revenue cycle management specialist

Active Hires USA

Job Title: Revenue Cycle Management (RCM) SpecialistLocation: Egypt (Work from Home)Company: Go Physical Therapy (USA-based)Job Type: Full-time (Remote, Work from Home)About Us: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.Job Overview: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.Key Responsibilities:<ul><li>Insurance Verification: Confirm patient insurance coverage and eligibility prior to services being rendered.</li><li>Billing &amp; Coding: Ensure accurate coding of medical services and procedures to maximize reimbursement.</li><li>Claim Submission: Prepare and submit claims to insurance companies and other payers efficiently.</li><li>Follow-Up: Track and follow up on unpaid claims, resolving issues related to claim denials or rejections.</li><li>Payment Posting: Accurately post payments from insurance companies and patients to the correct accounts.</li><li>Reporting: Generate and analyze reports related to revenue cycle metrics, such as days in accounts receivable, denial rates, and collection efficiency.</li><li>Compliance: Ensure that all billing practices comply with relevant regulations and industry standards.</li></ul>Qualifications:<ul><li>Experience: Minimum of 1-2 years of experience in revenue cycle management or medical billing.</li><li>Skills:</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>What We Offer:<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>Job Type: Full-timePay: E&pound;10,000.00 - E&pound;18,000.00 per monthExperience:<ul><li>Revenue Cycle Management Specialist: 1 year (Required)</li></ul>Language:<ul><li>English (Required)</li></ul>

Revenue Cycle Management (RCM) Specialist - remotely

Healthrix

Overview As an RCM Specialist, you will play a pivotal role in the revenue cycle management process, ensuring that our healthcare operations run smoothly and efficiently. You will be responsible for managing medical billing, coding, and collections to optimize revenue flow while maintaining compliance with industry standards. Your expertise in medical terminology and coding systems will be essential in facilitating accurate documentation and processing of medical records.What you&rsquo;ll do<ul><li>Review and analyze patient records to ensure accurate coding using ICD-9, ICD-10, CPT coding, and DRG (Diagnosis-Related Group) methodologies.</li><li>Process medical billing and collections efficiently to maximize revenue recovery.</li><li>Collaborate with healthcare providers to clarify documentation and coding discrepancies.</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems for data entry and retrieval of patient information.</li><li>Maintain up-to-date knowledge of medical terminology, coding guidelines, and billing regulations.</li><li>Conduct audits of medical records to ensure compliance with legal and regulatory requirements.</li><li>Provide support in resolving billing inquiries from patients or insurance companies promptly.</li><li>Assist in training staff on best practices related to medical coding and billing processes.</li></ul>Basic qualifications<ul><li>Proven experience in medical office settings with a focus on RCM processes.</li></ul>Preferred qualifications<ul><li>Proficiency in DRG, CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with EMR and EHR systems for effective patient data management.</li><li>Strong understanding of medical terminology and documentation standards.</li><li>Excellent communication skills for effective collaboration with healthcare teams and patients.</li></ul>Why you&rsquo;ll love it here We are dedicated to fostering an environment where our employees can thrive both professionally and personally. Our commitment extends beyond just the workplace; we offer a range of benefits designed to support your overall well-being.Our benefits include:<ul><li>Comprehensive health coverage options that cater to your needs.</li><li>Opportunities for professional development and continuous learning.</li><li>A supportive workplace culture that values teamwork and collaboration.</li><li>Resources aimed at enhancing your physical and mental health. Join us as we strive to enhance the quality of care through effective revenue cycle management! Your contributions as an RCM Specialist will directly impact our mission to provide exceptional healthcare services while ensuring financial sustainability.</li></ul>Job Type: Full-timeWork Location: In person

RCM Specialist

Ryan Stone- RPO Services

Senior Associate &ndash; RCM Accounts Receivable (AR)Location: Turbhe,Department: Revenue Cycle ManagementShift Timing: 6:00 PM to 3:00 AM ISTEmployment Type: Full-TimeRole Overview:As a Senior Associate , you will be responsible for managing the end-to-end accounts receivable process within the healthcare revenue cycle. This includes following up on outstanding claims, resolving denials, and ensuring timely payments from insurance providers. The role demands strong communication skills, analytical thinking, and a thorough understanding of payer guidelines and denial management.Core Responsibilities:<ul><li>Call Insurance Companies: Make outbound calls to insurance providers to follow up on outstanding claims and expedite payments.</li><li>Resolve Claim Issues: Investigate and resolve denied or underpaid claims by reviewing Explanation of Benefits (EOBs) and coordinating with internal teams.</li><li>Ensure Timely Payment: Work proactively to ensure claims are paid on time, including correcting errors and appealing denials.</li><li>Maintain Records: Accurately document all communications and claim statuses in the billing system.</li><li>Collaborate Internally: Work closely with medical billing, coding, and other internal teams to resolve discrepancies and improve processes.</li><li>Stay Updated: Keep current with insurance policies, payer guidelines, procedures, and regulatory changes.</li><li>Meet Targets: Achieve daily and monthly AR collection goals and contribute to overall team performance.</li></ul>Required Skills &amp; Qualifications:<ul><li>Graduate in any discipline.</li><li>1 to 5 years of experience in Accounts Receivable within the healthcare domain.</li><li>Strong verbal and written communication skills.</li><li>Sound knowledge of Denial Management and Payer Guidelines.</li><li>Familiarity with medical billing, RCM processes, and healthcare software.</li><li>Detail-oriented with strong follow-up and organizational skills.</li><li>Ability to manage time effectively and work in a fast-paced environment.</li><li>Analytical and problem-solving mindset.</li></ul>Preferred Skills:<ul><li>Knowledge of end-to-end Revenue Cycle Management.</li><li>Experience working with US healthcare insurance providers.</li><li>Exposure to AR tools and systems used in healthcare settings.</li></ul>Job Type: Full-timePay: Up to &#8377;600,000.00 per yearBenefits:<ul><li>Commuter assistance</li><li>Health insurance</li><li>Leave encashment</li><li>Life insurance</li><li>Paid sick time</li><li>Paid time off</li><li>Provident Fund</li></ul>Work Location: In person

Sr Associate- AR (RCM)

HRMD Solutions

IMPORTANT: Please read before applying&#9989; ONLY candidates with AR/ collections or Medical Billing will be considered.&#10060; Applicants without relevant healthcare experience (e.g., teaching, engineering, IT, sales, etc.) will be automatically rejected.Job Description:The AR Follow up Specialist will play a critical role in managing and collecting outstanding accounts receivable within the revenue cycle management process. This position requires fluency in English to effectively communicate with our diverse client base. The ideal candidate will have a strong background in collections within the healthcare industry in USA, exceptional communication skills, and the ability to work independently in a fast-paced environment.<ul><li>Full on site in Gulberg 3, Lahore</li><li>Night shifts only 6 pm- 3 am</li></ul>Key Responsibilities:<ul><li>Check eligibility and benefit verification by calls and web portals.</li><li>Review and verify medical codes, including CPT, ICD-10, and HCPCS.</li><li>Review and transmit corrected claims electronically or by paper according to the payers requirements.</li><li>Monitor and follow on unpaid or denied claims to ensure timely resolution.</li><li>Contact insurance companies to inquire about claims status and facilitate payment.</li><li>Review aging reports regularly to prioritize and address delinquent accounts.</li><li>Initiate apples, for denied or underpaid claims and track the appeal process.</li><li>Develop and implement denial management strategies to minimize future denials.</li><li>Main up-to-date documentation and detailed records of appeals.</li><li>Strong understanding of insurance policies, reimbursement methodologies and billing guidelines.</li><li>Collaborate with billing and coding teams to address recurring issues.</li><li>Investigate and resolve any discrepancies in payments, adjustments, or denials.</li><li>Identify claim processing issues and general billing trends.</li></ul>Qualifications:<ul><li>Bachelor&rsquo;s Degree from any reputed institute or University.</li><li>1 to 2 years&rsquo; Experience in Medical Billing- Accounts receivable and denial management.</li><li>Knowledge and understanding of USA health insurance guidelines especially Medicare and state Medicaid</li><li>Experience to work on Pain Management, Anesthesia, Psych/ TMS, RTM, CCM.</li></ul>Job Type: Full-timeJob Type: Full-timePay: Rs85,000.00 - Rs125,000.00 per monthApplication Question(s):<ul><li>Do you live in lahore?</li><li>Are you willing to work night shift (On-site)?</li></ul>Work Location: In person

AR Specialist

Management Solutions International (MSI)

<div><div><div><div><div><div><div><div><div>Location</div></div>
<div><div>Lusail, Qatar</div></div>
</div></div></div><div></div><div><div><div><div><div>Experience</div></div>
<div><div>7-13</div></div>
</div></div></div><div></div><div><div><div><div><div>Job Type</div></div>
<div><div>Recruitment</div></div></div></div></div></div></div></div></div>
 <div><div><div>Job Description</div> 
</div><div><div>Job Title: Revenue Cycle Manager
Reporting To: Head of Finance
Position
Summary
The Revenue Cycle Manager ensures the efficient and smooth processing of patient billing, pre-authorization, proper coding, insurance claims submission and resubmission and recovery through effective liaising with insurance companies while maximizing patient satisfaction by leading the insurance operations with the objective of streamlining the process. Responsible for timely insurance claims submission and pre-authorization processing, reducing the insurance rejections, managing insurance contracts and benefits, overseeing the insurance operations and designing, implementing and training AMNM Day Surgery Doctors and other relevant stakeholders on insurance policies and protocols.
Responsibilities Oversees function of revenue cycle management of AMNM.
Manages and negotiates contracts with insurance companies to obtain recognition as a service provider.
Liaises with insurance companies regarding eligibility, payments, reconciliations, service additions to maximize the profitability of the business.
Reviews insurance claims to ensure accuracy as per agreement, prior to dispatch to respective insurance companies within stipulated timeline.
Ensures proper coding - CPT, ICD, HCPCS, DRG codes as applicable
Ensure internal audit and review of Outpatient and Inpatient files, billing and claims
Keeping a check on pending receivables and ensure payments are received from payors within the contractually agreed timeline.
Reconcile all collections received and outstanding receivables against all electronic claims submitted and re-submitted.
Proactively reports critical issues to Management and submits monthly aging and other reports to Management as required
Maintaining acceptable Turnaround time for obtaining pre-approval of services.
Designs, updates and implements policies, procedures and protocols to ensure efficiency and accuracy in insurance operations.
Monitors insurance - rejections and prepares &amp; submits periodic reports to the Head of Finance for review.
Meeting Doctors monthly to explain their rejections and providing appropriate guidance to prevent similar rejections in future claims
Ensure up to date management of central price master which has a clear comparison of self-pay, ministry approved and various empaneled payor prices
Ensures that the insurance contracts are up to date on the system and there is a proper summary file which compares the key contractual parameters among the empaneled insurance companies.
Supervises billing function at the Front Desk (-</div> 
<div>
<div>Measures the effectiveness and efficiency of on-going front desk-related procedures and coordinates procedural changes, if required to enhance the RCM function.
Monitors the - billing and pre- authorization activities of outpatient, diagnostics and day surgery.
Prepares breakdowns for the invoices as required by insurance companies or patients for reimbursement process.
Educates reception, Doctors, nursing and paramedical staff on insurance protocols, new processes or modifications as notified by insurance companies from time to time
Assist in the regular audit conducted by the insurance companies and other regulatory agencies.
Resolve issues and respond to any related queries, both internal (i.e. other departments) and external (i.e. regulatory agencies, insurance companies).
Interact with IT for any software development or applicable systems that help improve the insurance pre-approval and claims process.
Develops the unit budget and ensure departmental operations are effectively conducted within the budget.
Communicates with patients regarding their insurance policies, eligibility and entitlements.
Coordinates with colleagues and other related departments for smooth running of RCM operations. 

Experience and
Skills Required
Experience required:
Minimum - 8 to 10 years of experience in a hospital setting in a similar role (Payer- Experience will be added value).
Preferred Experience:
In Hospitals and/or Day care surgical centers Skills required:
Knowledge on insurance approvals, claims and billing process.
Knowledge on Qatar laws applicable to insurance legislations.
Knowledge on HIS &amp; ERP. -
Experience in revenue cycle management.
Qualification&rsquo;s Essential:
Graduate in Medicine /Life Science or other related medical education, and/or
Certified Medical Coder (HIMAA/ AHIMA).
Licensing /
Certifications
Medical / Coding
Core
Competencies
Administrative Skills: Negotiation, Problem Solving and Organizational skills, Attention to Detail, Flair in Managing Files and Records, Designing Forms, and other Office procedures, Decision Making, Detail Oriented, Team Player and handling large teams.
Technical: Familiar with HIS and RCM Process as per regional practice. Good typing speed.
Soft Skills: Excellent Communication and Inter-Personal skills.
Computer Skills: MS Office (Word, Excel, Power Point, Outlook) -.
Language Skills: Good in written and spoken English and Arabic will be of added value.
<ul><li>RCM Manager
</li><li>Any nationality
</li><li>Immediate joiner is preferred but not a must
</li><li>Up to 15k QAR cash in hand plus two-bedroom apartment 
</li></ul></div></div></div> 
 
 
 
<div><div>Skills
</div></div><div>Surgery, Proactive, Outlook, Coo, Cto, Computer Skills, Nursing, Education, Erp, Visio, Fla, Team Player, Administrative Skill, Aris, Head Of Finance, Organizational Skills, Internal Audit, Excel, Problem Solving, Ms Office, Organizational Skill, Aws, Patient, Software Development, Decision Making</div></div>

Revenue Cycle Manager

Progressive Resource

We are seeking a highly motivated and experienced AR Executive to join our US-based medical billing team. The ideal candidate must have a strong background in US healthcare billing, with mandatory experience in Gynae specialty and a deep understanding of the Revenue Cycle Management (RCM) process, especially Accounts Receivable (AR).If you are detail-oriented, driven, and passionate about medical billing, we&rsquo;d love to have you on our team.Requirements&#10004; Minimum 1 year of experience in US Medical Billing &#10004; Experience with Gynae Specialty is mandatory &#10004; Strong understanding of the full RCM cycle, particularly AR follow-up &#10004; Familiarity with EOBs, denials, appeals, and timely filing limits &#10004; Knowledge of Medicare, Medicaid, and commercial payers (UHC, Aetna, BCBS, etc.) &#10004; Experience with EMR/EHR and billing software &#10004; Excellent English communication skills (spoken and written) &#10004; Ability to work independently, stay organized, and meet deadlines under pressureLocation: Jail Road, Lahore Shift: 6:00 PM &ndash; 3:00 AM (Night Shift) Job Type: Full-TimeJob Type: Full-timePay: Rs70,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li> Do you have any experience with Gynae Speciality?</li><li>Do you have a Strong understanding of the RCM cycle and AR follow-up</li></ul>Work Location: In person

AR Executive – US Medical Billing (Gynae Specialty)

Flash Tech Consulting

AR Caller (Accounts Receivable &ndash; Medical Billing Process)*Job Summary:As an AR Caller, you will be part of the healthcare revenue cycle management (RCM) process. Your main responsibility will be to contact **insurance companies, patients, and healthcare providers to follow up on pending or denied medical claims, resolve payment issues, and ensure that hospitals and clinics receive timely reimbursements for the services they provide.---Key Responsibilities:* Follow-up on Claims: Call insurance companies to check the status of submitted medical claims and ensure they are processed on time.* Resolve Denials &amp; Rejections: Identify reasons for denied or delayed claims, take corrective actions, and re-submit them for payment.* Documentation: Maintain accurate notes of all calls, emails, and updates in the system for every claim handled.* Payment Analysis: Review Explanation of Benefits (EOB) or Remittance Advices to understand payments, adjustments, or denials.* Communication: Coordinate with patients, healthcare providers, and insurance representatives to clarify discrepancies or missing information.* Team Coordination: Work closely with the internal billing and coding team to ensure all documentation and coding errors are corrected promptly.Requirements:1. Knowledge: Basic understanding of RCM (Revenue Cycle Management) and Denial Management is an added advantage.2. Communication Skills: Strong English communication (verbal &amp; written) &ndash; ability to handle calls confidently and clearly.3. Analytical Skills: Should be able to understand claim issues, identify problems, and suggest logical solutions.4. Work Environment: Comfortable working in a voice process and open to rotational night shifts (as per US healthcare process timing).5. Education: Undergraduate or Graduate (any stream).6. Experience:* Freshers or candidates with up to 6 months of experience in Non-BPO / Domestic / International BPO are welcome to apply.* Prior exposure to healthcare or customer service voice processes will be a plus.Why Join:* Opportunity to start a career in US Healthcare RCM domain* &ndash; one of the fastest-growing sectors.* Hands-on training in medical billing, claim management, and healthcare communication**.* Clear career growth path from **AR Caller &rarr; Senior AR Analyst &rarr; Team Lead &rarr; Quality / Operations roles.Job Types: Full-time, Permanent, FresherPay: &#8377;10,000.00 - &#8377;25,000.00 per monthBenefits:<ul><li>Health insurance</li><li>Provident Fund</li></ul>Work Location: In person

AR Caller (medical billing)

Search 10000+ Revenue cycle management specialist jobs near you this November. New roles added regularly across leading industries. Apply today.