8 Rcm Processes Jobs

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-t...

As a Compliance Manager at Scale Healthcare (India), your role will involve ensuring full compliance with US RCM guidelines and healthcare regulations. You will be responsible for conducting audits, identifying process gaps, and implementing corrective measures. Collaborating with cross-functional teams to strengthen compliance procedures will also be a key part of your responsibilities. Additionally, you will need to maintain comprehensive documentation and support internal/external reviews while staying current with regulatory updates and industry standards. Key Responsibilities: - Ensure full compliance with US RCM guidelines and healthcare regulations - Conduct audits, identify process g...

As a Process Associate in the Dental Billing department at QODORO, your role will involve collaborating with a diverse Medical and Dental Billing team to deliver accurate and high-quality billing services to clients during the US shift. You are expected to have a sound understanding of Dental Billing and Eligibility Verification processes. Key Responsibilities: - Verify dental and medical insurance eligibility for patients. - Handle billing inquiries and maintain effective communication with patients and insurance providers. - Ensure timely and accurate processing of dental and medical claims. - Maintain thorough documentation in client software to establish a clear audit trail. - Manage den...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-t...

Job Title: Product Owner / Product Manager RCM Healthcare Tech Products Location: Pune Shift: US Shift (Night Shift IST) Experience Required: 4+ years in US Healthcare RCM with at least 23 years in Product Management / Product Ownership / Product Analyst roles About the Role Credence is seeking a highly motivated and experienced Product Owner / Product Manager to lead the design, development, and enhancement of our Revenue Cycle Management (RCM) workflow products . The ideal candidate will bridge the gap between business needs and technology, ensuring that product development aligns with strategic goals, compliance requirements, and operational efficiency for healthcare clients across the U....

Description We are seeking an experienced AR Caller with expertise in handling denials in Revenue Cycle Management (RCM). The ideal candidate will have a strong background in analyzing denied claims, initiating appeals, and ensuring timely payments from insurance companies. Responsibilities Review and analyze denied claims to determine reasons for denial and take appropriate action. Initiate appeals for denied claims by gathering necessary documentation and submitting to insurance companies. Communicate with insurance companies to resolve claim denials and obtain payment. Maintain accurate records of claims processing and follow-up activities. Collaborate with other team members to improve p...

Job Title: International Sales Executive U.S. Healthcare (RCM) Location:Chennai Shift Timing: 3:00 PM 12:00 AM IST (U.S. & U.K. Shift) About the Role We are seeking a highly driven Outbound Sales Executive with prior experience in U.S. Healthcare and strong Revenue Cycle Management (RCM) exposure . The ideal candidate will be confident in making cold calls to U.S. and U.K. healthcare clients, generating qualified leads, and closing deals. This is a target-oriented role suited for individuals who thrive in international sales environments. Key Responsibilities Identify and engage new business opportunities for RCM services within the healthcare industry. Develop and execute strategies to achi...

Job Title: International Sales Executive U.S. Healthcare (RCM) Location:Chennai Shift Timing: 3:00 PM 12:00 AM IST (U.S. & U.K. Shift) About the Role We are seeking a highly driven Outbound Sales Executive with prior experience in U.S. Healthcare and strong Revenue Cycle Management (RCM) exposure . The ideal candidate will be confident in making cold calls to U.S. and U.K. healthcare clients, generating qualified leads, and closing deals. This is a target-oriented role suited for individuals who thrive in international sales environments. Key Responsibilities Identify and engage new business opportunities for RCM services within the healthcare industry. Develop and execute strategies to achi...