RCM Executive- AR Caller at OnActive · Ahmedabad · 1 - 3 years · ₹3L - ₹5L / yr · Bootstrapped · Posted 17 Dec 2024
Designation: Sr. RCM Executive
Required Experience: 1 to 3 Years
Shift Timing: 05:30 PM to 02:30 AM / 06:30 PM to 03: 30 AM
Working Days: 05 days (Monday to Friday)
Salary Criteria: Up To 40,000 INR
Key Responsibilities:
- Review and follow up on outstanding claims with insurance companies for medical services provided
- Initiate timely and effective communication with insurance companies to expedite claim processing and resolve payment discrepancies.
- Identify and resolve billing issues, including claim denials, rejections, and underpayments, through thorough investigation and follow-up.
- Maintain accurate and up-to-date records of all communication and actions taken regarding accounts receivable.
Shubham Vishwakarma
Full Stack Developer - Averlon
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We are looking for experienced and detail-oriented AR Analysts / Senior AR Analysts to join our Medical Billing – Semi-Voice Process team in Chennai. The role involves managing Accounts Receivable activities for US healthcare clients, including payment posting-related activities, denial management, correspondence handling, insurance follow-up, and account resolution.
The ideal candidate should have strong knowledge of US healthcare AR processes, good communication skills, analytical ability, and hands-on experience in resolving outstanding accounts and improving collections.
RCM Analytics Specialist – US Healthcare
Job Title: RCM Analytics Specialist
Department: Revenue Cycle Management (RCM)
Industry: US Healthcare / Medical Billing
Experience: 2–5 Years
Employment Type: Full-Time
Location: Mohali
Shift: US Shift / Night Shift
Work Mode: Work from Office
Job Summary
We are looking for an experienced RCM Analytics Specialist to analyze US Healthcare RCM data, prepare performance reports, identify trends and revenue gaps, and provide actionable insights to improve collections, reduce denials, and enhance operational performance.
Key Responsibilities
- Analyze US Healthcare RCM data to identify trends, gaps, operational issues, and areas for improvement.
- Prepare and maintain daily, weekly, and monthly RCM performance reports and dashboards.
- Analyze denial trends and identify root causes, including eligibility, authorization, coding, documentation, and payer-related issues.
- Track payer-wise and client-wise performance and identify potential revenue leakage.
- Analyze AR aging buckets and identify high-value or aging accounts requiring immediate attention.
- Develop reports to help management monitor team productivity, collections, quality, and financial performance.
- Prepare MIS reports, dashboards, ad-hoc analysis, and business insights for management.
- Present analytical findings and recommendations to management and operational stakeholders.
Required Skills & Qualifications
- 3–5 years of experience in US Healthcare RCM, Medical Billing Analytics, MIS, Business Analytics, or Healthcare Operations.
- Strong analytical and problem-solving skills.
- Good understanding of RCM metrics, reports, and operational KPIs.
- Ability to analyze large datasets and identify trends, discrepancies, and opportunities for improvement.
Preferred Skills
- Experience with Power BI or other BI/dashboarding tools.
- Knowledge of SQL and database querying.
- Advanced Excel skills, including Pivot Tables, XLOOKUP/VLOOKUP, SUMIFS/COUNTIFS, charts, and dashboards.
- Experience in developing automated MIS/RCM dashboards.
What We Offer
- Competitive Salary: ₹40,000 – ₹70,000 per month
- Attractive Incentives for experienced candidates
- Growth and career development opportunities
- Professional and collaborative work environment
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Full Stack Developer - Averlon