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- ...Job Description Job Purpose Provide leadership to RCM/AR Follow Up Managers and their teams, including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. Meet or exceed national AR KPI benchmarks and client...
- ...recruitment agency in the Philippines, is proud to partner with a leading Revenue Cycle Management company in their search for an RCM Director based in Ortigas . Salary Range : up to ₱250,000 Work Setup : Onsite Shift Schedule : Night Shift (US hours)...
- ...driven insights. Our mission is to improve patient outcomes and transform the healthcare experience. We're looking for an experienced RCM Process & Quality Analyst to join our team and help with the operational and strategic performance of our end-to-end revenue cycle (...
- ...overview and Neolytix company culture Participate in intensive foundational training covering the basics of Revenue Cycle Management (RCM), key terminology, medical billing, and claims processes Begin hands-on shadowing with senior revenue managers to observe real-...
- ...all SLF Philippines' businesses and functions in ensuring adherence to all applicable laws, regulations, and internal policies. The RCM Specialist will be responsible for coordinating compliance activities between business units and the second line (Compliance and Risk...
- The primary role is to support collections processes through strategic resource allocation and monitor cost effectiveness of collections strategies and processes. What You'll Do Meet and work directly with collections analytics manager to help deliver key collections...
- ...level reasoning to improve reimbursement outcomes and provides consistent, reliable guidance to billers. Tailored for both clinics and RCM organizations, Unpuzzle operates without requiring integrations, setup, or workflow disruption. We are dedicated to empowering...
- ...claim submission, denial management, and payment posting; escalate and resolve issues between client and BPO. ~ Monitor key RCM KPIs and AR metrics (AR days, clean claim rate, denial rate, days to payment, net collection rate); produce and deliver weekly and...
- ...Job Summary: The RCM Healthcare Billing Specialist is responsible for managing the full revenue cycle process to ensure accurate, timely, and compliant medical billing and reimbursement. This role requires strong expertise in healthcare billing, coding standards, and...
- ...relevant area of expertise such as healthcare, business, or finance Prior experience of at least 1 year in Accounts Receivable in RCM space Customer service, exposure to anything related to rev cycle-billing insurance Experience working in shared services environment...
- Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need...
- Role Overview: Title: Director, Operations Reports To: AVP, Operations Focus: AR Follow-Ups, Insurance Billing & Claims Collections (Hospital & Physician) Work Setup: Onsite (first 6 months), then 1-day WFH per week upon regularization Schedule: US hours...
- Responsibilities: Investigate / root cause on claim denials, payment variances, billing errors, repetitive action codes (AND) (OR) any other scenarios where they observe a gap in process Identify patterns and trends in claim rejections and delays. Collaborate ...
- ...This is a remote position. Position Summary We are seeking an experienced RCM (Revenue Cycle Management) Operations Consultant to provide expert guidance process auditing and workflow optimization for our Billing Team. This consultant will evaluate the end-to...
- ...Healthcare Administration or related field (Masters preferred). ~5 years of experience in business analysis with at least 3 years in RCM within a healthcare or DMEPOS environment. ~ Proven ability to develop solutions to a wide range of difficult problems in a manner...
- Role and Responsibilities Process Analysis & Improvement Analyze existing processes within acute and ambulatory healthcare organizations. Design and implement process improvements to enhance operational efficiency and patient care. Identify gaps and recommend...
- Job Qualifications: Completed at least 2 years of college. Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting. Familiarity with UB Claims and UB04 forms. Experience in medical billing/AR collections. Background in ...
- ...practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Ventra partners with private practices, hospitals, health systems, and...
- ...control owners any identified control gaps, and recommend viable corrective actions. Document completed testing activity results in RCM tool. Assisting the preparation of training materials and presentation deck to management when required. Research regulations...
- ...driving organizational initiatives, enhancing employee engagement, and aligning HR strategies with business objectives in a dynamic RCM environment. Detailed responsibilities Strategic HR Leadership Collaborate with senior management to align HR strategies...
- ...R1 RCM PHILIPPINES, INC . is a leading provider of technology-driven, end-to-end revenue cycle solutions that transform the patient experience and financial performance of healthcare providers. R1 RCM Philippines serves as a strategic hub for global operations providing...
- ...control owners any identified control gaps, and reco mmend viable corrective actions. Document completed testing activity results in RCM tool. Assisting the preparation of training materials and presentation deck to management when required. Research regulations...
- ...resolution time, accuracy, and customer satisfaction. Qualifications ~6 months – 2 years of experience in medical billing, healthcare RCM, or customer support. ~ Knowledge of medical terminology, insurance claims processes, and EHR systems is highly preferred. ~...
- ...onboarding (Diploma or TOR). # Experience Minimum of 2 years BPO voice experience in Healthcare or Revenue Cycle Management (RCM) . Patient-calling experience is mandatory. Not accepted: Experience limited to Durable Medical Equipment (DME) or pure back...
- ...Key Dates and Corporate requirements, as per Compliance SLA with the sectors. Complete all standard Compliance document requirements – RCM/DCMs, Hand-off's, SOPs, and submission of required SOX templates (system inventory templates, SOX questionnaires). Identify...
- ...Certified Documentation Improvement Practitioner (CDIP). Licensure : Registered Nurse and with active PHRN or USRN license. RCM Knowledge: Extensive, comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural...
- ...to properly track the outage TEAM COORDINATION AND COLLABORATION Maintain regular coordination with various functional teams (RCM, PROD, SMW, CMS other functional/contractors) on work schedules, work output and assist evaluation of team accomplishment. Coordinate...
- ...Description Access Healthcare, established in 2011, is a global leader in healthcare management and revenue cycle management (RCM) solutions. The organization leverages innovative technology, workflow automation, and healthcare expertise to enhance operational...
- ...withholding tax certificates in the system Transmit collected and booked certificates to tax team for BIR filing purposes Prepare RCM for preparation of credit note by Billing Associate Transmit complete payment documents to STP. Filing of all documents...
- ...community to apply. Join the Lavender Team We are seeking an Insurance Verification Agent to join our Revenue Cycle Management (RCM) team. This role plays a critical part in ensuring clients can access care smoothly by investigating complex insurance eligibility...