Rcms Billing Associate Iii

3 days ago


Vadodara Gujarat, India Qualifacts Systems, Inc. Full time

Job Description:

- Responsibilities:

- Oversee the charge entry process to ensure accuracy and efficiency.
- Investigate and resolve complex billing discrepancies and coding issues.
- Lead payer calls for high-level billing inquiries, negotiations, and dispute resolutions.
- Collaborate with coding, clinical, and revenue cycle teams to optimize charge capture processes.
- Develop and implement strategies to improve charge entry accuracy and timeliness.
- Train and mentor junior associates on advanced billing procedures and payer communication.
- Analyze data and trends to identify opportunities for revenue optimization and process improvement.

Requirements:

- Bachelor's degree in healthcare administration, finance, or related field.
- Minimum of 5 years of progressive experience in medical billing or revenue cycle management.
- In-depth knowledge of healthcare billing regulations and coding systems.
- Strong leadership and mentoring skills.
- Excellent communication and negotiation abilities.
- Proficiency in data analysis and reporting tools.
- Ability to drive change and implement process improvements effectively.

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.


  • Rcms Associate Ii

    1 week ago


    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: Job Description : RCM Rejection Associate (Intermediate Level)Min 1-2 years of work experience in the same domain- Ready to work in EST time Zone Experience Required: Minimum 1-2 years of work experience in the same domain (RCM Rejection Management). Work Schedule: Must be available to work in the EST time zone. Key...

  • Rcm Associate Ii-2

    5 days ago


    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: Job Description: RCM Rejection Associate (Intermediate Level) Experience Required: Minimum 1-2 years of work experience in the same domain (RCM Rejection/AR/Denial Management). Work Schedule: Must be available to work in the EST time zone. Key Responsibilities: - Min 1-2 years of work experience in the same domain- Handle more complex...

  • Rcm Associate Ii

    2 weeks ago


    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: Experience Required: Minimum 1-2 years of work experience in the same domain (RCM Rejection/AR/Denial Management). Work Schedule: Must be available to work in the EST time zone. Key Responsibilities: - Min 1-2 years of work experience in the same domain- Handle more complex rejection cases that require in-depth analysis or investigation.-...


  • Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    **Job Title**: Process Associate - Payment Posting **Location**: Ahmedabad/ Bhavnagar **Department**: RCM - Payment Posting **Shift Timing**: Evening Shift (Full-Time) **Key Responsibilities**: - Accurately post insurance and patient payments to the billing system - Reconcile daily deposits and resolve discrepancies - Work closely with AR and denial teams...

  • Rcms Agent

    3 days ago


    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: RCMS Configuration Associate Responsibilities for the RCMS Configuration Associate - Responsible for setup, enrollment, and maintenance of EDI clearinghouse integrations for multiple software EHR and RCMS services customers - Work with Config team and Account Manager to manage initial access, enrollment, mapping and transition of EDI -...

  • Rcm Executive

    2 weeks ago


    Sanand, Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    **Job Title**: RCM Executive **Department**: Revenue Cycle Management **Job Summary**: The RCM Executive is responsible for managing the revenue cycle process, including medical claims submission, payment posting, denial management, and billing inquiries. The role ensures accurate processing and compliance with healthcare regulations to optimize revenue...

  • Payment Posting

    3 days ago


    Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    WE ARE HIRING!!! We have openings in RCM (Revenue Cycle Management) Dept. Immediate joiners are most welcome and with atleast one or two years of relevant experience. 1) Payment Posting Shift Type: afternoon Shift - Good Communication skills required - Basic knowledge of US Healthcare. - Basic Computer Proficiency. **Responsibilities**: Accurately post...

  • Team leader RCM

    4 days ago


    Makarba, Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time ₹ 4,50,000 - ₹ 6,00,000 per year

    Job Title: Team Leader – RCM (Accounts Receivable)Location: AhmedabadDepartment: Revenue Cycle Management (RCM)Reports To: Operations Manager / Department HeadAbout the Role:We are seeking a proactive and results-driven Team Leader – RCM (Accounts Receivable) to lead and mentor a team of AR specialists. The ideal candidate will be responsible for...


  • Vadodara, Gujarat, India Aarogram Full time

    Are you a talented professional with excellent communication skills? We are a fast-growing healthcare technology startup in the RCM space looking to hire a Healthcare Process Associate (RCM) to join our team in Vadodara, Gujarat. We're building our software product that can automate a lot of RCM tasks. We are looking for someone who will provide insurance...


  • Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: 1. Accurate Payment Posting: - Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Zero Errors in Claims Submission: - Ensure all claims are submitted with zero errors to minimize rejections and optimize revenue cycle efficiency. 3. Claims Completeness and Accuracy Verification: - Verify...