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Tech Lead RCM

7 Job openings at Tech Lead RCM
AR Caller - US healthcare perungudi, chennai, tamil nadu 2 years INR 2.16 - 3.36 Lacs P.A. On-site Full Time

Job Summary: We are seeking a detail-oriented and Experienced AR Associate to join our revenue cycle management(RCM) team. The ideal candidate will be responsible for performing analysis and follow-up on unpaid ordenied medical claims with U.S.-based insurance companies. The role demands deep knowledge ofhealthcare reimbursement processes, excellent communication skills, and a proactive approach to ensuretimely and complete collection of accounts receivable. Key Responsibilities: Insurance Follow-Up & Collections  Initiate outbound calls to insurance carriers to check the status of outstanding claims.  Analyse reasons for claim delays, denials, or underpayments and take corrective actions.  Follow up on claims via phone calls, web portals, and payer correspondence tools.  Work claims from aging buckets (30/60/90/120+ days) to reduce outstanding AR. 2. Denial Management & Resolution  Identify trends in denials such as eligibility issues, authorization lapses, incorrect coding, or missing documentation.  Collaborate with internal billing or coding teams to reprocess or appeal denied claims.  Initiate and track appeals, re-submissions, and corrected claims as necessary.  Ensure timely handling of denials to prevent timely filing limits from being breached. 3. Documentation & System Updates  Accurately document every call made, including representative details, outcome, and next stepsin the billing or practice management system.  Maintain clear, concise, and up-to-date account notes to ensure transparency across the team.  Update claim statuses and escalate unresolved issues for additional action. 4. Compliance & Quality Assurance  Ensure all interactions comply with HIPAA and payer-specific requirements.  Maintain a high call quality standard and meet internal compliance guidelines and client SOPs.  Adhere strictly to privacy and data security protocols in every interaction. 5. Performance & Reporting  Meet or exceed daily productivity benchmarks such as call volume, resolution rate, and aging reduction.  Participate in team meetings, training sessions, and performance reviews.  Provide feedback on payer behavior and denial trends to help refine process strategies.6. Team Collaboration  Work closely with Team Leads, QA, and other AR staff to resolve complex claims or systemic issues.  Contribute to shared knowledge and assist peers with troubleshooting payer-specific challenges.  Stay informed about payer policy changes and communicate relevant updates to the team. Required Skills:  Minimum 2 years of hands-on experience in AR calling and medical billing follow-up in the U.S. healthcare domain.  Familiarity with insurance companies such as Medicare, Medicaid, and Commercial payers.  Strong knowledge of denial codes, billing modifiers, CPT/ICD-10 coding basics.  Proficiency in working with PMS/EHR systems (Athena, Epic, eClinicalWorks, etc.). Priorexperience on Advance MD will be an added advantage.  Excellent communication skills in English (spoken and written).  Good analytical, problem-solving, and negotiation skills.  Flexible to work in U.S. shift hours (Night shifts, EST/PST depending on client). Preferred Qualifications:  Bachelor's degree in any discipline.  Experience in multi-specialty billing (e.g., radiology, cardiology, DME).  Prior experience in handling large-volume client accounts or working with offshore teams. What We Offer:  Competitive salary  Health benefits (where applicable) and paid time off  Career growth opportunities in a fast-growing company  On-the-job training and performance-based rewards  A professional and supportive work environment To Apply: Send your updated resume to [email protected] Job Type: Full-time Pay: ₹18,000.00 - ₹28,000.00 per month Benefits: Paid sick time Provident Fund Experience: AR Caller: 1 year (Preferred) Work Location: In person

Administration Officer perungudi, chennai, tamil nadu 3 years INR 2.4 - 3.6 Lacs P.A. On-site Full Time

Job Description –Administration Officer- Admin & Transport in charge Work Location: Chennai, India Shift Timing: Day Shift (with flexibility to support night shift operations as required) Position Type: Full-time About the Role We are looking for a dependable and proactive Admin & Transport Team member to manage and coordinate all administrative and employee transport-related functions for our Healthcare RCM company. This role is responsible for ensuring seamless day-to-day office administration, smooth transport arrangements for night shift employees, vendor management, and timely resolution of employee grievances related to admin and transport. Key Responsibilities Office & Facility Administration  Ensure smooth functioning of day-to-day office operations (workstations, seating, pantry, housekeeping, stationery).  Coordinate with building management for facility-related concerns (electricity, internet, power backup, security).  Support new joiners with access cards, ID cards, seating, and workstation readiness. Transport Management  Coordinate daily cab schedules for night shift employees.  Maintain employee transport rosters, route plans, and daily usage logs.  Ensure vendor compliance with safety standards, GPS tracking, and driver protocols.  Address and resolve transport-related employee grievances immediately. Vendor & Asset Management  Work with transport, housekeeping, pantry, and facility vendors to ensure service delivery as per SLA.  Manage procurement and distribution of office supplies and consumables.  Maintain inventory of office assets and coordinate with IT/Operations for allocation. Employee Support & Grievances  Serve as the first point of contact for admin/transport-related employee issues.  Ensure timely escalation and resolution of grievances within agreed TAT.  Track recurring issues and propose process improvements. Compliance & Safety  Monitor adherence to health, safety, and security protocols.  Maintain visitor logs, access control records, and transport compliance reports.  Ensure zero safety incidents in transport and facility operations. Reporting & Coordination  Share daily/weekly reports on transport utilization, admin expenses, and grievances.  Work closely with HR and Operations teams for shift planning and onboarding requirements.  Support audits (internal/client/statutory) with updated admin/transport records. Qualifications & Requirements  Bachelor’s degree preferred (Business Administration/Operations/Logistics).  1–3 years of experience in administration or transport coordination (BPO/RCM industry preferred).  Strong organizational, coordination, and problem-solving skills.  Proficiency in MS Excel for roster and reporting.  Good communication and interpersonal skills.  Flexibility to support late-night coordination when required. If interested pls share updated resume to [email protected] Job Type: Full-time Pay: ₹20,000.00 - ₹30,000.00 per month Benefits: Provident Fund Experience: Office Administration: 2 years (Preferred) Work Location: In person

Payment Posting - US healthcare perungudi, chennai, tamil nadu 2 years INR 1.8 - 3.0 Lacs P.A. On-site Full Time

Job Summary: We are seeking a detail-oriented and Experienced AR Associate - Payment Posting to join our revenue cycle management (RCM) team. The ideal candidate will have a strong understanding of medical billing workflows, including charge entry, payment posting, and insurance verification. Experience working with Medisoft and Advanced MD is preferred but not required. The candidate should be detail-oriented, analytical, and efficient in maintaining accuracy and timeliness. Required Skills:  Minimum 2 years of hands-on experience in Payment Posting in the U.S. healthcare domain.  Familiarity with Medisoft software preferred  Understanding of EOB/ERA formats and payer guidelines  Strong numerical and analytical skills and organizational skills  High attention to detail and excellent Data Entry skills  Day Shift Preferred Qualifications:  Bachelor's degree in any discipline.  Prior experience in handling large-volume client accounts. What We Offer:  Competitive salary  Health benefits (where applicable) and paid time off  Career growth opportunities in a fast-growing company  On-the-job training and performance-based rewards  A professional and supportive work environment To Apply: Send your updated resume to [email protected] Job Type: Full-time Pay: ₹15,000.00 - ₹25,000.00 per month Benefits: Paid sick time Provident Fund Work Location: In person

Administration Officer india 1 - 3 years INR 2.4 - 3.6 Lacs P.A. On-site Full Time

Job Description –Administration Officer- Admin & Transport in charge Work Location: Chennai, India Shift Timing: Day Shift (with flexibility to support night shift operations as required) Position Type: Full-time About the Role We are looking for a dependable and proactive Admin & Transport Team member to manage and coordinate all administrative and employee transport-related functions for our Healthcare RCM company. This role is responsible for ensuring seamless day-to-day office administration, smooth transport arrangements for night shift employees, vendor management, and timely resolution of employee grievances related to admin and transport. Key Responsibilities Office & Facility Administration  Ensure smooth functioning of day-to-day office operations (workstations, seating, pantry, housekeeping, stationery).  Coordinate with building management for facility-related concerns (electricity, internet, power backup, security).  Support new joiners with access cards, ID cards, seating, and workstation readiness. Transport Management  Coordinate daily cab schedules for night shift employees.  Maintain employee transport rosters, route plans, and daily usage logs.  Ensure vendor compliance with safety standards, GPS tracking, and driver protocols.  Address and resolve transport-related employee grievances immediately. Vendor & Asset Management  Work with transport, housekeeping, pantry, and facility vendors to ensure service delivery as per SLA.  Manage procurement and distribution of office supplies and consumables.  Maintain inventory of office assets and coordinate with IT/Operations for allocation. Employee Support & Grievances  Serve as the first point of contact for admin/transport-related employee issues.  Ensure timely escalation and resolution of grievances within agreed TAT.  Track recurring issues and propose process improvements. Compliance & Safety  Monitor adherence to health, safety, and security protocols.  Maintain visitor logs, access control records, and transport compliance reports.  Ensure zero safety incidents in transport and facility operations. Reporting & Coordination  Share daily/weekly reports on transport utilization, admin expenses, and grievances.  Work closely with HR and Operations teams for shift planning and onboarding requirements.  Support audits (internal/client/statutory) with updated admin/transport records. Qualifications & Requirements  Bachelor’s degree preferred (Business Administration/Operations/Logistics).  1–3 years of experience in administration or transport coordination (BPO/RCM industry preferred).  Strong organizational, coordination, and problem-solving skills.  Proficiency in MS Excel for roster and reporting.  Good communication and interpersonal skills.  Flexibility to support late-night coordination when required. If interested pls share updated resume to hrtechleadrcm@gmail.com Job Type: Full-time Pay: ₹20,000.00 - ₹30,000.00 per month Benefits: Provident Fund Experience: Office Administration: 2 years (Preferred) Work Location: In person

Payment Posting - US healthcare india 2 years INR 1.8 - 3.0 Lacs P.A. On-site Full Time

Job Summary: We are seeking a detail-oriented and Experienced AR Associate - Payment Posting to join our revenue cycle management (RCM) team. The ideal candidate will have a strong understanding of medical billing workflows, including charge entry, payment posting, and insurance verification. Experience working with Medisoft and Advanced MD is preferred but not required. The candidate should be detail-oriented, analytical, and efficient in maintaining accuracy and timeliness. Required Skills:  Minimum 2 years of hands-on experience in Payment Posting in the U.S. healthcare domain.  Familiarity with Medisoft software preferred  Understanding of EOB/ERA formats and payer guidelines  Strong numerical and analytical skills and organizational skills  High attention to detail and excellent Data Entry skills  Day Shift Preferred Qualifications:  Bachelor's degree in any discipline.  Prior experience in handling large-volume client accounts. What We Offer:  Competitive salary  Health benefits (where applicable) and paid time off  Career growth opportunities in a fast-growing company  On-the-job training and performance-based rewards  A professional and supportive work environment To Apply: Send your updated resume to hrtechleadrcm@gmail.com Job Type: Full-time Pay: ₹15,000.00 - ₹25,000.00 per month Benefits: Paid sick time Provident Fund Work Location: In person

Team Leader - Operations-Day shift india 5 - 7 years INR 2.4 - 3.6 Lacs P.A. On-site Full Time

Job Description – Team Lead-Operations - (Payment Posting, Charge Entry & QA) Work Location: Chennai, India Shift Timing: Day Shift Position Type: Full-time About the Role We are looking for a Team Lead to manage multiple teams handling Payment Posting, Charge Entry and Quality Assurance within the RCM process. The Team Lead will ensure accurate and timely posting of payments, precise charge entry, and strict quality control, while mentoring team members and ensuring adherence to client SLAs. This role requires process expertise, strong leadership skills, and an eye for detail to maintain high levels of accuracy and efficiency. Key Responsibilities Team Management & Leadership  Lead, manage, and mentor teams across Payment Posting, Charge Entry, and QA.  Allocate daily tasks/worklists to team members and monitor workload distribution.  Conduct daily huddles, weekly one-on-ones, and monthly team reviews.  Ensure adherence to attendance, shift schedules, and productivity expectations. Payment Posting Oversight  Ensure accurate and timely posting of insurance and patient payments.  Oversee posting of ERA/EOBs and reconcile with deposits.  Monitor unapplied payments and initiate timely resolution.  Coordinate with AR/Client teams to resolve posting discrepancies. Charge Entry Oversight  Ensure charge entry is accurate with correct CPT, ICD-10, modifiers, and fee schedules.  Validate demographic and insurance details before posting.  Minimize charge lag days and ensure claims are released within TAT.  Work closely with coding/QA to resolve errors. Quality Assurance (QA)  Oversee the QA process for charge entry and payment posting teams.  Conduct random audits and provide feedback for error reduction.  Track quality scores, identify training needs, and organize refresher sessions.  Ensure compliance with HIPAA, client-specific SOPs, and internal QA standards. Client & Reporting  Serve as point of contact for client escalations related to payment posting, charge entry, or quality.  Generate and present daily/weekly/monthly performance and quality reports.  Participate in client calls to review SLA adherence and quality outcomes. Process Improvement  Identify recurring issues and implement corrective action plans.  Standardize processes to reduce errors and improve efficiency.  Drive automation initiatives where applicable (ERA auto-posting, reconciliation tools). Qualifications & Requirements  Bachelor’s degree preferred.  5–7 years of experience in RCM, with at least 2–3 years in Payment Posting/Charge Entry leadership.  Strong knowledge of medical billing workflow, CPT/ICD coding basics, ERA/EOB posting.  Proficiency in MS Excel and reporting.  Excellent communication and people management skills.  Experience managing multiple teams/projects simultaneously. To Apply: Send your updated resume to hrtechleadrcm@gmail.com Job Type: Full-time Pay: ₹20,000.00 - ₹30,000.00 per month Benefits: Paid sick time Provident Fund Experience: Team management: 2 years (Preferred) Work Location: In person

AR Caller - US healthcare india 2 years INR 2.16 - 3.36 Lacs P.A. On-site Full Time

Job Summary: We are seeking a detail-oriented and Experienced AR Associate to join our revenue cycle management(RCM) team. The ideal candidate will be responsible for performing analysis and follow-up on unpaid ordenied medical claims with U.S.-based insurance companies. The role demands deep knowledge ofhealthcare reimbursement processes, excellent communication skills, and a proactive approach to ensuretimely and complete collection of accounts receivable. Key Responsibilities: Insurance Follow-Up & Collections  Initiate outbound calls to insurance carriers to check the status of outstanding claims.  Analyse reasons for claim delays, denials, or underpayments and take corrective actions.  Follow up on claims via phone calls, web portals, and payer correspondence tools.  Work claims from aging buckets (30/60/90/120+ days) to reduce outstanding AR. 2. Denial Management & Resolution  Identify trends in denials such as eligibility issues, authorization lapses, incorrect coding, or missing documentation.  Collaborate with internal billing or coding teams to reprocess or appeal denied claims.  Initiate and track appeals, re-submissions, and corrected claims as necessary.  Ensure timely handling of denials to prevent timely filing limits from being breached. 3. Documentation & System Updates  Accurately document every call made, including representative details, outcome, and next stepsin the billing or practice management system.  Maintain clear, concise, and up-to-date account notes to ensure transparency across the team.  Update claim statuses and escalate unresolved issues for additional action. 4. Compliance & Quality Assurance  Ensure all interactions comply with HIPAA and payer-specific requirements.  Maintain a high call quality standard and meet internal compliance guidelines and client SOPs.  Adhere strictly to privacy and data security protocols in every interaction. 5. Performance & Reporting  Meet or exceed daily productivity benchmarks such as call volume, resolution rate, and aging reduction.  Participate in team meetings, training sessions, and performance reviews.  Provide feedback on payer behavior and denial trends to help refine process strategies.6. Team Collaboration  Work closely with Team Leads, QA, and other AR staff to resolve complex claims or systemic issues.  Contribute to shared knowledge and assist peers with troubleshooting payer-specific challenges.  Stay informed about payer policy changes and communicate relevant updates to the team. Required Skills:  Minimum 2 years of hands-on experience in AR calling and medical billing follow-up in the U.S. healthcare domain.  Familiarity with insurance companies such as Medicare, Medicaid, and Commercial payers.  Strong knowledge of denial codes, billing modifiers, CPT/ICD-10 coding basics.  Proficiency in working with PMS/EHR systems (Athena, Epic, eClinicalWorks, etc.). Priorexperience on Advance MD will be an added advantage.  Excellent communication skills in English (spoken and written).  Good analytical, problem-solving, and negotiation skills.  Flexible to work in U.S. shift hours (Night shifts, EST/PST depending on client). Preferred Qualifications:  Bachelor's degree in any discipline.  Experience in multi-specialty billing (e.g., radiology, cardiology, DME).  Prior experience in handling large-volume client accounts or working with offshore teams. What We Offer:  Competitive salary  Health benefits (where applicable) and paid time off  Career growth opportunities in a fast-growing company  On-the-job training and performance-based rewards  A professional and supportive work environment To Apply: Send your updated resume to hrtechleadrcm@gmail.com Job Type: Full-time Pay: ₹18,000.00 - ₹28,000.00 per month Benefits: Paid sick time Provident Fund Experience: AR Caller: 1 year (Preferred) Work Location: In person