38 Revenue Cycle Jobs - Page 2

Description We are seeking experienced IP DRG Coders to join our team in India. The ideal candidates will have a strong background in inpatient coding, specifically in DRG assignment, and will play a crucial role in ensuring accurate and compliant coding practices. Responsibilities Review and analyze patient records to assign appropriate DRG codes based on medical documentation. Ensure compliance with coding guidelines and regulations to maintain accuracy and integrity of coding. Collaborate with healthcare professionals to clarify documentation and coding discrepancies. Maintain up-to-date knowledge of coding standards, guidelines, and regulations. Conduct audits to ensure coding accuracy and identify areas for improvement. Skills and Qualifications 2-10 years of experience in inpatient coding and DRG assignment. Proficiency in ICD-10-CM/PCS and CPT coding systems. Strong understanding of DRG payment methodology and its application. Attention to detail and excellent analytical skills. Ability to work independently and as part of a team. Familiarity with electronic health records (EHR) systems and coding software. Certification in coding (e.g., CPC, CCS, CCA) is preferred.

You will be responsible for asking a series of relevant questions depending on the issue with the claim and recording the responses. It is essential to record the actions taken and post the notes on the clients" revenue cycle platform. You must utilize appropriate client-specific call note standards for documentation. Adherence to the Company's information, HIPAA, and security guidelines is mandatory to ensure compliance. Your conduct should be centered on ethical behavior and always prioritize active involvement rather than remaining on the sidelines. To excel in this role, you should have a minimum of 2 to 4 years of experience as an AR Caller with medical billing service providers. A strong understanding of Revenue Cycle and Denial Management concepts is required. A positive attitude towards problem-solving, the ability to grasp clients" business rules, and excellent communication skills with a neutral accent are essential qualities. A graduate degree in any field is preferred. Immediate joiners are preferred for this full-time position that offers health insurance and Provident Fund benefits. The work schedule involves night shifts with the opportunity for a performance bonus and shift allowance. Previous experience as an AR Caller for at least 1 year is preferred, but not mandatory.,

Job Summary: We are seeking an experienced and results-driven Unit Finance Head to lead the finance operations of one of our hospital units. The ideal candidate will be responsible for overseeing financial planning, cost controls, audits, budgeting, revenue cycle management, and overall financial health of the unit. Key Responsibilities: Lead and manage the units finance & accounts functions effectively. Prepare and monitor budgets, forecasts, and monthly MIS reports. Ensure statutory compliance and coordination with internal & external auditors. Manage cost control initiatives, revenue recognition, and financial reporting. Oversee billing, collections, and revenue cycle processes at the unit level. Provide financial insights and support for strategic decisions. Ensure adherence to company policies and standard accounting principles. Coordinate with corporate finance team for group-level reporting. Desired Candidate Profile: 8–10 years of progressive finance experience; healthcare or hospital experience is highly preferred. Strong understanding of hospital costing, compliance, and budgeting. Excellent leadership, analytical, and interpersonal skills. Proficient in financial systems and ERP tools.

We are seeking an experienced and highly motivated professional to join our team as a Revenue Cycle Services Manager , focusing on Inpatient Rehabilitation Facility (IRF) and Long-Term Acute Care Hospitals (LTACHs) billing. The ideal candidate will bring strong domain knowledge, leadership ability, and a track record of driving results through effective revenue cycle operations. Excellent communication, stakeholder coordination, and compliance management are essential. Role & responsibilities Manage full scope of RCM operations, including billing, denials, collections, AR management, and reporting. Collaborate with clients to define goals, resolve escalations, and improve service delivery. Track and report productivity metrics, TAT, AR aging, and denial trends on a regular basis. Lead and coach large teams (including TLs and AR specialists), ensuring alignment with SLA and performance targets. Conduct weekly/monthly/quarterly client business reviews (WBR/MBR/QBR) with actionable insights. Drive hiring decisions, attrition control, team development, and succession planning. Operational Oversight & Client Service: Oversee and coordinate with offshore billing partners for IRF & LTACH claims submission and follow-up. Monitor Discharge Not Billed (DNB) queues and collaborate with clients for timely resolution. Review payer contracts and escalate discrepancies in payments, rates, and allowances. Ensure AR and denial follow-ups are timely and accurate, adhering to payer and industry guidelines. Track and resolve issues in interface eligibility, claims submission, and remittance advice processes. Coordinate daily client communications and respond to inquiries with high professionalism. Claims & Billing Quality Control: Ensure claims are scrubbed and billed accurately by the billing partner. Address clearinghouse rejections and escalate unresolved issues. Review billing logs, rejection trends, and cash logs for accuracy and reconciliation. Access portals (Medicare, Medicaid, payer-specific) to review EOBs, RTPs, COBs, and claim statuses. Review credit balances and bad debts, including Medicare reporting. Process Improvement & Governance: Participate in regular RCM review meetings and escalate negative performance trends. Coordinate RCM meetings with clients and internal stakeholders. Support clearinghouse enrollments and lockbox access as needed. Ensure compliance with client SLAs, industry regulations, and internal policies. Baseline Competencies: Attention to Productivity and Quality Strong Customer Service Orientation Critical Thinking and Problem Solving Effective Communication Skills (Written and Verbal) Job Competencies: Proficient in Microsoft Office Suite (Word, Excel, Outlook) Sound knowledge of healthcare claims processing, AR follow-up, and collections Strong understanding of IRF & LTACH billing workflows and payer guidelines Comfortable with EMR systems, clearinghouses, and portal-based workflows Preferred candidate profile IRF & LTACH domain expertise Medical Billing Certification (AHIMA/AAPC or equivalent) Experience working with US healthcare clients or offshore delivery models Exposure to metric-based performance tracking and reporting

Develop and execute innovative strategies to improve and secure business delivery. Able to establish pilot A/R process and devise strategy to improve collections. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices i.e. Payment Posting, AR Follow-up/Denial Management, & Patient Billing. Understands the eccentricities of various provider specialties. Ensure that the portfolio meets client and internal company performance benchmarks. Actively develop the management capabilities and business acumen of direct reportees, and drives the development of team members, ensuring full and well- rounded team competency. Ability to execute policies, processes and procedures of the organization. Demonstrate leadership skills with experience managing 5-10 Teams. Excellent verbal and written communication and presentation skills. Experience of performing annual performance review/appraisals. Proficient in Excel and PowerPoint to create weekly reports, dashboards for both internal management and client. Strong people management skills with fair understanding of required techniques to create win-win situation. Strong focus on Customer Service and Collections. Strong Employee Retention capabilities. Host monthly business reviews. Employee development, engagement and retention. Staffing and resource planning. Inventory Management and devising operational strategy. Ensure that the assigned portfolio meets client and internal company performance benchmarks. Solid skills of persuasion and negotiation, paired with an innate ability to develop trust, confidence and consensus. Ensure that the assigned portfolio meets client and internal company performance benchmarks. Managing end to end process KPI and Client SLA Strong interpersonal skills and ability to liaise with support function. Candidate Requirements Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work night shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate.

Manage end-to-end billing activities including invoice creation, validation, and dispatch. Ensure timely processing of customer orders, billing schedules, and contract compliance. Coordinate with internal departments Required Candidate profile Work with cross-functional teams Proficient in ERP tools (SAP, Oracle, NetSuite) and MS Excel. Strong understanding of revenue recognition, billing cycles, and customer invoicing. Perks and benefits Perks and Benefits

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

Position: VP US Healthcare RCM Location: Pune (Work from Office) Shift Timing: US Shifts CTC: Up to 70 LPA We are hiring for the role of Vice President (VP) to lead and strengthen our Revenue Cycle Management (RCM) operations within the US Healthcare domain. Required Experience: Minimum 18 years of overall experience in US Healthcare RCM. Must have at least 1 year of experience as VP (on paper) OR Must have 2.5 years of experience as AVP (on paper) Key Responsibilities: Provide strategic leadership across large-scale RCM operations. Drive efficiency, transformation initiatives, and business growth. Ensure client satisfaction, high service quality, and compliance. Lead senior leadership teams and oversee performance delivery. Skills & Competencies: Strong expertise across all RCM functions and processes. Proven leadership in managing large, cross-functional teams. Excellent communication, client engagement, and stakeholder management skills. CONTACT: Sanjana- 9251688426