Experienced Billing RCM

3 weeks ago

india, IN My Care International Full time

Position: Experienced Billing RCM (Physicians/Hospital/Lab)

Location: Remote

Experience: 3 to 5 years

Shift time: 07:30 pm to 05:30 am IST (10 Hour Night Shift)

Workdays: 5 working days

Salary: 35+


Company Overview:

My Care Labs is a leading laboratory specializing in wellness and toxicology testing, committed to providing accurate and timely results to support healthcare decisions. We are currently seeking a skilled and detail-oriented Medical Billing Specialist to join our billing team and contribute to efficient revenue cycle management.


Position Overview:

As a Medical Billing Specialist, you will play a crucial role in managing the billing processes to ensure timely and accurate submission of claims, efficient processing of payments, and adherence to industry regulations. This role involves supervising a team of billing specialists, coordinating with various departments, and optimizing billing procedures to enhance overall revenue cycle efficiency.


Responsibilities:

  • Oversee the accurate and timely processing of claims, ensuring compliance with payer guidelines and regulations.
  • Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
  • Develop and implement billing policies and procedures to improve accuracy and efficiency.
  • Collaborate with coding, compliance, and other departments to ensure accurate coding and documentation.
  • Analyse billing data and metrics to identify trends, issues, and opportunities for process improvements.
  • Ensure proper follow-up on unpaid or denied claims and manage the appeals process.
  • Oversee the use of billing software and electronic health record (EHR) systems, ensuring they are up-to-date and functioning properly.
  • Stay informed about changes in U.S. revenue cycle management practices and federal regulations to ensure billing processes remain compliant and optimized.
  • Provide guidance and training to the billing team on evolving industry standards and policy updates.


Qualifications:

  • Bachelor’s degree in business administration, Healthcare Administration, Finance, or a related field is required. Advanced degrees or certifications (e.g., Certified Professional Biller (CPB)) are a plus.
  • Proven experience with billing systems, payer guidelines, and regulatory compliance.
  • Strong understanding of U.S. revenue cycle management, including billing workflows, reimbursement methodologies, and common challenges.
  • Up-to-date knowledge of federal regulations, policy changes, and industry standards impacting medical billing practices.
  • Familiarity with billing software and electronic health records (EHR) systems.
  • Strong attention to detail, analytical skills, and the ability to work independently.
  • Excellent communication and collaboration skills.


  • Manager RCM Operations

    1 week ago

    Mohali district, India, IN Nath Outsourcing Solutions Pvt. Ltd. Full time

    Manager / Senior Manager - RCM Operations US Medical Billing (Practice Excellence)Location: MohaliCompany: Nath Outsourcing Solutions Pvt. Ltd.Are you a strategic leader passionate about driving excellence in US Healthcare RCM? Nath Outsourcing is seeking a seasoned Manager/Senior Manager to champion operational excellence and client success within our...

  • Dental Claims Submission and Appeals Agent

    3 weeks ago

    india, IN EZ Dental Billing LLC Full time

    Company Mission:We Help dentists get paid fairly and have peace of mind while providing excellent dental care.Core Values:DisciplineIntegrityResponsibilityProactiveResults - OrientedAbout Us:For more than ten years, EZ Dental Billing has been providing dental offices all over the US with billing solutions to help clients track receivables and maintain...

  • Guidewire Billing Developer

    3 weeks ago

    india, IN The AES Group Full time

    We are looking for experienced Guidewire Billing Developers to join our team. If you are passionate about Guidewire Billing and have strong hands-on development skills, this could be the right fit for you!Role: Guidewire Billing DeveloperExperience: 7–8 years total Guidewire development, including 3+ years in Guidewire Billing (BillingCenter)Location:...

  • AR Follow Up or Accounts Receivable Specialist

    3 weeks ago

    india, IN Svast Healthcare Technologies Full time

    Company Description:Svast Healthcare Technologies is a trusted Revenue Cycle Management (RCM) and billing partner for physician practices and provider groups. We have billed over $1B+ for 100+ clients, guaranteeing an increase in practice revenue. Our specialties include Primary Care, Pediatrics, OB/GYN, Cardiology, Physical Therapy, Family Medicine, and...

  • Oracle RMB

    2 weeks ago

    Gurugram, Haryana, India, IN Bean HR Consulting Full time

    Job Title: Oracle RMB Application Development – LeadExperience: 7 – 10 years Job Locations: Noida / Gurgaon / Mumbai / PuneAbout the RoleWe are looking for an experienced Oracle RMB Application Development Lead to design, develop, and support Oracle-based financial and billing systems. The ideal candidate should have strong technical expertise in Oracle...

  • Sap Sales Distribution Consultant(Pan India-Hybrid)

    2 weeks ago

    india, IN DigiHelic Solutions Pvt. Ltd. Full time

    Job Title:-SAP SDExperience: 8+years⭐Work type: HybridLocation: Pan India (Ahmedabad, Bengaluru, Bhubaneshwar, Chennai, Coimbatore, Delhi, Gurgaon, Hyderabad, Kochi, Kolkata, Mumbai, Noida, Pune, Mysore and Visakhapatnam)Job description:We are looking for an experienced SAP SD Consultant to manage and support Sales & Distribution processes. The role...

  • Salesforce CPQ Analyst/Developer-Contract

    3 weeks ago

    india, IN Gravity Infosolutions, Inc. Full time

    Role: Salesforce CPQ Analyst/Developer- ContractLocation: RemoteExp: 5+ yearsTimezone: IST+ meetings in US timesDuration: 3 months + extendable to a yearWe are seeking an experienced Salesforce CPQ Analyst/Developer to bridge business needs and technical delivery. You will gather requirements, design scalable solutions, and drive adoption of Salesforce...

  • Salesforce CPQ Architect

    2 weeks ago

    india, IN FEXLE Services Private Limited Full time

    Role Name: Salesforce CPQ Architect Experience: 10+ years of experience Job Location: RemoteAbout us-FEXLE- A Xoriant Company is a rapidly growing Salesforce consulting and development company with a strong track record of helping its clients achieve their business goals through Salesforce. FEXLE is known for its commitment to quality and customer...

  • ORMB Developer

    3 weeks ago

    india, IN RIA Advisory Full time

    Role: Senior Consultant - ORMBo Experience: 5+ yearso Location: Pune / Trivandrum / Remoteo Technical Know-How: ORMB, Java, SQLJob Description:Will be primarily responsible for the Implementation of one of the Oracle products ORMB within the framework guidelines and interacting with onsite teams/business users/IT teams.Good to have functional exposure to...

  • SAP SD Functional

    2 weeks ago

    india, IN Cube Hub Inc. Full time

    Job Title: SAP SD Functional Consultant (with ABBA Model Expertise)Location: Remote, IndiaJob Duration: 6 monthsskills Needed: • 6–12 years of experience as an SAP SD Functional Consultant.• Strong knowledge of S/4HANA Sales (SD) processes — Order Management, Delivery, Billing, and Pricing.• Hands-on experience with ABBA Model / ABBA Principal...