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
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
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
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
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
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
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
Job Description – Medical Coder (Primary Care & Hospital Visits) Location: Chennai, India Shift: Day Shift (Mon–Fri) Department: Medical Coding – RCM Division About the Role We are seeking experienced Medical Coders with strong expertise in Primary Care and Hospital Visit coding . The ideal candidate should have a solid foundation in ICD-10-CM, CPT, HCPCS, and E/M coding , with exposure to both outpatient physician billing and inpatient hospital services . This role is part of our expanding RCM operations in Chennai, supporting U.S.-based physician practices. Key Responsibilities Review and abstract diagnosis (ICD-10-CM), procedures (CPT/HCPCS), and E/M codes from medical records for primary care office visits and hospital-based encounters (admission, subsequent visits, discharge). Accurately apply 2021 E/M guidelines for office visits and CMS guidelines for hospital visits. Ensure compliance with payer-specific, federal, and state regulations to minimize denials and audit risks. Work closely with the coding quality and audit team to maintain 95%+ coding accuracy . Collaborate with billing, AR, and provider education teams to resolve coding-related rejections/denials. Stay updated with CPT/ICD-10 updates, NCCI edits, payer bulletins, and compliance guidelines . Meet productivity benchmarks while ensuring high accuracy. Support documentation improvement by identifying gaps and providing feedback to the operations/QA team. Qualifications & Skills Certifications: CPC (AAPC) or CCS (AHIMA) required. COC/CCS-P is a plus. Experience: 2–4 years in Primary Care coding with at least 1 year exposure to hospital visit coding (inpatient/observation). Strong knowledge of E/M leveling, preventive care, chronic disease management, and hospital visit coding . Proficiency in ICD-10-CM, CPT, and HCPCS Level II . Familiarity with U.S. healthcare, RCM workflow, and insurance guidelines (Medicare/Medicaid/commercial payers). Ability to work independently and meet productivity & quality targets . Good communication skills (verbal & written). Why Join Us? Opportunity to be part of a growing RCM division in Chennai . Exposure to end-to-end U.S. healthcare revenue cycle management . Structured career growth & certification support . Day shift role – work-life balance. Job Type: Full-time Pay: Up to ₹40,000.00 per month Benefits: Health insurance Provident Fund Experience: Medical coding: 2 years (Preferred) Work Location: In person
Company: Tech Lead RCM Location: Chennai, India Job Type: Full-time About Us Tech Lead RCM is a fast-growing Revenue Cycle Management (RCM) company helping physician offices and healthcare providers achieve efficiency in billing, collections, and compliance. We are building a high-performance Patient Calling Team to manage both inbound and outbound patient interactions with professionalism and empathy. Role Overview We are seeking Patient Calling Specialists experienced in handling both inbound and outbound calls. The role involves patient billing inquiries, insurance verification, appointment coordination, and follow-up with collections. Candidates must be excellent communicators with strong knowledge of U.S. healthcare processes. Key Responsibilities Outbound Calls Contact patients to verify insurance, demographics, and eligibility. Inform patients about co-pays, deductibles, and balances due. Follow up on outstanding patient balances and payment arrangements. Remind patients about appointments and documentation requirements. Inbound Calls Answer incoming patient calls related to billing, statements, and insurance queries. Handle patient concerns regarding claims, payments, and coverage. Provide accurate information and resolve queries with first-call resolution focus. Escalate complex issues to the AR or billing team as needed. Documentation & Compliance Maintain detailed and accurate records of all interactions in the billing system. Ensure HIPAA compliance and company policy adherence in every call. Collaborate with the AR, coding, and billing teams for issue resolution. Required Skills & Qualifications Minimum 2 years of U.S. Healthcare/RCM experience in patient calling (inbound & outbound). Excellent English communication (both verbal and written). Strong knowledge of insurance verification, billing, and payment collections. Experience with EHR/PM systems and call handling software. Ability to manage high volume with empathy and professionalism. Key Performance Indicators (KPIs) Call Quality & Accuracy: ≥ 90% adherence in documentation and communication. Daily Call Volume: 35–50 outbound calls; timely handling of 30–40 inbound calls. First Call Resolution: ≥ 80% of patient issues resolved on the first call. Collection Rate: 90%+ of assigned balances collected within timelines. Average Handling Time (AHT): Maintain within agreed benchmarks. Compliance: Zero HIPAA or policy breaches. What We Offer Opportunity to shape a key function in a rapidly growing organization Collaborative and innovative work culture Professional development and growth opportunities Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹35,000.00 per month Benefits: Paid sick time Provident Fund Application Question(s): How many years of AR Patient Calling experience do you have? Experience: Patient calling: 2 years (Required) Work Location: In person
Location: Chennai, India Shift: Night Shift (US Healthcare Process) Experience Required: 2–4 years in US Healthcare Credentialing Department: Provider Enrollment & Credentialing Reports To: Operations Head About the Role We are looking for a detail-oriented and proactive Credentialing Specialist to join our fast-growing Revenue Cycle Management team. The ideal candidate will be responsible for managing the end-to-end credentialing and re-credentialing process for healthcare providers, ensuring compliance with payer requirements, and maintaining up-to-date records to support timely enrollments and renewals. Key Responsibilities Manage provider credentialing, re-credentialing, and enrollment with commercial and government payers (Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, etc.). Complete and submit CAQH profiles, NPI applications, and payer enrollment forms accurately and within deadlines. Maintain an updated database of all provider information, including licenses, certifications, malpractice insurance, and expirables. Track and follow up with payers to ensure timely enrollment approvals and address any denials or rejections. Work closely with providers, practice managers, and internal teams to collect and verify credentialing documents. Update internal systems and communicate status reports to management and clients regularly. Ensure compliance with NCQA, CMS, and payer-specific guidelines. Assist in creating SOPs and process documentation to support scalability and efficiency. Required Skills & Qualifications Bachelor’s degree or equivalent. 2–4 years of hands-on experience in US healthcare credentialing or enrollment. Strong understanding of CAQH, PECOS, NPPES, Availity, and payer portals. Excellent communication and follow-up skills (both verbal and written). Strong organizational skills and attention to detail. Proficiency in MS Excel, Word, and basic CRM or RCM software tools. Ability to work in a fast-paced environment with minimal supervision. Growth Opportunities As part of a rapidly expanding RCM organization, the Credentialing Specialist will have opportunities to: Lead small teams as the process scales. Cross-train in Provider Enrollment, Eligibility, and Payer Contracting. Participate in automation and process improvement initiatives. Job Types: Full-time, Permanent Pay: ₹17,052.86 - ₹45,131.84 per month Benefits: Health insurance Paid sick time Work Location: In person