3438 Us Healthcare Jobs - Page 3

**Immediate Joiners are preferred** Work Location: Hyderabad Role & Responsibilities: : Deliver training sessions on US Healthcare processes including claims, billing, eligibility, and customer service protocols. Proven experience in training with over 1+ years of experience as a Trainer on papers. Facilitate onboarding and nesting programs for new hires in a contact center setup. Collaborate with operations, quality, and client teams to ensure training alignment with business goals. Conduct refresher and upskilling sessions for existing staff based on performance and process updates. Maintain training effectiveness through assessments, feedback, and continuous improvement. Support process transitions and updates through timely training interventions. Create and update training materials, SOPs, and e-learning content. Participate in calibration sessions with QA and client teams. Provide floor support and troubleshoot process-related queries post-training Preferred candidate profile Minimum 1+ years of experience in training roles within US Healthcare contact center operations. Strong understanding of US healthcare terminologies, insurance workflows, and compliance standards (HIPAA, CMS, etc.). Proven experience in facilitating classroom and virtual training sessions. Excellent communication skills both verbal and written. Proficiency in MS Office tools (Word, Excel, PowerPoint). Exposure to LMS platforms and instructional design tools is a plus. Interested candidates kindly share your updated CV to gsyed.suhail@firstsource.com Contact: Suhail HR - 9290528486 (WhatsApp) Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

Job Title : Associate Director - Operations (RCM) Company : Prochant India Pvt Ltd. Experience : 18+ Years Work Location : Chennai & Trivandrum Salary : Best in Industry Industry Type : KPO / ITES (U.S. Healthcare RCM) Functional Area : Healthcare, Medical, Revenue Cycle Management (RCM) Employment Type : Full Time, Permanent Role Category : Operations / Senior Management Job Description Prochant, a leading outsourced billing service provider in the U.S. healthcare industry, is looking for a seasoned Associate Director - Operations (RCM) to be based out of our Chennai or Trivandrum office. The ideal candidate will bring deep domain knowledge of U.S. medical billing and proven leadership experience to manage operations, ensure quality output, and lead performance excellence. Roles and Responsibilities : Oversee and manage RCM operations: Cash Posting, Billing, AR Follow-up, EV/PA, Transmission, Correspondence, Medicare Audits, MIS & Support Teams Ensure production & quality SLAs are met consistently Analyze KPIs, identify gaps, and implement process improvements Develop and mentor high-performing RCM teams Ensure full compliance with U.S. healthcare regulations and payer policies Collaborate with internal departments for seamless operational integration Leverage RCM tools & automation for process optimization Prepare and present business performance reports to senior leadership Desired Candidate Profile : Minimum 18+ years of experience in U.S. Healthcare RCM Minimum 10 years in leadership roles (Manager, Sr. Manager, Director, etc.) Strong expertise in end-to-end RCM processes Excellent communication, leadership, and problem-solving skills Open to working in Night Shift Preferred location: Candidates from Chennai or Trivandrum Perks and Benefits : Best-in-industry salary & appraisals Quarterly Rewards & Recognition Dinner provided for night shifts Upfront Leave Credit 5-day work week (Monday to Friday) Excellent learning and career growth opportunities in U.S. medical billing Number of Openings : 2 Mode of Interview : Microsoft Teams Work Mode : Work from Office (Chennai or Trivandrum) Contact Person : Sushil Kumar Call/WhatsApp : +91 70100 70581 Email : sushilk@prochant.com

We are looking for a Team Lead to manage and oversee Revenue Cycle Management (RCM) operations, ensuring customized solutions for specific accounts. This role involves handling individual workloads while supervising training, auditing, and monitoring team performance to ensure efficiency and accuracy in Accounts Receivable (AR) follow-ups and Denial Management . The Team Lead will also be responsible for maintaining seamless workflows, including payment collection and insurance carrier coordination , while supporting both clients and internal teams. Key Responsibilities: Team Leadership & AR Management: Lead a team of analysts and a team coach to reduce AR aging and optimize collections. Denial Management: Provide expertise in AR follow-ups and denial analysis to maximize recovery. Process Oversight: Supervise daily team activities, track progress, and ensure SLA commitments are met. Quality Assurance: Conduct quality checks on AR follow-ups and Explanation of Benefits (EOB) denial analysis before submission to clients. Client & Escalation Handling: Respond to client queries and manage first-level escalations effectively. Performance Monitoring: Track and maintain key metrics, including attendance, productivity, and workflow management . Process Improvement: Develop and implement strategies to enhance productivity and quality within the team. Training & Development: Mentor and supervise analysts, senior analysts, and new trainees , fostering strong AR follow-up skills. Pilot Projects & Knowledge Transition: Participate in new projects, ensuring smooth knowledge transfer to the team. Conflict Resolution: Work with managers to address and resolve team-related concerns effectively. Hands-on AR Work: Support follow-up tasks when required to ensure efficiency and completion of workflows. Trend Analysis: Identify patterns within portfolios to aid in collections optimization and drive better outcomes. Mandatory Skills & Qualifications: Experience: Minimum 7 + years in AR follow-ups, Denial Management, or Revenue Cycle Management (RCM) . Leadership: Strong mentoring and team management skills. Communication: Excellent verbal and written English proficiency. Detail-Oriented: High attention to accuracy and process compliance. Problem-Solving: Ability to multitask and handle multiple responsibilities effectively. Analytics: Strong analytical skills with a results-driven mindset. Process Improvement: Keen eye for enhancing workflows and quality standards in AR management. Industry Knowledge: In-depth understanding of healthcare RCM and insurance processes . Preferred Skills: Strong problem-solving abilities. Experience in training and mentoring team members. Proficiency in Microsoft Office (Word, Outlook, Excel). Excellent in MS Excel, Power Bi, MS PPT, other applications of MS Office . Very good in Reports Creation and Submission. Excellent Communication and Accent and experience in handling US clients and Providers . Share your resume along with your last three months' pay slips via you can also email the CV to hr@acpbillingservices.com Work Location: ACP Billing Services Pvt LtdNO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark: Next to ICICI Bank Madhavaram Branch.

Job Alert! AR Callers Needed | Day & Night Shifts| 40KTH | Bangalore Experience : Min 1 Year in AR Calling (US Healthcare) Salary : Up to 40,000 Take-Home Shifts : Day & Night Cab : 2-Way Cab Provided Relieving Letter : Not Mandate Qualification : Inter & Above Immediate Joiners Preferred Why Join Us? Stable Company Good Hike Shift Allowance Career Growth Apply Now & Secure a Bright RCM Future! Interested? Share your updated resume with us! Contact: HR Suvarna : 7095162832/ Share resume via (WhatsApp Or Mail) Mail ID :- suvarna2508kondepogu@gmail.com

Purpose of job To convince and persuade members of the public/employees in a corporate office to make a donation of a high amount or enrol large number of supporters by delivering a pitch [about the clients campaigns] that is factual, pleasant and engaging To coordinate the work of a team of senior recruiters on the field, Main duties Presenting & rapport building Learning about clients campaigns and the clients core values and principles Approaching members of the public and make presentations on clients campaigns using a pleasant and engaging style while following guidelines set by the team lead/manager Improvising presentation style to keep the public interested in the pitch Building rapport with prospects, clarifying queries and convincing them to donate a high amount or enrolling larger number of supporters Assessing prospects to approach selecting older individuals, ability to donate a higher amount, and interest in the issue Accuracy & safe keeping of data and materials Accurately recording supporter information on enrollment forms, keeping them safely and submitting them to the team lead Safe-keeping of assets with the field team (promotional materials, standees, banners, electronic equipment) Other tasks Achieving monthly targets assigned to the role Helping team leads to plan & host events at specific locations Reporting back to the Sr GC/TM about teams performance, daily activities and any feedback from supporters Coordinating work of assigned field team Breaking down monthly plans into weekly/daily tasks for the team Choosing the most effective location and time of day for the team to canvass Marking attendance of team members Training team members on the field job, form filling and safety guidelines Addressing queries or concerns of the team or escalate to the Sr GC/TM Reviewing daily & weekly performance of the team Completing daily checks as per ?GCs Checklist Applied knowledge and skill 1+ years experience in a field sales role Good knowledge about atleast 1 or 2 public interest news items in the local city/town Ability to plan tasks on a daily or weekly basis Speak English & Hindi/Local Language at intermediate level Read and write English at intermediate level Learn on the job Willingness & ability to learn new concepts & skills Deliver presentationscan deliver standard sales pitch to members of the public Build Rapport ability to build mutual trust and Energy & commitment has energy to work on the field and interact with people Shows commitment to learn and raise awareness about social impact issues Has energy to consistently meet targets, Show

We are seeking an experienced Trainer with a strong background in US Healthcare processes and contact center operations. The ideal candidate will be responsible for delivering high-impact training programs to new hires and existing employees, ensuring readiness for client interactions and operational excellence. Key Responsibilities: Deliver training sessions on US Healthcare processes including Claims, billing, eligibility, and customer service protocols. Facilitate onboarding and nesting programs for new hires in a contact center setup. Collaborate with operations, quality, and client teams to ensure training alignment with business goals. Conduct refresher and upskilling sessions for existing staff based on performance and process updates. Maintain training effectiveness through assessments, feedback, and continuous improvement. Support process transitions and updates through timely training interventions. Create and update training materials, SOPs, and e-learning content. Participate in calibration sessions with QA and client teams. Provide floor support and troubleshoot process-related queries post-training. Eligibility Criteria: Minimum 1-2 years of experience in training roles within US Healthcare contact center operations. Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com

Participate in and/or lead calibration sessions with Client partners, Trainers/Subject Matter Experts, Team Leaders and other Quality Analysts to ensure consistency in scoring and feedback delivery Generate regular quality performance reports (e.g., daily, weekly, monthly) highlighting key trends, areas of concern, and opportunities for improvement. Ensure agent adherence to all company policies, procedures, regulatory guidelines (e.g., CMS regulations for Medicare), and client-specific requirements and escalate potential compliance risks based on audit findings. Assess the overall member experience and identify opportunities to improve caller satisfaction. Participate in performance review discussions with Operations where quality data is relevant and offer support agent performance improvement initiatives. Strong Healthcare Background (Non-negotiable): In-depth knowledge of US healthcare , Medicare , Medicaid, ACA, and/or private health insurance plans, benefits, and terminology. Comprehensive understanding of healthcare regulations including HIPAA, CMS guidelines, and state-specific privacy laws. Demonstrated Expertise in Quality Assurance: Proven experience in conducting comprehensive call/interaction monitoring and audits. Strong analytical skills with the ability to interpret complex data, identify trends, and pinpoint root causes of quality issues. Proficiency in developing and implementing effective quality improvement plans. Experience in generating reports using Excel or other platforms Ability to lead and participate in calibration sessions to ensure consistency and objectivity. Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com

Requires Team lead for Trainers and trainers in Client Services in International BPO Team lead experience of 1 yr or 4 -5 years in training required Contact 8977711182 Required Candidate profile Extensive knowledge of the US healthcare industry specifically payer operations and/or provider office operations, knowledge of claims processing system US shift , WFO

Dear Applicant, Excellent opportunity ! Position / Title : AR Caller / Senior AR Caller Responsibility Areas 1. Should handle US Healthcare providers/ Physicians/ Accounts Receivable. 2. To work closely with the team leader. 3. Ensure that the deliverables to the client adhere to the quality standards. 4. Responsible for working on Denials, Appeals,Rejections, LOA's to accounts etc. 5. To review emails for any updates 7. Identify issues and escalate the same to the immediate supervisor 8. Update Production logs 9. Strict adherence to the company policies and procedures. Desired Profile 1. Sound knowledge in Healthcare concept (Physician Billing). 2. Should have Minimum 2 Year of AR calling Experience . 3. Excellent Knowledge on "RCM, Medicare, Medicade, Hospice, HMO, PPO, POS, EPO, MCO plans, Modifiers, Office code visit, CPT codes, Drug codes, Appeals, Denial management, CMS-1500 form, clearing house" etc . 4. Understand the client requirements and specifications of the project 5. Should be proficient in calling the insurance companies. 6. Ensure targeted collections are met on a daily / monthly basis 7. Meet the productivity targets of clients within the stipulated time. 8. Ensure accurate and timely follow up on pending claims wherein required. 9. Prepare and Maintain status reports. Interested candidate please share your resume below mail id or share the resume on WhatsApp. Contact HR : Rakesh B R Mail Id : Rakesh.Rajesh@omegahms.com WhatsApp me @9206591872 Regards, Team HR

Greetings from Vee Healthtek!! Immediate Hiring Team Lead/Senior Team (RCM Background)!!!!!!! We are hiring for the position of Team Lead (AR Calling) specializing in end-to-end denials under the US Healthcare process. Designation: Team Coach/ Team Lead/ Senior Team Lead Department: Medical Billing (AR Calling) Experience: 4+ years (Minimum 1 year as Team lead) Location: Hyderabad (Work from office only) "On paper designation as Team Coach/ Team Lead/ Senior Team Lead is mandatory". Skills required: Excellent Domain Knowledge On papers team Lead is appreciable Good Oral & Written Communication skills Good Team Handling Skills Excellent Analytical skills Should be good at Muti-Tasking Roles & responsibilities: Design & implement workflow processes. Ensure quality of Deliverables Interaction with clients Ensure timely client communication Ensure proper execution of projects Monitor the quality and provide feedback to individuals or team. Maintain process documents and ensure regular updates Ensure all updates from clients are recorded Ensure proper allocation of work to team members Ensure the Turnaround time is adhered as per SLAs Participate in conference calls with the clients/ top management . The role offers exciting opportunities to lead a team and deliver exceptional results. Interested candidates can reach out to Subiksha G - subiksha.g@Veehealthtek.com/ 9606003487

Candidate should have experience working as a Team Leader OR Process Trainer OR QA in RCM process for US Healthcare. Qualification - Graduate Shift - US Shifts Work Location - Hyderabad Required Candidate profile Immediate Joiners OR Max 15 days notice period candidates can apply Call HR Sadiq @ 8904378561 for more details.

Job description Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send 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 Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, 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 Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus We are hiring fresh graduates as well as experienced resources

Greetings From Prochant !!! Key Responsibilities and Duties: As a Team Leader you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to manage the team and ensure production and quality targets are met as per company requirement. You are responsible for identifying issues and alerting the appropriate parties before these issues are identified by the client. Your job is to enhance and expand the capacity of your team members, allowing Prochant to expand the scope of its teams to include a much larger client base. Essential Functions Production Monitoring - overall responsibility for monitoring daily production for assigned clients and updating the Connect Portal with this information. Review Reports review key reports for accuracy and quality. These reports include: Production log (Target Vs. Achieved), Cash posting log, Cash to back reports, Transmission log such as claims entry log, commercial rejection log, BT rejection log and printing log. Daily Standing Meeting - Prepare respective report for daily meeting, reporting results and associated red flags. Always bring proposed solutions when reporting these issues. Allocation of work - Prepare downloads of respective process and allocate the work to the subordinates and ensure a smooth flow of production. Escalations - Identifying issues, resolving and escalating it to the Senior Team Leader and Managers . Quality Assurance - Overall responsible for the quality of the team for all Day process. Communication - Good rapport with Senior Team Leader and Assistant Manager, review emails and tasks typically sent to the Senior Account Manager and respond or forward as appropriate, taking a significant work load off of the SAM. Month End - overall responsibility for ensuring that month end procedures like Client invoicing reports and month end closing reports are maintained in timely manner. Training - Interface with the training team based on red flags and accuracy issues to ensure proper staff education. Performance Review - Periodic one to one meeting on Performance review. Team Meeting - Responsible to conduct Team meetings on regular basis to update and coordinate the Team performance Note: we are looking for the candidate who have mandatory experience in payment posting, charge entry, FEB, rejection and denials. Benefits Salary & Appraisal - Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Upfront Leave Credit Only 5 days working (Monday to Friday) Contact Person : Harini P Interested candidates call / whats app to 8870459635 or share your updated CV to harinip@prochant.com

Greetings from Vee Healthtek....! We are hiring AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Location - Bangalore Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Bhagyashree V Contact Number - 9741406191 Mail Id - Bhagyashree.v@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon every month * Incentives based on performance

Job Title: Motor Insurance Claims Handler (Bodily Injury Focus) Location: Bangalore Employment Type: Full-Time Department: Claims / Insurance Operations Reports To: Claims Team Lead / Claims Manager Job Summary: We are seeking a skilled and detail-oriented Motor Insurance Claims Handler with experience in bodily injury claims . The successful candidate will be responsible for managing and processing motor insurance claims efficiently and fairly, with a specific focus on bodily injury liability, third-party damages, and personal injury claims. This role requires strong analytical skills, empathy, and knowledge of motor insurance policies, local legislation, and medical terminology. Key Responsibilities: Handle and manage a portfolio of motor insurance claims, including bodily injury and third-party liability cases. Assess the validity of claims through careful investigation and policy review. Liaise with policyholders, third parties, medical providers, legal professionals, and law enforcement. Obtain and analyze medical reports, police reports, and other relevant documentation. Negotiate settlements in accordance with legal guidelines, policy terms, and internal procedures. Maintain accurate records of claim decisions and supporting documentation in the claims management system. Collaborate with legal and fraud teams where litigation or fraudulent activity is suspected. Keep up to date with changes in legislation and case law relevant to motor and injury claims. Ensure claims are processed within regulatory and internal timeframes. Deliver high-quality customer service during the claims lifecycle. Required Qualifications & Experience: Proven experience (1+ years) handling motor claims , specifically bodily injury or third-party personal injury . Familiarity with local insurance regulations and liability assessment. Experience working with medical terminology and understanding of injury classification. Knowledge of claims management systems and insurance software. Excellent verbal and written communication skills. Strong negotiation, analytical, and decision-making skills. Ability to manage multiple claims with attention to detail and urgency. Preferred Qualifications: Degree in Law, Insurance, Risk Management, or a related field. Insurance certifications. Experience with litigation claims or working with external legal counsel. Soft Skills: Empathy and tact when dealing with injured parties or sensitive situations. Integrity and professionalism. Resilience and ability to work under pressure. Collaborative mindset and team orientation. Contact Point : Deepanshu - 9900024811 / 9686682465 / 7259027282 / 7259027295 / 7760984460

Job Title: Inbound Contact Representative Industry: Healthcare (Voice Process) Experience: Minimum 3 years in Customer Service Preferred: Associate's or Bachelor's degree. Experience in an inbound call center . Healthcare domain experience (voice process only) is a strong plus. Role & responsibilities Handle incoming calls , emails, or written inquiries from customers. Provide support for benefit queries , issue resolution, and customer education. Document customer interactions and take appropriate actions. Escalate unresolved complaints as needed. Perform routine to moderately complex admin and customer support tasks . Make decisions within defined guidelines, using some independent discretion. Work with minimal supervision while meeting quality and timing standards.

Senior Finance Analyst Accounts Receivable Client Finance - JLL Business Service (Gurugram) What this job involves: Conduct a comprehensive analysis of bank deposits and execute precise application of deposits to designated tenant accounts Perform in-depth analysis of tenant ledger histories to identify and resolve discrepancies in payment transactions Performing quality checks to ensure all the deposits are correctly applied against each tenant's accounts Query handling working upon all queries received and keeping a close tab on any pending queries that could be resolved, and following up on the rest Collaborate with Accounting and Property Management professionals to facilitate appropriate payment application Investigate duplicate payments and transaction errors to maintain financial accuracy Participate in special department projects/initiatives as directed Maintain exemplary documentation systems for archiving, records retention, and audit compliance Identify and escalate unresolved matters through appropriate channels with recommended solutions Provide expert support to cross-functional teams and processes when required Maintain comprehensive and current process documentation, including SOP, Process Maps, and tracking mechanisms Provide technical guidance to team members and support performance improvement initiatives Sounds like you To apply, you need to have the following: Employee Specifications Strong Finance background, Commerce graduate or Post Graduate is preferred. Minimum 3-5 years of experience in Order to Cash, specifically the Cash Application role is preferable Strong analytical skills with attention to detail and logical thinking and carries a positive attitude to develop solutions quickly Impactful communication (written and verbal) to interact with clients and strong interpersonal skills Demonstrated consistency in values, principles, and work ethic Working knowledge of MS Office (MS Word, Excel, PowerPoint, Outlook) required Performance Objectives Works within established procedures with a moderate degree of supervision Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures, and makes sound decisions

Company : MNC in Kolkata Process : US Healthcare Shifts : Rotational / Night Shifts Salary : 3.1- 5.1 LPA Performance based Incentives Interested candidates share cv HR Ginni @8755248734 Required Candidate profile 6 months experience in International Voice Process (Mandatory) Excellent Communication in English Graduates / Undergraduates

Role & responsibilities Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility. Assist US-based members and providers with accurate and timely information. Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows. Accurately document customer interactions and transactions in the system. Ensure HIPAA compliance and protect patient privacy at all times. Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT). Collaborate with internal teams for escalation resolution and process improvement. Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating the member website, and other websites while encouraging and reassure them to become self-sufficient. Please connect with Neeraj Salariya@8285244315. Preferred candidate profile Minimum 6 months to 3 years of experience in international voice process (preferably Healthcare & Welfare). Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design) Excellent verbal and written communication skills in English. Strong interpersonal skills with the ability to remain patient and empathetic. Comfortable working night shifts and rotational offs. Basic computer literacy and typing skills. Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations). Knowledge of HIPAA regulations. Graduate in any stream (preferably Life Sciences, Healthcare, or related fields). Undergraduates with relevant BPO experience are eligible to apply Knowledge of billing practices and procedures preferred Proficiency with word processing and spreadsheet software and required. Please connect with Neeraj Salariya@8285244315. Perks & Benefits Salary ranges from 3 to 3.43 LPA. Cab Facility or Transport Allowance Medical Insurance Life Insurance.

Qualifications / Eligibility : Graduate in any discipline US Healthcare background with Experience into Revenue Cycle Management preferred with expertise in at least two functions (AR, Eligibility and Benefits Verification, Authorization, Payment Postings, Billing) Trained / Certified Lean Six Sigma Green Belt / Black Belt Minimum 2 years in the team management role Working knowledge of 7 QC tools and FMEA / Risk assessment Roles and Responsibilities: Manage a team of 15-18 Quality Experts Enable business to deliver high quality and faster outcomes and maintain the quality SLAs Adhere to quality framework and ensure timely completion of audits, reports and analysis Identify and lead Lead Lean Six Sigma / Continuous Improvement projects Drive Ideation to invite potential ideas for improvement Help team achieve core deliverables (PKTs, Audits, Team Meetings, etc) Drive internal and client calibrations Manitan and present / discuss process and business performance dashboard with internal and external stakeholders including but not limited to senior management Perform end to end business diagnostic analysis to dissect to identify potential risks, gaps and areas of improvement Work with cross functions (Operation, Training and others) to make action plans and drive the same to achieve better results Plan and coordinate for resource planning and QA framework execution Initiate and execute remediation plans resulting in better business performance Key Skills: Effective Coaching and feedback skills Ability to identify, analyze opportunities in End to End Process, propose improvement actions and execute as required Ability to analyze data / information and derive insights Strong report management skills Skills in numerical and statistical analysis

We have an opportunity for the role of Team Manager in RCM, the details of which are mentioned below: Designation: Team Manager (RCM) No. of Openings: AR Team Manager - 3 Experience: 5+ years Location: Hyderabad (Uppal) Skills Required: Work experience of 5+ years and experience in the AR function of a US Healthcare Setup of at least 3+ years. Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills. Graduation in any stream. Responsibilities : Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates. Help manage team work life balance through efforts on leave planning and rostering. Communicate effectively within & with team members & escalate issues to the management for timely resolution. Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent. If interested, please share your updated CV on shivani.tripathi@ikshealth.com

We have an opportunity for the Associate Director posiiton in Hyderabad, the details of which are as given below: Position : Associate Director - RCM Operations Location : Hyderabad (Uppal) Qualifications: Graduate from any discipline is a must Functional Competencies & Role Prerequisites: Experience of working for at least 10 years into any of the RCM lines of business. Knowledge of AR function is a must. Knowledge of federal and the top 5 commercial payors is a must. Basic Knowledge of Microsoft Tools / Gsuite would be mandatory. Good Feedback and Coaching Skills. Delegation. Profile Description: This role includes managing a team responsible for delivering services as per the SOW. It also involves analyzing reports and trends to ensure smooth delivery of operations. Responsible for running initiatives in the team towards managing building engagement and motivation in the team. Key Responsibilities: Process: Manage team production and conduct process Quality monitoring Manage work assignment allocation & review of work list Encourage & engage team members for continuous improvement / process optimization / automation ideas Manage Business Intelligence through reports & MIS for internal / client use Determine validity of move to client, either send back instructions to Rep or approve & move to client Review coding review requests & quantify preventable issues Communicate to Billing, PP or Coding as applicable Scenario findings to all staff for examples that were not valid coding review needs Work with Coding on responses that can be used in appeals when, coded correctly Review denial adjustments for validity - quantify preventable issues Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions. Review high risk/aged/ excessive incomplete action account balances. Manage up review AR findings and feedback Create QA & Tip for week from client, payer, and account assessment scenarios Manage Global Issues Review process / function managed for Global Issues, high risk / aged items, Payer Trends, training needs for team members. Create case studies on identified issues impacting team performance / client business and share inputs with Quality & Training Teams Ensure highest levels of Organization and Healthcare related compliance requirements are adhered to Ensure adherence to maintaining all necessary process documentation as per the QMS Team Management: Drive high levels of employee engagement (include Daily, weekly, monthly team connects to enable high retention and satisfaction rates Help manage team work life balance through efforts on leave planning and rostering Communicate effectively within & with team members & escalate issues to the management for timely resolution Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent Monthly One-on-One connects to be closed with all the team members Client Management: Being part of daily/weekly client update calls OR reviews. Timely response to client queries and requirements over email Partner and support the BI team in preparing important client reports for the process and releasing the same to the clients as per deadlines. If interested, kindly share your resume on shivani.tripathi@ikshealth.com.

Key Responsibilities: Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be up to date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Desired Candidate Profile Required Qualifications Graduate in any discipline Should have minimum 2 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com

Key Responsibilities Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be upto date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor) Should be able to identify upskilling requirement and initiate content creation either for ILT (Instructor Led Training) or E Learning Being the custodian of all knowledge requirements, will be actively participating in all transition activities Will be the client interface for all knowledge related discussions and should be able to gain a consultant position Should be well versed in SOP creation, documentation, preparing process flows Desired Candidate Profile Required Qualifications Graduate/Post-Graduation in any discipline Should have minimum 5 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills TTT ( Train The Trainer ) certification is preferred Understand the concepts for creating E Leaning modules Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com

As a Product Software Engineering Manager Module Development Leader at Gainwell, you will play a crucial role in contributing your skills towards harnessing technology to enhance the health and well-being of the community's most vulnerable members. Join a team dedicated to finding innovative solutions to the significant challenges faced in the healthcare sector. You will be an integral part of a collaborative state and local healthcare product organization that operates within the Agile Methodology framework. Working alongside developers, scrum masters, project managers, business analysts, and product owners, you will be involved in the development and support of product offerings. The team's focus is on fostering a highly collaborative work environment that emphasizes mutual respect, diversity, innovation, and the delivery of quality products to ensure high customer satisfaction. Your responsibilities will include managing the software development lifecycle using Agile methodology, identifying and mitigating impediments, managing scope/resources/priorities, providing coaching and mentoring to team members, ensuring milestones and product release dates are achieved, collaborating with various stakeholders globally, leading a cross-functional software engineering team, communicating effectively with stakeholders, and conducting Root Cause Analysis to enhance team processes. Additionally, you will be responsible for project activity and financial planning, overseeing project deliverables, identifying risks, developing risk mitigation solutions, managing costs/schedules/quality, and presenting proposals to expand business opportunities. Your role will involve interfacing with team members and stakeholders to anticipate/manage changes to projects and participating in proposal efforts and sales calls to enhance future business deals. To be successful in this role, you should have at least 5+ years of Engineering Manager experience, 7+ years of Project/Program Management experience, knowledge of issues/risk management, experience in Agile Delivery Framework, proficiency in strategic and financial analysis, and familiarity with project management tools. A Bachelor's degree in a related field is preferred, along with excellent leadership, communication, and analytical skills. Experience in US Healthcare, PMP/ITIL Certifications, and familiarity with Scaled Agile Framework (SAFe) will be advantageous. You can expect to work on interesting and challenging projects that make a meaningful impact on the healthcare industry, specifically benefiting State Medicaid members. The role offers opportunities to work in an Office/Hybrid/Remote environment, providing a dynamic and rewarding work experience.,