Array ( [0] => rcm [1] => mohali ) RCM Jobs in Mohali,RCM Job Vacancies in Mohali Punjab
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RCM Job Vacancies in Mohali

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RCM Manager

Apaana Healthcare

  • 2 - 3 yrs
  • 4.5 Lac/Yr
  • Mohali
Claims Adjudication RCM Insurance Analyst HIPAA Healthcare Process
Job Title: Senior Process Analyst - RCM Operations Location: MohaliDepartment: Revenue Cycle ManagementEmployment Type: Full-TimeExperience Level: 2-3 Years ________________________________________Job Summary:We are looking for enthusiastic and detail-oriented experienced professional to join our Revenue Cycle Management (RCM) team. As an RCM Executive, you will assist in managing the financial processes related to patient care, including medical billing, claims processing, payment posting, and follow-ups.________________________________________Key Responsibilities: Review and process medical claims for submission to insurance companies. Perform data entry of patient and insurance information into RCM software. Verify insurance eligibility and benefits. Post payments and reconcile accounts. Follow up with insurance providers on denied or unpaid claims. Maintain accuracy and compliance with healthcare regulations (HIPAA). Communicate with clients, insurance companies, and team members as needed. Prepare and maintain necessary reports and documentation.________________________________________Required Skills & Qualifications: Bachelor's degree in any discipline (preferably in life sciences, commerce, or healthcare-related fields). Good understanding of basic computer and MS Office tools. Strong communication skills verbal and written (English). Attention to detail and ability to work in a deadline-driven environment. Willingness to work in night shifts (as per US time zones). Eagerness to learn about medical billing and healthcare processes.________________________________________Preferred (but not mandatory): Knowledge of medical billing software (e.g., Athena, Kareo, eClinicalWorks). Understanding of US healthcare system and insurance terminologies.________________________________________Career Path:This role offers growth opportunities into specialized roles such as AR Analyst, Quality Analyst, Team Lead, and Process Trainer in the RCM domain.
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AR Caller

Quantazone

  • 1 - 2 yrs
  • Mohali
AR Caller Medical Billing Denial Management RCM Healthcare AR
Job DescriptionReview the provider's claims that the insurance companies have not paid.Follow-up with Insurance companies to understand the claim's status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers. Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may beDocument actions taken into the claims billing system.Meet the established performance standards daily.Improve skills in CPT codes and DX Codes. Make collections with a convincing approach. Good understanding of the US Healthcare revenue cycle and its intricaciesShift Timing: Night shift (US Shift) (5.30 PM 2.30 AM IST) Shift Days: Monday - FridaySalary: Best in the industryAdditional Benefits:1. Monthly Food Coupon - Worth Rs.900 per month (10000 PA), can be used in office canteen2. Night Shift allowances - Rs.50 per day (Based on the attendance) (15000 PA)3. Good Incentive plans Can earn up to double the salary4. Free Two-way cab facilities (25Kms radius of the office location)5. Insurance courage of 1 Lakh (Self, spouse and 2 childrens)6. All statutory benefits are applied (PF, ESIC, PT Etc.)QualificationsAny Graduate can applyCandidates should have a minimum of 1 year of relevant experienceAdditional InformationGood communication skills and a fair command of the English languageExperienced in AR Follow-up and Denials ManagementExcellent analytical and comprehension skillsClick on the given link to apply for the job- https://smrtr.io/pdqWf
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Medical Coder

i3 synergist

  • 0 - 2 yrs
  • 2.5 Lac/Yr
  • Mohali Sector 74
CPC Medical Coder RCM Quality Assurance Analyst Quality Analyst
Ideal candidate must have following: Code (CPT and ICD10) all E/M and office procedures. Deep knowledge of auditing concepts and principles. Responsibility of auditing of coding team and maintaining target accuracy %. Adhere to and enforce departmental policies and procedures (coding and compliance). Reviewing office dictation and/or charge ticket (assigned levels by Provider) received from the clinic. Research all coding problems and resolve them with an effective and appropriate solution. Keep up to date on all coding changes by reviewing subscription newsletters (CEUs). Participate in monthly calibration sessions with operations & clients. Providing on the spot feedback. Prepare and review data and QA reporting with key stakeholders. Discuss audit sheets changes on need basis with the operations & clients. Conduct RCA /1 Year analysis on monthly audit data & publish the findings. Conduct monthly quality session for operations teams to share top improvements & preventive actions. Conduct TNA on need basis for junior team members. Facilitate the preparation and processing of daily charge documents. Required Candidate profile: Any life science graduate or postgraduate. B.Sc. Biology preferred. Must have worked on multi specialities including Radiology, ENM, behavioral, nephrology, podiatry, dermatology etc. Must be CPC certified from AAPC or AHIMA, (CPC, COC, CIC, CCS). Experience of medical billing, client management, AR follow up, charge entry, denial management etc. will be added advantage. Should have good knowledge of ICD-9, ICD-10 and/or CPT medical billing codes. Must have medical record auditing experience. Team management experience will be big plus. Proficient in Microsoft 365 office applications like Teams, Outlook, CRM Dynamics, OneDrive etc.
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Process Associate (AR)

i3 synergist

  • 1 - 4 yrs
  • 5.0 Lac/Yr
  • Mohali Sector 74
Very Good Communication Insurance Claims RCM Denial Management AR Calling AR Associate
This is a work from office position only.Ar Associate-Ideal candidate must have following:Maximize insurance reimbursement for providers Must have work experience of Physician Billing process.Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions.Interact with the US-based insurance carriers to follow-up on submitted claims, monitor unpaid claims, delayed processing, and underpayment plan, and execute medical insurance claim denial appeal process.Must have work experience in Personal Injury and Workers Comp AR. Comfortable talking to attorney and adjustors.Must be proficient in denial management and appeal process.Must have excellent documentation skills for maintaining SOPs/guidelines/notes.Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim.Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Must be comfortable in AR calling and have relevant experience.Identify claims that need balance transfer to patient and secondary balances or appropriate financial class for further resolution.Should be able to track and follow up on claims within given TAT.Must be comfortable with other voice process as per business requirement such as patient calling.Required Candidate profile:Completed graduation. Other formal education or training on a practice management system using patient accounting will be added advantage.Relevant experience in a USA health care medical billing or RCM office capacity with related job duties and responsibilities.Must have at least 1+ yrs. experience in physician billing; specifically, chiropractic, mental health, behavioral health etc.Understand CMS-1500 and UB-04 claim formats.Basic knowledge of collection laws, rules, and regulations.Knowledge of medical billing software, preferably Tebra, Therapy Notes, Simple Practice, Theranest, ECW, Epic or any other similar.
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Voice Process Associate (Patient Caller)

i3 synergist

  • 1 - 3 yrs
  • 3.0 Lac/Yr
  • Female
  • Mohali
Excellent Communication International Calling RCM Patient Caller Medical Billing Voice Process Associate
Key job Accountability:Responsible for attending patient calls and answering patient queries.Communicate respectfully and politely with all patients.Developing and maintaining a detailed call database.Professionally handle all inbound calls and resolve queries as per TAT guidelines.Responsible for making outbound calls as required.Perform script (with necessary adjustments as required) to ensure consistency of customer/patient queries.Responsible for daily/weekly/monthly MIS reporting via email/CRM/Excel.Experience on Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties will be big plus.Answering patient calls as required and providing faster resolutions.Should be comfortable with voice process.Required candidate profile:Relevant experience in a USA health care medical billing or RCM office capacity with related job duties and responsibilities.Experience of QA/Audits and Team management, client interaction/client account management will be big plus.Must have at least 3+ yrs. experience in patient calls. Physician billing; specifically, chiropractic, mental health, behavioral health, nephrology etc.Understand CMS-1500 and UB-04 claim formats. Typing speed, at least 45 WPM.Third party payer requirements. Account management experience will be a big plus.Must have knowledge of medical billing software, preferably Kareo, Therapy Notes, Simple Practice, YouthCare, Theranest or any other similar.Good knowledge of Microsoft 365 office applications like Teams, Outlook, CRM Dynamics, OneDrive etc. Experience of other areas of RCM like credentialing and medical coding will be given preference.
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