revenue cycle management specialist

Active Hires USA

<p><b>Job Title:</b> Revenue Cycle Management (RCM) Specialist</p><p><b>Location:</b> Egypt (Work from Home)</p><p><b>Company:</b> Go Physical Therapy (USA-based)</p><p><b>Job Type:</b> Full-time (Remote, Work from Home)</p><p><b>About Us:</b></p><p>Go Physical Therapy is a leading physical therapy provider based in the USA, committed to delivering exceptional care to our patients. We are seeking a skilled and experienced RCM Specialist to join our team remotely from Cairo, Egypt. This role is crucial in ensuring the smooth management of our revenue cycle and optimizing our billing processes.</p><p><b>Job Overview:</b></p><p>As an RCM Specialist, you will be responsible for managing the end-to-end revenue cycle, including patient registration, insurance verification, claim submission, and payment posting. You will collaborate with our team in the USA to ensure timely and accurate billing, minimize claim denials, and improve overall revenue collection. This position offers the flexibility of working from home, allowing you to balance your professional and personal life effectively.</p><p><b>Key Responsibilities:</b></p><ul><li><b>Insurance Verification:</b> Confirm patient insurance coverage and eligibility prior to services being rendered.</li><li><b>Billing &amp; Coding:</b> Ensure accurate coding of medical services and procedures to maximize reimbursement.</li><li><b>Claim Submission:</b> Prepare and submit claims to insurance companies and other payers efficiently.</li><li><b>Follow-Up:</b> Track and follow up on unpaid claims, resolving issues related to claim denials or rejections.</li><li><b>Payment Posting:</b> Accurately post payments from insurance companies and patients to the correct accounts.</li><li><b>Reporting:</b> Generate and analyze reports related to revenue cycle metrics, such as days in accounts receivable, denial rates, and collection efficiency.</li><li><b>Compliance:</b> Ensure that all billing practices comply with relevant regulations and industry standards.</li></ul><p><b>Qualifications:</b></p><ul><li><b>Experience:</b> Minimum of 1-2 years of experience in revenue cycle management or medical billing.</li><li><b>Skills:</b></li><li>Strong understanding of medical billing, coding (ICD-10, CPT), and insurance processes.</li><li>Proficiency in healthcare management software (e.g., EMR/EHR systems).</li><li>Excellent communication and problem-solving skills.</li><li>Ability to work independently and manage multiple tasks effectively.</li><li>Fluency in English: Both written and spoken fluency in English is required to effectively communicate with our USA-based team and clients.</li><li>Soft Skills: Teamwork, adaptability, and attention to detail are highly valued.</li></ul><p><b>What We Offer:</b></p><ul><li>Competitive salary</li><li>Opportunity to work remotely from home in Egypt</li><li>Professional development and growth opportunities</li><li>A collaborative and supportive work environment</li></ul><p>Job Type: Full-time</p><p>Pay: E&pound;10,000.00 - E&pound;18,000.00 per month</p><p>Experience:</p><ul><li>Revenue Cycle Management Specialist: 1 year (Required)</li></ul><p>Language:</p><ul><li>English (Required)</li></ul>

Revenue Cycle Management (RCM) Specialist - remotely

Physicians Revenue Group

<p><b>Location: </b>College Road, Lahore (Onsite)<br/><b>Shift: </b>06:00 PM &ndash; 03:00 AM PKT (US Time Zone)</p><p>Company: <b>Physcian Revenue Group Pakistan.</b></p><p><b>Position: </b>Revenue Cycle Management Specialist - Medical Billing - AR Specialist</p><p><b>About Us:</b><br/><b>Physician Revenue Group (PRG)</b> is a leading <b>US-based</b> Revenue Cycle Management (RCM) company with offices in the <b>United States</b> and <b>Pakistan</b>. We provide <b>end-to-end</b> medical billing services to healthcare providers including physicians, clinics, and hospitals, ensuring accurate claims, faster reimbursements, and compliance with US healthcare regulations.</p><p><b>Role Overview:</b><br/>We are looking for RCM Billing Executives to manage the end-to-end medical billing cycle for US healthcare providers. The role involves patient eligibility checks, claim creation &amp; submission, payment posting, denial management, AR follow-ups, and reporting. Candidates with strong knowledge of US healthcare billing, insurance guidelines, and RCM processes are encouraged to apply.</p><p><b>Key Responsibilities:</b></p><ul><li>Manage the full Revenue Cycle Management (RCM) process</li><li>Patient Scheduling &amp; Eligibility Verification</li><li>Claim Creation, Charge Entry &amp; Submission (CMS-1500, UB-04)</li><li>Payment Posting, ERA &amp; EOB reconciliation</li><li>Denial Management &amp; Resubmission of claims</li><li>AR follow-ups with insurance companies &amp; patients</li><li>Patient Statements &amp; Reporting</li><li>Ensure compliance with HIPAA regulations and US healthcare billing standards.</li><li>Work with providers, payers, and patients to resolve billing issues.</li><li>Handle authorizations, referrals, and ABNs where required.</li><li>Apply correct CPT/ICD coding, POS codes, and Modifiers for accurate billing.</li></ul><p>Use medical billing software such as eCW, AdvancedMD, Tebra, NextGen, Epic, CareCloud, Practice Fusion, Office Ally.</p><p><b>Required Skills &amp; Knowledge </b></p><ul><li>Strong understanding of US healthcare RCM: Scheduling, Eligibility, Claim Submission, Payment Posting, Denials, AR, Patient Billing, Reporting.</li><li>Knowledge of Medicare, Medicaid, Tricare, Commercial Insurances, Participating vs Non-Participating Providers, Capitation Models, and Authorization Types.</li><li>Familiarity with Modifiers, POS Codes, Common Abbreviations (NPI, TIN, HIPAA, CPT, ICD, EOB, ERA, etc.).</li><li>Exposure to multiple specialties such as Internal Medicine, Family Practice, Pediatrics, Cardiology, Orthopedics, Dermatology, OB/GYN, Psychiatry, Radiology, Neurology, Pulmonology, Endocrinology, and more. (Preferred)</li><li>Good English communication skills (verbal &amp; written).</li><li>Ability to work under deadlines in a fast-paced environment.</li></ul><p><b>Qualifications</b>:</p><ul><li>Bachelor&rsquo;s degree (minimum requirement).</li><li>6 month &ndash; 2 years&rsquo; experience in US-based Medical Billing / RCM.</li></ul><p><b>Perks &amp; Benefits </b></p><ul><li>Competitive salary + Fuel Card / Allowances.</li><li>Career growth in the US healthcare billing industry.</li><li>Collaborative &amp; supportive work environment.</li><li>Health Insurance</li></ul><p>If you are passionate about building your career in Medical Billing (RCM) and want to work with a global team, we&rsquo;d love to hear from you.</p><p>Job Type: Full-time</p><p>Experience:</p><ul><li>Denial Management: 1 year (Preferred)</li></ul><p>Work Location: In person</p>

RCM - Billing Executive

Technocruitx Universal Pvt Ltd

<p><b>Job Title</b></p><p><b>AR Executive-Medical Billing</b></p><p><b>Location</b>- Ahmedabad (ITC Narmada)</p><p><b>Mode</b>: Work from Office</p><p><b>Shift</b>: Night Shift</p><p><b>Experience</b>: 2 to 4 Years</p><p><b>Job Summary</b></p><p>The Accounts Receivable Specialist under the RCM process is responsible for managing and optimizing all activities related to the collection of payments for healthcare services rendered. This includes following up with insurance carriers, addressing claim denials, posting payments, and maintaining precise financial documentation to support revenue integrity.</p><p><b>Key Responsibilities</b></p><ul><li>Manage the accounts receivable process, including billing, claims follow-up, payment posting, and collections for assigned healthcare clients.</li><li>Review AR aging reports to identify outstanding or delinquent accounts and take appropriate follow-up actions.</li><li>Investigate and resolve claim denials, discrepancies, and underpayments through communication with insurance companies and patients.</li><li>Submit and appeal claims to payers, ensuring compliance with payer-specific guidelines and regulatory requirements.</li><li>Post payments accurately into the billing system and reconcile accounts to maintain up-to-date financial records.</li><li>Communicate effectively with cross-functional teams such as billing, coding, and customer service to resolve complex issues affecting claim payment.</li><li>Generate reports on AR performance metrics such as Days Sales Outstanding (DSO), denial rates, and collection efficiency.</li><li>Maintain data accuracy and integrity in the AR management system, ensuring all patient information, claims, and payments are properly documented.</li><li>Support management during audits and compliance reviews by providing documentation and analysis as required.</li><li>Participate in process improvement initiatives to streamline AR workflows and improve overall revenue cycle performance.</li></ul><p><b>Required Qualifications and Skills</b></p><ul><li>Bachelor&rsquo;s degree in Finance, Accounting, Healthcare Administration, or a related field.</li><li>2&ndash;4 years of experience in healthcare accounts receivable or RCM operations.</li><li>Proficiency with RCM or practice management systems (Epic, Athenahealth, eClinicalWorks, etc.) and Microsoft Excel.</li><li>Knowledge of medical billing codes (CPT, ICD-10) and insurance reimbursement processes.</li><li>Strong analytical, communication, and problem-solving skills with attention to detail.</li><li>Understanding of HIPAA regulations and payer-specific billing protocols.</li></ul><p><b>Performance Indicators</b></p><ul><li>Reduction in AR days and increase in collection ratio.</li><li>High percentage of first-pass claim acceptance.</li><li>Timeliness and accuracy of payment posting.</li><li>Resolution rate of claim denials and rejections.</li></ul><p>This role is integral to the overall financial health of healthcare organizations, ensuring that services rendered translate into accurate and timely reimbursements &mdash; the core objective of the Revenue Cycle Management function.</p><p><b>Industry</b></p><p><b>Hospitals and Health Care</b></p><p>Job Types: Full-time, Permanent</p><p>Pay: &#8377;30,000.00 - &#8377;35,000.00 per month</p><p>Work Location: In person</p>

AR Caller (Junior)

Jawa Health Care

<p><b>Job Summary:</b></p><p>The RCM Services Specialist is responsible for managing the end-to-end revenue cycle process, including patient registration, insurance verification, charge entry, claims submission, payment posting, denial management, and accounts receivable follow-up. This role ensures that all revenue cycle processes are conducted accurately, efficiently, and in compliance with payer guidelines and healthcare regulations.</p><p><b>Key Responsibilities:</b>1. <b>Front-End RCM</b></p><ul><li>Perform patient registration and verify demographics and insurance details.</li><li>Ensure accurate and timely insurance eligibility and benefit verification.</li><li>Obtain prior authorizations and pre-certifications when required.</li><li>Educate patients on insurance coverage, copays, deductibles, and financial responsibility.</li></ul><p>2. <b>Mid-Cycle RCM</b></p><ul><li>Review clinical documentation and ensure proper charge capture.</li><li>Enter and audit charges for accuracy and completeness.</li><li>Ensure compliance with CPT, ICD-10, and HCPCS coding standards.</li><li>Collaborate with clinical staff and coders to resolve discrepancies.</li></ul><p>3. <b>Back-End RCM</b></p><ul><li>Submit clean claims electronically or via paper, ensuring payer-specific requirements are met.</li><li>Monitor claim rejections and denials; correct and resubmit in a timely manner.</li><li>Post payments from insurance companies and patients; reconcile with Explanation of Benefits (EOBs).</li><li>Manage accounts receivable (A/R) and perform timely follow-ups on unpaid or underpaid claims.</li><li>Handle patient billing inquiries and collections professionally and sensitively.</li></ul><p><b>Qualifications:</b></p><ul><li>Bachelor&rsquo;s degree in healthcare administration, business, or related field preferred.</li><li>High school diploma or GED required.</li><li>Certification in medical billing/coding (e.g., CPC, CCS, CPB) is a plus.</li><li>Minimum 2&ndash;4 years of experience in healthcare revenue cycle operations.</li><li>Experience with RCM tools, billing systems (e.g., Epic, Cerner, Kareo, Athenahealth), and clearinghouses.</li><li>Familiarity with Medicare, Medicaid, and commercial insurance payers.</li></ul><p><b>Skills and Competencies:</b></p><ul><li><b>Technical Skills:</b> Proficiency in MS Office Suite and EHR/PM systems.</li><li><b>Knowledge Base:</b> Strong understanding of medical terminology, coding (CPT, ICD-10), and payer guidelines.</li><li><b>Analytical Skills:</b> Ability to identify claim issues, analyze denial trends, and resolve billing problems.</li><li><b>Communication:</b> Strong verbal and written communication skills.</li><li><b>Detail-Oriented:</b> High attention to detail and accuracy in data entry and documentation.</li><li><b>Time Management:</b> Ability to prioritize tasks and meet deadlines in a fast-paced environment.</li><li><b>Team Collaboration:</b> Works well in a team environment and collaborates across departments.</li></ul><p><b>Preferred Experience:</b></p><ul><li>Previous work in a multi-specialty practice, hospital, or billing service provider.</li><li>Experience with value-based care metrics and risk-adjusted coding.</li><li>Familiarity with HIPAA compliance and regulatory standards.</li></ul><p><b>Work Environment &amp; Physical Requirements:</b></p><ul><li>May require prolonged sitting, extensive use of a computer, and telephone.</li><li>[Specify if remote work is allowed or if travel is required.]</li></ul><p><b>Performance Metrics:</b></p><ul><li>Claims first-pass rate</li><li>Denial rate and resolution time</li><li>Days in A/R</li><li>Collection rate</li><li>Patient satisfaction scores (for billing inquiries)</li></ul><p>Job Type: Full-time</p><p>Pay: Rs80,000.00 - Rs150,000.00 per month</p><p>Work Location: In person</p>

Complete RCM services Specialist

Qodoro

<div></div><div><div><b>About the company</b></div><div>
Qodoro is a rising Offshore Support company headquartered in New York City, New York, with operations handled from Ahmedabad, India. We support staffing companies globally with a wide range of recruitment and accounting services. We also practice Medical and Dental Billing for hospitals and clinics.</div><div>
Our reach of recruitment services goes out to North America, the U.K, and Australia. Our solutions and support have constantly kept staffing companies competitive to market trends with industry expertise and cost-effective advantage. Our partners have seen more than 2x returns on their partnership year on year. We commit to quality and constant growth ratio.</div><div>
We provide recruitment services to industries like Information Technology, Pharmaceutical &amp; Healthcare, Banking, Financial Services, Accounting &amp; insurance, Human resources, Retail &amp; Manufacturing, Engineering, Logistics. Qodoro holds an accumulated experience of more than 50 years in the business which results in our client&rsquo;s success.</div><div>
As a part of our commitment to being at our quality, we keep our clients updated with every development working for them. Qodoro is compliant with ISO 27001 and 9001:2015 and more essential certificates to keep up with the identity and quality of the workspace.</div><div><b>
Process Associate(US)
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</div><div><i>&ldquo;Let&rsquo;s unlock the hiring potential within you&rdquo;
</i></div><div>We are seeking Process Associate to work collaboratively with the highly versatile, cross-functional Medical and Dental billing team to provide collective and qualitative billing services to the clients.</div><div>
The ideal candidates are required to work the US shift from Monday through Friday. They should have a passion for finding highly qualified applicants while adhering to client policies.</div><div></div><div><b><br>
</b>Job Title: Process Associate/ Dental Billing Executive/ EV Specialist</div><div>
Experience: 0.5 -2 years of experience in dental billing into Eligibility Verification Process</div><div>
Location: Makarba, Ahmedabad</div><div>
Industry: Dental Billing - Voice Process</div><div>
Shift: 7:30 PM - 4:30 AM (5 Days Working)</div><div><b>
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Key Responsibilities</b></div><ul><li>Verify dental and medical insurance eligibility for patients.</li><li>Handle dental and medical billing inquiries through voice communication.</li><li>Provide excellent customer service to patients and insurance providers.</li><li>Ensure accurate and timely processing of dental and medical claims.</li><li>Opportunity to grow in the field of Revenue Cycle Management (RCM).</li><li>Good knowledge of Revenue Cycle Management (RCM)</li><li>Must have experience in Eligibility Verification</li><li>Expert in denial management or handling denials.</li><li>Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference</li><li>Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus</li><li>Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments</li><li>Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services</li><li>Calling insurance companies and obtaining claim status with different payers &amp; documenting it in the system.</li></ul><div><b>
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Requirements</b></div><ul><li>Fluent in English</li><li>Willingness to work in a night shift</li><li>Good communication skills</li><li>Understanding of dental billing and revenue cycle management processes</li><li>Top-notch interpersonal skills with a commitment to excellent customer service.</li></ul><div></div><div><br>
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Benefits:</b></div><ul><li>Fixed Night shift| 5 Days Working</li><li>Employee Rewards at the regular interval based on the performance</li><li>Monthly one dinner from the company</li><li>Petrol Allowance</li><li>Paid Leave Benefits/ Paternity and Maternity Leaves</li><li>Annual trip for all the employees</li><li>Festival Celebrations</li></ul><div>
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Apply now on hr@qodoro.com or call on 9909291777</b></div><div></div><div><br>
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Join QODORO and become part of our innovative family. You&rsquo;ll find fun, creative and supporting work culture. Come let&rsquo;s celebrate HIRING!</div><div>
NOTE: QODORO aims for equal employment opportunity for every individual irrespective of race, religion, origin, sexual orientation, gender, etc.</div></div><div></div>

Process Associate - Dental Billing ( EV Specialist)

Onesoltech

<p>Medical Billing Specialist (US Clients)</p><p>We are seeking an experienced Medical Billing Specialist with a proven background in managing US-based client accounts. The ideal candidate will have 3&ndash;4 years of hands-on experience in medical billing, excellent communication skills, and the ability to engage directly with clients through calls and meetings. This role requires strong attention to detail, problem-solving skills, and the ability to work independently while managing client relationships effectively.</p><p>Key Responsibilities</p><ul><li>Manage the end-to-end medical billing process for US clients, including charge entry, claim submission, payment posting, and follow-ups.</li><li>Verify patient eligibility, insurance benefits, and pre-authorizations as required.</li><li>Review and correct claims to minimize denials and rejections.</li><li>Conduct follow-up on unpaid or denied claims to ensure timely resolution.</li><li>Prepare account reconciliations and generate client reports as needed.</li><li>Communicate directly with US clients over calls and email to provide updates, resolve issues, and maintain strong professional relationships.</li><li>Stay up-to-date with payer guidelines, billing procedures, and compliance requirements.</li></ul><p>Requirements</p><ul><li>3&ndash;4 years of experience in US medical billing.</li><li>Strong understanding of the RCM (Revenue Cycle Management) process.</li><li>Experience handling denials, rejections, and appeals.</li><li>Excellent English communication skills, both written and verbal.</li><li>Confidence in conducting client calls and maintaining professional interactions.</li><li>Proficiency in medical billing software and MS Office applications.</li><li>Strong organizational skills and ability to manage multiple client accounts simultaneously.</li><li>Ability to work independently with minimal supervision.</li></ul><p>Preferred Qualifications</p><ul><li>Experience working with multiple specialties in medical billing.</li><li>Familiarity with HIPAA compliance standards.</li><li>Strong problem-solving and analytical skills.</li></ul><p>Employment Details</p><ul><li>Full-time position</li><li>Competitive compensation package based on experience</li><li>Growth-oriented role with opportunities for professional development</li></ul><p>Job Type: Full-time</p><p>Pay: Rs60,000.00 - Rs100,000.00 per month</p><p>Work Location: In person</p>

Medical Billing Specialist

TechnocruitX Universal Services Pvt. Ltd.

<p><b>Job Summary</b></p><p>The Accounts Receivable Specialist under the RCM process is responsible for managing and optimizing all activities related to the collection of payments for healthcare services rendered. This includes following up with insurance carriers, addressing claim denials, posting payments, and maintaining precise financial documentation to support revenue integrity.</p><p><b>Key Responsibilities</b></p><ul><li>Manage the accounts receivable process, including billing, claims follow-up, payment posting, and collections for assigned healthcare clients.</li><li>Review AR aging reports to identify outstanding or delinquent accounts and take appropriate follow-up actions.</li><li>Investigate and resolve claim denials, discrepancies, and underpayments through communication with insurance companies and patients.</li><li>Submit and appeal claims to payers, ensuring compliance with payer-specific guidelines and regulatory requirements.</li><li>Post payments accurately into the billing system and reconcile accounts to maintain up-to-date financial records.</li><li>Communicate effectively with cross-functional teams such as billing, coding, and customer service to resolve complex issues affecting claim payment.</li><li>Generate reports on AR performance metrics such as Days Sales Outstanding (DSO), denial rates, and collection efficiency.</li><li>Maintain data accuracy and integrity in the AR management system, ensuring all patient information, claims, and payments are properly documented.</li><li>Support management during audits and compliance reviews by providing documentation and analysis as required.</li><li>Participate in process improvement initiatives to streamline AR workflows and improve overall revenue cycle performance.</li></ul><p><b>Required Qualifications and Skills</b></p><ul><li>Bachelor&rsquo;s degree in Finance, Accounting, Healthcare Administration, or a related field.</li><li>2&ndash;4 years of experience in healthcare accounts receivable or RCM operations.</li><li>Proficiency with RCM or practice management systems (Epic, Athenahealth, eClinicalWorks, etc.) and Microsoft Excel.</li><li>Knowledge of medical billing codes (CPT, ICD-10) and insurance reimbursement processes.</li><li>Strong analytical, communication, and problem-solving skills with attention to detail.</li><li>Understanding of HIPAA regulations and payer-specific billing protocols.</li></ul><p>Job Type: Full-time</p><p>Pay: Up to &#8377;30,000.00 per month</p><p>Experience:</p><ul><li>Accounts receivable: 2 years (Required)</li><li>RCM Process: 2 years (Required)</li></ul><p>Shift availability:</p><ul><li>Night Shift (Required)</li></ul><p>Work Location: In person</p>

Accounts Receivable Executive

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