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.,