1812 Rcm Jobs - Page 48

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

Job highlights Minimum 1+ years' experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization with Surgery/Orthopedic Experience Good understanding of the medical terminology and progress notes How to Apply: Contact Person: Venkatesh R (HR) Phone Number: 8762650131 (Call or WhatsApp) Email: Venkatesh.ramesh@omegahms.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 TEAM

Job Title: AR Caller & Senior AR Caller Company: Vee Healthtek Pvt Ltd Locations: Chennai, Trichy and Hyderabad 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: 1 year of experience in healthcare AR calling. • Senior AR Caller: Minimum 2+ years of experience in AR calling with expertise in claim resolution. • Strong understanding of US healthcare revenue cycle management. • Excellent communication and analytical skills. • Ability to work night shifts and meet performance targets. If your interested in joining our team, please reach out to Vinith R at 9566699374 or email your resume to vinith.ra@veehealthtek.com. We look forward to welcoming you to Vee Healthtek Pvt Ltd!!!!

Greetings from Vee Healthtek....! We're Hiring: AR Callers & Senior AR Callers Join our dynamic team at Vee Healthtek and be a part of our growing success in the Denials Management (Voice) process. Position: AR Caller / Senior AR Caller Experience: 1 to 4 Years (Relevant AR Calling experience required) Process: AR Calling Denials Management (Voice Process) Location: Trichy | Chennai | Hyderabad Qualification: PUC / Any Graduate Interview Mode: Virtual (Remote Interview Process) Perks & Benefits: Fixed Weekends Off Saturdays & Sundays 2-Way Cab Facility for safer, hassle-free travel Night Shift Allowance Monthly Food Coupons worth 900 Attractive Incentives based on performance Interested Candidates Can Reach Out To: HR Contact: Vilashini Phone: +91 89258 66801 Email: vilasini.v@veehealthtek.com Kickstart your next career move with Vee Healthtek! Apply now and take your AR Calling career to the next level.

Greetings from Vee Healthtek....! Hiring AR Callers at Trichy location We are hiring AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Location - Trichy ,Chennai, Salem Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Bhagyashree V Contact Number - 9741406191 Mail Id - Bhagyashree.v@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon every month * Incentives based on performance

We Are Hiring ! AR Callers || Hyderabad || upto 4.6lpa || Experience Required: Minimum 1+ years in AR Calling Package :- Upto 4.6 LPA with take-home of 34000 + Shift Allowance Of per day 400 Qualification: Degree Mandate Notice Period : 0 to 40 Days Location : Hyderabad Work from Office 2 Way Cab Share your updated resume to HR Swetha- 9059181703 Referrals are welcome Job description 1.We Are Hiring -AR Calling||US Healthcare ||RCM|| Physician Billing ||Hospital Billing|| Eligibility :- Min 1+ years of experience into AR Calling in denial management into physician and hospital billing. Locations :- Hyderabad , Chennai ,Noida, Banglore & Mumbai. Qualification :- Any Graduate. Package-Physician billing Upto 40k. & Hospital billing-43k. Immediate Joiners Preferred . Relieving letter from anyone company is Mandate. WFO If Interested Kindly share your updated resume to nsweta.axis@gmail.com HR Swetha- 9059181703 Refer your friend's / Colleagues

Position Summary As an SOX professional, the individual should be a qualified CA/CPA/ACCA/MBA with extensive experience in IFC and a firm grasp of the SOX audit processes and methodology. The individual gets an excellent opportunity to interact with senior management as well as the opportunity to enhance your skills in the areas of technical competency, business development, client service and people development. In this role, you will be responsible for team handling on large projects encompassing the entire gamut of SOX from conceptualization to crafting to implementation of the entire SOX program including documentation and control testing, evaluating internal controls, reliability of financial reporting, compliance with applicable laws and regulations and effectiveness and efficiency of operations including cost management. This should be a SOX framework implementer role. Primary Responsibilities You'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. Your responsibility for this role includes but are not limited to: Responsible for execution of SOX, IFC Designing, walkthrough & Implementation, Business Process Review, Creation & mapping of Business Flow charts with RCM etc. (individually and as a team). To Perform risk assessment procedures, including identification of significant accounts & classes of transactions, mapping of business processes and provide comprehensive input to the development of a risk-based annual internal audit/SOX audit plan. Prepare SOX documentation such as process flowcharts, process narratives and risk and controls matrix. Design attributes, perform test of design and operating effectiveness of control so suggest improvements in the process by assessing risks and controls related to business imperatives, identify gaps, and assist in remediation. Plan, implement, coordinate, and execute all phases of SOX compliance, (to include leading walkthroughs and identifying/validating key controls, developing test procedures, executing, and documenting testing, and reporting results to Management). To Ensure clear, concise, actionable, and practical observations and recommendations, with a well-documented process for communication and resolution with clients on SOX deficiencies observed. Understand client(s) requirements, respond promptly to client requests and enquiries, and consistently meet client needs Support Managers/Senior Managers in the process of preparing audit plans, audit program, testing and reports Work with existing processes/systems whilst making constructive suggestions for improvements. Demonstrate critical thinking and the ability to bring order to unstructured problems. Able to read situations and modify behaviour to build quality relationships. Responsible for quality and timeliness of deliverables, including conclusions on control effectiveness and impact of control deficiencies. Qualifications, skills and experience To qualify, candidates must have: Chartered Accountant (CA), CPA (US) or ACCA (UK) with 3+ years of experience with a large Global Corporate Process, Risk and Control department and/or similar experience in MBA degree is a plus 2 to 7 years of relevant experience in SOX/IFC Designing & Implementation (preferably from the Risk Advisory practice of a Big 4 or reputed Consulting firms, else exposure to SOX in Industry will also do) Experience in conducting risk assessment procedures pertaining to financial reporting, process flow mapping, design, and documentation of RACM, controls testing, evaluation of control deficiencies and remediation plans Should be able to understand complex business situations, risk, and controls in ERP environment, identify gaps and suggest leading practices along with solid understanding on PCAOB requirements and COSO framework Should be process oriented and have strong analytical skills Should understand financial statements under Indian/US GAAP Have knowledge and understanding of SOX Framework Should possess excellent communication and report writing skills Capability of dealing with big clients Ability to handle pressure and manage complex situations Consistently demonstrate teamwork dynamics by working as a team member: understand personal and team roles; contribute to a positive working environment by building solid relationships with team members; and proactively seek guidance, clarification and feedback. Strong working experience of Excel, Visio, Word and other MS Office applications.

Location Bangalore & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization ( Voice Process ) Good understanding of the medical terminology and progress notes How to Apply Ready to take your career to the next level? Apply now! Email your resume to: Mansoor.shaikbabu@omegahms.com Call: +91 8618695607 Chat on WhatsApp: [Click here] (https://wa.me/8618695607?text=Hello) Quick Apply Link WA: [https://l1nk.dev/3XOpM](https://l1nk.dev/3XOpM) Regards: Mohammed Mansoor Human Resources Omega Healthcare LinkedIn: linkedin.com/in/mohammedmansoor8618695607 Phone: +91 8618695607 Email: (Mail to:Mansoor.shaikbabu@omegahms.com)

Need Min 2yrs experience as an AR caller/ Insurance Verification Undergrads/ grads both can apply WFO - 1 side drop - Noida Notice - 0-15 days acceptable AR caller - up to 7 LPA EV caller - up to 6.5 LPA Contact - 9717279212 (Harleen) Required Candidate profile Skills required: Excellent communication EV caller - insurance verification, benefits investigation, etc AR caller - AR follow-ups, Denials, Medical billing, etc . Should be comfortable with a walk-in

Job Description: Oversee the daily operations of the team Responsible for coaching and supporting Leads and Assistant Managers and ensures that the team meets or exceeds their performance. responsible for revenue generation, client engagement; maintain client quality and ensure service levels are met on a consistent basis. Monitor key performance indicators (KPIs) and productivity metrics to ensure departmental goals are met or exceeded. Showcase the achieved productivity and quality scores to the client in the WBR, MBR & QBR as necessary. Create business review decks on different parameters including but not limited to showcasing the GCR, NCR, Ageing details to showcase the clinic/ Practice performance. Work with support departments to ensure staffing strategies are effectively executed. Hold team meetings on a regular basis with direct reports. Communicate all process and client updates to direct reports within specific timelines and keep record for such updates. Responsible for day-to-day functional supervision of each team, including productivity of the team, quality %, track absenteeism of the team and encourage team managers to complete performance appraisal of work group(s) in accordance with the organizations policies and applicable legal requirements. Ensure that the team’s adherence to QMS and ISMS standards. Job specifications: Minimum 10+ years’ experience in US healthcare Strong knowledge in concepts of AR Good People Management Skills Good Business Analytical & reporting skills Good Interpersonal Skills Good Leadership Skills Should have good client management Skills. Graduation is Mandatory

Hiring AR Caller/Senior AR Caller (US Healthcare) 1-4 years experience | Chennai, Bangalore, Trichy Denials + Billing experience Salary up to 40K Work from Office/Relieving not mandatory Immediate Joiners Only Suvetha-9043426511 Required Candidate profile Min 1 year of exp in AR Calling US Healthcare voice process Must have worked on a min of 10 denial types Strong exposure to physician or hospital billing Excellent communication and analytical skills

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

Greetings from Vee HealthTek...!!! We are hiring for candidates who have experienced in AR Caller - Denial Management for medical billing in the US Healthcare industry... Experience - 1 to 4 years excellent communication skills. Designation - AR Caller/Senior AR Caller Joining: Immediate/ or a max of 10-15 days Shift Timing: Night shift (US Shift) (5.30PM 2.30AM IST) Work Mode: Work from Office Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way home cab available * Night shift allowance * 1200rs worth food coupon * Incentives based on performance

Level-SME Min exp-4years in us healthcare, ar calling ,denial management CTC-max-6.5lpa(depends on current ctc) US Shifts Work from office location-chennai , hyderabad Notice-immediate Share resume- archi.g@manningconsulting.in Contact-8302372009

Remote Accurately enter patient demographics , CPT/ICD codes , & charges into billing software error-free before submission for accuracy and completeness Work closely with team lead to resolve any data issues Meet daily productivity & accuracy targets

We are seeking experienced Accounts Receivable Specialist , US Medical Billing to join our team. This is a full-time, on-site position based in Cochin. Apply for the position, if you have expertise in AR process, medical billing, and RCM.

HUGE OPENINGS FOR AR CALLER/CALLING WORK FROM OFFICE MODE OF INTERVIEW - VIRTUAL JOB LOCATION - BENGALURU & CHENNAI EXPERIENCE - 2 TO 7 YRS. (EASY SELECTION, RELIEVING LETTER NOT MANDATORY) (NEED IMMEDIATE JOINERS) Interested Candidates, Please call/watsapp me @ 9962492242 or send your Updated resume to info@mmcsjobs.com Please share this information, also with your friends. Thank you very much for the support

Location: CHENNAI Role: Charge Entry Specialist Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Key Skills: Strong knowledge of medical terminology, coding (CPT, ICD-10), and billing practices. Proficient in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Self-motivated, analytical, and able to work both independently and as part of a team. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (25 WPM with 97% of accuracy) 3+ years of experience required. Package up to 5LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.

Designation Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 3 years to 5 years Relevant Experience – 2 years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider Office Timings – UK evening shifts Working days- Mon-Fri Week offs – Sat & Sun Off

Designation Assistant Manager/Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 5years or 3years Relevant Experience 2years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider. Office Timings UK -US shifts Working days- Mon-Fri Week offs Sat & Sun Off If above skills sets matches your current & prior experience than kindly share your updated resume @ VrushaliD1@hexaware.com or connect me on whats app with your updated resume 8999838823 for a role model discussion.

Job Role: RCM Senior Specialist/Consultant Location: Chennai & Pune Work Mode: Hybrid Experience: 7 - 11 years (relevant) Overview: A Senior RCM Specialist/Consultant manages the revenue cycle process in healthcare settings, ensuring accuracy in billing and collections. They analyze and improve systems to maximize revenue and efficiency, work closely with finance teams, and handle complex claims to optimize reimbursements Role & responsibilities: Manage and optimize the revenue cycle process from patient registration to final payment. Conduct in-depth analysis of billing and coding procedures to identify areas for improvement. Ensure compliance with healthcare regulations and coding standards. Collaborate with cross-functional teams to identify areas for improvement and execute data-informed strategies. Prepare and present financial reports to senior management. Serve as a primary point of contact for escalations related to claim processing and insurance reimbursements. Communicate regularly with internal and external stakeholders to ensure alignment on objectives and expectations. Preferred candidate profile: Minimum of 7+ years of relevant experience in revenue cycle management, with a proven track record in managing insurance claims, backlogs, and denials. Extensive knowledge of healthcare billing, coding, and reimbursement processes. Proven track record of improving financial performance in a healthcare setting. Strong understanding of healthcare regulations and compliance. Strong leadership and team management skills, with experience managing large, diverse teams. Proficiency in RCM software, data analytics tools, and advanced Excel functions. Exceptional problem-solving skills and attention to detail. Outstanding communication and organizational skills, with the ability to manage multiple priorities effectively.