - For Provider Minimum 12 Months work experience required CTC 3 LPA - 4.8 LPA Looking for Immediate joiners Physician billing, CMS 1500 End to end Denial Experience/ Modifiers/ CPT Codes Night shift/ Fixed week off Mandate WFO, no hybrid Transport radius should be 25KM Payment Posting - Provider Minimum 12 months - 3 years of experience Looking for Immediate joiners CTC 3 LPA - 4.8 LPA Fixed Week off / Day Shift Mandate WFO, no hybrid Transport radius should be 25KM Credit balance - Provider Minimum 12 months - 3 years of experience Looking for Immediate joiners CTC 3 LPA - 4.8 LPA Mandate WFO, no hybrid Fixed Week off / Day Shift Transport radius should be 25KM Charge entry - Provider Minimum 12 months - 3 years of experience Looking for Immediate joiners CTC 3 LPA - 4.8 LPA Mandate WFO, no hybrid Fixed Week off / Day Shift Transport radius should be 25KM QA - NON-VOICE Minimum 12 months - 3 years of experience Looking for Immediate joiners Max 6LPA CTC and Max 30% hike Mandate WFO, no hybrid Prior experience on Modmed and Practice Teck should be an added advantage Fixed Week off / Day Shift Transport radius should be 25KM QA Voice - AR Follow-up Flexible NIGHT SHIFTS Looking for Immediate joiners Max 6LPA CTC and Max 30% hike Mandate WFO, no hybrid Prior experience on Modmed and Practice Teck should be an added advantage Minimum 2 years' work experience Transport radius should be 25KM QA Non-Voice - Billing (Charges & Rejection) Fixed Week off / Day Shift Looking for Immediate joiners Max 6LPA CTC and Max 30% hike Mandate WFO, no hybrid Prior experience on Modmed and Practice Teck should be an added advantage Minimum 2 years' work experience Transport radius should be 25KM Join Sutherland and be part of an innovative team driving excellence in healthcare revenue cycle management WALK IN DATE: Jun 14, Sat WALK IN TIME: 12:00PM-2:00PM. CONTACT PERSON: AKSHAYA JM CONTACT NUMBER: 8072294017 CONTACT PERSON: ARAVIND CONTACT NUMBER: 7286960006 LOCATION: Survey No. 201, Ltd 99LH, 7th floor Lanco Hills Technology Park, Lanco Hills Private Rd, Sai Vaibhav Layout, Hyderabad, Telangana 50008. "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com"

Greetings from e-care India !! We are looking for Account Manager to Senior Manager operations (Day shift) from 10 years of Experience. Job Essentials: Good oral & written communication skill Work Experience in E2E of RCM (Charges, Payment & AR) is mandatory 2+ years of Experience in handling Team & Tracking their KPI Experience in handling clients & Managing reports Good at Generating reports Work from office Interested and suitable candidates can share their resume to career@ecareindia.com along with current take home, Expected Take home and Notice period. we will revert with the schedule details.

Candidates with experience in US Healthcare (Medical Billing) are encouraged to share their resumes at avni.g@crystalvoxx.com or send a WhatsApp message to +91 75670 40888.

Job Description Create the future of e-health together with us by becoming a Sr. Associate Credentialing As one of the Best in KLAS RCM organizations in the industry we offer a full scope of RCM services as well as BPO services, our organization gives our team members the training and solutions to learn and grow across variety of technologies and processes. As an innovator and leader in the e -health services we offer unparalleled growth opportunities in the industry. What you can expect from us: A safe digital application and a structured and streamlined onboarding process. An extensive group health and accidental insurance program. Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office. Subsidized meal facility. Fun at Work: tons of engagement activities and entertaining games for everyone to participate . Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion. Best HR practices along with an open-door policy to ensure a very employee friendly environment. A recession proof and secured workplace for our entire workforce. Ample scope of reward and recognition along with perks like marriage gift hampers and gifts for birth of a child. What you can do for us: Should have working experience in US Healthcare -Credentialing Process-Payer and Provider Processes. Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements. Oversee day-to-day operational credentialing and privileging activities. Collaborating with the Credentialing Manager to ensure proper functioning of activities, policies, and procedures. Acting as a resource and subject matter expert, resolving issues, Coordinating with Credentialing contacts regarding the credentialing process. Verifying primary source data, such as provider education, board certifications, license, and other eligibilities / documents. Ensuring timely credentialing and re-credentialing of network providers and working with Internal/External Team to ensure credentialing files completed within time frame and compliance. Calling Payers for Enrollment application status and take necessary action . Profile Qualifications: Minimum of 1 year of experience as Credentialing in US RCM industry. Should have knowledge in CAQH modules, provider enrollment . Overall, should be expertise with CAQH . Candidate should be a graduate. Basic knowledge about Internet Concepts, Windows, Microsoft ,Adobe products. Should possess strong documentation and presentation skills. Should be flexible to work in shifts, based on business need. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.

Greetings From Prochant India Pvt Ltd Job Title: AR Caller/Senior AR Caller (US Healthcare) Location: Chennai Experience: 1 to 3 years Shift: Night Shift (US Shift) Employment Type: Full-Time About Prochant: Prochant is a leading US-based healthcare revenue cycle management company. We specialize in end-to-end RCM services for home medical equipment, pharmacy, and healthcare providers. We are growing and hiring talented individuals to join our AR Calling team. Job Description: As an AR Caller at Prochant, you will be responsible for calling insurance companies in the US to follow up on outstanding claims, ensure timely resolution, and support the billing process. This role requires strong communication skills and a focus on results and accuracy. Roles and Responsibilities: • Call US insurance companies to follow up on pending or denied claims • Review patient claims and update the system with accurate information • Resolve issues related to denied claims and ensure timely payments • Coordinate with the internal team for claim escalations and resubmissions • Meet daily productivity and quality benchmarks Requirements: • 1 year to 3 years of experience in AR calling or US medical billing • Strong communication skills (verbal and written) • Knowledge of RCM process, denial management, and CPT/ICD codes preferred • Willingness to work in night shifts (US timing) • Basic computer and system navigation skills Benefits: Salary & Appraisal -Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Up front Leave Credit Accelerated career path for exceptional performers. Only 5 days working (Monday to Friday) Mode Of Interview: Virtual 2-way cab for female candidates Contact Person: Harini P Contact Number: 8870459635 Mail: harinip@prochant.com

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.25 LPA TO 5.50 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Walk-ins directly.

irajendran@med-metrix.com Position: Quality Manager Coding Department: HIM / Medical Coding Experience: 10+ Years in Medical Coding Location: Chennai. Work Type: [On-site] Job Summary: We are looking for an experienced Quality Manager in Medical Coding to lead multi-specialty audits and compliance checks across Inpatient (IP), Outpatient (OP), and professional coding services. The ideal candidate should have over 10 years of coding experience and a strong background in multi-specialty coding . Candidates with 34 years of experience as an Assistant Manager / Deputy Manager will be preferred. New managers with strong leadership skills and audit expertise may also apply. Key Responsibilities: Oversee quality assurance and audit functions for all medical coding specialties (IP, OP, E/M, Surgery, Radiology, etc.) Lead, manage, and mentor a team of coders and quality analysts. Ensure compliance with client-specific guidelines, CMS, and ICD/CPT/HCPCS standards. Conduct root cause analysis for audit errors and implement corrective action plans. Coordinate coding audits and report quality trends to senior leadership. Collaborate with training teams to develop upskilling modules and refreshers. Qualifications: CPC, CCS, or equivalent AAPC/AHIMA certification is mandatory . Minimum 10 years of experience in medical coding across multiple specialties. At least 3-4 years of leadership experience as AM/DM or strong individual contributor ready for managerial role. Strong analytical and communication skills. Experience with coding platforms and EMRs (e.g., Epic, Cerner, 3M). Preferred Skills: Exposure to global clients (US healthcare focus). Proven experience in audit planning and quality improvement. Strong knowledge of risk adjustment coding (HCC) is a plus. Interested please send your updated profile to irajendran@med-metrix.com or WhatsApp @9280098218.

Job description The above job is for an AR Calling voice process, - work-from-office location in Bangalore. Candidates with experience in non-voice processes, claim adjudication, claim processing, or working on the payer side, as well as freshers, should please ignore this job posting. Role & responsibilities : - Minimum of 6 months of experience in handling accounts receivable, with a focus on denial management in the voice process. - Should have experience in handling US Healthcare Medical Billing. - Calling the insurance carrier & documenting the actions taken in claims billing summary notes. Preferred candidate profile : Should have min 6 months of experience into AR Calling , Denial management - Voice process ( Provider side) Interested call on 8762650131 or WhatsApp the resume on the same number. How to Apply: Contact Person: Venkatesh R (HR) Phone Number: 8762650131 (Call or WhatsApp) Email: Venkatesh.ramesh@omegahms.com Linked in : https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ This opportunity is a work-from-office (WFO) position based in Bangalore. Regards Venkatesh R https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ HR TEAMRole & responsibilities