Company Description TruBridge is a healthcare solutions company specializing in EHR-agnostic Revenue Cycle Management solutions for organizations of various sizes. We also provide acute EHR technology services tailored for smaller hospitals. Our mission is to deliver real, measurable results quickly and efficiently, surpassing others in speed, scale, and quality. At TruBridge, we clear the way for care, ensuring healthcare providers can focus on patient care. Role Description This is a full-time, on-site role for a Manager RCM (Revenue Cycle Management) located in Chennai. The Manager RCM will oversee the daily operations of the Revenue Cycle Management team, ensuring the efficient processing of patient billing, claims, and collections. This role involves coordinating with various departments to streamline processes, implementing best practices, monitoring performance metrics, and ensuring compliance with relevant regulations and standards. Qualifications Experience in patient billing, claims processing, and collections 8-10 years of experienced in US Healthcare RCM domain, with 2 years of experienced in AM/DM role. Proficiency in EHR and RCM technologies Strong leadership and team management skills Knowledge of healthcare regulations and compliance requirements Excellent communication and interpersonal skills Analytical skills and attention to detail Bachelor's degree in healthcare administration, finance, or related field Experience in the healthcare industry is a plus
Accounts Receivable Analyst ● 2 Years of mandate experience in AR calling with Acute care/Acute business. ● Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services. ● Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference. ● Record after-call actions and perform post-call analysis for the claim follow-up. ● Provide accurate information to the insurance company, research available documentation including authorization, physician notes, medical documentation on PM system, interpret explanation of benefits received, etc. prior to making the call. ● Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments. ● Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms. ● Responsible for meeting daily/weekly productivity and quality reasonable work expectations. Responsibilities ● Claim processing and submission. ● Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider. ● Taking denial status from various insurance carriers ● Checking eligibility and verification of policy ● Analysis of the data ● Converting denials into payments ● Follow Health Insurance Portability and Accountability Act (HIPAA) ● Account follow up on fresh claims, denials, and appeals. ● Checking the claim status as per their suspension and denials ● Achieving weekly/monthly production and audit target Qualifications/Requirements ● High School (HSC) or graduate or equivalent with strong analytical skills. ● 2 Years of experience in accounts receivable follow-up/denial management for US healthcare. ● Good written and verbal communication skills. ● Knowledge of medical terminology, ICD10, CPT, and HCPC coding. ● Basic working knowledge of computers. ● Willingness to work continuously in night shifts. Preferred ● Familiar with healthcare patient billing systems (Practice management) like NextGen, eCW, Carecloud, Docutap. ● Familiar with clearinghouse like Waystar, Realmed Availity, change healthcare, via track. ● Proficiency with MS Excel, MS Word, google spreadsheet, etc. Other Skills and Abilities ● Ability to work independently with minimal supervision. ● Good analytical skills, assertive in resolving unpaid claims. ● Ability to multi-task and accurately process high volumes of work. ● Strong organizational and time management skills
Company Description TruBridge is a healthcare solutions company that focuses on EHR-agnostic Revenue Cycle Management solutions for organizations of all sizes as well as acute EHR technology for smaller hospitals. We partner to provide services and solutions that deliver real results with unmatched speed, scale, and quality. Our mission is to clear the way for care and improve healthcare operations. Role Description This is a full-time role for an Associate Director Operations located in Chennai. The Associate Director Operations will be responsible for overseeing daily operations, managing teams, conducting data analysis, handling budgeting, and ensuring excellent customer service. This position requires strong leadership skills and the ability to work effectively on-site in Chennai. Qualifications Experience in Operations Management and handling budgeting processes 12+ experienced in US Healthcare RCM with 2 years of experience as Senior Manager RCM. Strong Analytical Skills Proven Team Management and leadership skills Excellent Customer Service skills Excellent written and verbal communication skills Ability to work independently and as part of a team Experience in the healthcare industry is a plus Bachelor's degree in Business Administration, Healthcare Management, or related field
The AR Lead Analyst is an experienced individual contributor responsible for providing subject matter expertise, floor support, and real-time coaching to enhance team performance in Accounts Receivable (A/R) and denial management. This role ensures adherence to standard RCM practices, drives accuracy and compliance, supports process improvements, and enables team success through proactive problem-solving, training, and coaching. The Lead Analyst acts as a bridge between frontline analysts and leadership, fostering operational excellence and continuous improvement. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Production & Quality Take full ownership of assigned workload with accuracy and compliance. Ensure adherence to SOPs, client-specific requirements, and quality benchmarks. Review Supervisor queue items and provide corrective training to reduce future escalations. Operational Excellence Provide team floor support, handle real-time queries, and troubleshoot operational challenges. Conduct audits, cross-skilling, and on-the-job training to strengthen team knowledge. Identify and prevent fraudulent work by monitoring performance and audit results. Create, update, and validate checklists and process documentation for team members. Promote a proactive, accountable, and solution-oriented culture. Initiatives & Continuous Improvement Identify trends, recurring errors, and process gaps to recommend corrective actions. Conduct denial analysis and share insights with the team to reduce avoidable rework. Participate in special projects and process improvement initiatives to enhance efficiency and outcomes. Encourage and engage team members in process optimization and skill development. Coaching & Development Provide timely and constructive feedback to team members (Liaisons) on performance, accuracy, and productivity. Support team members through coaching, counseling, and guidance when they face challenges. Strategize assignment distribution to balance workloads and focus on individual development. Drive continuous learning and encourage best practices within the team. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Minimum Requirements: 5+ years of experience in the U.S. healthcare domain, specializing in Accounts Receivable and Denial Management. Strong knowledge of standard RCM practices and payer-specific requirements. Proven experience providing coaching, mentoring, or floor support to operational teams. Willingness to work flexible shifts and adapt to internal role movements as needed. Education / Experience / Certification: Bachelor’s degree preferred. Experience in U.S. healthcare BPO/RCM operations, specifically in A/R follow-up and denial management, is mandatory. Exposure to patient accounting systems (Epic, Cerner, Meditech, NextGen, eCW, CareCloud, etc.) is preferred. Advanced MS Excel and reporting experience required. Certification in medical coding (CPC/CCS) or process improvement (Lean/Six Sigma) is an added advantage. Skills & Technical Proficiency: Strong subject matter expertise in U.S. healthcare A/R, denial management, and RCM best practices. Excellent coaching, feedback, and counseling skills to guide team members effectively. Ability to identify performance gaps, analyze root causes, and recommend actionable solutions. Strong organizational and time management skills with the ability to prioritize tasks. Effective verbal and written communication skills for clear team and stakeholder interactions. Advanced proficiency in MS Excel; working knowledge of MS Word, PowerPoint, and Google Suite. Ability to work independently as an individual contributor while enabling team success. High attention to detail, integrity, and commitment to compliance with HIPAA and company policies. Key Results / Performance Indicators KRA Category Target / Metric Weightage Focus Areas / Comments Production 65% 30.0% Full ownership of assigned workload Quality 99% 30.0% Accuracy, compliance, and adherence to SOPs Operational Excellence Team Quality 99% 30% Proactive mindset, accountability, and support for team success Team Floor Support and Query handling Reviewing Supervisor queue and providing training to reduce the same in future Team Audit, Training and Cross-Skilling Identify and prevent fraudulent work Creating, updating and validating done checklists for team members Initiatives n 10.0% Help identify trends, process improvements, error possibilities, changes to edits, Denial Analysis etc. Working Environment/Physical Demands Working Environment: General office environment: Works generally at a desk in a well-lighted, air-conditioned office, with moderate noise levels. Periods of stress may occur. Physical Demands: Activities require a significant amount of sitting at office and work desks and in front of a computer monitor. Some walking and standing relative to interaction with other personnel. Travel Requirements: xNone Occasional Moderate Frequent Very Frequent (25% or Less) (25% - 40%) (40% - 80%) (80% or m Other possible Unofficial Titles Unofficial titles may be given by the manager and used for email signature. Note: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. This document does not create an employment contract, implied or otherwise. It does not alter the "at will" employment relationship between the company and the employe individual contributor