10 Revenue Cycle Jobs

AR Caller, Denial Management, Senior AR, Full-time, Permanent Candidates, Perks and Benefits Required Candidate profile Ub04, CMS1500, Epic, Cerner, Sorian, Athena. ***Candidates with minimum 6 months+ Experience with Hospital or Physician Billing into AR Calling is Preffered*** Perks and benefits Salary + Bonus, Cab pick and drop

Job Summary: The analyst is part of the vendor/market intelligence practice. The primary responsibility is to perform extensive research by engaging the senior management and analyst contacts at major product and service providers in the Enterprise software and services (BPO) space. Use sources of information (through Primary and secondary research) to identify various drivers for evaluating the provider community. Additional responsibilities include determining trends (internal and external environment) impacting the drivers, conducting competitive analysis of major suppliers in the industry, using strategic frameworks to determine competitive positioning, building analytical models based on the collected information. The analyst works closely with Director to track existing vendor categories and identify emerging categories. The role expects the analyst to quickly scale and establish himself as an authority in the assigned enterprise software category. Role & responsibilities Ability to effectively operate independently and in a team environment. In-depth knowledge on various strategic analysis tools. Holistic view on the overall Industry categories. Insights/market view of how stakeholders view the sourcing of each software or services category. Expectations of Industry stakeholders from Vendor intelligence report. Basic knowledge of the Enterprise SG&A processes and taxonomy. To continuously monitor the evolving trends/opportunities for Software/services purchase teams. Track emerging trends including innovation and changing technological changes . Preferred candidate profile JOB : Must have working knowledge in offshoring/outsourcing industry dynamics, software, and outsourcing services vendors. Excellent written and verbal communication, analytical and critical-thinking skills are essential. Should have knowledge on quantitative and research skills with exposure to popular secondary research databases. Should be organized and focused on delivering research tasks within defined deadlines. Must be dynamic, flexible and possess perseverance skills. Should have knowledge in Microsoft Office (Excel, Word, PowerPoint) Self-motivated, fast learner with the ability to operate independently Understanding of global technology economics would be a plus Personal: Should understand business objectives and organization structure. The candidate should possess attention to detail and experience working with in-house databases and building new data sets. Must be highly collaborative and a team player with commitment to excellence. Ability to work under pressure and manage multiple client deliverables. Negotiation and persuasion skills are required to work with stakeholders

Exclusive Walk in Drive - US Healthcare RCM Trainer - 31st May 2025 Date : 31st May 2025 Venue : HCL Tech , 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119 POC : Shinaz JOB SUMMARY We are seeking a knowledgeable and experienced US Healthcare RCM Trainer to join our team. The ideal candidate will be responsible for training employees on various aspects of revenue cycle management, including insurance processing, registration, eligibility, claims management, billing, collections, and denials. The trainer will develop and deliver training programs to ensure that employees are well-versed in RCM processes and best practices. Role & responsibilities Train new agents on client-specific processes and ensure they are process-ready with the necessary skills. Evaluate, Review and identify training needs to equip staff with essential knowledge. Assist in developing training standards and assess performance. Update and keep training materials current. Collaborate with stakeholders on training methods and scoring. Implement feedback from training managers and leads for improvements. Responsible for maintaining high throughput from training to production SKILLS AND COMPETENCIES Effective public speaking and presentation skills Skilled in engaging and motivating trainees Comprehensive understanding of US healthcare and RCM Advanced interpersonal, presentation, and written communication skills FORMAL EDUCATION AND EXPERIENCE Graduation in any stream 1-2 years of full-time trainer in US healthcare and provider RCM

Exclusive Walk in Drive - US Healthcare RCM Trainer - 24 May 2025 Date : 24th May 2025 Venue : HCL Tech , 138, 602/3, Medavakkam High Road, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119 POC : Shinaz JOB SUMMARY We are seeking a knowledgeable and experienced US Healthcare RCM Trainer to join our team. The ideal candidate will be responsible for training employees on various aspects of revenue cycle management, including insurance processing, registration, eligibility, claims management, billing, collections, and denials. The trainer will develop and deliver training programs to ensure that employees are well-versed in RCM processes and best practices. Role & responsibilities Train new agents on client-specific processes and ensure they are process-ready with the necessary skills. Evaluate, Review and identify training needs to equip staff with essential knowledge. Assist in developing training standards and assess performance. Update and keep training materials current. Collaborate with stakeholders on training methods and scoring. Implement feedback from training managers and leads for improvements. Responsible for maintaining high throughput from training to production SKILLS AND COMPETENCIES Effective public speaking and presentation skills Skilled in engaging and motivating trainees Comprehensive understanding of US healthcare and RCM Advanced interpersonal, presentation, and written communication skills FORMAL EDUCATION AND EXPERIENCE Graduation in any stream 1-2 years of full-time trainer in US healthcare and provider RCM

Process Performance Metrics: Responsible for meeting and exceeding the performance metrics goals, work closely with onshore counterparts and senior leadership to define and monitor the scope of metrics, collaborate with other key functional leaders offshore (Quality & Education) and build a conducive work environment. Set measurable goals metrics, for the team, aligned with the overall business goals & organizational values and have an effective review/feedback process in place. Building Talent: The candidate will be responsible for creating an environment to identify and groom talent future leaders within the team, work with cross-functional & DRs to develop IDPs. Continuous Improvement: Be able to drive efficiency and meet exceed the initiative targets, create strategies to build & sustain operational excellence, identify and work on opportunities to bring in additional scope of work. As Operations Delivery Leaders, below (but not limited to) would be key areas of responsibility; Should be able to handle a span ~600 associates spread across locations (NCR, HYD, Bangalore). The span may vary depending upon the business requirements Able to manage all service lines under Outpatient Coding (should be AHIMA or AAPC certified and have strong domain expertise) Manage day-to-day operations and ensure that deliverables are being met (including quality parameters) Collaborate with Middle Revenue Cycle PMO on transition and ensure that timelines are being met Work closely with senior leadership on cost management (P&L) Client relationship management Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests

Skills Accounts Receivable BPO Process Improvement Medical Billing MIS Outsourcing Vendor Management Transition Management Operations Management Revenue Cycle Job Description Role Description Overview: The AR Associate is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier, document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports

RSM's National Healthcare Consulting practice is searching for Healthcare Systems Implementation Project Manager who will participate in all aspects of the systems implementation life cycle related to the integration of leading healthcare IT applications. This work will include managing the customer requirements, system configuration, testing, training and go-live support activities. In addition, this role will support strategic IT projects such as IT systems assessments, software selections and roadmap development. The Consultant will be part of a multi-disciplined project team and will work collaboratively with both fellow consulting and client team members. As a member of the RSM's National Healthcare consulting practice, you will join professionals with a broad knowledge of the Healthcare industry including: financial analysis and revenue cycle management, clinical operations, regulatory reporting and compliance, HIPAA privacy, security and Healthcare IT. The Healthcare Systems Implementation Project Manager will also have a basic understanding of the consulting cycle process within the healthcare industry. As a key contributor he/she will support the building of a world class healthcare practice through listening to client needs, proposal development and presentation of solutions. Responsibilities: Managing mid to large sized healthcare technology projects with healthcare providers and related organizations Coordination and management of internal resources, third parties, vendors, and client representatives for the execution of projects Responsibility for projects to be delivered on-time, within scope and within budget Managing expectations of senior client leadership, and management of risks and issues to obtain buy in and support where needed. Mentor project and client teams as necessary in project and systems build strategy Understanding of provider healthcare systems architecture eco system Support the definition of project scope and objectives, involving relevant stakeholders and evaluating technical feasibility Planning, and coordination of resources and forecasting activities for them Develop detailed project plans, monitor, track and report progress Manage changes to the project scope, project schedule, and project costs using appropriate verification techniques Measure project performance using appropriate tools and techniques Report and escalate to management as needed Successfully manage the relationship with the client and all stakeholders Perform risk management to minimize project risks Establish and maintain relationships with third parties/vendors Create and maintain comprehensive project documentation Communicate internal and external messages, enacting one central point of contact. Client consulting by coordinating Technical, Operational, and training assistance to optimize system utilization and efficiency. Support the implementation of leading packaged software solutions that have been developed to accommodate healthcare business and management processes, regulatory requirements and other business needs such as: Epic, Meditech, Cerner, and Solventum (3M). Deploy innovative healthcare industry-specific solutions Identify, assess and solve complex business integration problems where analysis of situations or data requires an in-depth evaluation of variable factors Contribute to IT systems assessments and software selection projects Basic Qualifications: Bachelor's degree in Computer Science, Health Information Management, or similar program. Minimum of five years' experience with systems implementation projects and assessments. Direct experience with implementation of software in a healthcare setting Prior consulting experience Experience with leading electronic health records systems is an added bonus This could include software analysis, design, configuration, testing, and implementation experience as well as application support and issue resolution Experience with 3M Health Information Systems solutions such as Solventum (3M 360 Encompass and Engage One) are an added bonus AI experience within the healthcare landscape is an added bonus PMI Project Management Professional certification is an added bonus Experience with Revenue Cycle, Clinical workflows is an added bonus

Process Performance Metrics: Responsible for meeting and exceeding the performance metrics goals, work closely with onshore counterparts and senior leadership to define and monitor the scope of metrics, collaborate with other key functional leaders offshore (Quality & Education) and build a conducive work environment. Set measurable goals metrics, for the team, aligned with the overall business goals & organizational values and have an effective review/feedback process in place. Building Talent: The candidate will be responsible for creating an environment to identify and groom talent future leaders within the team, work with cross-functional & DRs to develop IDPs. Continuous Improvement: Be able to drive efficiency and meet exceed the initiative targets, create strategies to build & sustain operational excellence, identify and work on opportunities to bring in additional scope of work. As Operations Delivery Leaders, below (but not limited to) would be key areas of responsibility; Should be able to handle a span ~600 associates spread across locations (NCR, HYD, Bangalore). The span may vary depending upon the business requirements Able to manage all service lines under Outpatient Coding (should be AHIMA or AAPC certified and have strong domain expertise) Manage day-to-day operations and ensure that deliverables are being met (including quality parameters) Collaborate with Middle Revenue Cycle PMO on transition and ensure that timelines are being met Work closely with senior leadership on cost management (P&L) Client relationship management Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests

* Develops and implements mechanisms and controls to ensure appropriate billing and payment cycles. * Ensures accurate & timely billing, in accordance with established internal and third party payor requirements. * Establishes, records in writing and implement appropriate billing policy procedures, and procedures for all billing activities * Monitors charge posting, billing, and collection operations for compliance with established policies, regulations, procedures and standards. * Manages actions relating to delinquent accounts, collection agencies, special adjustments, and/or write-offs. * Requests, prepares, and/or maintains requested reports on billing and collection activities. * Manages the processing of all personnel actions; performs performance evaluations; and initiates corrective-action * Plans when appropriate, including reporting results of follow-up audits. * Assures compliance with applicable industry rules and regulations. * Does regular analyze of operational volume to determine appropriate staffing requirements. * Maintains up-to-date expertise and knowledge of healthcare billing laws, rules, regulations, and developments necessary for the organization to make informed business decisions. * Develops and delivers organized, concise yet thorough communications to the CFO and seniors regarding proposed changes, developments, and opportunities affecting the organization and billing department

Business Analyst: We definitely need both SQL knowledge + Domain Experience in Healthcare Revenue Cycle as listed in the experience section of the job description EXP- 6+ Years Location- Pune/Chennai/Coimbatore/Remote Prior experience working as a Revenue Cycle analyst in the Healthcare system. Must have a working knowledge of relational databases/database structures, SQL experience desired Must have a strong understanding of data collected and used in EMRs, Revenue Cycle and Patient Accounting Systems. Knowledge and experience with ambulatory and acute clinical, billing and claims workflows and clinical information systems.