10 Rcm Process Jobs

As a Technical Lead - RPA at CitiusTech, you will be part of an Agile team responsible for designing and building healthcare applications, implementing new features, and ensuring adherence to the best coding development standards. Your primary responsibilities will include: - Developing RPA code in compliance with client's coding standards, minimizing the need for major code reviews and handholding. - Ensuring that coding standards applicable to the Customer environment are strictly followed. - Conducting peer reviews, providing feedback on coding, testing, and documentation. - Managing UAT defects to facilitate the smooth transition of bots from UAT to Pre-Prod and then to Prod. - Creating deployment plans for GoLive post UAT completion. - Collaborating with other developers throughout the implementation lifecycle. - Creating reusable and modular functions, supporting software development activities. - Ensuring the development team performs timely backups of fully functional code and securely stores backups in alignment with Environment Standards and Compliance. - Taking inputs from RPA stakeholders and ensuring Developers adhere to up-to-date standards and practices. Required Experience: - 7-8 years of relevant experience. Location: - Mumbai, Pune, Chennai, Bangalore. Educational Qualifications: - Engineering Degree - BE/ME/BTech/MTech/BSc/MSc. - RPA Developer advanced certification. - Technical certification in multiple technologies is desirable. Mandatory Technical Skills: - Minimum 3+ years of experience in Power Automate. - Proficiency in web and desktop automation. - Experience in Excel Automation and Orchestrator understanding (Assets, Configuration). - Familiarity with API calls through Power Automate. - Basic knowledge and experience in Tableau and Looker. - Hands-on experience in Power Automate Desktop and Cloud. - Understanding of AI Builder, Standard and Premium Connectors. - Working experience in US healthcare in at least one of the RCM processes (Claims/Pre adjudication/Prior authorization/Denials etc.). Good to Have Skills: - Quick learner with adaptability to change. - Attention to detail and quality consciousness. At CitiusTech, we are committed to combining IT services, consulting, products, accelerators, and frameworks with a client-first mindset and next-gen tech understanding to humanize healthcare and make a positive impact on human lives. Our culture focuses on creating a fun, transparent, non-hierarchical, diverse work environment that promotes continuous learning and work-life balance. Our EVP, "Be You Be Awesome," reflects our dedication to creating a workplace where employees can thrive personally and professionally. We offer comprehensive benefits to support your long and rewarding career with us. Join us in solving healthcare challenges and positively impacting human lives alongside global leaders. For more information about CitiusTech, visit https://www.citiustech.com/careers and follow us on [Social Media Platforms]. Happy applying!,

As a Technical Lead - RPA Power Automate at CitiusTech, you will be an integral part of an Agile team responsible for designing and building healthcare applications and implementing new features while ensuring adherence to the best coding development standards. Your role will involve developing RPA code in alignment with the client's mandated coding standards, with minimal code reviews and handholding. It is crucial to ensure that coding standards applicable to the Customer environment are followed diligently and that coding reviews for the team meet the expected standards. You will be responsible for performing peer reviews, providing constructive feedback on coding, testing, and documentation, and ensuring that UAT defects are promptly updated and closed to facilitate a smooth transition of bots from UAT to Pre-Prod and then to Prod. Additionally, you will be tasked with creating a deployment plan for GoLive upon the completion of UAT, assisting other developers throughout the implementation lifecycle, and creating reusable and modular functions while offering support for software development activities. The ideal candidate for this role should possess a minimum of 7-8 years of experience and hold an Engineering Degree (BE/ME/BTech/MTech/BSc/MSc) along with an advanced certification as an RPA Developer. Technical certification in multiple technologies is considered desirable. In terms of skills, mandatory technical skills for this position include a minimum of 3+ years of relevant experience in Power Automate, understanding of web and desktop automation, experience in Excel Automation, Orchestrator understanding, working on API calls through Power Automate, clear communication with other Software and Database Development Engineers, basic knowledge and experience in Tableau and Looker, exposure to other automation tools, hands-on experience in Power Automate Desktop and Cloud, understanding of AI Builder, Standard, and Premium Connectors, and working experience in US healthcare in at least one of the RCM processes. Good to have skills include being a quick learner, demonstrating the ability to adapt to change, attention to detail, and quality consciousness. CitiusTech is committed to combining the best IT services, consulting, products, accelerators, and frameworks with a client-first mindset and next-gen tech understanding to humanize healthcare and positively impact human lives. The organization's culture fosters continuous learning, work-life balance, and a collaborative environment where innovation thrives. Join CitiusTech in shaping the future of healthcare and positively impacting human lives. Visit our website at https://www.citiustech.com/careers to learn more and apply for this exciting opportunity. Happy applying!,

As an Account Receivable Executive (Sr. AR/ AR Associate) at Vitality, you will be responsible for working on outstanding claim reports and account receivable reports received from clients or generated from specific client software. Your key duties will include calling insurance carriers based on appointments received by clients. The ideal candidate should possess experience in Account Receivable and have knowledge of the RCM process. Additionally, we are looking for a proactive individual with excellent communication skills who can contribute to our skilled and competent team. If you are interested in joining our dynamic team at Vitality, please send your resume to hr@vitalitybss.com.,

AR Calling Active Openings - Cab Facility + Incentives Hyderabad , Mumbai Experience - Min 1 year into ar calling Package - Max Upto 40k Take Home Qualification - Inter & above Virtual and Walk-in Interviews Chennai Experience - Min 1.6 years into ar calling Package - Max Upto 5.5 Lpa Qualification - graduation Walk-in Interviews ( Reliving mandatory ) AR QA - Hyderabad (WFO) Experience - 5+ yrs AR + 1.5 yrs QA (on paper) or 2 yrs QA (off paper) Strong AR & QA knowledge Package - Max Upto 6 LPA | 42K TH + 2200 Allowances + Incentives Qualification - graduation Relieving letter Mandate ( 0 -10 days of notice period ) Interview - HR Virtual | Manager Face to Face Prior Authorization Openings Hyderabad Experience - Min 2 year into Prior Authorization Package - Max Upto 32k Take Home Qualification - Graduation Walk-in Interviews ( Reliving mandatory ) Mumbai Experience - Min 1 year into Prior Authorization Package : Max Upto 5.75 Lpa Qualification : Inter & above Virtual Interviews ( 2 months NP accepted ) Interested & Eligible candidates can share their resume to: HR Harshitha 7207444236 (Call / WhatsApp) harshithaaxis5@gmail.com References are appreciated

The job involves making outbound calls to insurance companies in order to check claim status and resolve any issues. You will be responsible for reviewing and analyzing accounts receivable reports, following up on outstanding claims to reduce A/R days, and documenting all call activities and outcomes in the system. Additionally, you will collaborate with the billing team to ensure quicker resolution of denied or rejected claims. To qualify for this position, you must have at least 3 years of experience as an AR Caller in the US Healthcare domain. You should possess a strong understanding of the Revenue Cycle Management (RCM) process and be familiar with medical billing terminology. Excellent verbal and written communication skills are essential for this role, along with the ability to work independently and meet deadlines effectively.,

Role & Responsibilities: Handle US healthcare process AR (Account Receivable) calling Follow up with insurance companies and clients for claim status Understand denial codes and take necessary actions Maintain call logs and documentation as per HIPAA guidelines Work in night shifts aligned with US time zone Ensure timely resolution and escalation of unresolved claims Preferred Candidate Profile: Minimum qualification: 12th pass (Any stream) Freshers & career restarters welcome Backlogs and career gaps accepted Strong verbal communication in English (required) Basic computer knowledge Willing to work in night shift (US healthcare process) Should be available for a 10-day job guarantee training (25,000 refundable if not placed) Job Type: Full-time, Permanent Salary: 18,000–20,000 per month (after placement) Training Partner: Recruitr People Tech Client: Leading MNC (US Healthcare Process) Location: Hyderabad (Madhapur, Ameerpet, Kukatpally) Contact HR – Renu Call/WhatsApp: +91 70754 94020 AR Caller US Healthcare Process Medical Billing RCM Process BPO Jobs KPO Jobs Call Center Jobs 12th Pass Jobs Freshers BPO Jobs Back Office Executive Customer Support Executive Voice Process Non Voice Process Work from Office Hyderabad Night Shift BPO Jobs US Shift Jobs MNC Hiring BPO Training with Placement Train and Deploy Program Career Gap Jobs Hyderabad Jobs for Freshers Placement Guarantee Jobs Job Guarantee Courses Recruitr People Tech

Whats the role As a Senior Team Lead, you will guide EPST teams in resolving complex, multi-disciplinary problems that others have failed to solve. You will lead structured problem-solving and causal learning teams, perform root cause analysis, and apply continuous improvement and lean six sigma methodologies. Your role involves identifying and mitigating risks, ensuring maintenance strategies, coordinating with stakeholders, and maintaining high equipment reliability in the oil and gas industry. Understanding the maintenance of pumps, compressors, turbines, and motors is essential. What youll be doing Effectively lead and guide the team for Maintenance, Reliability & Turnaround Data, and the documentation process and deliver it successfully by ensuring quality assurance, to meet/achieve their plant maintenance data request management KPI's to meet 100% by bringing process improvements through automation and continuously improving the process. The primary responsibility in preparing/developing comprehensive maintenance strategy from maintenance reports, general tasklist, equipment specific task lists, spare part list, equipment drawings, circuit diagrams, P&IDs, operation and maintenance manuals of OEMs, etc., for types of equipment like engines, pumps, compressors, turbines, etc., as per shell standards. These revised maintenance strategies and reliability improvement plans should include a detailed description of the tasks that need to be performed for overhauling/maintenance of each equipment/installation. Constantly engage with site maintenance leads, original equipment manufacturers, vendors, and conduct reliability studies in consultation with site maintenance personnel. Interact and communicate with the site focal for reliability studies and maintenance strategies, understanding the intricacies of how the actual maintenance activities for rotating equipment have been planned and performed in various Operating Units of Shell. Understanding the functions of the various equipment and instruments and also a thorough knowledge of reading/ interpreting the engineering drawings (P&IDs, PEFS, PFDs). Managing stakeholders/ representatives of various operating units through effective communication and identifying & resolving the bottlenecks for data analysis, maintaining issue logs, and use the same in implementing changes/improvements in the processes. Expected to work in collaboration with MTO team to identify, prioritize, and take action to mitigate threats and realize opportunities to meet the Strategic Asset Management Plan and business plan delivery. Prepare and update optimized equipment care strategies and plans for the systems within operating units and support them to sustain asset performance. Inspire and develop the team members. Coordinate, monitor and improve the quality and timeliness of the delivery of RCM, EPST, and Causal Learning projects and other reliability improvement tasks. Can be assigned as a trainer for the area of process tools expertise. May share the responsibility with the supervisor in staff development of other team members. Manage relationships with Asset, Functional, and TAO-based technical authorities, subject matter experts from the business, engineering managers and leads, operation managers, etc. Leadership Coach and mentor staff on technical topics and AMS work processes. Expected to be able to coach MEC topics to skill level and others to awareness. Effective communication skills and stakeholder management is a necessary skill for the job. Leadership in Group and TAO efforts to Standardize maintenance strategies, tools, benchmarks, standards, and best practices. May also be assigned to lead a FOD assigned Sites, OUs, or Data Project Team with 10 to 15 members. This role exposes the individual to stakeholders from different cultural backgrounds located across different time zones. The work comes in peaks and the person needs to be very good in prioritization and managing stakeholder expectations, resilient under pressure. Should be able to guide the team and steer them through the tough/demanding situations and contribute in terms of technical clarifications. Confidence to work in a virtual environment and managing engagement across different levels of stakeholders, including senior management for day-to-day operations. Includes initiative to identify and help resolve business and technical issues within areas of responsibility. Sound understanding of business/process workflow and having the mature mindset to deal and behave under tough/challenging situations. Strong proficiency in using English for both spoken and written communication, as well as using MS teams, Outlook, etc. Shift work following operating hours of the production sites, manufacturing sites, chemical plants, supply chain, and distribution location. Resilient under pressure and able to work with people from different cultures and working styles. Willing to travel to various operating units/sites across the globe as per requirements. A self-starter leader and reliable deliverer, with very good verbal and written skills in English, able to negotiate with people, and able to resist undue influence that might otherwise compromise the integrity of data quality. What you bring University Degree in Mechanical Engineering with at least 14 years or more of work experience in Oil & Gas Petrochemicals industry with experience in one or more of the following: Prepare & update the schedules for maintenance strategy reviews and conduct the reviews based on Risk and Reliability Management principles with tools such as RCM, and Equipment Care Strategy Library where applicable. Skilled in Maintenance tools like w-IMS RCM and shall be able to conduct reliability-centered maintenance studies for the rotating equipment, including package equipment. Able to interpret the RCM study results and convert them into PM routines for better maintenance efficiency. Participation/Leading end-to-end RCM process starting with identifying Threats and Opportunities to implementing RCM outcome with a mindset of CI (Continuous Improvement) is preferred. Shall be able to lead a dedicated RCM, EPST, and Causal learning team for a structured problem-solving process. Performing root cause analysis/causal learning. Continuous improvement and lean six sigma methodology should be used for performance improvement activities. The candidate should be able to identify existing and emerging threats, and he should be able to risk rank the activities and threats. He should be able to prioritize actions and become an EPST owner for the asset. He should be able to mitigate threats to the availability & reliability of assets. Shall be able to prepare/developing asset structure, using the equipments drawings, circuit diagrams, PEFS, P&IDs, operation, and maintenance manual of OEMs. Data gathering for the reliability analysis from CMMS, maintenance manuals, best practices, etc. Perform Gap analysis between the P&IDs and CMMS maintainable data. Integrity Assurance: Work with Technical Authorities (TA) on critical data for safety-critical element/ equipment; identification & review of Performance Standards for the SCE. Assist Reliability Technician/CMMS team on data upload to CMMS. Follow the AMS maintenance execution process (ME). Use SAP Preventative Maintenance (PM) notifications and work orders to manage work processes to ensure all equipment is maintained per scheduled maintenance plans on time. Lead multidiscipline engineers team to conduct RCM study and discussion with Site discipline & reliability engineers. E2E Implementation knowledge of the AMS MEC process. Hands-on Experience in Plant Maintenance in the Oil & Gas and petrochemical fields as a part of the Refinery Petrochemical Oil& Gas Platform maintenance team and familiar with the daily operations, preventive maintenance, corrective maintenance activities. Effective communication skills and stakeholder management is a necessary skill for the job. Experience in leading change in complex environments and a track record in building, influencing, and sustaining natural teams. Able to demonstrate in-depth technical knowledge on rotating equipment, valves, and reliability engineering. Solid experience in maintenance project management and facilitating continuous improvement

Greetings from Global Healthcare Billing Partners Private Limited..! We are hiring for the position of AR Trainer - Denials Management. Work Type: Full-Time Work Mode: Onsite (Work from Office) Location: Chennai, Vepery Shift: Night Shift Experience: 5 Plus Years Job Overview: We are looking for a skilled and experienced Trainer with over 5 years of hands-on expertise in AR Calling and Denials Management in the Hospital Billing and Physician Billing domain. The ideal candidate should possess a deep understanding of the healthcare claims process, strong leadership qualities, excellent communication skills, and a proactive mindset focused on process improvement and service quality. Note: Candidates must be comfortable working night shifts and work from office (WFO). Hands on experience with handling a batch of 25 Freshers. Key Responsibilities: Analyze workflows and identify opportunities for process optimization and increased efficiency. Monitor service quality, ensuring all SLAs and performance standards are consistently met. Train, coach, and mentor team members and new hires on process improvements and technical skills. Conduct regular quality audits and provide constructive feedback to improve team performance. Resolve complex claims and denials issues, offering subject matter expertise where required. Ensure team adherence to operational procedures and assist with continuous process enhancements. Collaborate cross-functionally to align team operations with organizational goals. Drive continuous improvement initiatives and implement best practices in AR & Denials processes. Required Skills & Qualifications: Exceptional communication, leadership, and conflict-resolution skills. Proficiency in CRM systems, healthcare billing software, and other relevant technology platforms. Ability to analyze performance data and make data-driven decisions. In-depth understanding of healthcare claims, billing cycles, and denial codes. Strong problem-solving capabilities and ability to lead teams through complex claim scenarios. Collaborative approach with a focus on achieving operational excellence. Interested Candidates can Contact or share your updated CV/Resume to this WhatsApp Number - 8925808592 Regards, Harini S HR Department

Greetings from Global Healthcare Billing Partners Private Limited..! We are hiring for the position of Team Lead AR Calling/Trainer - Denials Management. Work Type: Full-Time Work Mode: Onsite (Work from Office) Location: Chennai, Velachery Shift: Night Shift Experience: 5 Plus Years Job Overview: We are looking for a skilled and experienced Team Lead or Trainer with over 5 years of hands-on expertise in AR Calling and Denials Management in the Hospital Billing and Physician Billing domain. The ideal candidate should possess a deep understanding of the healthcare claims process, strong leadership qualities, excellent communication skills, and a proactive mindset focused on process improvement and service quality. Note: Only candidates currently working as a SME or QA Can apply for this position . Candidates must be comfortable working night shifts and work from office (WFO). Key Responsibilities: Lead the AR Calling & Denials Management process while ensuring compliance with healthcare billing standards. Represent the team in client meetings, providing actionable inputs and aligning with client requirements. Analyze workflows and identify opportunities for process optimization and increased efficiency. Monitor service quality, ensuring all SLAs and performance standards are consistently met. Train, coach, and mentor team members and new hires on process improvements and technical skills. Conduct regular quality audits and provide constructive feedback to improve team performance. Resolve complex claims and denials issues, offering subject matter expertise where required. Ensure team adherence to operational procedures and assist with continuous process enhancements. Collaborate cross-functionally to align team operations with organizational goals. Drive continuous improvement initiatives and implement best practices in AR & Denials processes. Required Skills & Qualifications: Proven experience as a SME Or QA in AR Calling & Denials. Strong background in quality audits and continuous process improvement within the healthcare BPO space. Exceptional communication, leadership, and conflict-resolution skills. Proficiency in CRM systems, healthcare billing software, and other relevant technology platforms. Ability to analyze performance data and make data-driven decisions. In-depth understanding of healthcare claims, billing cycles, and denial codes. Strong problem-solving capabilities and ability to lead teams through complex claim scenarios. Collaborative approach with a focus on achieving operational excellence. Interested Candidates can Contact or share your updated CV/Resume to this WhatsApp Number - 8925808592 Regards, Harini S HR Department

Review and analyze insurance claims for accurate submission. Follow up with insurance companies via phone calls Resolve denied or unpaid claims Document call details Understand and interpret EOBs, denial codes, and claim adjustments. Required Candidate profile Excellent spoken English Knowledge of medical billing terminology (CPT, ICD-10, modifiers). Familiarity with US healthcare RCM cycle. Strong understanding of denial management and claim reprocessing. Perks and benefits Perks and Benefits