19 Rcm Process Jobs

Job description Job Title : Manager - Revenue Cycle Operations Department : Medica Billing Location : Remote / India [Currently work from Home] Experience : 12+ years Shift Time : 5:30 Pm to 2:30 Am IST Company Website: https://www.modulemd.com Profile Overview We are seeking a detail-oriented, proactive, and client-focused Manager Revenue Cycle Operations to join our team. This role will oversee the entire Revenue Cycle Management (RCM) function, including: Billing Operations Oversight Compliance & Regulatory Adherence Team Leadership & Training Reporting & Analytics Vendor & Payer Relations Process Improvement Patient Billing & Support The ideal candidate will have strong expertise in US H...

As a Trainer at Medical Billing Wholesalers (MBW), you will play a crucial role in enhancing the skills and knowledge of our employees. You will collaborate with management to identify training needs, schedule training sessions, and implement effective training methods. Your responsibilities will include preparing training materials, conducting training sessions on RCM and soft skills, and reviewing training needs regularly. Additionally, you will coach low performers, conduct assessments, and monitor progress to ensure continuous improvement. Key Responsibilities: - Collaborate with management to identify training needs for all employees - Schedule appropriate training sessions for new and ...

Role Overview: You will be working as an Account Receivable Executive (Sr. AR/ AR Associate) at Vitality. Your primary responsibilities will include working on outstanding claim reports and account receivable reports received from clients, as well as calling insurance carriers based on client appointments. It is essential to have experience in AR, knowledge of the RCM process, and possess strong communication skills. Key Responsibilities: - Work on outstanding claim reports and account receivable reports received from clients or generated from specific client software. - Call insurance carriers based on appointments received by clients. - Utilize your experience in AR and knowledge of the RC...

Role & responsibilities 1.KNOWLEDGE OF HEAT TREATMENT PROCESS 2. KNOWLEDGE OF RCM, SHOT BLASTING PROCESS 3. BACKGROUND EXPERIENCE IN GDC INDUSTRIES Preferred candidate profile DIPLOMA/DEGREE (FULL TIME) + 4 TO 5 YEARS EXPERIENCE

Make outbound calls to insurance companies to follow up on pending claims Understand work on denials, rejections, underpayments Analyze resolve billing issues to secure claim payment Maintain accurate documentation of all interactions claim status Required Candidate profile Achieve daily/weekly/monthly targets for collections and productivity. Excellent spoken English and communication skills. Willingness to work in night shifts (US process).

As a Credentialing Specialist, you will be responsible for screening practitioner applications and verifying supporting documents. Your key tasks will include identifying discrepancies and following up with providers, handling Medicare and Medicaid enrollments and revalidations, and processing initial and re-credentialing applications with necessary follow-ups. Additionally, you will be tasked with creating and maintaining CAQH, PECOS, and NPPES profiles, as well as managing hospital privileges for both initial appointments and reappointments. Your role will also involve responding to credentialing inquiries from internal teams, participating in leadership meetings, and tracking credentialin...

Job Description AR Caller (Physician Billing & Denial Management) We are hiring experienced AR Callers with solid knowledge in Denial Management and Physician Billing for our leading healthcare clients in Bangalore. Key Responsibilities: Work on Physician Billing accounts, handling US insurance follow-ups. Resolve denied/rejected claims by communicating with insurance companies via calls. Perform detailed analysis of claim denials, identify trends, and initiate resolution. Handle AR follow-up , appeals, and claim status checks. Ensure accuracy in documentation and claim updates in billing systems. Meet daily productivity targets and quality metrics in a US healthcare environment. Required Sk...

As the ideal candidate for this role, you will be responsible for serving as a primary knowledge source for the Revenue Cycle Management (RCM) process, offering guidance and direction to the RCM team. You will be tasked with analyzing revenue cycle trends, aiming to enhance and streamline processes effectively. Additionally, your role will involve training team members on updated RCM procedures and guidelines, ensuring their proficiency in the field. Your expertise will be crucial in participating in client meetings, offering expert insights into the RCM process and addressing escalated complex RCM issues. It will be your responsibility to develop and uphold documentation of RCM procedures a...

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 ...

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 documentat...

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 H...

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...

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 trainin...

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 th...

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: Candi...

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 improvemen...

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

About E-Health Source: E-Health Source is a leading Revenue Cycle Management (RCM) service provider, committed to delivering efficient, accurate, and compliant healthcare solutions for clients across the US. Our team is driven by innovation, process excellence, and customer satisfaction. Job Summary: We are looking for a highly motivated ATL/TL Accounts Receivable (AR) professional with strong leadership capabilities and a deep understanding of the US healthcare RCM process. The ideal candidate will be responsible for leading a team of AR callers, ensuring timely follow-ups, reducing outstanding A/R, and maintaining strong client communication. Role & responsibilities Lead and mentor a team ...