75 Rcm Operations Jobs - Page 3

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 lar...

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, e...

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...

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 experie...

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 responsi...

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 lar...

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 pro...

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 a...

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 Collaborat...

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 wi...

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 minim...

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 le...

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...

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...