rcm specialist

Eyecare Partners

<div><div>EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.</div>
Job Title: RCM Specialist

Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA 


Job Summary

As a member of the Revenue Cycle Management Team, the RCM Specialist is a subject matter expert regarding RCM processes and procedures necessary for EyeCare Partner Practices. The RCM Specialist may be responsible for multiple elements including, but not limited to: Billing, Coding, Payment Posting, Accounts Receivable (A/R) follow up, insurance claim submission and managing customer services requests from patients

Duties and Responsibilities
<ul>
<li><ul><li>Prepare, review, and transmit claims using billing software including electronic, website submission, and paper claim processing</li></ul></li>
<li><ul><li>Post payments both electronically and manually into the practice management system according to set standards and productivity measures.</li></ul></li>
<li><ul><li>Status unpaid claims within standard billing cycle timeframe</li></ul></li>
<li><ul><li>Timely review/handling of insurance claim denials, exceptions, or exclusions</li></ul></li>
<li><ul><li>Forwards requests for medical records to appropriate internal resources</li></ul></li>
<li><ul><li>Addresses/corrects demographic information requested by insurance company</li></ul></li>
<li><ul><li>Ability to read and accurately interpret insurance Explanation of Benefits (EOB's)</li></ul></li>
<li><ul><li>Verifying insurance payments for accuracy/compliance based on contracts to ensure correct reimbursement is received</li></ul></li>
<li><ul><li>Following up directly with insurance companies regarding payment discrepancies</li></ul></li>
<li><ul><li>Utilizing aging reports and workflow statuses to address any unpaid or open claims over 30, 60, 90, and 120 plus</li></ul></li>
<li><ul><li>Coordination of Benefits (COB) &ndash; Ability to Identifying and bill secondary or tertiary</li></ul></li>
<li><ul><li>Documenting denials associated with patient responsibility to forward to the collection team</li></ul></li>
<li><ul><li>Ability to research and appeal denied claims</li></ul></li>
<li><ul><li>Answering all patient or insurance telephone inquiries pertaining to assigned accounts</li></ul></li>
<li><ul><li>Report payment discrepancies or denial trends identified to Supervisor as soon as they are identified for assigned accounts</li></ul></li>
<li><ul><li>Keep supervisor abreast weekly of any concerns or issues associated with accounts</li></ul></li>
<li><ul><li>Adhering to company standards of compliance with policies and procedures</li></ul></li>
<li><ul><li>Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.</li></ul></li>
<li><ul><li>Performs other duties that may be necessary or in the best interest of the organization.</li></ul></li></ul> 


Education, Licensure &amp; Certification Requirements

High School Diploma or GED

CPC, RHIT, CCS, or CMC Coding Credentials preferred 


Experience Requirements

3+ years of Medical Insurance Billing. Ophthalmology Practice preferred. 


Knowledge, Skills and Abilities Requirements
<ul>
<li>Experience with CPT and ICD-10; Familiarity with medical terminology</li>
<li>Knowledge of billing procedures and collection techniques</li>
<li>Strong written and verbal communication skills</li>
<li>Detail oriented, professional attitude, reliable Consistent production results</li>
<li>Logical, Critical thinking, and research skills</li>
<li>Excellent organization, time management, and prioritization skills</li>
<li>Professional in appearance and actions</li>
<li>Customer-focused with excellent written, listening and verbal communication skills</li>
<li>Enjoys learning new technologies and systems</li>
<li>Exhibits a positive attitude and is flexible in accepting work assignments and priorities</li>
<li>Meets attendance and tardiness expectations</li>
<li>Management and organizational skills to support the leadership of this function</li>
<li>Ability to follow or provide verbal &amp; written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations</li>
<li>Interpersonal skills to support customer service, functional, and teammate support need</li>
<li>Able to communicate effectively in English, both verbally and in writing Intermediate computer operation Proficiency with Microsoft Excel, Word, PowerPoint and Outlook Practice management software and clearing houses experience</li>
<li>Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines</li></ul> 


Location/Work Environment:

For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have access to dependable transportation, and their driving record must meet company liability carrier standards.

For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives. 


If you need assistance with this application, please contact (636) 227-2600

Please do not contact the office directly &ndash; only resumes submitted through this website will be considered 


EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly &ndash; only resumes submitted through this website will be considered

NOTE: Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.</div>

OPH/RCM Specialist

Physician Cure

AR Executive with the experience of 3-4 year is required in TriTech services Medical billing company located at 20-L Ex air avenue DHA phase 8 Lahore. WhatsApp 0326-4565645Shift timing 7pm to 4amJob Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthWork Location: In person

RCM specialist for Medical Billing company

The Inventor Solutions

Position Title: Senior Billing Specialist &ndash; Dental RCM Location: On-site (Rawalpindi) Shift: Night Shift (9:00 PM to 6:00 AM) Company: The Inventor Solutions Experience Required: Minimum 2&ndash;3 years in Dental BillingJob Summary:We are seeking an experienced Senior Billing Specialist to join our Dental RCM team. The ideal candidate must have a strong command over the end-to-end billing process for dental practices, including claims submission, payment posting, AR follow-ups, and denial management. This is an on-site, full-time night shift position.Key Responsibilities:<ul><li>Submit dental claims (electronic and paper) to insurance carriers accurately and on time</li><li>Review EOBs/ERAs and post payments to the billing system</li><li>Perform Account Receivable follow-ups for unpaid or denied claims</li><li>Correct and resubmit rejected claims</li><li>Verify insurance benefits and coverage when required</li><li>Communicate with insurance companies via phone and online portals</li><li>Collaborate with verification and credentialing teams to ensure clean claims</li><li>Generate aging reports and track AR performance</li><li>Train and support junior billing staff if assigned</li><li>Maintain patient and provider confidentiality at all times</li><li>Update and maintain billing software with relevant payer information</li></ul>Qualifications:<ul><li>2 to 3 years of proven experience in dental billing (U.S. market)</li><li>Strong knowledge of CDT codes, dental procedures, and insurance guidelines</li><li>Familiarity with dental billing software (such as Dentrix, Eaglesoft, Open Dental, etc.)</li><li>Understanding of HIPAA and RCM compliance requirements</li><li>Excellent written and verbal communication skills</li><li>Detail-oriented and comfortable working under deadlines</li><li>Ability to work independently and as part of a team</li><li>Must be able to work on-site during night shift (9:00 PM to 6:00 AM)</li></ul>Work Location: In person

Senior Billing Specialist - Dental Billing

Top Line Resource Group (TLRG)

Location: DHA Phase 8, Lahore [Onsite]Employment Type: Full-timeWork Timing: 05PM &ndash; 02AM Pakistan TimeJob OverviewTopline Resource Group (TLRG) is seeking a highly experienced and results-driven Revenue Cycle Management (RCM) Specialist to oversee operations for multiple healthcare clients across different states.The ideal candidate will have extensive experience managing the end-to-end medical billing revenue cycle, including insurance verification, coding review, claims submission, payment posting, accounts receivable follow-ups, and denial management.Key ResponsibilitiesOversee and manage end-to-end Revenue Cycle Management operations for multiple healthcare provider clients.Supervise and support internal RCM teams handling:<ul><li>Insurance Verification (VOBs)</li><li>Prior Authorizations</li><li>Medical Coding Review</li><li>Charge Entry</li><li>Claims Submission</li><li>Payment Posting</li><li>Accounts Receivable (AR) Follow-ups</li><li>Denial Management</li></ul>Monitor claim lifecycle performance, ensuring accurate and timely claim submissions and reimbursements.Analyze EOBs, ERAs, and payer remittance reports to identify trends in denials, underpayments, and claim rejections.Communicate directly with US insurance payers and client representatives to resolve complex billing issues.Ensure compliance with payer policies, CMS regulations, and HIPAA guidelines.Develop and implement process improvements to increase collection rates and reduce AR aging.Track and manage KPIs including AR aging, denial rate, clean claim rate, and reimbursement turnaround time.Provide training, mentorship, and performance management for RCM staff.Coordinate with internal departments including coding, billing, compliance, and client services to ensure seamless revenue cycle operations.Maintain accurate documentation and reporting for client performance metrics and operational updates.Required Qualifications<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, or a related field preferred.</li><li>5+ years of experience in Medical Billing and Revenue Cycle Management.</li><li>Minimum 2 years of experience in a supervisory or team lead role within an RCM environment.</li><li>Strong knowledge of the complete medical billing lifecycle.</li></ul>Expert-level familiarity with:<ul><li>CPT Codes</li><li>ICD-10 Codes</li><li>HCPCS Codes</li><li>Claim submission workflows</li><li>Denial management processes</li></ul>Experience working with multiple payers including Medicare, Medicaid, and Commercial insurance plans.Hands-on experience with EHR/EMR and Practice Management systems.Strong analytical and problem-solving abilities for resolving complex claim and reimbursement issues.Excellent verbal and written English communication skills for interacting with US clients and payers.Ability to manage high-volume workloads while maintaining accuracy and compliance.Preferred SkillsPrior experience managing multiple US healthcare provider accounts across different states.Experience working in US healthcare BPO or medical outsourcing environments.Familiarity with payer-specific billing guidelines and state-based insurance requirements.Strong leadership skills with the ability to build and manage high-performing RCM teams.Experience with performance reporting, operational dashboards, and AR analytics.Knowledge of HIPAA compliance, CMS regulations, and payer audit requirements.Application Question(s):<ul><li>We are looking to hire immediately, are you available to join immediately?</li></ul>Experience:<ul><li>RCM: 4 years (Required)</li></ul>Work Location: In person

Revenue Cycle Management (RCM) Manager

Hudson Manpower

We have job opportunity as “RCM Engineer” in Saudi Arabia.
 
Have more than 8 Years of experience in maintenance (preferred rotating/static equipment)
 
Worked before on large scale projects.
 
Have more than 3 Years of experience in applying RCM Methodology as per the standards SAE JA1011/JA1012.
 
Can lead a team to develop and implement strategies to maximize equipment reliability and performance.
 
Understand the steps of RCM and apply the seven questions of RCM.
 
Understand how to calculate MTBF and how to select PM frequency.
 
Can create optimized maintenance plans (PMs), and reduce costs, often involving leading RCM studies, training teams, and working with operations/maintenance to ensure asset health.
 
Can lead RCM/FMECA analysis.
 
Utilize RCM software (GE APM Meridium) and CMMS (SAP) for analysis and planning.
 
CMRP Certificate is preferred

RCM Engineer | Saudi Arabia

2070Health

<div>About 2070 Health 
 
W Health Ventures has set up India's first healthcare focused Venture Studio called 2070Health - an innovation platform that builds transformative healthcare companies from scratch by discovering disruptive opportunities in whitespaces. Distinct from the accelerator approach, our venture studio is closely involved in idea generation, day-to-day operations, and strategic decisions of growing the new business. Companies incubated in the last 24 months includeEverbright Health, Elevate Now, Nivaan Care, Reveal Healthtech , BabyMD and Everhope Oncology.
This role is for a company we are incubating within the studio.
The Role
This role is part of a new company we are actively incubating in the US care navigation space. We embed fully managed care navigation, including staffing, technology, and compliance, into provider practices so they can stand up CMS-reimbursable Community Health Integration (CHI) and Principal Illness Navigation (PIN) programs for their Medicare patients with zero upfront cost. We exist to make a brand-new Medicare benefit easy to deliver and easy to bill.
This is a chance to be on the ground floor of something being built from scratch.
We are hiring a Revenue Cycle Management Specialist based in India, with hands-on, in-the-claims experience billing Community Health Integration (CHI) and Principal Illness Navigation (PIN) for US Medicare beneficiaries. This is a fully remote role working US shift hours (EST or CST overlap, typically 5:30 PM IST onwards). This is not a generic billing role. You will own the end-to-end RCM motion for Kero's care navigation services and be the person who makes sure our claims get paid clean, on time, and with zero compliance risk.
What You'll Own<ul><li>Own end-to-end RCM for Medicare CHI and PIN claims, from eligibility verification through payment posting and reconciliation.</li><li>Audit charge capture against time logs and clinical documentation to ensure clean CHI / PIN submissions.</li><li>Work clearinghouse edits, manage denials, and run appeals to closure.</li><li>Run AR aging, payment posting, and ERA / EOB reconciliation; flag payer and MAC-specific trends to leadership.</li><li>Partner with care navigators and clinicians to close documentation gaps, and report KPIs back to the team.</li></ul> 
Requirements 
<ul><li>
2 to 5 years of hands-on US medical billing / revenue cycle experience, ideally at an Indian healthcare BPO or US-RCM offshore captive (Omega Healthcare, AGS Health, GeBBS Healthcare, R1 RCM, Access Healthcare, NTT DATA / Net-Healthcare, Sutherland Healthcare, EXL Health, Cognizant Healthcare, Wipro, Infosys BPM, or similar).</li><li>
Direct, demonstrable experience billing Medicare Part B claims. Non-negotiable.</li><li>
Hands-on experience with the full CHI and PIN code family: CHI (G0019, G0022), PIN (G0023, G0024), and PIN-Peer Support Services (G0140, G0146). Exposure to adjacent and other time-based Medicare G-codes is important, like SDOH Risk Assessment (G0136), CCM initiating visit (G0506), RHC/FQHC general care management (G0511), Advanced Primary Care Management (G0556, G0557, G0558), and complex E/M add-on (G2211).</li><li>
Strong working knowledge of related care-coordination codes: CCM (99490, 99439, 99487, 99489), PCM (99424 to 99427), TCM (99495, 99496), BHI (99484, 99492 to 99494), and RPM (99453 to 99458), and how they interact with CHI / PIN.</li><li>
Fluent in HCPCS, CPT, and ICD-10-CM coding for chronic and serious-illness populations.</li><li>
Comfortable with EHR / PMS (Athenahealth, eClinicalWorks, AdvancedMD, DrChrono, Epic, Cerner, Kareo, or similar) and a US clearinghouse (Availity, Change Healthcare / Optum, Trizetto, Waystar).</li><li>
Excellent written and verbal English communication; comfortable on calls with US-based providers and care teams.</li><li>
Based in India; comfortable working US night shift hours (EST or CST overlap) and a stable home internet setup for fully remote work.</li></ul> 

Benefits 
Competitive India-market base salary, group medical insurance for self and family, PF, gratuity, fully remote work-from-home setup, flexible PTO, and an annual learning &amp; certification stipend (AAPC, AHIMA).</div>

Revenue Cycle Management Specialist - Care Navigation (Medicare CHI/PIN)

<div>We are hiring an experienced Mechanical Engineer &ndash; Rotating Equipment (RCM / SME) for a reputed company in Saudi Arabia.<ul><li>
Maintenance of rotating equipment: pumps, centrifugal &amp; reciprocating compressors, steam &amp; gas turbines</li><li>
Expertise in mechanical seals, API seal plans, gearboxes, fin fans, cooling towers, agitators &amp; mixers</li><li>
Hands-on participation in RCM workshops</li><li>
Strong understanding of RCM methodology as per SAE JA1011 and SAE JA1012</li><li>
Ability to apply RCM 7 key questions for failure analysis and maintenance planning</li><li>
Develop and optimize Preventive Maintenance (PM) strategies to improve reliability and reduce costs</li><li>
Collaborate with operations &amp; maintenance teams to ensure asset health and performance</li><li>
Conduct training sessions on RCM principles and maintenance best practices</li></ul>
Tools &amp; Systems<ul><li>
RCM Software: GE APM Meridium</li><li>
CMMS: SAP PM</li></ul>
Certification : CMRP 
<ul><li>
Bachelor&rsquo;s Degree in Mechanical Engineering (mandatory)</li><li>
Minimum 8+ years of relevant experience</li><li>
Experience in oil refinery / petrochemical / heavy industry projects preferred</li><li>
Strong hands-on exposure to RCM implementation</li><li>
Proven ability in maintenance planning &amp; reliability improvement</li></ul></div>

Mechanical Engineer – Rotating Equipment (RCM / SME) | KSA

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