Showing 9 positions
Quality Analyst / Subject matter Expert
Minimum 1 year experience in any US Healthcare Voice process. Should have good communication skill. Should be willing to work in US Shift. Should be willing to work from office. On paper QA/ SME experience is not mandatory. Immediate joiners only preferred. CTC : 3.98 to 4.5 LPA
Director Training RCM {US Healthcare}
Job Roles & Responsibilities 1. Training Strategy and Leadership: • Develop and implement a company-wide training and development strategy aligned with business objectives, client needs, and industry best practices. • Over see the design, delivery, and continuous improvement of training programs for new hires, existing employees, and leadership teams in the RCM BPO space. • Lead ,mentor, and manage the training department, including trainers and learning and development professionals, to ensure consistent delivery of training across all service lines. 2. RCM BPO Knowledge Development: • Ensure training programs address key components of Revenue Cycle Management, including billing, coding, claims management, payer relations, compliance, and regulatory standards. • Collaborate with subject matter experts (SMEs) to create specialized content for different roles within the RCM process (e.g., medical coders, billing specialists, claim adjudicators). • Stay current with changes in the healthcare industry and RCM technology to ensure training materials reflect the latest trends, tools, and regulations. 3. Performance Improvement: • Analyze operational performance metrics to identify training gaps and areas for improvement and develop targeted programs to address these needs. • Monitor the effectiveness of training programs through assessments, feedback, and KPIs to ensure training initiatives result in improved employee performance and business outcomes. • Partner with operations leadership to drive continuous improvement in quality, efficiency, and employee engagement through ongoing training initiatives. 4. Onboarding and Upskilling: • Over see the development and execution of comprehensive onboarding programs for new employees, ensuring a smooth transition into the company and its operations. • Create and manage upskilling programs for existing staff to increase their knowledge and performance in core RCM functions. 5. Client-Focused Training: • Ensure that training programs are tailored to the needs of client accounts, focusing on client-specific processes, systems, and expectations Serve as a key point of contact for clients regarding training requirements and ensure that the RCM BPO team consistently meets client standards and expectations. 6. Compliance and Certification: • Ensure that all training programs adhere to healthcare industry regulations, compliance standards (e.g., HIPAA), and accreditation requirements. • Lead efforts to establish and maintain certification programs for employees in relevant areas of RCM, including coding certifications and compliance training. 7. Budget and Resource Management: • Manage the training department’s budget, ensuring that resources are allocated efficiently across training programs and initiatives. • Evaluate and incorporate training technologies (LMS platforms, virtual learning tools) to enhance program delivery and learner engagement. Candidate Requirements Education: • Bachelor's degree in Healthcare Management, Business Administration, or related field. A Master’s degree is a plus. Experience: • Minimum12yearsofexperiencein training, learning, or development in the BPO or healthcare industry. • Atleast5yearsin a leadership role overseeing large-scale training programs for RCM or similar services. • In-depth knowledge of Revenue Cycle Management processes, healthcare billing and coding, regulatory compliance, and payer systems. • Experience working with Learning Management Systems (LMS) and other digital learning platforms. Skills: • Strong leadership and team management skills with the ability to inspire and motivate staff. Excellent communication, presentation, and interpersonal skills. • Proven ability to develop and execute training programs that drive measurable performance improvements
Senior Manager Training RCM
Job Roles & Responsibilities Excellent organization and project management skills- this will require aggressive planning, organizing and coordinating, negotiating, establishing effective cross-team relationships, prioritization, and delivery against objectives. Strengthen internal processes for communications, needs identification, internal facilitator management and reporting dashboards and metrics. Identify opportunities for ongoing process improvements and drive team to implement such projects. Responsible to design and facilitate Training Programs Delivery of Batches in adherence to times lines Conducting Training Needs Analysis Training Metrics and Performance Dashboards Content Development& Knowledge Management Evaluate effectiveness of Training Intervention Responsible to lead all the training improvement projects Liaison with leadership team and other senior staff to address training needs Planning and organizing continues improvement program for Existing employees Conducting TTT programs for trainers & supervisors Designing Leadership Training Courses Work strategically with L&D team to identify and share best-in-class learning solutions Maintain and enhance Training Policies and Procedures Active participation in staff recruitment interviews, created domain hiring tests for new hires 10+years of RCM Domain experience Extensive knowledge of RCM industry Strong Leadership skills Excellent written and verbal communication skills Knowledge of process improvement programs like Six Sigma or Kaizen Open to work in shift
Associate Vice President-RCM-Training
Job & Responsibilites - 1. Training Strategy and Leadership: • Develop and implement a company-wide training and development strategy aligned with business objectives, client needs, and industry best practices. • Oversee the design, delivery, and continuous improvement of training programs for new hires, existing employees, and leadership teams in the RCM BPO space. • Lead, mentor, and manage the training department, including trainers and learning and development professionals, to ensure consistent delivery of training across all service lines 2. RCM BPO Knowledge Development: • Ensure training programs address key components of Revenue Cycle Management, including billing, coding, claims management, payer relations, compliance, and regulatory standards. • Collaborate with subject matter experts (SMEs) to create specialized content for different roles within the RCM process (e.g., medical coders, billing specialists, claim adjudicators). • Stay current with changes in the healthcare industry and RCM technology to ensure training materials reflect the latest trends, tools, and regulations. 3. Performance Improvement: • Analyze operational performance metrics to identify training gaps and areas for improvement and develop targeted programs to address these needs. • Monitor the effectiveness of training programs through assessments, feedback, and KPIs to ensure training initiatives result in improved employee performance and business outcomes. • Partner with operations leadership to drive continuous improvement in quality, efficiency, and employee engagement through ongoing training initiatives 4. Onboarding and Upskilling: • Oversee the development and execution of comprehensive onboarding programs for new employees, ensuring a smooth transition into the company and its operations. • Create and manage upskilling programs for existing staff to increase their knowledge and performance in core RCM functions 5. Client-Focused Training: • Ensure that training programs are tailored to the needs of client accounts, focusing on client-specific processes, systems, and expectations. • Serve as a key point of contact for clients regarding training requirements and ensure that the RCM BPO team consistently meets client standards and expectations 6. Compliance and Certification: • Ensure that all training programs adhere to healthcare industry regulations, compliance standards (e.g., HIPAA), and accreditation requirements. • Lead efforts to establish and maintain certification programs for employees in relevant areas of RCM, including coding certifications and compliance training 7. Budget and Resource Management: • Manage the training department’s budget, ensuring that resources are allocated efficiently across training programs and initiatives. • Evaluate and incorporate training technologies (LMS platforms, virtual learning tools) to enhance program delivery and learner engagement. Candidate Requirements Education: • Bachelor's degree in Healthcare Management, Business Administration, or related field. A Master’s degree is a plus. Experience: Minimum12yearsofexperiencein training, learning, or development in the BPO or healthcare industry. • Atleast5yearsin a leadership role overseeing large-scale training programs for RCM or similar services. • In-depthknowledge of Revenue Cycle Management processes, healthcare billing and coding, regulatory compliance, and payer systems. • Experienceworking with Learning Management Systems (LMS) and other digital learning platforms
Broker Aggregation - Senior Relationship Manager
*Broker Aggregation - Senior Relationship Manager - PropTiger.com* *Channel Partner Enablement:* * Identify, evaluate, and onboard channel partners/brokers in line with business objectives. * Develop a pipeline of potential partners across relevant regions and segments. * Negotiate and formalize agreements with brokers and ensure compliance with company policies. *Relationship Management:* * Build and maintain strong, long-term relationships with empaneled channel partners. * Act as the primary point of contact for channel partners to address their queries and ensure support. * Conduct regular meetings, training sessions, and engagement initiatives to motivate partners. *Business Development:* * Drive business growth by achieving sales targets and KPIs through channel partners. * Develop and execute strategies to maximize revenue potential from existing partners. * Monitor market trends and competitor activities to identify new opportunities and enhance the partner ecosystem.
medical coder
Hiring For Medical Coder Location: Bangalore Shift: General Shift(8 AM - 5 PM) Work from Office Notice upto 1month Role : Medical coder 1–4 Years of Medical Coding experience Specialty : Neuro / ENM + Cardio / Ortho / IVR Certification-CPC,CCS Salary: Up to ₹7.8 LPA Team Lead 6-10 Years of Medical Coding experience Specialty : ENM + Surgery + Cardio / HHC Certification-CPC,CCS Salary: Up to ₹12-14 LPA Required Skills Good knowledge of Medical Coding Strong understanding of Medical Terminology, Anatomy & Physiology Knowledge of CPT, ICD-9-CM, HCPCS & AMA Guidelines Claims Management and/or Customer Service experience is an added advantage Good verbal and written communication skills Proficiency in Microsoft Office Ability to work independently with strong attention to detail High productivity and accuracy Job Responsibilities Review patient medical records and assign accurate diagnosis and procedure codes. Apply CPT, ICD-9-CM, HCPCS, and other coding guidelines. Associate diagnosis codes with appropriate CPT codes for accurate reimbursement. Verify chart count and maintain daily/monthly MIS reports. Perform quality checks and monitor coding accuracy. Track coding errors and maintain quality metrics. Handle denial follow-up and appeals, when required. Conduct specialty training for experienced coders. Ensure compliance with client requirements and Information Security policies.
Enrollment & Billing (US Healthcare)
*We're Hiring | Enrollment & Billing (US Healthcare)* We are seeking a skilled professional for the role of -Enrollment & Billing with experience in healthcare products and commercial insurance enrollment.! *Location: Kochi* *Work Mode : WFO* *Shift: US Shift* *Notice Period: 30 days to Immediate Joiners Preferred* Open Positions: SPE - 1+yrs of exp in Enrollment & Billing , ctc upto 4.5lpa SME - 4+yrs of exp in Enrollment & Billing , ctc upto 6.2lpa *Required Skills : Technical Skills : ,HealthCare Products Domain Skills* *Key Responsibilities* * Manage and execute enrollment and billing processes for healthcare products, ensuring accuracy and compliance with industry standards. - Collaborate with cross-functional teams to streamline operations and improve efficiency in enrollment and billing activities. - Analyze and resolve discrepancies in enrollment data, providing timely solutions to maintain data integrity. - Develop and implement process improvements to enhance the overall efficiency of enrollment and billing operations. - Provide support and guidance to clients and stakeholders regarding enrollment and billing inquiries and issues. - Utilize technical expertise in healthcare products to optimize enrollment and billing processes. - Ensure compliance with commercial insurance regulations and standards in all enrollment activities. - Monitor and report on key performance indicators related to enrollment and billing, identifying areas for improvement. - Coordinate with IT teams to implement system enhancements and resolve technical issues impacting enrollment and billing. - Conduct training sessions for team members to enhance their understanding of enrollment and billing processes. - Maintain up-to-date knowledge of industry trends and changes in healthcare and insurance regulations. - Contribute to the development of policies and procedures to ensure efficient and compliant enrollment and billing operations. - Support the company's mission by ensuring that enrollment and billing processes contribute to improved healthcare access and affordability
US Healthcare Claims
We’re Hiring | US Healthcare Claims Exciting opportunities for experienced professionals in US Healthcare & Medical billing, Non-Voice Process across multiple levels! *Location: Pune, Kochi* *Notice Period: 30 days to Immediate Joiners Preferred* Open Positions: *SPE (Senior Process Executive)* Experience: 1 – 4 Years Salary: Up to ₹4.5LPA *SME (Subject Metter Expert)** Experience: 4– 7 Years Salary: Up to ₹6.2 LPA *TL* Experience: 7-9 Years Salary: Up to ₹9 LPA *Requirements:* * Qualification: Any Graduate. * Resolve escalated claim issues. * Review and process medical claims according to client guidelines and policies * Experience in US Healthcare claims , medical billing * Handle client escalations and ensure timely resolution * Analyze claim denials and identify root causes. 📩 Interested candidates can DM or share resumes suriyakala@careerguideline.com 7666654522.
Medical Billing Customer Service
Opening with Medical Billing process Thane Location 5 Days working an 2 rotational week offs Quality good b2h Hsc/Graduate with minimum 6 months experience as AR - Medical billing (mandatory) Salary - 28k in hand (based on qualification and/or experience) HR-amcat-ops Follow Thane IBU boundaries .