
RCM Team Lead
18 hours ago
Role & responsibilities :-
Thorough understanding of Revenue Cycle Management (A/R), with a strong focus on Denial Management, Prior Authorsition, Denials in the US healthcare industry.
Lead a team in managing and following up on outstanding medical claims by contacting insurance companies and patients.
Ensure adherence to SLAs and meet performance benchmarks for claim resolution and AR follow-up.
Train team members on domain knowledge and processes, while maintaining minimal team attrition.
Prepare for and actively participate in client meetings and communication.
Regularly update the AR inventory plan to ensure proactive claim follow-up.
Prevent revenue loss by addressing claims approaching the Timely Filing Limit.
Handle team disciplinary matters and ensure team compliance with quality parameters set by internal and external SLAs.
Implement process improvements, document results, and suggest corrective actions.
Coordinate closely with Department Heads (AR, Billing, Coding) to minimize Process gaps.
Highlight risks, backlogs, or process challenges to the VP of Operations.
Prepare and submit all MIS reports on time, and provide regular performance updates to top management.
Execute any additional tasks assigned by the VP of Operations as needed.
Minimum 5 to 8+ years of experience in US healthcare RCM as an Accounts Receivable Professional.
At least 1 year of experience as a Team Lead - RCM AR.
Proven expertise in handling AR processes in the US healthcare RCM industry.
Proficiency in Excel and PowerPoint, with the ability to manage reports and present data effectively.
Preferred candidate profile
Candidate Should be from Pharma Background .
Shift:
Fixed US Shift (6:30 PM to 3:30 AM)
Work from Office
Fixed Saturday and Sunday off
Please share your updated resume
-
Team leader US Healthcare end to end RCM
16 hours ago
Pune, Maharashtra, India SPRY PT Full time ₹ 15,00,000 - ₹ 28,00,000 per yearCompany DescriptionSPRY Therapeutics, Inc. is the inventor of SPRY EMR, an integrated practice management solution designed to support rehab therapy professionals from the front desk to clinical operations to the back office. Built on a future-focused architecture, the SPRY platform adapts to the changing clinical and business needs of physical therapists,...
-
Director - Training (RCM)
3 days ago
Pune, Maharashtra, India Credence Resource Management Full time ₹ 12,00,000 - ₹ 36,00,000 per yearJob Role & ResponsibilitiesTraining Strategy and Leadership:Develop and implement a company-wide training and development strategy aligned with business objectives, client needs, and industry best practices.Oversee the design, delivery, and continuous improvement of training programs for new hires, existing employees, and leadership teams in the RCM BPO...
-
Team Lead
12 hours ago
Pune, Maharashtra, India Team Computers Full time ₹ 5,00,000 - ₹ 12,00,000 per yearWe have excellent opening for the position of Team Leader.Qualification: Any graduateExperience: 5 to 10 YrsJob Location: Pune (Pimpari)JD as followsPreparation of Daily Client reports & Application Outage communications.IT Service Management (ITSM) based on ITIL best practices.ITIL V3 Service Strategy, Service Transition, Service Operation and Continual...
-
RCM Specialist
3 days ago
Pune, Maharashtra, India Veradigm® Full time ₹ 5,00,000 - ₹ 10,00,000 per yearWelcome to Veradigm Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an...
-
RCM Manager
2 days ago
Pune, Maharashtra, India Veradigm® Full time ₹ 9,00,000 - ₹ 12,00,000 per yearWelcome to Veradigm Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an...
-
Director - Operations RCM
3 weeks ago
Pune, Maharashtra, India Credence Global Solutions Full timeJob Roles & Responsibilities: Develop the Operations strategy for the organization, keeping in mind the business requirements. Execute these innovative strategies to improve and secure business delivery. Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due...
-
Business Analyst – RCM
4 days ago
Pune, Maharashtra, India Credence Resource Management Full time ₹ 9,00,000 - ₹ 12,00,000 per yearBusiness Intelligence Job RoleCreates data integrity protocols and controls over business processes to ensure data management best practices. Operationalize business intelligence solutions to highlight strengths and opportunities to meet organizational strategies, objectives, and goals. Analyze, maintain and generate large data sets of structured,...
-
Lead Generation Executive
2 days ago
Pune, Maharashtra, India Exela Technologies Full time ₹ 6,00,000 - ₹ 12,00,000 per yearHi,We are looking to hire a Lead Generation Execute who has hands on experience in the Healthcare Domain, US Cold calling, Healthcare RCM, Medical coding, EHR, or EMR sectors and open for working in night/US shifts.Location : PuneExperience :1-6 yearsWork Mode : HybridJob Overview:The Sales Development Representative (SDR) will be responsible for initiating...
-
Lead Generation Executive
16 hours ago
Pune, Maharashtra, India Exela Technologies Full time ₹ 6,00,000 - ₹ 12,00,000 per yearHi,We are looking to hire a Lead Generation Execute who has hands on experience in the Healthcare Domain, US Cold calling, Healthcare RCM, Medical coding, EHR, or EMR sectors and open for working in night/US shifts.Location: PuneExperience:1-6 yearsWork Mode: HybridTimings: Night Shift/US ShiftJob Overview:The Sales Development Representative (SDR) will be...
-
Associate RCM Manager
1 week ago
Pune, Maharashtra, India Veradigm® Full time ₹ 5,00,000 - ₹ 12,00,000 per yearWelcome to Veradigm Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an...