56 Rcm Operations Jobs

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

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...

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...

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

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

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...

Operations Management Lead and manage daily operations across Pre-Authorization, Billing, AR Follow-up, and Payment Posting departments. Ensure timely submission of claims, accurate charge entry, proper payment posting, initiation of accurate pre-authorization and effective follow-up on outstanding AR. Oversee end-to-end RCM workflow to ensure compliance with U.S. healthcare standards (HIPAA, CMS guidelines). Monitor and maintain department productivity, quality, and turnaround time (TAT). Develop, implement, and update standard operating procedures (SOPs). 2. Team Leadership Supervise team leads and associates across departments; ensure proper staffing, scheduling, and task allocation. Cond...

As an Accounts Receivable Specialist in Revenue Cycle Management at Ambit Global Solution, your role will involve reviewing AR aging reports, generating performance metrics reports, supporting management during audits, and participating in process improvement initiatives. Your key responsibilities will include: - Reviewing AR aging reports to identify outstanding or delinquent accounts and taking appropriate follow-up actions. - Generating reports on AR performance metrics such as Days Sales Outstanding (DSO), denial rates, and collection efficiency. - Supporting management during audits and compliance reviews by providing documentation and analysis as required. - Participating in process im...

Artificial Intelligence & Engineering Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients achievements. You’ll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to business. Your contributions help Deloitte client service teams improve financial performance, accelerate new digital ventures, and fuel growth through innovation. Position Summary Level: Junior Associate As an experienced Junior Associate at Deloitte Consulting, you will be responsible for individually delivering high quality work products within due timelines. Work you’ll do: Com...

Job Description About KPMG in India KPMG entities in India are professional services firm(s). These Indian member firms are affiliated with KPMG International Limited. KPMG was established in India in August 1993. Our professionals leverage the global network of firms, and are conversant with local laws, regulations, markets and competition. KPMG has offices across India in Ahmedabad, Bengaluru, Chandigarh, Chennai, Gurugram, Jaipur, Hyderabad, Jaipur, Kochi, Kolkata, Mumbai, Noida, Pune, Vadodara and Vijayawada. KPMG entities in India offer services to national and international clients in India across sectors. We strive to provide rapid, performance-based, industry-focused and technology-e...

Ensuring accurate & timely processing of credentialing applications for US healthcare Expertise regulatory compliance Conduct thorough background checks Verify licenses & certifications & collaborate with internal teams to address credentialing issue Required Candidate profile Stay informed about changes in healthcare regulations and help refine credentialing policies And procedures to enhance operational efficiency Contribution impact quality of healthcare services

Required 2 to 3 years of experience as A/R Trainer and over experience of 5-6 years in US healthcare with any graduation. Deep understanding of the entire scope of medical billing with specialization in AR. Strong verbal and written communication to explain complex AR concepts clearly. Ability to interpret AR reports, identify patterns (e.g., denials), and develop training programs based on Quality reports shared. Familiarity with EHR/EMR systems (e.g., Epic, Cerner), clearinghouses, and Microsoft Office or LMS platforms. Ability to work independently and manage time effectively. Accuracy in documenting training sessions, Creating Process Documents, tracking learner progress, Process Knowled...

Job Description: Senior Revenue Cycle Manager Required Candidate profile This position is based in Noida and works from home for the next few months, and the timing of the Shift is US Hrs (NIGHT SHIFT) ESSENTIAL DUTIES AND RESPONSIBILITIES: Manage day-to-day operations and directs the team responsible for Healthcare RCM( Revenue Cycle management) activities Manage and meet performance targets for login hours, Schedule, A-Bay performance, glide path targets, Client SLA, quality and customer satisfaction Ensure quality and efficiency measures are met within the team and in accordance with service level agreements Provide coaching and feedback to direct report positions to ensure satisfactory p...

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

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 lar...

Roles and Responsibilities: Review and analyze unpaid or denied medical claims.Make outbound calls to insurance companies (payer organizations) to resolve pending claims. Follow up on claims for timely resolution. Understand and interpret Explanation of Benefits (EOB), denials, and insurance guidelines. Escalate complex claims to the appropriate team or supervisor. Stay updated on payer policies, billing rules, and compliance standards. Must have skills: Should have experience in AR calling, denial management and in RCM Contact Person : Viji Hurshaa Email ID : hurshaa@gojobs.biz

Team Leader in US Healthcare RCM overseeing daily operations, ensuring team targets, quality, and compliance. Guides and supports staff in billing functions. Drives performance, training, & process improvements. TL in papers must. Vacancies: AR, VOB

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 p...

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...

Job Title: Team Lead 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: 6 LPA 10 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 Team Lead Credentialing to lead and oversee a credentialing team responsible for provider...

Job Role: Asst Manager (Athena) Location: Bangalore Job Description: Athena Admin Athena Operations Manage athena

Hi, Greetings from IndiHire ! Develop and implement a comprehensive quality strategy aligned with the organization's vision and goal. Design, embed and oversee quality assurance frameworks, policies, and procedures to meet internal and external customer expectations. Collaborate with cross-functional teams to identify and address quality gaps in processes, products, and services. Conduct and lead gaps & needs analysis and training assessment; contribute and participate in all growth and improvement initiatives. Drive calibration sessions to align teams with quality standards and client expectations. Conduct coaching and mentoring sessions to engage with broader employee base to help build a ...

Role Overview: We are seeking a seasoned professional with 15+ years of experience in RCM operations. The Associate Director will be responsible for overseeing large-scale operations, driving strategic initiatives, enhancing client partnerships, and leading high-performing teams to achieve operational excellence. Key Responsibilities: Lead and manage end-to-end RCM operations for US healthcare clients. Drive strategic initiatives to improve efficiency and reduce operational costs. Ensure delivery excellence, quality, and compliance with client requirements. Build and maintain strong client relationships, ensuring SLAs and KPIs are consistently met. Mentor, coach, and develop managers and sen...

Role Overview: We are seeking an experienced professional with 13+ years of experience in RCM operations. The Senior Manager will be responsible for leading operations teams, driving performance metrics, ensuring client satisfaction, and delivering process improvements. The ideal candidates last designation should be Manager, with strong experience in US healthcare RCM. Key Responsibilities: Lead day-to-day RCM operations for US healthcare clients. Drive team performance to meet or exceed SLAs and KPIs. Ensure operational quality, compliance, and delivery excellence. Collaborate with clients to build strong partnerships and handle escalations. Coach and develop team leaders and managers to a...

Greetings from Intellisight India Pvt. Ltd !!!!!!!!!!!!! We are hiring for Subject Matter Expert- US Healthcare -AR Process. Intellisight India Private Limited is a Private company incorporated on 20 February 2003. Intellisight India Private Limited is a Private company incorporated on 20 February 2003.Intellisight India Pvt. Ltd is a subsidiary of Intellisight LLC, headquartered in USA. The Company is a one-stop solution center based out of Hyderabad with a captive client in cardiology, GI and surgical centers, which take care of US medical billing and insurance-related activities. INTELLISIGHT is n associate company of INTELLISIGHT LLC, USA. Role & Responsibilities: Manage accounts receiva...