36 Rcm Operations Jobs - Page 2

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...

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 a...

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 ex...

Account Manager for US RCM process. The ideal candidate should have a minimum of 8 years’ experience & be a SME in the entire RCM process. In addition, they should have proven track record of effectively managing team & strong client relationships.

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...

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...

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 responsi...

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, and process improvements. Vacancies:AR, payment posting, VOB

Role & responsibilities RCM Manager oversees the entire revenue lifecycle in healthcare from patient registration through claims submission to payment collection ensuring the organization maximizes revenue, maintains compliance, and optimizes billing operations. Team Leadership & Training : Lead and mentor billing, coding, and AR staff, setting performance goals and ensuring operational consistency. Performance Analytics & Reporting : Monitor KPIs such as denial rate, clean claim rate, collection percentage and deliver insights for process optimization. Preferred candidate profile Requires 5-7 years of healthcare RCM experience and at least 2 years managing teams.

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 responsi...