rcms

Your Role Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines. Ensuring timely follow up to save claims from getting written off due to untimely following up. Work on Contractual adjustments and write-off projects. Analyze...

Role Overview:-Annova Solutions is looking for an experienced Revenue Cycle Management professional to play a key role in expanding our Provider RCM practice. This position requires a strong combination of RCM operations expertise, analytical capability, client-facing skills, and solution design experience. The ideal candidate should be able to...

Position Summary GetixHealth is looking for a high-caliber diversity Healthcare Trainer to support training and development initiatives within the US Healthcare / Revenue Cycle Management (RCM) operations. The ideal candidate will be responsible for delivering process training, improving knowledge retention, and ensuring smooth transition of new hires to...

Job description Role Overview: We are seeking a seasoned professional with 15+ years of experience in RCM operations. The Associate Director will be responsible for overseeing large-scale operations, driving strategic initiatives, enhancing client partnerships, and leading high-performing teams to achieve operational excellence. Key Responsibilities: Lead...

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...

Job Description:ResponsibilitiesLead the resolution of escalated billing issues and payer disputes.Manage payer calls for complex billing inquiries, negotiations, and dispute resolution.Develop and implement strategies to improve revenue cycle efficiency and effectiveness.Conduct regular audits to ensure billing accuracy and compliance.Provide training,...

Job Description:Responsibilities: Investigate and resolve complex denial issues. Analyze denial trends to identify opportunities for process improvement. Initiate and lead payer calls for escalated denial inquiries, follow-ups, and disputes. Develop and implement strategies to reduce denial rates and enhance reimbursement. Collaborate with internal...

Join the Team Modernizing MedicineAt ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This "for doctors, by doctors" philosophy has allowed us to...

JOB SUMMARYThe Payment Entry Specialist position is responsible for the timely and accurate posting of payments and identifying adjustments. The position supports the company's overall Operations and Client Services by efficiently and effectively providing accurate and timely input needed for the Revenue Cycle process and delivering results.Job...

Your Role Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines. Ensuring timely follow up to save claims from getting written off due to untimely following up. Work on Contractual adjustments and write-off projects. Analyze...

3+ years of hands-on experience in core Provider RCM Overall experience includes a minimum of 1 year or more as SME, Asst. Team Lead, Team Lead , QA, QA Lead, etc. Strong understanding of RCM Processes and best practices Proven expertise in the AR follow up functions in multispeciality setup Knowledge of other related RCM functions is a must Advanced excel...

Roles & Responsibilities: Call Insurance Companies on behalf of Doctors / Physicians to check claim status. Follow-up with Insurance Companies on pending or denied claims. Collect

We are looking for an experienced RCM Trainer  to join our dynamic team at Prochant. The ideal candidate should have a strong understanding of end-to-end Revenue Cycle Management (RCM) processes and a passion for training and developing team members. Key Responsibilities: • Conduct training sessions for new hires and existing employees on RCM...

Work location - Pune (Work from office) Work timing - 7.30 PM to 4.30 AM • Strong customer service skills for client satisfaction and client AR health, answering client, patient, and carrier calls; prompt return and follow-up to all interactions; prompt response to requests for information • Timely management of unpaid claims as assigned, through the...

About Prochant: Prochant is a leading revenue cycle management company that exclusively serves the US healthcare market. Our mission is to provide best-in-class RCM solutions to healthcare providers, enabling them to focus on patient care. With a strong culture of excellence and innovation, Prochant is growing rapidly and looking for passionate...

Greetings From Prochant !!! Openings For for Team Leader-EVPA 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...

Job Description:   Key Objective of the Job:   To handle responsibilities mapped to profile of Regional Credit Manager.   -       Review and Evaluating large Corporate proposals within stipulated timelines -       Underwriting and structuring transactions by reviewing Business, Financial, Industry and Management related...

Industry/SectorNot ApplicableSpecialismManaged ServicesManagement LevelSpecialistJob Description & SummaryThe OpportunityJoin our Acceleration Center India and help shape the future of business for our diverse client portfolio across geographies and jurisdictions. You’ll work at the heart of global teams across Advisory, Assurance, Tax and Business...

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Senior Reporting QA & Data Validation Analyst (RCM) based in India. As a Senior Reporting QA & Data Validation Analyst, you will play a key role in ensuring the accuracy, consistency, and reliability of healthcare reporting...

Key Responsibilities: • Manage and oversee complete RCM operations Charge Entry, Coding, Billing,