Company Description SPRY Therapeutics, Inc. is the inventor of SPRY EMR , an integrated practice management solution designed to support rehab therapy professionals from the front desk to clinical operations to the back office. With a future-focused architecture, the SPRY platform adapts to the evolving clinical and business requirements of physical therapists, occupational therapists, and speech-language pathologists . Since 2021, SPRY has gained a reputation for customizable workflows, quick migration times , and high-velocity claims processing , all offered within a single platform at a competitive price. Job Title: Quality Auditor – Claims Submission 📍 Location: Pune (Work from Office) 🕒 Job Type: Full-Time 🏢 Industry: Healthcare / RCM Job Description: We are seeking a skilled and detail-oriented Quality Auditor – Claims Submission (EDI Audit) to join our growing RCM team in Pune . The ideal candidate should have a deep understanding of claims submission workflows , EDI audits , and overall RCM processes , with proven experience in driving quality and compliance. Responsibilities: Perform detailed audits of medical claims to ensure completeness, accuracy, and payer compliance Identify root causes and recurring issues to recommend actionable improvements Document audit findings, prepare reports, and track quality trends Provide feedback and coaching to operations teams based on audit results Collaborate with internal teams (Eligibility, Billing, Payment Posting, etc.) to improve process efficiency and accuracy Ensure adherence to regulatory and client-specific billing requirements Requirements: Graduate in any discipline Minimum 3 years of experience in RCM At least 1 year of official/on-paper experience as a Quality Auditor Hands-on experience in claims submission and EDI audit processes CPC (Certified Professional Coder) certification is mandatory Strong analytical, communication, and documentation skills In-depth understanding of end-to-end RCM workflows Nice to Have: Familiarity with payer guidelines and denial management Exposure to claim scrubbers and audit tools What We Offer: Opportunity to work with a fast-growing health-tech company A collaborative, high-performance work culture Competitive salary and benefits Learning and growth opportunities in a future-focused environment 📬 To apply, please send your resume to 👉 nuteshr@spryhealth.care or apply directly via LinkedIn. #SPRYTherapeutics #hiring #qualityauditor #claims #edi #rcm #medicalbilling #cpc #punejobs #rcmcareers #auditorjobs #workfromoffice
contacting insurance companies and patients to follow up on unpaid or denied medical claims. To ensure timely and accurate reimbursement for services. Key responsibilities include resolving claim issues, communicating with payers and patients, maintaining records, adhering to regulations like HIPAA
Calling insurance companies to follow up on outstanding unpaid or denied medical claims. To ensure timely and accurate reimbursement for services and taking appropriate action on claims as per denial secanrios Key responsibilities include resolving claim issues, communicating with payers and patients, maintaining records, adhering to regulations like HIPAA. Individuals who are currently working in US healthcare account receivable domain with calling experince can apply.
You should have experience with medical billing or US healthcare revenue cycle end to end RCM.,
As a Sr. Account Receivable Executive - US Healthcare at SPRY Therapeutics, Inc., you will be responsible for AR Calling and Denial Management. Your key responsibilities will include: - Demonstrating experience in AR Calling and Denial Management - Possessing a good understanding of the end-to-end RCM domain - Having knowledge of CPT, ICD, and HCPCs coding systems - Bringing at least 1 year of prior experience in the US Healthcare domain - Utilizing strong analytical and problem-solving abilities - Showcasing excellent written and verbal communication skills - Working effectively in an on-site setting Qualifications required for this role include: - A Bachelor's degree in Finance, Business Administration, or a related field - Experience in the healthcare industry is considered a plus At SPRY Therapeutics, Inc., we are the creators of SPRY EMR, an integrated practice management solution tailored for rehab therapy professionals. Our platform supports various aspects of operations for physical therapists, occupational therapists, and speech language pathologists, ensuring efficient workflow customizations, quick migration times, and comprehensive claims processing since 2021.,
Job Description You will be a Healthcare Account Executive at SPRY Therapeutics, Inc., located in Pune. Your role involves working closely with healthcare professionals to ensure their needs are met through SPRY's solutions. Key Responsibilities - Claim Follow-up: Place outbound calls to insurance companies to check the status of unpaid or denied claims. - Denial Management: Work on claims that have been denied or rejected, identifying the reasons for the denial and working to resolve them. - Appeals: Prepare and submit appeal letters to insurance companies for denied claims. - Record Keeping: Maintain detailed records of all communications and actions taken on claims. - Compliance: Adhere to US healthcare regulations, such as HIPAA, and follow company policies. Qualifications Required - Understanding of the Healthcare industry. - Strong interpersonal and communication skills. - Bachelor's degree. - Experience in US healthcare AR calling is a must.,
Job summary The End-to-End RCM Manager is responsible for the overall strategy and daily management of all revenue cycle functions. They lead a team to ensure accurate and timely processing of claims, maximize revenue capture, and maintain compliance with US healthcare regulations. The manager monitors key performance indicators (KPIs), drives continuous process improvement, and serves as a primary point of contact for clients or other internal departments on RCM performance. Key responsibilities Team leadership and management: Supervise, coach, and mentor RCM teams across multiple functions, such as medical coding, billing, and accounts receivable (AR). Conduct regular performance reviews and provide constructive feedback to staff to ensure departmental goals are met. Oversee the hiring, training, and development of team members. Operational oversight: Lead and optimize end-to-end RCM processes, including patient registration, insurance verification, charge capture, claim submission, payment posting, denial management, and patient collections. Monitor and analyze RCM key metrics, including AR days, denial rates, clean claim rates, and net collection rates. Ensure all RCM workflows are efficient, accurate, and compliant with industry regulations. Denial management and process improvement: Develop and implement effective strategies to minimize claim rejections and accelerate reimbursement. Collaborate with coding and billing teams to identify denial patterns and implement corrective actions. Drive process optimization initiatives and implement best practices to improve efficiency and reduce revenue leakage. Client and stakeholder communication: Serve as a key point of contact for clients, addressing inquiries, providing performance updates, and conducting regular business reviews. Collaborate with clinical, compliance, and IT departments to ensure a cohesive and effective revenue cycle. Compliance and reporting: Ensure strict adherence to all US healthcare regulations, including HIPAA, and stay informed on changes to coding standards (e.g., ICD-10, CPT) and billing rules. Prepare and present regular reports and dashboards on RCM performance to senior management. Qualifications Education: A bachelor's degree in finance, healthcare administration, or a related field is typically required, with a master's degree often preferred. Experience: 8+ years of experience in US healthcare revenue cycle management. Proven experience in a supervisory or managerial role within RCM. Experience with end-to-end RCM operations, including both front-end (e.g., patient access) and back-end processes (e.g., AR, denials). Required skills Leadership: Exceptional leadership, mentoring, and team development skills to motivate and guide RCM professionals. Communication: Excellent written and verbal communication skills to effectively interact with staff, clients, and other departments
Job summary The End-to-End RCM Manager is responsible for the overall strategy and daily management of all revenue cycle functions. They lead a team to ensure accurate and timely processing of claims, maximize revenue capture, and maintain compliance with US healthcare regulations. The manager monitors key performance indicators (KPIs), drives continuous process improvement, and serves as a primary point of contact for clients or other internal departments on RCM performance. Key responsibilities Team leadership and management: Supervise, coach, and mentor RCM teams across multiple functions, such as medical coding, billing, and accounts receivable (AR). Conduct regular performance reviews and provide constructive feedback to staff to ensure departmental goals are met. Oversee the hiring, training, and development of team members. Operational oversight: Lead and optimize end-to-end RCM processes, including patient registration, insurance verification, charge capture, claim submission, payment posting, denial management, and patient collections. Monitor and analyze RCM key metrics, including AR days, denial rates, clean claim rates, and net collection rates. Ensure all RCM workflows are efficient, accurate, and compliant with industry regulations. Denial management and process improvement: Develop and implement effective strategies to minimize claim rejections and accelerate reimbursement. Collaborate with coding and billing teams to identify denial patterns and implement corrective actions. Drive process optimization initiatives and implement best practices to improve efficiency and reduce revenue leakage. Client and stakeholder communication: Serve as a key point of contact for clients, addressing inquiries, providing performance updates, and conducting regular business reviews. Collaborate with clinical, compliance, and IT departments to ensure a cohesive and effective revenue cycle. Compliance and reporting: Ensure strict adherence to all US healthcare regulations, including HIPAA, and stay informed on changes to coding standards (e.g., ICD-10, CPT) and billing rules. Prepare and present regular reports and dashboards on RCM performance to senior management. Qualifications Education: A bachelor's degree in finance, healthcare administration, or a related field is typically required, with a master's degree often preferred. Experience: 8+ years of experience in US healthcare revenue cycle management. Proven experience in a supervisory or managerial role within RCM. Experience with end-to-end RCM operations, including both front-end (e.g., patient access) and back-end processes (e.g., AR, denials). Required skills Leadership: Exceptional leadership, mentoring, and team development skills to motivate and guide RCM professionals. Communication: Excellent written and verbal communication skills to effectively interact with staff, clients, and other departments
Key Responsibilities Claim Follow-Up: Monitor submitted claims, track unpaid or underpaid claims, and follow up with insurance companies to ensure payment. Denial Management: Review denied insurance claims, determine the reason for denial, and initiate appeals or corrections to resolve the issue and secure payment. Discrepancy Resolution: Investigate billing statement discrepancies, payment records, and other financial issues to resolve them accurately and efficiently. Payer & Provider Coordination: Collaborate with insurance representatives and healthcare providers to resolve billing issues and streamline the payment process. Essential Skills and Qualifications Medical Billing Knowledge: A strong understanding of the U.S. healthcare revenue cycle, payer protocols, and medical billing terminology. Denial Management Experience: Proven experience in reviewing Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to resolve claim denials. Analytical & Problem-Solving Skills: The ability to analyze data, identify root causes of problems, and develop effective solutions for AR issues. Communication Skills: Excellent written and verbal communication skills for professional interactions with insurance representatives, providers, and patients. Minimum 1-2 years US healthcare domain AR calling experience.
Job Description You will be responsible for the following key responsibilities: - Reviewing Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to resolve claim denials. - Analyzing data, identifying root causes of problems, and developing effective solutions for AR issues. - Demonstrating excellent written and verbal communication skills for professional interactions with insurance representatives, providers, and patients. Qualifications Required - Minimum 1-2 years of US healthcare domain AR calling experience. (Note: Any additional details of the company were not provided in the job description.),
Company Description SPRY Therapeutics, Inc. is the inventor of SPRY EMR, an integrated practice management solution tailored for rehab therapy professionals. The SPRY platform supports physical therapists, occupational therapists, and speech language pathologists to optimize their practice and business operations. Known for its flexible workflow customizations, quick migration times, and efficient claims processing, SPRY offers a comprehensive solution at a simple price. Established in 2021, SPRY has built a strong reputation in the rehab therapy industry. Core Responsibilities Supervise and Coach: Oversee daily tasks, monitor performance metrics, and provide coaching to team members to improve skills and meet goals. Minimum two years experience at leadership role in US healthcare domain Performance Management: Track key performance indicators (KPIs), identify performance issues, and implement action plans for improvement. Compliance & Regulation: Ensure the team adheres to healthcare regulations, including HIPAA, and maintains service quality standards. Operational Oversight: Manage day-to-day operations, streamline workflows, and coordinate schedules for optimal efficiency. Communication & Problem-Solving: Facilitate team meetings, communicate expectations and updates, and resolve escalated issues. Essential Skills Leadership & Team Management: Strong ability to motivate, guide, and manage a team effectively. Communication: Excellent spoken and written communication skills for client and team interactions. Organizational Skills: Efficiently manage workflows, resources, and team schedules. Healthcare Domain Expertise: Knowledge of specific areas such as billing, claims processing, insurance verification, or call center operations. Performance Metrics & KPIs: Proficiency in tracking, analyzing, and managing performance against defined metric
Key responsibilities Team and workflow management: Supervise and guide team members, ensure smooth workflow, and improve process efficiency. Clinician and patient coordination: Manage clinician inquiries, organize visit schedules, and handle patient-related coordination. Compliance and authorizations: Ensure all operations comply with regulations and manage necessary authorizations. Performance management: Support performance management of team members and conduct training. Process and systems expertise: Maintain a strong knowledge of US healthcare processes, such as end-to-end revenue cycle management (RCM), physician and hospital billing, and denials. Cross-functional collaboration: Actively engage with clients, other departments, and stakeholders to ensure smooth operations. Reporting and analysis: Monitor and report on operational goals and performance. Qualifications and skills Experience in US healthcare operations. Strong knowledge of US healthcare processes, including RCM. Atleast 2 years as operation lead. Experience with physician and hospital billing, AR, denials, verification, and charge entry. Excellent communication, coordination, and people management skills. Ability to motivate, mentor, and provide guidance to a team.