75 Rcm Operations Jobs

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5.0 - 10.0 years

16 - 20 Lacs

ahmedabad

Work from Office

Key Responsibilities 1. People Leadership and Team Development Lead, mentor, and motivate a large team of 80-150 RCM professionals to consistently achieve and exceed performance targets. Groom internal leadership by conducting regular performance reviews, providing constructive feedback, and identifying specific training and development needs. Foster a positive and collaborative work environment that encourages continuous professional growth and learning. 2. Operational Excellence and Quality Own and manage all operational aspects of either the front-end or back-end Revenue Cycle Management (RCM) processes. Ensure all processes are executed with high accuracy and efficiency, adhering strictl...

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10.0 - 12.0 years

0 Lacs

bengaluru, karnataka, india

On-site

Company Description WNS (Holdings) Limited (NYSE: WNS), is a leading Business Process Management (BPM) company. We combine our deep industry knowledge with technology and analytics expertise to co-create innovative, digital-led transformational solutions with clients across 10 industries. We enable businesses in Travel, Insurance, Banking and Financial Services, Manufacturing, Retail and Consumer Packaged Goods, Shipping and Logistics, Healthcare, and Utilities to re-imagine their digital future and transform their outcomes with operational excellence.We deliver an entire spectrum of BPM services in finance and accounting, procurement, customer interaction services and human resources levera...

Posted 6 days ago

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14.0 - 18.0 years

20 - 35 Lacs

mahad, pune

Work from Office

POSITION : ASSOCIATE VP ( 14+ YRS) DEPT : TRAINING (RCM) R. Exp : 1 Yrs as AVP/SR Director for 2.5 Years SALARY : 20LPA POSITION : VP( 18+ YRS) DEPT : Operations(TRANSITION) R.Exp : 1 Yrs Or2.5 yrs AVP SALARY : 70LPA SATHYA M- HR 9659045792

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14.0 - 18.0 years

20 - 35 Lacs

mahad, pune

Work from Office

POSITION : ASSOCIATE VP ( 14+ YRS) DEPT : TRAINING (RCM) R. Exp : 1 Yrs as AVP/SR Director for 2.5 Years SALARY : 20LPA POSITION : VP( 18+ YRS) DEPT : Operations(TRANSITION) R.Exp : 1 Yrs Or2.5 yrs AVP SALARY : 70LPA Keerthiga - 9344402033

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14.0 - 18.0 years

20 - 35 Lacs

mahad, pune

Work from Office

POSITION : ASSOCIATE VP ( 14+ YRS) DEPT : TRAINING (RCM) R. Exp : 1 Yrs as AVP/SR Director for 2.5 Years SALARY : 20LPA POSITION : VP( 18+ YRS) DEPT : Operations(TRANSITION) R.Exp : 1 Yrs Or2.5 yrs AVP SALARY : 70LPA Poornima - 8098305966

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16.0 - 22.0 years

45 - 70 Lacs

noida

Work from Office

Role Summary Lead endtoend RCM operations for India delivery centers, ensuring accurate, compliant, and efficient revenue cycle services (front-end, mid-cycle, and back-end) for US healthcare clients. Drive operational excellence, automation, and scalability while meeting financial, quality, and client satisfaction targets. Key responsibilities Own overall RCM operations (coding, charge entry, billing, payment posting, AR, denials, credit balance, refunds) for assigned portfolios. Translate organizational and client strategy into operational plans, targets, and SOPs for India delivery teams. Define, implement, and continuously refine processes to improve clean-claim rate, reduce denials and ...

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17.0 - 20.0 years

13 - 19 Lacs

chennai

Work from Office

The Assistant General Manager (AGM) - Revenue Cycle Management is responsible for overseeing and optimizing end-to-end RCM operations, ensuring high-quality output, process efficiency, revenue maximization, and superior client satisfaction. This role requires strong leadership, operational excellence, deep knowledge of healthcare RCM workflows, and proven experience managing large teams and multiple clients. Key Responsibilities : 1. Operational Leadership : Oversee complete RCM functions including Patient Access, Coding, Charge Entry, Billing, AR Follow-up, Denials Management, Payment Posting, and Credit Balancing. Ensure all processes meet organizational SLAs, KPIs, and compliance standard...

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12.0 - 22.0 years

12 - 20 Lacs

chennai

Hybrid

Job Title: Business Growth Partner Healthcare RCM (Revenue Share Model) Role Overview: We are seeking a Business Growth Partner who has strong connections in the US Healthcare industry or IT consulting space and can bring new clients to Dolluz Corp. Ideal Profile: We are seeking a highly driven individual with established relationships in the US Healthcare RCM industry or IT consulting market, capable of bringing new clients and driving measurable business growth for Dolluz Corp. Key Responsibilities: Identify and acquire new clients in the US Healthcare RCM, Medical Billing, Medical Coding, and IT Services market. Generate qualified leads, schedule client meetings, conduct capability discus...

Posted 2 weeks ago

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2.0 - 6.0 years

0 Lacs

navi mumbai, maharashtra

On-site

Role Overview: As an RCM Specialist / Medical Biller with ModMed experience, your role will involve managing the complete Revenue Cycle Management (RCM) process using ModMed software. You will be responsible for ensuring accurate charge entry, claim creation, submission, and follow-up on unpaid or denied claims. Daily tasks will include denial analysis, AR follow-ups, and maintaining compliance with HIPAA and company data privacy standards. Collaboration with providers, coders, and front-office teams to resolve billing discrepancies will be crucial. Additionally, you will generate and analyze RCM reports directly from ModMed dashboards and provide feedback to enhance RCM efficiency. Key Resp...

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10.0 - 15.0 years

6 - 9 Lacs

chennai

Work from Office

Role: RCM Team Lead Experience: 7+ years in RCM, medical billing, and E2E, Appeals ,Collections,Claims , SLA delivery, etc. 1+ Yrs In TL with papers Loc: Chennai Night Shift Salary: up to 9LPA Immediate to 15 days NP Regards, Ragul 8428065584

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4.0 - 8.0 years

0 Lacs

pune, maharashtra

On-site

Role Overview: You will be responsible for working with Leadership, business, operations, HR, and IT teams to understand reporting needs and deliver data-driven insights. Your main tasks will include gathering and cleaning data from various sources, analyzing data for patterns and trends, providing actionable insights to optimize cash flow and minimize denial rates, ensuring data integrity and consistency, and streamlining reporting processes. Key Responsibilities: - Gather and clean data from various sources efficiently. - Analyze data using statistical tools to identify opportunities for improvement. - Provide actionable insights to reduce AR days, optimize cash flow, and minimize denial r...

Posted 1 month ago

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2.0 - 6.0 years

0 Lacs

thiruvananthapuram, kerala

On-site

As a Product Manager at CareRevenue, you will have the opportunity to play a key role in transforming Revenue Cycle Management (RCM) processes through technology. You will be responsible for defining and optimizing technology systems and processes to drive operational efficiency and continuous improvement. Your insights and leadership will contribute to enhancing product performance and team productivity. **Key Responsibilities:** - Participate in the entire product line life cycle, from ideation to delivery and maintenance. - Immerse yourself in the day-to-day work of RCM agents to understand workflows, challenges, and reasoning. - Partner with cross-functional teams to identify inefficienc...

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7.0 - 8.0 years

0 - 0 Lacs

mysuru

Work from Office

We're Hiring : Sr. Team Lead Operations (AR) Interested can please apply at varsha.d@equalizercm.com What we're looking for: * 7-8 years of experience in medical billing / RCM with 2+ years in a team lead role. * Strong knowledge of US revenue cycle management for Physician practices and Hospital. * Experience managing teams, driving KPIs, and ensuring compliance (HIPPA ,Guidelines) * Excellent leadership, communication and client handling skills Work Location : Mysuru (WFO)

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15.0 - 24.0 years

50 Lacs

chennai, bengaluru, delhi / ncr

Work from Office

Roles & Responsibilities: Lead end-to-end revenue cycle management (RCM) delivery for a US healthcare provider, overseeing billing, collections, denials management, and client satisfaction. Ensure consistent achievement of SLA targets (days in AR, clean claim rate, denial rate, cash collection goals). Drive continuous improvement initiatives using Lean/Six Sigma to optimize processes and reduce costs. Partner with client leadership to align on strategic priorities, report performance metrics, and recommend enhancements. Build, mentor, and retain a high-performing leadership team across operations, quality, training, and process excellence. Collaborate with finance and pricing teams to struct...

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4.0 - 9.0 years

4 - 6 Lacs

noida

Work from Office

About the Role Intelligent Radiology Solutions Pvt. Ltd. is looking for a CIC Certified Medical Billing Coder with extensive experience in hospital and inpatient coding . The ideal candidate will ensure accurate, compliant, and timely coding of inpatient medical records to support proper claim submission and reimbursement. Key Responsibilities Review inpatient medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes in compliance with CPT, ICD-10-CM, and CMS guidelines . Perform DRG validation and ensure correct sequencing of diagnoses and procedures. Collaborate with the billing and audit teams to minimize claim denials and rejections. Verify the accuracy and completeness of clin...

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6.0 - 11.0 years

0 - 0 Lacs

navi mumbai

Work from Office

Job Title: Team Lead PB/HB(RCM) Department: Revenue Cycle Management Location: Mumbai Shifts : Night Shifts Job Summary: Responsible for leading the Physician Billing/ Hospital Billing team (20 Agents), ensuring timely and accurate claim submissions, resolving billing issues, and meeting performance targets. Supports process improvement, compliance, and team development. Role & responsibilities * Supervise Physician Billing (CMS 1500 claims) or Hospital Billing (UB04) * Ensure accurate and timely claim submissions * Monitor productivity and quality metrics * Resolve escalated billing and denial issues * Collaborate with internal teams to address billing challenges Preferred candidate profile...

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6.0 - 8.0 years

8 - 9 Lacs

lucknow

Work from Office

ECLAT Health Solutions Inc is hiring for Team Lead Operations (EVBV and Pre-auth) Were expanding our Revenue Cycle Management (RCM) team and looking for passionate leaders ready to make an impact. Experience:6+ Location: Lucknow, Uttar Pradesh Work Mode: Work From Office Immediate joiners preferred Key Skills & Requirements: Minimum 2 years of on-paper Team Lead experience in RCM Managed a team of at least 20 members Strong hands-on experience in EVBV (Eligibility, Verification, Benefits Verification and Pre-Authorization processes Excellent client coordination and meeting management skills Strong analytical and problem-solving abilities Ability to drive performance, ensure process complianc...

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10.0 - 20.0 years

20 - 32 Lacs

noida, hyderabad, chennai

Work from Office

Lead and manage a team of medical coding specialist ensuring accurate and timely auditing of surgical procedures across various specialties in accordance with industry standards, guidelines and regulatory requirements. Required Candidate profile Bachelor’s degree in Clinical or Healthcare Information Management or a related field. Relevant certifications (e.g. CCS, CPC, CPMA) are mandatory. For more details pl call Saran - 8939678664

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15.0 - 20.0 years

0 Lacs

nashik, maharashtra

On-site

As the Vice President of Revenue Cycle Management (RCM) at TRIARQ Health, your role will be to lead and scale the India-based revenue cycle organization. You will be responsible for overseeing end-to-end RCM delivery and championing intelligent, AI-enabled workflows to enhance efficiency, accuracy, and client satisfaction. This senior leadership position requires a unique blend of deep RCM domain expertise, exceptional people leadership skills, strong technological fluency, and a proven track record of driving large-scale transformations in high-growth environments. **Key Responsibilities:** - **Strategic Leadership** - Lead the transformation and expansion of the India RCM organization whil...

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7.0 - 11.0 years

16 - 20 Lacs

kochi

Work from Office

Skills Required Business Analysis RCM Processes Requirements Elicitation Stakeholder Management Claims Workflow Coding Standards (CPT, ICD-10, HCPCS) Payment Reconciliation Clean Claim Submission Health insurance

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4.0 - 8.0 years

12 Lacs

chennai

Work from Office

Candidate Specification & Job Description: 4- 8 years experience in to RCM Work with Leadership, business, operations, HR and IT teams tounder stand reporting needs and deliver data-driven insights Gathering and cleaning data from various sources using methods that are efficient and effective Analyze data for patterns and trends to identify opportunities for improvement using statistical tools and techniques to interpret data Provide actionable insights to reduce AR days, optimize cash flow, and minimize denial rates Ensure data integrity and consistency across platforms Streamline reporting processes, automating where possible and required Collaborate with teams to enhance operational workf...

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4.0 - 8.0 years

6 - 10 Lacs

chennai

Work from Office

Role Objective: Manage AR, Denials and Appeal follow up operations team. Essential Duties and Responsibilities: Should have the ability to manage an operations team of 100+ FTEs. Should have the ability to manage multiple provider/hospital sites. Should have the ability to coordinate and proactively communicate with domestic counterparts and leaders. Should have excellent analytical and decision-making skills. Should have strong communication, interpersonal, and presentation skills. Candidate should be self-driven, with leadership abilities and a results-oriented approach. Should be able to identify and implement strategies for process improvement. Should have experience in inter-departmenta...

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14.0 - 18.0 years

20 - 35 Lacs

mahad, pune

Work from Office

POSITION : ASSOCIATE VP ( 14+ YRS) DEPT : TRAINING (RCM) R. Exp : 1 Yrs as AVP/SR Director for 2.5 Years SALARY : 20LPA POSITION : VP( 18+ YRS) DEPT : Operations(TRANSITION) R.Exp : 1 Yrs Or2.5 yrs AVP SALARY : 70LPA SATHYA M- HR 9659045792

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2.0 - 6.0 years

3 - 4 Lacs

gurugram

Work from Office

Responsibilities: Manage client accounts from start to finish. Ensure timely TDS calculations and RCM operations. Handel GST and TDS filing Maintain day-to-day accounting including ledger entries, cash book, genreral entry & bank reconciliations. Provident fund

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5.0 - 8.0 years

3 - 7 Lacs

coimbatore

Work from Office

Role & responsibilities Prioritize claims for AR work based on aging, dollar value, and other criteria. Monitor Team's production and SLA delivery. Assign AR accounts and prioritize claims to AR Associates for completion on a daily or weekly as appropriate. Run AR reports daily / weekly for each client account. Manage and handle effectively escalations raised by the clients. Provide mentorship, training and coaching to the team. Adhere to organizational policies and procedures. Keep the Standard Operating Procedures updated and establish due control mechanisms. Attending management meetings to present results and formulate continual process improvement and effectiveness. Work with quality an...

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