21 Rcm Operations Jobs

Role & responsibilities Work experience of 5+ years and experience in the AR / PP / Billing functions of a US Healthcare Setup of at least 3+ years Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills Conduct process quality monitoring and identify improvement areas Review coding review requests; quantify and report preventable issues Review denial adjustments for accuracy; communicate findings to relevant teams Manage high-risk, aged, or excessive incomplete action account balance Allocate and review team work assignments and worklists Encourage continuous improvement, process optimization, and automation Engage and motivate team for performance and innovation

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - Operations Manager ( Male candidates Only ) Job description:- Min 8+ years experience in US Healthcare Industry in End to End RCM. At least 3 + years experience as a Manager Operations. (day shift ) Have good Knowledge of entire Medical Billing Processes such as Charge Entry, EDI, Cash Posting, Denial, and AR & MIS. Has Clear understanding of functioning of major Insurance Carriers, Health Care Facilities and Billing offices in USA. Has ability to drive a RCM process from different aspects, Such as Bad Debt Management, Denial Management, AR Management, Credit Balance Management & KPI Tracking, Good Knowledge in Provider credentialing (Doctor Side). Experience in Insurance calling. Initiate process improvement methods and best practices that will improve the performance of the team Proven ability to meet & exceed performance expectations set by upper management. Proven ability to independently manage large teams & advise business leaders of the same. Identifying and implementing ways to build better team effectiveness by encouraging a healthy environment for the team Strong business communication skills including the ability to work with all levels of the organization. contact person Vineetha HR ( 9600082835 ) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

Hi All, We are looking for RCM-Operations Heads for a Leading US Healthcare at Mumbai Requirement Minimum 13+years of work experience overall Should have prior experience in RCM Operations + AR, Billing, Payment posting, etc. Should have fulltime Graduation Shift Time: 5PM-2AM Mode: Work from Office Job Location is : Mumbai Please connect at ritika.nagpal@indihire.co.in

Responsibilities: * Ensure timely payments from customers * Collaborate with sales team on collections strategy * Maintain accurate records and reports * Manage AR, EVBV, pre-auth processes Office cab/shuttle Provident fund

Role & responsibilities Leads and directs the Business units service delivery through reporting leaders, managers and broader team. Establishes operational goals, objectives, and budgets and relevant measurement systems to monitor and report progress. Takes full ownership of driving on customer service delivery KPIs, operational metrics including productivity & quality whilst delivering better financial results including cost-to-serve. Responsibilities include the planning of optimal operating policies and procedures required to deliver quality services and enhance operational processes and workflows. Preferred candidate profile 15+ years of progressive experience on leading and managing large-scale (1000 FTE+) US revenue cycle management operations for multiple customers Excellent written and verbal English communication skills with an innate ability to articulate complex ideas in a simple manner

Role & responsibilities 15-18 years of experience with a minimum of 15 years in Healthcare RCM. Proven success in managing 200+ FTEs. Strong understanding of RCM functions like AR, Billing, Payment Posting, EV/BV. Demonstrated ability in P&L management, client satisfaction, and team development. Experience with at least one billing platform (e.g., Epic, eCW, Athena, NextGen). Preferred candidate profile Functional Competencies: AR: Knowledge on AR strategies, Payer guidelines, AR platforms, global issues, exposure to & understanding of AR complexities, denials & revenue stream, front end working environment would be preferred Billing: Knowledge on billing nuances, payer rules & guidelines, edits & rejections, billing platforms, exposure to & understanding of Coding would be preferred Payment Posting: Knowledge on payment / posting nuances, pay sources, enrollments, know-how of payer contractual, refunds & credits would be preferred Knowledge of either AR, PP, Billing, EV/BV would be preferred (Mandate for Internal Growth) Knowledge of federal and the top 5 commercial payers Basic Knowledge of Medical Codes would be preferred Good Feedback and Coaching Skills P&L Management Delegation Dealing with Ambiguity

Job Title: Assistant Manager Credentialing Company: Capline Services Location: Noida (On-site) Shift: 24/7 Operations (Rotational Shifts) Work Days: Monday to Friday (Saturday and Sunday Off) Experience: Minimum 6 years in US Healthcare Credentialing, with at least 2 year in a supervisory or assistant manager role Salary: 9 LPA 12 LPA (Based on experience and qualifications) About Capline Services Capline Services is a captive unit providing end-to-end support to US healthcare providers. We specialize in credentialing, revenue cycle management, and healthcare staffing. Job Overview We are seeking an experienced Assistant Manager Credentialing to lead and oversee a credentialing team responsible for provider enrollment, re-credentialing, and regulatory compliance across various US healthcare payers. The ideal candidate will have in-depth credentialing expertise, proven leadership capabilities, and a strong understanding of payer guidelines and compliance standards. Key Responsibilities Oversee the end-to-end credentialing lifecycle including initial credentialing, re-credentialing, and enrollments with Medicare, Medicaid, and commercial payers Lead daily team operations, monitor KPIs, and drive performance improvements Maintain and manage credentialing systems such as CAQH, PECOS, NPPES, Availity, and others Ensure strict compliance with NCQA, URAC, CMS, and payer-specific guidelines Collaborate with internal and external stakeholders to resolve escalations and ensure timely application submissions Conduct training sessions, performance evaluations, and support employee development Provide strategic input to optimize workflows and improve operational efficiency Requirements Bachelors degree preferred Minimum 6 years of experience in US healthcare credentialing, including at least 2 years in a leadership or assistant managerial role Strong understanding of US healthcare regulations and payer enrollment processes Hands-on experience with credentialing portals and tools Excellent team leadership, communication, and analytical skills Ability to work in rotational shifts in a 24/7 operational environment Why Capline? Fixed weekend offs Leadership role in a growing US healthcare captive Supportive, process-driven, and collaborative work culture Opportunities for long-term career advancement To Apply: Please connect at HR Simran Choudhary simranchoudhary@caplineservices.com 9258890586

Greetings From Prochant !!! Opening For Associate Director operations RCM Key Responsibilities and Duties: As a Manager you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to Directors and ensure production and quality targets are met as per company requirement, you main responsibilities would include overseeing and optimizing the processes related to the organization's revenue generation. This involves managing the entire revenue cycle, from patient registration and billing to claims processing and collections. Required Skills: Should have minimum 18+ years of experience in RCM process Minimum 10 years in leadership experience Should have experience in End to end RCM process Flexible to work in night shift Overall responsibility for Monitoring all process ( cash, billing, transmission, correspondence, MIS, support, Medicare audit process, AR process, EV/ PA) Responsibilities Supervising RCM team: Leading and guiding a team of RCM specialists, ensuring they adhere to best practices and achieve performance targets. Revenue Optimization: Implementing strategies to improve the revenue cycle efficiency, minimize denials, and increase revenue collection. Data Analysis: Analyzing financial data and performance metrics to identify trends, bottlenecks, and areas for improvement. Process Improvement: Identifying opportunities to streamline revenue cycle processes, reduce costs, and enhance overall operational efficiency. Staff Training: Providing ongoing training and development for RCM staff to stay updated with industry changes and best practices. Reporting: Preparing regular reports on revenue cycle performance and presenting findings to higher management. Collaboration: Working closely with other departments like finance, billing, and clinical teams to ensure seamless coordination and communication. Compliance and Audit: Ensuring adherence to relevant laws, regulations, and internal policies during the revenue cycle process. Technology Integration: Implementing and leveraging RCM software and tools to optimize workflows and enhance revenue cycle performance. 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 Upfront Leave Credit Only 5 days working (Monday to Friday) No of openings : 1 Mode Of Interview : Zoom / Teams Contact Person : Abdul Wahab Interested candidates call / whats app to 8248165076 or share your updated CV to Abdulwahab@prochant.com

Job Title: Assistant Manager Credentialing Company: Capline Services Location: Noida (On-site) Shift: 24/7 Operations (Rotational Shifts) Work Days: Monday to Friday (Saturday and Sunday Off) Experience: Minimum 6 years in US Healthcare Credentialing, with at least 1 year in a supervisory or assistant manager role Salary: 9 LPA 12 LPA (Based on experience and qualifications) About Capline Services Capline Services is a captive unit providing end-to-end support to US healthcare providers. We specialize in credentialing, revenue cycle management, and healthcare staffing. Job Overview We are seeking an experienced Assistant Manager Credentialing to lead and oversee a credentialing team responsible for provider enrollment, re-credentialing, and regulatory compliance across various US healthcare payers. The ideal candidate will have in-depth credentialing expertise, proven leadership capabilities, and a strong understanding of payer guidelines and compliance standards. Key Responsibilities Oversee the end-to-end credentialing lifecycle including initial credentialing, re-credentialing, and enrollments with Medicare, Medicaid, and commercial payers Lead daily team operations, monitor KPIs, and drive performance improvements Maintain and manage credentialing systems such as CAQH, PECOS, NPPES, Availity, and others Ensure strict compliance with NCQA, URAC, CMS, and payer-specific guidelines Collaborate with internal and external stakeholders to resolve escalations and ensure timely application submissions Conduct training sessions, performance evaluations, and support employee development Provide strategic input to optimize workflows and improve operational efficiency Requirements Bachelor’s degree preferred Minimum 6 years of experience in US healthcare credentialing, including at least 2 years in a leadership or assistant managerial role Strong understanding of US healthcare regulations and payer enrollment processes Hands-on experience with credentialing portals and tools Excellent team leadership, communication, and analytical skills Ability to work in rotational shifts in a 24/7 operational environment Why Capline? Fixed weekend offs Leadership role in a growing US healthcare captive Supportive, process-driven, and collaborative work culture Opportunities for long-term career advancement To Apply: Please connect at HR Zakir Husain 9971047487

Roles and Responsibilities Ensure managing shift activities, including planning, execution, and monitoring. Oversee Heat Treatment processes, RCM, SHOT BLALSTING. Desired Candidate Profile 7-8 years of experience in a GDC/wheels industry Diploma or B.Tech/B.E. degree (Only Regular) Strong understanding of GDC-Post Operation procedures.

Role & responsibilities Leads and directs the Business units service delivery through reporting leaders, managers and broader team. Establishes operational goals, objectives, and budgets and relevant measurement systems to monitor and report progress. Takes full ownership of driving on customer service delivery KPIs, operational metrics including productivity & quality whilst delivering better financial results including cost-to-serve. Responsibilities include the planning of optimal operating policies and procedures required to deliver quality services and enhance operational processes and workflows. Preferred candidate profile 10+ years of progressive experience on leading and managing large-scale (500 FTE+) US revenue cycle management operations for multiple customers Excellent written and verbal English communication skills with an innate ability to articulate complex ideas in a simple manner

Job Description: We are seeking a results-driven and experienced Assistant Manager RCM AR Process to join our growing team in Cochin . The ideal candidate should possess a strong background in medical billing and revenue cycle management, specifically in Accounts Receivable (AR) follow-up . Key Responsibilities: Lead and manage a team of AR follow-up executives handling US healthcare claims. Monitor team performance metrics, KPIs, and SLAs. Conduct regular audits to ensure compliance with process guidelines and client expectations. Provide training, mentoring, and performance feedback to team members. Handle client communication, escalations, and reporting. Drive process improvements and productivity initiatives. Work closely with QA and operations teams to ensure quality delivery. Requirements: Minimum 5+ years of experience in US Healthcare RCM AR follow-up. At least 1–2 years in a sr team lead or assistant manager capacity. Strong knowledge of denial management, payer guidelines, and AR aging. Excellent communication, leadership, and analytical skills. Proficiency in MS Excel, reporting tools, and billing software. Willingness to work night shifts from the Cochin office.

Designation: Director Experience: 15+ years Location: Ambattur, Chennai Graduation: Any Graduate Job Description : Lead all facets of the Healthcare RCM operations business Work towards smoothing of the operations process with a greater focus on client satisfaction and client relationship building Participate in expansion activities Plan workload for service management and projects Manage communication, escalation, risks, and issues Drive continuous service improvements Maintain and improve pyramid structure Balance customer satisfaction/demands to maintain customer satisfaction with the level of support the customer has contracted Define and monitor OLAs in accordance with the client SLAs and ensure client satisfaction is met or exceeded Review monthly reports, progress and performance of projects and design game plans to enhance the same Cost/ Budgeting/ Forecasting/ P&L management Transition Management Responsible to maintain high quality standards Responsible to drive initiatives in the management and organizational level that contribute to long-term operational excellence Drive sustained margin growth on year -on-year basis Create appropriate servicing and retention strategies for customers Responsible for building consensus and commitment for achieving the organizations vision Contribute to short and long-term organizational planning and strategy as a member of the management team Participate in business development activity Support in establishing policies across various levels of operations to promote the company culture and vision JOB REQUIREMENTS: At least 15 -23+ years of experience in Operations, preferably US Healthcare industry Familiarity with Revenue Cycle Management (Provider) operations Experience in managing large teams of professionals Excellent communication skills and interpersonal skills Excellent delegation skills, negotiation skills and strong people management skills Email us : arulmozhi.a2@accesshealthcare.com

o Leadership & Team Management: o Supervise and guide a team of RCM specialists to ensure smooth workflow and operational efficiency. o Set performance benchmarks, monitor key metrics, and provide coaching and training to enhance team productivity. o Conduct regular team meetings to address challenges, discuss process improvements, and ensure adherence to policies. Revenue Cycle Operations & Optimization: o Oversee claim submissions, payment posting, denial management, and accounts receivable follow-ups. o Ensure timely resolution of claim denials and rejections to maximize reimbursement. o Implement best practices to enhance revenue collection and minimize outstanding balances. o Collaborate with coding and billing teams to ensure accurate claim submissions. Denial Management & Accounts Receivable (AR) Resolution: o Identify and analyse claim denial trends, working with internal teams to reduce future occurrences. o Develop and implement effective appeal strategies for denied claims. o Monitor aging reports and work on strategies to reduce AR days and improve cash flow. Compliance & Regulatory Adherence: o Ensure compliance with healthcare regulations, payer policies, and industry standards (HIPAA, Medicare, Medicaid, etc.). o Stay updated on changes in reimbursement policies, coding updates, and regulatory requirements. o Implement internal audit processes to maintain billing accuracy and compliance. Experience: Minimum 2+ years required in RCM Team lead Location: Pune Salary depends on the Interview HR Chanchal: 9251688424

Position Summary The General Manager Business Operations (Healthcare Services) will lead the strategic and operational execution of the Healthcare divisions business initiatives. This role is responsible for driving growth, enhancing process efficiency, and strengthening cross-functional collaboration to support scalability and service excellence. The ideal candidate brings proven leadership experience in revenue cycle management, a deep understanding of data and technology-driven operations, and a strategic mindset aligned with international markets, particularly the U.S. Key Responsibilities Strategic Leadership - Develop and execute long-term business and operational strategies aligned with company goals. - Partner with senior leadership to assess market trends and guide corporate planning. - Drive organizational performance through data-driven decision-making and KPI alignment. Operational Excellence - Oversee day-to-day operations, ensuring quality, efficiency, and profitability. - Lead process improvement initiatives across service delivery and internal functions. - Manage budget planning, financial forecasting, and performance reporting. Business Development - Identify and pursue new business opportunities, partnerships, and market expansions. - Collaborate with Sales, Marketing, and Product teams to support go-to-market strategies. - Represent the company at industry events and build strategic relationships with key stakeholders. People & Culture - Shape organizational structure, culture, and HR strategy to attract and retain top talent. - Oversee talent management, compensation, and employee engagement programs. - Provide leadership coaching and succession planning for team development. Technology & Innovation - Collaborate with IT and Security teams to ensure optimal use of technology and systems. - Identify opportunities to leverage automation and digital tools for operational scalability. Qualifications & Experience - Minimum 14 years of experience in operations leadership, preferably in healthcare outsourcing. - Proven experience managing U.S.-based clients and teams. - Strong knowledge of data platforms (Excel, SQL, Access) and reporting tools. - Demonstrated success in cross-functional leadership, client relationship management, and strategic execution. Key Competencies - Strategic and analytical thinking - Strong communication and stakeholder management - Team leadership and performance optimization - Operational and financial acumen - Adaptability in a dynamic, fast-paced environment

Greetings From Prochant !!! Opening For Senior Manager / Associate Director operations RCM - TVM Key Responsibilities and Duties: As a Manager you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to Directors and ensure production and quality targets are met as per company requirement, you main responsibilities would include overseeing and optimizing the processes related to the organization's revenue generation. This involves managing the entire revenue cycle, from patient registration and billing to claims processing and collections. Required Skills: Should have minimum 15+ years of experience in RCM process Minimum 5 years in leadership experience Should have experience in End to end RCM process Flexible to work in night shift Overall responsibility for Monitoring all process ( cash, billing, transmission, correspondence, MIS, support, Medicare audit process, AR process, EV/ PA) Responsibilities Supervising RCM team: Leading and guiding a team of RCM specialists, ensuring they adhere to best practices and achieve performance targets. Revenue Optimization: Implementing strategies to improve the revenue cycle efficiency, minimize denials, and increase revenue collection. Data Analysis: Analyzing financial data and performance metrics to identify trends, bottlenecks, and areas for improvement. Process Improvement: Identifying opportunities to streamline revenue cycle processes, reduce costs, and enhance overall operational efficiency. Staff Training: Providing ongoing training and development for RCM staff to stay updated with industry changes and best practices. Reporting: Preparing regular reports on revenue cycle performance and presenting findings to higher management. Collaboration: Working closely with other departments like finance, billing, and clinical teams to ensure seamless coordination and communication. Compliance and Audit: Ensuring adherence to relevant laws, regulations, and internal policies during the revenue cycle process. Technology Integration: Implementing and leveraging RCM software and tools to optimize workflows and enhance revenue cycle performance. 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 Upfront Leave Credit Only 5 days working (Monday to Friday) No of openings : 1 Mode Of Interview : Zoom / Teams Contact Person : Abdul Wahab Interested candidates call / whats app to 8248165076 or share your updated CV to Abdulwahab@prochant.com

Role: Operating Leader Revenue Cycle Management Location: Gurgaon Role Overview: We are seeking an experienced and results-driven Operating Leader to oversee large-scale revenue cycle management (RCM) operations, managing end-to-end service delivery, client relationships, and P&L for accounts and annual revenue management. This is a strategic role within the Healthcare vertical and will directly report to the Global Head of Healthcare Operations based in India. The Operating Leader should possess a strong track record in operational excellence, strategic client engagement, team leadership, and financial performance management in the healthcare RCM domain. Will be responsible for providing leadership and subject matter expertise in the Provider and Payer areas with Primary focus on RCM. The personnel will be responsible for driving growth and innovation within existing clients and new potential healthcare customers. The ideal applicant should bring 16+ years of experience in the US Payer and Provider area with at least 10+ years in Revenue Cycle Management. Prior Experience in BPO/Captive operations with hands on experience leading provider practice management systems will be an added advantage. Key Responsibilities: Operational Leadership Lead delivery and operational performance across assigned Provider and/or Payer accounts right from Transition to BAU. Should implement best practices and risk mitigation strategies for new and existing RCM operations Drive productivity, efficiency, and compliance across end-to-end RCM functions (coding, billing, collections, A/R, denials, etc.). Oversee multi-site or global delivery teams, ensuring high-quality service and SLAs are met. P&L Management: Own P&L responsibility for a high value business portfolio Drive revenue growth and profitability improvements through operational excellence, automation, and strategic account management. Develop and manage budgets, forecasts, and financial reporting for assigned portfolios. Own the P&L for the healthcare vertical, ensuring achievement of financial goals through data-driven decision-making and cost optimization. Strategic Initiatives and Process Improvement: Partner with senior leadership on strategic initiatives in RCM, including automation, analytics, digital transformation, and new service offerings. Lead transformation projects that drive cost reduction, enhance quality, and scale operations. Proactively work with technology and transformation teams to implement automation and reduce cost of operations Leverage advanced analytical skills to monitor performance metrics, identify trends, and implement corrective actions for sustained growth People & Performance Management Lead large, cross-functional teams, including front-line managers and operational support functions. Build differentiated RCM operating environment Foster a First Time Right team culture Mentor and develop operational leaders to ensure a strong succession pipeline. Foster a culture of accountability, continuous improvement, and employee engagement. Client Relationship Management Serve as a strategic partner to clients, understanding their business needs and proactively identifying value-add opportunities. Manage executive-level stakeholder relationships and provide regular business reviews and performance updates. Ensure high levels of client satisfaction and retention. Candidate Profile: Bachelors degree in Business, Healthcare Administration, or related field (MBA or advanced degree preferred). Minimum 16 years of experience in BPO/Captive operations focused on US Healthcare RCM. Proven expertise in managing large-scale healthcare operations across geographies. Strong financial acumen with a demonstrated ability to manage P&L and drive profitability. Deep understanding of healthcare industry trends, compliance, and best practices. Exceptional leadership, communication, and stakeholder management skills. Strategic thinker with a hands-on approach to execution and team development. Deep expertise in end-to-end Revenue Cycle Management (RCM), including patient registration, insurance verification, medical coding, charge entry, claims submission, payment posting, denial management, and AR follow-up. Preferred Skills: Exposure to global delivery models (India, Philippines, Nearshore). Knowledge of healthcare IT platforms (e.g., Epic, Cerner, Athena). Experience driving digital/automation initiatives (e.g., RPA, AI, analytics). Six Sigma or Lean certification (preferred but not required). Qualifications Bachelors Degree

Role Objective: Key Performance Indicators (KPI) What are the measurable indicators for the role? Measurable Deliverables Training Throughput - Weightage (30%) First Pass Attempt - Weightage (25%) Production & Quality - Weightage (10%) Accurate & Time Data/MIS Reporting (15%) Basic Hygiene (Schedule Adherence, Responsiveness, Self-Conduct) - Weightage (10%) Trainee feedback - Weightage (5%) Projects (content development, any cost/ time/ FTE saving projects) - Weightage (5%) TNI BQM management Essential Duties and Responsibilities: Role type: Individual Contributor Conduct new hire, refresher training on aligned process, domain, and tools Conduct process knowledge tests, analyse results and publish findings Work closely with quality and business to identify performance gaps for new hire trainees, create and execute remediation plans to improve trainee performance Achieve set targets on various training effectiveness parameters (level I, level II) Be responsible for training batch management: o Adherence to learning plan o Maintain all batch data and reporting as per the pre-set process o Manage batch logistics training invites, ID Request & Management o Take care of people issues in the batch (performance, disciplinary, schedule adherence, EWS etc.) o On time referred to HR cases alignment (absconding, NCNS, training rejects) Be an active and effective contributor in assigned projects (e.g., new work transition, any process content creation and dissemination, etc.) Continue with hands-on work processing for aligned processes for minimum 12 hours a month Participate in client calls, understand process/tools changes or upgrades, prepare required documentation for roll-out to the aligned process teams Be accountable for self-development/learning, create & complete individual development plan for self, continuously stay invested to be a subject matter expert Stay compliant with the HIPAA and other company policies/compliance Job Description: Effective giving and taking feedback, coaching, and mentoring skills Strong interpersonal skills and ability to manage varied trainee personality types Excellent verbal and written communication skills (esp. email communication) Self-motivated and self-driven with a knack for continuously upskilling self Skill Set: Qualification and technical skills required to execute the role. Candidate should be graduated and 3 years of exp in AR follow up role Technical Skills : Experience in Revenue Cycle Management for U.S. Healthcare & Expertise in AR Follow up end to end processes Understanding of Online Payer Portals Hands on in MS Office like: PowerPoint, Excel, and Word Ability to use virtual communication platforms effectively like: Teams, Zoom, WebEx Experience levels required to execute this role Minimum of 3 years experience in RCM of U.S. healthcare industry (frontend, middle, backend as per role alignment) Overall experience Maximum 5 years Behavioral skills competencies required for this role. E.g. Attention to detail Functional & Behavioral Skills Strong facilitation & presentation skills for both in-person & virtual environments Understanding of basics of content creation Pre-requisite: Should have overall 7+ years of experience in RCM Operations Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills

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-departmental and intra-departmental coordination with multiple stakeholders. Should have a thorough understanding of AR follow-up, denials, and appeals processes. Should be able to drive KPIs to achieve business metrics. Should ensure the timely delivery of projects and reports. Should have the ability to prepare presentations for business meetings. Should ensure and drive adherence to company policies and compliance standards. Should manage the performance of supervisors and team members. Should lead initiatives for productivity and quality improvement. Should be able to control absenteeism and attrition within organization-defined goals. Skill Set: Domain knowledge on both CM1500 and UB04 claims follow up. Operations Management. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Pre-requisite: Should have overall 7+ years of experience in RCM Operations Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills

Role Objective: Complete oversight of Operations, Training and Compliance for the aligned AR Follow up teams. Essential Duties and Responsibilities: Should have overall 7+ years of experience in RCM Operations Manage the AR inventory for aligned clients. Work towards resolution to reduce the aged AR and accelerate Collections. Driving results to achieve business metrics. Ensuring timely delivery of projects/assigned reports. Self-driven, People leader and result oriented. Engage the team create IDPs and groom them for growth opportunities. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Identify and Implement automation/performance improvement strategies. Manage and maintain shrinkage and attrition within organization defined goals. Ensuring and driving adherence of company policies along with Compliance. Inter-department and Intra-department coordination with multiple stakeholders. Skills Required : Should have ability to manage span of 100+ FTEs Day to Day AR Follow up Operations. Should have excellent Analytical & decision-making skills Should have excellent communication, personal, Interpersonal and Presentation skills Candidate should be Self-Driven with People Leader and Result Oriented skills Should be able to Identify & Implement strategies for Process Improvement Should be able to identify process trends, and proposing solutions Should have Inter-department and Intra-department coordination with multiple stakeholders Skills to improve Collections and Reduce AR Pre requisite : Should have ability to drive action plans & strategies Should have thorough understanding of AR follow up and Denials Management Should have knowledge of Capacity & Inventory management Should be able to drive results to achieve Business Metrics Ensuring timely delivery of projects/reports Ensuring and driving adherence of company policies along with Compliance Controlling Absenteeism and Attrition within Organization defined goals Initiatives for Productivity and Quality Improvement Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Essential Duties and Responsibilities: Designing, developing, and maintaining databases Writing complex SQL queries for data retrieval and manipulation Optimizing database performance and ensuring data integrity Troubleshooting and resolving database-related issues Collaborating with cross-functional teams to gather requirements and implement solutions Certification: NA Skill Set: * Should have strong Analytical Skills and Advance Excel knowledge. * Should have Strong knowledge on VBA Programming. * Should have Strong knowledge on SQL (Advanced). * Should have Hand's-on Experience in Advanced Excel. * Should have AR Follow-up Domain Knowledge Pre-requisite: Should have overall 3+ years of experience in RCM Operations Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills