RCM Manager Jobs

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.

We are hiring fresh graduates from Coimbatore, Tirupur, and Erode, with no prior experience, to provide training in industrial and IT practices. We guarantee job placement within our organization upon successful completion of the training program.

Develop project plans with accurate resourcing and work schedules. Develop method of work statements and processes for all projects undertaken. Develop Maintenance Philosophies. Develop Asset Registers, hierarchies and classifications from P&IDs, PFDs, single line drawings and other data sources. Prepare for and conduct Preliminary Criticality Analysis studies. Prepare for and conduct maintenance strategy analysis (Failure Modes and Effects analysis, RCM, criticality, etc.) using proprietary software. Develop maintenance strategies. Development of Planned Maintenance Routines for core discipline. Construction of planned maintenance program. Assist with workload smoothing and man-power projections. Perform spares analysis for critical equipment.

Team Leadership: Supervise and mentor a team of medical billing professionals. Provide training, performance feedback, and support to ensure high standards of billing accuracy and efficiency.Billing Operations: Oversee the daily operations of the medical billing department, including claim generation, submission, follow-up, and payment posting. Ensure timely and accurate processing of all billing activities.Process Improvement: Identify and implement improvements to billing processes to enhance efficiency and accuracy. Develop and enforce best practices to streamline billing operations.Compliance & Risk Management: Ensure all billing practices comply with healthcare regulations, payer requirements, and internal policies. Conduct regular audits and address any compliance issues.Cross-Departmental Coordination: Collaborate with all departments to resolve billing issues and ensure accurate claim submissions.Performance Monitoring: Track and analyze key performance indicators (KPIs) related to billing operations. Prepare and present reports to management, highlighting performance metrics, trends, and areas for improvement.Problem Resolution: Address and resolve complex billing issues, including claim denials, appeals, and discrepancies. Implement corrective actions to prevent recurrence of issues.Customer Service: Ensure high levels of customer service by addressing patient and payer inquiries, resolving billing-related concerns, and maintaining positive relationships with external stakeholders.Desired Candidate Profile:Bachelors degree in Healthcare Administration, Finance, Business Administration, or a related field.Certification in medical billing or coding (e.g., CPC, CCS) is preferred.Minimum of 6+ years of experience in medical billing, with at least 2 years in a supervisory or managerial role.Strong knowledge of medical billing processes, healthcare regulations, and payer requirements.Proven leadership and team management skills.Excellent analytica

What You Will Do:Plans, monitors, direct and evaluate Associates production. Ensures that schedules are met and communicates with VP, and Associates Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay Associates, implements measures/schedules to return to established Associates schedules at the earliest possible time. Identifies operational priorities and other work flow issues; ensures a constant flow of work so that delivery schedules are met. Assists in the development and revision of operational policies and procedures that facilitate efficient workflow. Develops an understanding of the workflows, procedures and specific criteria for each assigned client. Emphasizes productivity goals and takes action to ensure effective and efficient use of staff is maintained. Creatively plans for allocation of extra capacity for backlog Associates. Oversees performance to ensure that staff is performing within the established quality and production performance criteria. Assists in coordinating scheduled quality meetings with the production staff. Responds to and ensures that the acknowledgement mail on daily updates is sent to US. Ensures client mails are promptly responded to. Maintains technical knowledge of Associates. Bring proven ability to oversee and provide support and/or direction on quality issues. Co-Ordinate and follow through on the training plans for adding new trainees onto an account. Guideline updates Co-ordinate with the QA staff to ensure that the update is understood by the Associates. Project Launch - Active involvement in project launch sessions to understand the Associates process and track the daily progress during the launch period. What You Will Need:Bachelor Degree, Master DegreeWhat Would Be Nice To Have:15+ Years of ExperienceA flexible men

Min 10Yrs of experience in RCM healthcare.End to End Process Knowledge (Charge,Payments, Denails & AR)Must be handled min 30 members team.Preferred male candidate.ThanksKarthiga KHR ManagerNovigo Integrated Services Pvt Ltd

RoleOversee GST compliance of clientsEnsure timely filing of GST returns for clientsEnsure timely payments of GST for clientsEnsure the GST payments and returns are accurately preparedEnsure GST notices are properly tracked and respondedEnsure proper documentation and supporting documents for GST of clients for future referencesMaintain sufficient documents and reconciliations are maintained for ITC, RCM, etcKnowledge Expectation1. The candidate should know the GST law properly2. The candidate should know routine compliances under GST3. Know how to work on GST portal for returns, refunds, etc4. Know ITC eligibility criteria and how to reconcile and maintain supporting documentsWork Experience1. Filing of GST Registration applications2. Filing of GST Returns3. Filing of GST refund claims4. Visit GST office for submissions1-2 years of experience in GST compliances

Immediate Hiring!!Rotational Shift - Assistant ManagerSkills: Charge Entry / Charge QC / AR Analyst / Payment Posting / AR Caller / Credentialing / Patient Calling (End-to-end RCM Process), Client & Team Co-ordination, Team ManagementStrong Knowledge on Specialties like E&M, Hospital Charges, Oncology, Family Medicine, Internal Medicine, Urgent Care, Multi-Specialty skills(US Healthcare Process- Medical Billing Domain)Min 8 years experience (Being TL for at least 5 years can also be considered)Salary: Based on Experience & Performance Good Communication Skills & Should have experience in Medical BillingBenefits: One time food FreeImmediate Joiners are preferred or those who serve notice can attendKindly Note: Work from Office onlyInterview Venue:Novigo Integrated Services Pvt LtdSai Sadhan, TS # 125, 1st Floor,North Phase SIDCO Thiru-va-ka Industrial Estate, Ekkatuthangal, Chennai, 600032