48 Eclinicalworks Jobs

This role is for one of the Weekday's clients Min Experience: 3 years Location: Bengaluru JobType: full-time We are seeking a detail-oriented and experienced professional to join our finance team as an Accounts Officer - RCM . The ideal candidate will have a strong background in US medical billing, particularly within radiology practices, and a thorough understanding of revenue cycle processes. Requirements Key Responsibilities Manage end-to-end revenue cycle operations, ensuring accurate and timely billing in accordance with US healthcare standards. Apply appropriate CPT, ICD-10, and HCPCS codes, especially for diagnostic imaging services. Utilize billing and invoicing tools effectively (e.g., Kareo, AdvancedMD, eClinicalWorks) to support day-to-day RCM tasks. Work with EDI formats (837P, 837I, 835) and ensure adherence to payer-specific guidelines. Collaborate with internal teams and external stakeholders to resolve billing discrepancies and follow up on unpaid claims. Prepare and analyze reports using Microsoft Excel, including pivot tables, VLOOKUP, and basic formulas. Maintain accurate documentation and uphold compliance with HIPAA and other regulatory standards. Demonstrate strong problem-solving skills while ensuring precision in financial transactions. Required Qualifications Bachelor's degree in Accounting, Finance, Business Administration, or a related discipline. Minimum of 3 years of experience in US medical billing, with exposure to radiology billing preferred. Proficient in medical coding and billing standards (CPT, ICD-10, HCPCS). Hands-on experience with RCM tools and billing software. Strong command of Excel functions, including data analysis and reporting. Familiarity with EDI transaction formats (837P, 837I, 835). Excellent communication skills, both written and verbal. Ability to work independently, manage time efficiently, and collaborate across time zones. Key Skills US Medical Billing Radiology Billing Revenue Cycle Management (RCM)

WE ARE HIRING: AR Callers - US Healthcare Process Position: AR Caller (Accounts Receivable Caller) - US Healthcare Process Location: Mohali Job Type: Full-time, Permanent Shift: Night shift (5:30 PM to 2:30 AM), Monday to Friday Key Requirements: Minimum 6 months to 2 years of experience in AR calling for US healthcare clients is preferred. Excellent verbal and written English communication skills. Strong attention to detail, analytical ability, and proficiency in MS Office (Excel knowledge mandatory) Willingness to work in night shifts and work from office. Any degree or diploma required; knowledge of healthcare terminology and ICD/CPT codes is an advantage. Experience with medical billing software (such as eClinicalWorks/ECW) is preferred. Immediate joiners preferred. Salary & Benefits: Salary range: No bar for the right candidate (depending on experience and role) Additional benefits: Provident Fund (PF), ESI, health insurance, Overtime payment, Incentive plans to earn extra, and opportunities for career growth Training provided for freshers and those new to medical billing software. How to Apply: Interested candidates can apply online through job portals (LinkedIn, Indeed, company websites) or email their resume to hr@epicglobal healthcaresolutions.com Job Type: Full-time Pay: From ₹20,000.00 per month Benefits: Provident Fund Work Location: In person

Company Description BETSOL is a cloud-first digital transformation and data management company offering products and IT services to enterprises in over 40 countries. BETSOL team holds several engineering patents, is recognized with industry awards, and BETSOL maintains a net promoter score that is 2x the industry average. BETSOL’s open-source backup and recovery product line, Zmanda (Zmanda.com), delivers up to 80% savings in total cost of ownership (TCO) and best-in-class performance. BETSOL Global IT Services (BETSOL.com) builds and supports end-to-end enterprise solutions, reducing time-to-market for its customers. BETSOL offices are set against the vibrant backdrops of Broomfield, Colorado and Bangalore, India. We take pride in being an employee-centric organization, offering comprehensive health insurance, competitive salaries, 401K, volunteer programs, and scholarship opportunities. Office amenities include a fitness center, cafe, and recreational facilities. Learn more at betsol.com. Job Description Key Responsibilities: End-to-end follow-up on insurance claims via phone calls and/or payer portals. Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation). Perform root cause analysis and take corrective action for recurring denial trends. Ensure timely re-submission, appeals, and escalations for denied claims. Maintain accurate documentation of all activities performed in the billing system. Meet daily, weekly, and monthly productivity and quality benchmarks. Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials. Work on denial worklists, aging reports, and assigned inventory efficiently. Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices. Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas. Required Skills & Qualifications: Minimum 2+ years of experience in US Healthcare AR and Denial Management. Strong understanding of medical billing terminologies, CPT/ICD codes, and payer guidelines. Hands-on experience with billing platforms (Athena, eClinicalWorks, Epic, In-Sync etc.) is preferred. Good understanding of HIPAA compliance and patient confidentiality. Strong communication skills – verbal and written (especially for payer calls). An analytical and problem-solving mindset to investigate and resolve complex denials. Ability to work independently and collaboratively in a high-volume environment. Additional Information All your information will be kept confidential according to EEO guidelines.

Company Description BETSOL is a cloud-first digital transformation and data management company offering products and IT services to enterprises in over 40 countries. BETSOL team holds several engineering patents, is recognized with industry awards, and BETSOL maintains a net promoter score that is 2x the industry average. BETSOL’s open-source backup and recovery product line, Zmanda (Zmanda.com), delivers up to 80% savings in total cost of ownership (TCO) and best-in-class performance. BETSOL Global IT Services (BETSOL.com) builds and supports end-to-end enterprise solutions, reducing time-to-market for its customers. BETSOL offices are set against the vibrant backdrops of Broomfield, Colorado and Bangalore, India. We take pride in being an employee-centric organization, offering comprehensive health insurance, competitive salaries, 401K, volunteer programs, and scholarship opportunities. Office amenities include a fitness center, cafe, and recreational facilities. Learn more at betsol.com. Job Description Key Responsibilities: End-to-end follow-up on insurance claims via phone calls and/or payer portals. Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation). Perform root cause analysis and take corrective action for recurring denial trends. Ensure timely re-submission, appeals, and escalations for denied claims. Maintain accurate documentation of all activities performed in the billing system. Meet daily, weekly, and monthly productivity and quality benchmarks. Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials. Work on denial worklists, aging reports, and assigned inventory efficiently. Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices. Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas. Required Skills & Qualifications: Minimum 2+ years of experience in US Healthcare AR and Denial Management. Strong understanding of medical billing terminologies, CPT/ICD codes, and payer guidelines. Hands-on experience with billing platforms (Athena, eClinicalWorks, Epic, In-Sync etc.) is preferred. Good understanding of HIPAA compliance and patient confidentiality. Strong communication skills – verbal and written (especially for payer calls). An analytical and problem-solving mindset to investigate and resolve complex denials. Ability to work independently and collaboratively in a high-volume environment. Additional Information All your information will be kept confidential according to EEO guidelines.

Triple Triple is leading the way in remote work solutions, helping small and medium-sized businesses in North America build highly efficient remote teams for Administration, Customer Service, Accounting, Operations, and back-office roles. Our focus has always been on our Clients, People, and Planet, ensuring our operations contribute positively across these key areas. Distinguished by its rigorous standards, Triple excels in: Selectively recruiting the top 1% of industry professionals Delivering in-depth training to ensure peak performance Offering superior account management for seamless operations Embrace unparalleled professionalism and efficiency with Triple—where we redefine the essence of remote hiring. Summary The Accounts Receivable (AR) Specialist in US Healthcare is responsible for managing and resolving insurance and patient payment collections to ensure timely revenue realization. This role involves claim follow-up, denial management, appeal submissions, and maintaining accurate records in compliance with payer regulations and healthcare policies. The AR Specialist collaborates with billing, coding, and customer service teams to optimize cash flow and reduce aged AR. Responsibilities Claims Follow-Up: Proactively follow up with insurance companies (Medicare, Medicaid, Commercial) via phone, portal, or email for unpaid or underpaid claims. Analyze Explanation of Benefits (EOBs)/Electronic Remittance Advices (ERAs) for claim status. Denial Management & Appeals: Review and identify reasons for claim denials and underpayments. Prepare and submit accurate appeals and corrected claims within payer deadlines. Payment Posting Coordination: Work with the payment posting team to resolve misapplied payments, overpayments, and unposted remittances. Flag refunds or adjustments as needed. Aging Report Analysis: Review aging reports and prioritize high-dollar or timely filing claims. Document all actions taken and maintain notes in billing software. Compliance & Quality: Ensure all follow-up activities comply with HIPAA and payer-specific guidelines. Meet daily/weekly productivity and quality benchmarks (e.g., # of claims worked, resolution rate). Communication & Coordination: Coordinate with clients, internal teams (billing, coding), and insurance representatives to resolve issues efficiently. Escalate complex issues to the team lead or AR manager as necessary. Qualifications Bachelor’s degree. 2–5 years of AR experience in US medical billing/RCM industry is a must Knowledge of payer guidelines (Medicare, Medicaid, BCBS, UHC, etc.). Hands-on experience with billing software (e.g., Kareo, AdvancedMD, Athenahealth, eClinicalWorks, NextGen, etc.). Proficiency in MS Excel and claim tracking tools. Strong understanding of the US healthcare revenue cycle and AR lifecycle. Excellent analytical and problem-solving skills. Effective verbal and written communication skills. Ability to work independently and manage time effectively. Knowledge of CPT, ICD-10, and HCPCS codes is an added advantage. Schedule (US Shifts Only) Eastern Time - 6:30 p.m. - 3:30 a.m. IST, Monday - Friday Logistical Requirements Quiet and brightly illuminated work environment Laptop with Minimum 8GB RAM, I5 8th gen processor 720P Webcam and Headset A reliable ISP with a minimum speed of 100 Mbps Smartphone

Hiring Manager: Lenson Fernandes Business Unit: Resolv Job Title: Payment Associate Header Here at Harris, we have 5 different business verticals, Public Sector, Healthcare, Utilities, Insurance and Private sector, with over 12,000 employees and more than 100,000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family. BU: Resolv has revenue cycle solution brands in our DNA. We formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertise—including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. As we continue to expand, we remain dedicated to partnering with RCM companies that offer a variety of solutions and address today’s most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we will improve financial performance and patient experience and help build sustainable healthcare businesses. Job Summary The Payment Posting Associate is responsible for accurately and efficiently posting payments, adjustments, and denials from various payers. The role is critical in ensuring the financial integrity of the organization by reconciling deposits, identifying discrepancies, and collaborating with the billing team to resolve payment-related Issues. Primary Functions Payment Processing & Posting Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system. Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB). Apply necessary adjustments, refunds, and write-offs per payer guidelines. Balance and reconcile daily deposits with posted payments. Denial Management & Reconciliation Identify and post insurance denials while ensuring timely follow-up for resolution. Work with the billing and accounts receivable teams to correct claim errors and resubmit claims. Track underpayments and escalate discrepancies to the RCM Manager. Reporting & Documentation Maintain accurate payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines). Communication & Collaboration Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership. Job Qualifications Bachelor’s degree in accounting, Finance, Business Administration, or a related field (preferred). 1-3 years of experience in medical billing, payment posting, or revenue cycle management. Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner Strong understanding of insurance reimbursement, medical billing, and denial management. Proficiency in MS Excel, accounting principles, and payment reconciliation. Knowledge of HIPAA regulations and compliance standards. Additional Qualifications(Good to Have): Any diploma or Higher Degree. Soft/ Behavior Skills Good Communication and Collaboration. Strong ARO Ability to work both independently and as part of a team Strong analytical and creative problem-solving skills The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. It is not designed to be utilized as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this job. Working Environment This job operates in a professional office environment or remote home office location. This role routinely uses standard office equipment such as computers, laptops and other stuffs. This role may occasionally encounter Protected Health Information, Personal Identifiable Information or Privacy Records, and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris’ Security and Privacy policies, as well as apply the concepts learned in the annual Security Awareness training. Expected Hours of Work: 8am to 5pm IST. Work Mode: Work from Office.

Hiring Manager: Lenson Fernandes Business Unit: Resolv Job Title: Payment Associate Header Here at Harris, we have 5 different business verticals, Public Sector, Healthcare, Utilities, Insurance and Private sector, with over 12,000 employees and more than 100,000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family. BU: Resolv has revenue cycle solution brands in our DNA. We formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertise—including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. As we continue to expand, we remain dedicated to partnering with RCM companies that offer a variety of solutions and address today’s most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we will improve financial performance and patient experience and help build sustainable healthcare businesses. Job Summary The Payment Posting Associate is responsible for accurately and efficiently posting payments, adjustments, and denials from various payers. The role is critical in ensuring the financial integrity of the organization by reconciling deposits, identifying discrepancies, and collaborating with the billing team to resolve payment-related Issues. Primary Functions Payment Processing & Posting Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system. Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB). Apply necessary adjustments, refunds, and write-offs per payer guidelines. Balance and reconcile daily deposits with posted payments. Denial Management & Reconciliation Identify and post insurance denials while ensuring timely follow-up for resolution. Work with the billing and accounts receivable teams to correct claim errors and resubmit claims. Track underpayments and escalate discrepancies to the RCM Manager. Reporting & Documentation Maintain accurate payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines). Communication & Collaboration Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership. Job Qualifications Bachelor’s degree in accounting, Finance, Business Administration, or a related field (preferred). 1-3 years of experience in medical billing, payment posting, or revenue cycle management. Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner Strong understanding of insurance reimbursement, medical billing, and denial management. Proficiency in MS Excel, accounting principles, and payment reconciliation. Knowledge of HIPAA regulations and compliance standards. Additional Qualifications(Good to Have): Any diploma or Higher Degree. Soft/ Behavior Skills Good Communication and Collaboration. Strong ARO Ability to work both independently and as part of a team Strong analytical and creative problem-solving skills The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. It is not designed to be utilized as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this job. Working Environment This job operates in a professional office environment or remote home office location. This role routinely uses standard office equipment such as computers, laptops and other stuffs. This role may occasionally encounter Protected Health Information, Personal Identifiable Information or Privacy Records, and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris’ Security and Privacy policies, as well as apply the concepts learned in the annual Security Awareness training. Expected Hours of Work: 8am to 5pm IST. Work Mode: Work from Office.

Hiring Manager: Lenson Fernandes Business Unit: Resolv Job Title: Payment Associate Header Here at Harris, we have 5 different business verticals, Public Sector, Healthcare, Utilities, Insurance and Private sector, with over 12,000 employees and more than 100,000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family. BU: Resolv has revenue cycle solution brands in our DNA. We formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertise—including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. As we continue to expand, we remain dedicated to partnering with RCM companies that offer a variety of solutions and address today’s most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we will improve financial performance and patient experience and help build sustainable healthcare businesses. Job Summary The Payment Posting Associate is responsible for accurately and efficiently posting payments, adjustments, and denials from various payers. The role is critical in ensuring the financial integrity of the organization by reconciling deposits, identifying discrepancies, and collaborating with the billing team to resolve payment-related Issues. Primary Functions Payment Processing & Posting Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system. Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB). Apply necessary adjustments, refunds, and write-offs per payer guidelines. Balance and reconcile daily deposits with posted payments. Denial Management & Reconciliation Identify and post insurance denials while ensuring timely follow-up for resolution. Work with the billing and accounts receivable teams to correct claim errors and resubmit claims. Track underpayments and escalate discrepancies to the RCM Manager. Reporting & Documentation Maintain accurate payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines). Communication & Collaboration Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership. Job Qualifications Bachelor’s degree in accounting, Finance, Business Administration, or a related field (preferred). 1-3 years of experience in medical billing, payment posting, or revenue cycle management. Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner Strong understanding of insurance reimbursement, medical billing, and denial management. Proficiency in MS Excel, accounting principles, and payment reconciliation. Knowledge of HIPAA regulations and compliance standards. Additional Qualifications(Good to Have): Any diploma or Higher Degree. Soft/ Behavior Skills Good Communication and Collaboration. Strong ARO Ability to work both independently and as part of a team Strong analytical and creative problem-solving skills The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. It is not designed to be utilized as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this job. Working Environment This job operates in a professional office environment or remote home office location. This role routinely uses standard office equipment such as computers, laptops and other stuffs. This role may occasionally encounter Protected Health Information, Personal Identifiable Information or Privacy Records, and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris’ Security and Privacy policies, as well as apply the concepts learned in the annual Security Awareness training. Expected Hours of Work: 8am to 5pm IST. Work Mode: Work from Office.

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting appeals with accurate documentation, and monitoring deadlines for timely submissions. The ideal candidate will possess a strong understanding of the US healthcare billing cycle, hands-on experience with EMR/EHR systems, in-depth knowledge of billing regulations, coding standards, and compliance frameworks. If you are passionate about healthcare revenue management and proficient in resolving complex denials, we encourage you to apply and be a part of the Zapare team. #Hiring #DenialManagement #RCM #HealthcareJobs #MedicalBilling #RevenueCycleManagement #ZapareTechnologies #CareerOpportunity,

Key Responsibilities Verify patient insurance eligibility and benefits via payer portals, IVR, and live calls. Confirm policy details: coverage status, co-pays, deductibles, co-insurance, out-of-pocket limits, and prior authorization requirements. Document verification results accurately in client systems or EMRs. Coordinate with internal billing and coding teams to ensure clean claims submission. Update payer and patient details based on verification findings. Follow HIPAA and data security guidelines at all times. Meet daily productivity and accuracy targets. Escalate discrepancies or issues to the supervisor promptly. Qualifications & Skills Graduate in any stream (preferred: commerce, life sciences, or healthcare). 12 years of experience in U.S. healthcare insurance verification (preferred). Familiarity with payer portals (e.g., Availity, Navinet) and IVR systems. Knowledge of major U.S. insurance companies (Medicare, Medicaid, BCBS, UHC, Aetna, etc.). Good English communication and comprehension skills. Proficiency in MS Office and basic medical terminology. Ability to work in night shifts or U.S. time zones (if applicable). Preferred Attributes Prior experience in EV, BV, or prior authorization process. Team player with strong attention to detail and time management. Experience with EMR systems like eClinicalWorks, Epic, or Kareo is a plus.

Job Title: Medical Billing Executive Location: On-site, Pune, India (U.S. Night Shift – EST) Reporting To: U.S.-Based Finance & Billing Team About Berwick Hospital Center: Berwick Hospital Center, located in Pennsylvania, USA, is a trusted behavioral health facility that provides compassionate, patient-centered care to adults and geriatric patients. The hospital specializes in mental health services, including inpatient psychiatric care for conditions such as depression, anxiety, bipolar disorder, and other psychiatric illnesses. With a focus on quality, compliance, and clinical excellence, Berwick Hospital Center is committed to supporting the well-being of its community through evidence-based treatment and personalized care. Job Overview: As an Medical Billing Executive , you will play a vital role in supporting Berwick Hospital Center’s financial operations by managing both Accounts Payable (AP) and Accounts Receivable (AR) processes. This dual-function role requires experience in U.S. healthcare billing, proficiency in QuickBooks and medical billing software, and strong knowledge of insurance claim cycles and U.S. healthcare compliance standards. You will be responsible for invoice processing, vendor payments, insurance follow-up, denial management, and payment posting while working closely with U.S.-based billing and finance teams. Key Responsibilities: Accounts Payable (AP): Process vendor invoices related to medical services and supplies Match invoices to purchase orders and medical service records Monitor and reconcile payments, flag discrepancies, and escalate unresolved issues Maintain accurate AP and billing records in compliance with U.S. healthcare regulations Support finance team in month-end closing, audits, and reporting Use QuickBooks to manage AP workflows Accounts Receivable (AR): Follow up with insurance companies (via phone or portal) on outstanding claims Identify, analyze, and resolve claim denials, rejections, and underpayments Accurately post payments and reconcile patient and insurance balances Coordinate with coding and charge entry teams to resolve billing issues Ensure claims meet payer-specific and HIPAA compliance requirements Manage AR aging reports and escalate problematic claims for resolution Utilize Medsphere and SSI Payment Clearinghouse for claim submissions and tracking Maintain updated documentation of patient accounts and billing interactions Assist with month-end closing and performance metrics Job Requirements: Minimum 1 year of experience in AP or AR roles within U.S. healthcare billing Proficiency in QuickBooks and familiarity with U.S. billing software (e.g., Medsphere, eClinicalWorks, SSI) Strong knowledge of CPT coding, claim cycles, EOBs, and healthcare billing workflows Understanding of Medicare, Medicaid, and commercial insurance policies Excellent verbal and written communication skills High attention to detail with strong documentation and follow-up skills Ability to work in a deadline-driven and compliance-focused environment Willingness to work night shifts (Eastern Standard Time – EST) Bachelor’s degree in Commerce, Accounting, or Healthcare Administration preferred

Job Summary: We are seeking an experienced and highly organized Virtual Registered Nurse Supervisor to oversee and coordinate clinical operations across both on-site and off-shore care teams. This leadership role requires strong clinical knowledge, exceptional communication skills, and the ability to ensure consistent, high-quality care delivery in alignment with U.S. healthcare standards. Key Responsibilities: * Supervise a team of Registered Nurses (RNs) and clinical support staff working remotely and/or on-site * Provide clinical oversight, mentorship, and performance feedback to both domestic and international nursing staff * Coordinate daily operations and workflows between U.S.-based providers and off-shore teams * Ensure accurate and timely documentation within the Electronic Health Record (EHR) system * Review patient charts and audit care summaries to ensure quality and compliance * Monitor Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and other patient engagement programs * Serve as the primary point of contact for escalations, operational issues, and provider feedback * Conduct regular training sessions, process reviews, and quality assurance checks * Ensure all staff adhere to HIPAA regulations and internal compliance protocols * Collaborate with administrative, billing, and IT departments to streamline operations Requirements: * Active Registered Nurse (RN) license (India or U.S.; international experience with U.S. healthcare required) * Minimum 4-5 years of clinical experience, including at least 2 years in a supervisory or leadership role * Proven experience in managing hybrid teams (on-site and remote/off-shore) * Familiarity with EHR systems such as Athenahealth, eClinicalWorks, or similar platforms * Strong understanding of U.S. healthcare workflows, including chronic care and transitional care models * Excellent verbal and written English communication skills * Comfortable working in U.S. time zones * Tech-savvy, with a reliable work-from-home setup Preferred Skills: * Exposure to U.S. healthcare regulations, compliance, and quality assurance standards * Ability to lead training initiatives and enforce clinical best practices * Strong analytical and problem-solving skills * Empathetic leadership approach and a passion for improving patient care outcomes Work Schedule: * Full-time (On-Site) * Must be available during U.S. working hours * Occasional flexibility required for coordination across time zones

🚨 We’re Hiring! 🚨 SME – Denial Management | Experience: 2-3 Years 📍 Location: Infopark Koratty Zapare Technologies Pvt. Ltd. – a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry, is looking for dynamic and ambitious professionals to join our growing team. About the Role: As an SME – Denial Management, you will play a key role in analyzing, managing, and resolving denied insurance claims. Your expertise will directly contribute to improving collections and optimizing the revenue cycle for our clients. Key Responsibilities: ✅ Review and analyze denied claims to identify root causes such as coding errors, preauthorization gaps, or payer-specific policies. ✅ Develop and maintain denial logs to monitor trends and patterns. ✅ Communicate with payers to clarify denials and initiate timely appeals. ✅ Work with denial reason codes (CARC, RARC) to determine appropriate actions. ✅ Ensure compliance with HIPAA, CMS guidelines, and coding standards (CPT, ICD-10, HCPCS). Appeals Process Management: Understand 1st, 2nd, 3rd, and External Level Appeal processes and SOPs. Prepare, submit, and follow up on appeals with complete and accurate documentation. Review EOBs, case histories, and payer policies to strategize appeals. Gather necessary patient/physician consents and medical records. Draft effective appeal letters and complete special forms required by payers or states. Maintain records of appeals, responses, and recovery outcomes. Monitor deadlines and ensure timely submissions. Stay updated on payer policies, state requirements, and denial trends. Desired Skills & Experience: ✔ Strong understanding of the US healthcare billing cycle. ✔ Hands-on experience with EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. ✔ Expertise in denial analysis, appeal filing, and payer interactions. ✔ In-depth knowledge of billing regulations, coding standards, and compliance frameworks. If you have a passion for healthcare revenue management and a keen eye for resolving complex denials, we’d love to hear from you! 👉 Apply Now & Join the Zapare Team! #Hiring #DenialManagement #RCM #HealthcareJobs #MedicalBilling #RevenueCycleManagement #ZapareTechnologies #CareerOpportunity

Position Purpose: The Sales Manager – Medical Billing is responsible for driving business growth by acquiring new clients and expanding relationships with existing customers in the healthcare revenue cycle management (RCM) and medical billing domain. The role focuses on identifying sales opportunities, building strong client partnerships, and providing tailored solutions that meet the unique billing and compliance needs of healthcare providers. The Sales Manager plays a critical role in achieving revenue targets, enhancing client satisfaction, and promoting the company’s medical billing services in a competitive market. Position Summary The RCM Billing Sales Manager is responsible for driving new business growth by identifying, qualifying, and closing opportunities for RCM and medical billing services. This role involves targeting US-based healthcare providers (e.g., physician groups, hospitals, ASCs, DMEs, behavioral health practices), building strong client relationships, and contributing to the organization’s revenue targets. Eligibility - Education: Bachelor’s degree (MBA preferred).Proven track record of achieving or exceeding sales targets in the healthcare BPO/KPO space. Strong understanding of US healthcare RCM processes: billing, coding, AR, denials. Experience selling to medical groups, hospitals, or healthcare administrators. Excellent communication, negotiation, and consultative selling skills. Familiarity with compliance and data privacy frameworks (e.g., HIPAA). Experience: 10 to 12 years of experience KPIs / Performance Metrics New client acquisition count and value (monthly/quarterly) Pipeline coverage ratio Conversion rate (lead to deal) Revenue from closed deals Sales cycle duration. Required Skills: Industry Knowledge · Strong understanding of medical billing, coding, revenue cycle management (RCM), and healthcare compliance. · Familiarity with medical billing software and healthcare regulations (e.g., HIPAA). 2. Sales Expertise · Proven track record in B2B sales, preferably in the healthcare or medical billing industry. · Strong skills in lead generation, client acquisition, and contract negotiation. 3. Communication & Relationship Building · Excellent verbal and written communication skills. · Ability to build trust and maintain long-term relationships with healthcare providers and decision-makers. 4. Strategic Thinking · Ability to analyze market trends, understand client needs, and develop customized sales strategies. · Competence in pipeline management and sales forecasting. 5. Leadership & Team Management · Experience in leading and motivating sales teams to achieve targets. Capability to train, mentor, and manage a high-performing sales team. 6. Customer-Centric Approach · Strong focus on customer satisfaction and delivering value-added solutions. · Ability to understand client pain points and offer relevant medical billing services. 7. Negotiation & Closing Skills · Proficiency in pricing, proposal development, and closing high-value deals. 8. Technical Proficiency · Comfortable using CRM tools, Microsoft Office Suite, and sales enablement platforms. · Basic understanding of billing analytics and reporting tools. 9. Adaptability & Problem Solving · Ability to work in a fast-paced environment and quickly adapt to changing client requirements or industry regulations. Preferred Skills Strong problem-solving and decision-making skills. Experience working with or selling services on platforms like Epic, eClinicalWorks, Athenahealth, NextGen, etc. Existing network of healthcare provider contacts in the US. Willingness to travel for client meetings, trade shows, or conferences (as needed). Position Responsibilities Business Development Identify and prospect potential clients in the US healthcare sector. Generate qualified leads through cold calling, networking, referrals, events, and digital channels. Pitch RCM and billing solutions tailored to client needs (end-to-end, coding, charge entry, AR follow-up, denial management, etc.). Sales Strategy & Execution Own and manage the full sales cycle – from lead generation to contract closure. Develop and present proposals, pricing models, and ROI justifications. Collaborate with internal teams (RCM ops, legal, finance, onboarding) to deliver winning bids and proposals. Relationship Management Build and maintain long-term relationships with C-level stakeholders and decision-makers. Serve as the point of contact for pre-sales and initial onboarding queries. Track market trends and competitor activities to position services effectively). Reporting & Performance Achieve monthly/quarterly/annual sales targets and KPIs. Maintain accurate pipeline updates using CRM tools (e.g., Salesforce, HubSpot). Provide regular sales forecasts, win-loss analysis, and performance dashboards.

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying root causes of denials. Strong understanding of billing regulations, CPT, ICD-10, HCPCS codes, and compliance standards (HIPAA, CMS guidelines). Appeals - - Understand 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP - Prepare, submit, and follow up on appeals ensuring all necessary documentation is included - Revie Review assigned denials and EOBs for appeal filing information. Gather any missing information - Review case history, payer history, and state requirements to determine appeal strategy - Obtain patient and/or physician consent and medical records when required by the insurance plan or state - Gather and fill out all special appeal or review forms - Create appeal letters, attach the materials referenced in the letter, and mail them Maintain a record of all appeals and responses to track appeal outcomes and recovery rates Monitor payer response timelines to ensure appeal filing deadlines are met Track insurance company and state requirements and denial trend changes

Designation: SME - Denial Management Experience: 2-3 years Skills desired: • Detailed knowledge of US healthcare billing cycle • Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. • Denial analysis and management Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies Develop and track denial log to monitor patterns and trends in denied claims Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying root causes of denials. Strong understanding of billing regulations, CPT, ICD-10, HCPCS codes, and compliance standards (HIPAA, CMS guidelines). • Appeals Understand 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP Prepare, submit, and follow up on appeals ensuring all necessary documentation is included - Revie Review assigned denials and EOB’s for appeal filing information. Gather any missing information - Review case history, payer history, and state requirements to determine appeal strategy - Obtain patient and/or physician consent and medical records when required by the insurance plan or state - Gather and fill out all special appeal or review forms - Create appeal letters, attach the materials referenced in the letter, and mail them Maintain a record of all appeals and responses to track appeal outcomes and recovery rates Monitor payer response timelines to ensure appeal filing deadlines are met Track insurance company and state requirements and denial trend changes Job Types: Full-time, Permanent Benefits: Leave encashment Provident Fund Schedule: Rotational shift Experience: Denial Management: 2 years (Preferred) Work Location: In person Application Deadline: 10/08/2025

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 to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We are seeking an experienced and dynamic professional with a solid background in healthcare consulting, clinical data conversion, and EHR implementation. The ideal candidate will have deep expertise in data integration (HL7), multiple integration engines, and hands-on experience with leading EHR systems, with mandatory experience in Altera, Allscripts and eClinicalWorks. This role requires a proven leader capable of managing cross-functional teams and owning client/account relationships across multiple stakeholders. Primary Responsibilities: Lead and manage clinical data conversion projects, specifically involving Allscripts and eClinicalWorks, among other EHR systems Design and implement robust data integration workflows using HL7, FHIR, and other healthcare data standards Leverage proficiency in multiple integration engines (e.g., Rhapsody, Mirth Connect, Corepoint, Cloverleaf, Ensemble) for seamless healthcare data exchange Provide hands-on leadership in the implementation of leading EHR platforms, ensuring quality, compliance, and alignment with client goals Manage and mentor cross-functional teams, including consultants, service engineers, and product developers across consulting, services, and delivery functions Own and grow client and account relationships, serving as the primary point of contact and ensuring alignment with business and technical objectives Collaborate with sales and pre-sales teams to support solution design, scoping, proposals, and upsell opportunities Deliver strategic consulting on EHR migration, interoperability, and clinical workflow optimization Ensure timely and high-quality project delivery through agile methodologies and stakeholder engagement Stay current with industry trends, standards, and healthcare technology innovations Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Hands-on experience with Altera, Allscripts and eClinicalWorks EHR is mandatory Deep understanding of HL7 v2.x, FHIR, CCD/C-CDA, and X12 standards Solid proficiency in multiple integration engines and certified in at least one (Preferred Rhapsody, Cloverleaf, or Corepoint) Technically proficient (MS SQL, MySQL, JSON, XML etc.) to lead data conversion teams, with extremely strong knowledge of clinical vocabularies such as SNOMED CT, LOINC, and ICD Proven success in EHR implementation, interoperability, and clinical data migration projects Demonstrated expertise in client/account management, including long-term relationship building, escalation handling, and solution alignment Proven solid team leadership and cross-functional collaboration skills At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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 to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We are seeking an experienced and dynamic professional with a solid background in healthcare consulting, clinical data conversion, and EHR implementation. The ideal candidate will have deep expertise in data integration (HL7), multiple integration engines, and hands-on experience with leading EHR systems, with mandatory experience in Altera, Allscripts and eClinicalWorks. This role requires a proven leader capable of managing cross-functional teams and owning client/account relationships across multiple stakeholders. Primary Responsibilities Lead and manage clinical data conversion projects, specifically involving Allscripts and eClinicalWorks, among other EHR systems Design and implement robust data integration workflows using HL7, FHIR, and other healthcare data standards Leverage proficiency in multiple integration engines (e.g., Rhapsody, Mirth Connect, Corepoint, Cloverleaf, Ensemble) for seamless healthcare data exchange Provide hands-on leadership in the implementation of leading EHR platforms, ensuring quality, compliance, and alignment with client goals Manage and mentor cross-functional teams, including consultants, service engineers, and product developers across consulting, services, and delivery functions Own and grow client and account relationships, serving as the primary point of contact and ensuring alignment with business and technical objectives Collaborate with sales and pre-sales teams to support solution design, scoping, proposals, and upsell opportunities Deliver strategic consulting on EHR migration, interoperability, and clinical workflow optimization Ensure timely and high-quality project delivery through agile methodologies and stakeholder engagement Stay current with industry trends, standards, and healthcare technology innovations Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Hands-on experience with Altera, Allscripts and eClinicalWorks EHR is mandatory Deep understanding of HL7 v2.x, FHIR, CCD/C-CDA, and X12 standards Solid proficiency in multiple integration engines and certified in at least one (Preferred Rhapsody, Cloverleaf, or Corepoint) Technically proficient (MS SQL, MySQL, JSON, XML etc.) to lead data conversion teams, with extremely strong knowledge of clinical vocabularies such as SNOMED CT, LOINC, and ICD Proven success in EHR implementation, interoperability, and clinical data migration projects Demonstrated expertise in client/account management, including long-term relationship building, escalation handling, and solution alignment Proven solid team leadership and cross-functional collaboration skills At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Job Summary: We are looking for a highly organized and experienced Medical Billing Manager to oversee the daily operations of the medical billing department. The ideal candidate will ensure accurate billing, timely claims submission, denial management, and compliance with healthcare regulations, thereby maximizing revenue and supporting smooth financial operations. Key Responsibilities: Supervise and lead the medical billing team in charge entry, claims submission, payment posting, and follow-up. Ensure accurate and timely billing of patient services to insurance companies and patients. Monitor and manage claim denials, rejections, and follow-ups to reduce accounts receivable days (AR days). Maintain current knowledge of billing regulations, payer policies, and coding updates (ICD-10, CPT, HCPCS). Ensure compliance with HIPAA, Medicare/Medicaid, and private insurance guidelines. Train and evaluate billing staff performance and conduct regular audits to ensure billing accuracy. Work closely with clinical and administrative teams to resolve billing discrepancies and documentation issues. Prepare and present financial reports and metrics related to billing performance, collections, and aging. Oversee patient billing inquiries and provide resolution in a professional and timely manner. Ensure implementation and use of billing software systems effectively. Qualifications: Bachelor’s degree in Healthcare Administration, Accounting, Business, or a related field. 4–6 years of medical billing experience, including at least 2 years in a supervisory or managerial role. Strong knowledge of medical terminology, billing and coding procedures (CPT, ICD-10, HCPCS). Familiarity with EMR/EHR and billing software (e.g., Kareo, Athenahealth, eClinicalWorks, or similar). In-depth understanding of healthcare insurance plans, including Medicare and Medicaid. Excellent leadership, organizational, and communication skills. Strong analytical skills and ability to interpret billing and AR reports. Preferred Qualifications: Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) is a plus. Experience in multi-specialty or hospital billing is preferred. Proficiency in MS Excel and report generation tools. Job Type: Full-time Pay: ₹75,000.00 - ₹90,000.00 per month Benefits: Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Schedule: Monday to Friday Night shift US shift Work Location: In person

Role : Data Analyst for EHR Healthcare Data Migration and Archive Experience : 6 Years - 11 Years Location : PAN India Notice Period: Immediate to 30 Days Qualifications/Experience: • Hands on experience with athenaOne platform required.( AthenaOne like Epic Systems, Cerner (Oracle Health), eClinicalWorks, Kareo (Tebra) etc.). • Bachelor's degree in Healthcare Informatics, Computer Science, or related field • Proven experience with EHR systems , particularly in data migration projects from Behavioral Health systems to athenaOne • Strong understanding of healthcare data standards, terminologies, and regulatory requirements • Proficiency in data mapping, extraction, transformation, and cleansing techniques • Experience with EHR software tools and interfaces, as well as testing and validation methodologies. • Excellent communication, collaboration , and problem-solving skills • Ability to prioritize tasks, work independently, and adapt to changing priorities in a fast-paced environment. • Proficient with Python for data management and API interactions. • Experience SFTP data exchange of large files. • Experience managing data mappings and business rules. Education: • Bachelor's degree in Health Informatics, Computer Science, Information Technology, or a related field. Master's degree preferred. Certifications: • Certified Health Data Analyst (CHDA) or similar certification. • Other relevant certifications such as Epic Data Analyst Certification, Certified Healthcare Technology Specialist (CHTS), Skills : • Proficient in SQL, data visualization tools (e.g., Tableau, Power BI) , and other data analysis software. • Excellent problem-solving skills and attention to detail. • Strong communication and collaboration skills. • Ability to manage multiple tasks and projects simultaneously. Interested candidates can share their CV to pravallika@wrootsglobal.in

Job Summary: We are looking for a detail-oriented and experienced RCM Team Lead to oversee day-to-day revenue cycle operations, including medical billing, AR follow-up, claims processing, and denial management. The ideal candidate will possess strong leadership skills, in-depth knowledge of RCM processes, and a commitment to achieving team performance metrics. Key Responsibilities: Supervise and mentor a team of RCM specialists/executives. Manage a team of 5 RCM specialists. Monitor and manage the entire RCM process: eligibility verification, charge entry, claim submission, payment posting, AR follow-up, and denial resolution Design and allocate tasks and ensure SLA, SOP and KPIs are consistently met or exceeded Ensure compliance with client-specific billing guidelines and payer regulations Generate daily/weekly/monthly performance reports and present to management Identify process gaps and recommend improvements for operational efficiency Manage our RCM clients and meet them weekly or as needed. Address our clients/providers issues / queries over emails and meetings daily/weekly, for clarification or issue resolution. Train new team members and provide ongoing coaching and performance feedback Required Skills & Qualifications: Bachelor’s degree in healthcare, business administration, or related field (preferred) Minimum of 4 years of RCM experience, including at least 1 year in a managerial role. Strong understanding of US healthcare billing systems, payer rules, and RCM workflow Experience with tools like Athena, Kareo, AdvancedMD, eClinicalWorks, or similar RCM software Excellent written and verbal communication skills Proficient in MS Excel and report analysis Strong analytical and problem-solving abilities Ability to multitask and manage time effectively in a deadline-driven environment Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹50,000.00 per month Schedule: Evening shift Monday to Friday Night shift Work Location: In person

Company Description Ambit Global Solution LLP is a leading provider of medical and dental billing and revenue cycle management services. The company offers comprehensive solutions to healthcare organizations, including hospitals, dental groups, and private practices, aiming to maximize revenue and reduce operating costs. With a team of dedicated professionals, including AAPC-certified coders, Ambit leverages cutting-edge technology and a client-centric approach to deliver efficient and transparent services across various specialties. Job Title: AR Specialist – RCM (Revenue Cycle Management) Location: Ahmedabad Experience Required: 5+ years in RCM; Surgery insurance follow-up experience is a plus Work Hours: Full-time | Night Shift (US Time Zone – EST/PST/CST) Job Summary: We are looking for a proactive and detail-oriented AR Specialist to join our RCM team. The specialist will be responsible for tracking and resolving outstanding insurance claims to ensure timely reimbursement. Candidates with prior experience in surgery-related insurance claims will be given preference. Key Responsibilities: Follow up on unpaid or underpaid insurance claims via calls, emails, and payer portals Analyze and resolve denials, rejections, and short payments Take timely action to resubmit, appeal, or escalate claims Accurately document all activities and follow-up actions in the billing system Collaborate with billing, coding, and other RCM team members to ensure claim accuracy Stay up to date with payer guidelines and insurance protocols Focus on reducing A/R days and improving cash flow, especially in surgical cases Requirements: Minimum of 5 years of experience in insurance follow-up in medical billing/RCM Strong understanding of EOBs, denial codes, CPT/ICD codes, and insurance rules Experience with surgery-related claims is highly desirable Familiarity with commercial and government insurance payers Proficient in using EMR and billing platforms (e.g., Athena, Kareo, eClinicalWorks, AdvancedMD) Excellent communication and problem-solving skills Must be comfortable working night shifts aligned with US time zones (EST/PST/CST) Preferred Qualifications: Knowledge of appeals, reconsiderations, and claim adjustment processes Experience in surgical specialties such as orthopedics, ENT, or general surgery Understanding of HIPAA and data security protocols

Job Title: Business Development Executive – RCM (Revenue Cycle Management) Job Summary: We are seeking a highly motivated and results-driven Business Development Executive (BDE) to drive growth for our Revenue Cycle Management (RCM) services. The ideal candidate will have a strong understanding of healthcare outsourcing, medical billing, and the RCM process. This role involves identifying new business opportunities, building client relationships (especially with US healthcare providers), and driving end-to-end sales cycles. Key Responsibilities: Identify and generate new business opportunities in the RCM/Medical Billing domain, especially in US healthcare markets . Conduct market research , competitor analysis, and lead generation through multiple channels (email, LinkedIn, cold calling, referrals, etc.). Develop and maintain strong relationships with prospective clients, especially decision-makers in healthcare organizations (clinics, hospitals, physician groups). Present and promote RCM services (end-to-end billing, coding, AR follow-up, denial management, etc.) to potential clients. Prepare and deliver compelling proposals, presentations, and pricing structures based on client needs. Collaborate with the operations and delivery teams to ensure client requirements are met effectively. Meet and exceed sales targets, revenue goals, and growth KPIs. Maintain accurate records of sales activities, pipeline updates, and client communication in CRM tools. Requirements: Bachelor's degree in business, Marketing, Healthcare Management, or a related field. 2–4+ years of experience in business development or sales in RCM/medical billing/healthcare outsourcing . Strong knowledge of US healthcare industry and RCM process (billing, coding, payment posting, AR, etc.). Excellent communication, negotiation, and presentation skills. Proven track record of closing deals and achieving revenue targets. Ability to work independently and as part of a team. Familiarity with CRM software, email marketing tools, and lead generation platforms. Preferred Skills: Experience working with US-based clients or in offshore RCM sales . Understanding of HIPAA compliance and data security protocols. Knowledge of key RCM platforms (eClinicalWorks, Kareo, Athenahealth, etc.) is a plus.

Sales Manager – RCM Billing Job Summary: The RCM Billing Sales Manager is responsible for driving new business growth by identifying, qualifying, and closing opportunities for RCM and medical billing services. This role involves targeting US-based healthcare providers (e.g., physician groups, hospitals, ASC, DME, behavioral health practices), building strong client relationships, and contributing to the organization’s revenue targets. Key Responsibilities: Business Development Identify and prospect potential clients in the US healthcare sector. Generate qualified leads through cold calling, networking, referrals, events, and digital channels. Pitch RCM and billing solutions tailored to client needs (end-to-end, coding, charge entry, AR follow-up, denial management, etc.). Sales Strategy & Execution Own and manage the full sales cycle – from lead generation to contract closure. Develop and present proposals, pricing models, and ROI justifications. Collaborate with internal teams (RCM ops, legal, finance, onboarding) to deliver winning bids and proposals. Relationship Management Build and maintain long-term relationships with C-level stakeholders and decision-makers. Serve as the point of contact for pre-sales and initial onboarding queries. Track market trends and competitor activities to position services effectively). Reporting & Performance Achieve monthly/quarterly/annual sales targets and KPIs. Maintain accurate pipeline updates using CRM tools (e.g., Salesforce, HubSpot). Provide regular sales forecasts, win-loss analysis, and performance dashboards. Qualifications: Bachelor’s degree (MBA preferred).Proven track record of achieving or exceeding sales targets in the healthcare BPO/KPO space. Strong understanding of US healthcare RCM processes: billing, coding, AR, denials. Experience selling to medical groups, hospitals, or healthcare administrators. Excellent communication, negotiation, and consultative selling skills. Familiarity with compliance and data privacy frameworks (e.g., HIPAA). Preferred Key Skills: Experience working with or selling services on platforms like Epic, eClinicalWorks, Athenahealth, NextGen, etc. Existing network of healthcare provider contacts in the US. Willingness to travel for client meetings, trade shows, or conferences (as needed). KPIs / Performance Metrics: New client acquisition count and value (monthly/quarterly) Pipeline coverage ratio Conversion rate (lead to deal) Revenue from closed deals Sales cycle duration.

About Us: At Doral Health & Wellness, we’re redefining in-home and community-based healthcare by connecting patients with nurse practitioners and providers through smart, tech-enabled care. Based in Brooklyn, our mission is to make high-quality, coordinated healthcare accessible—right from where patients live. Position Overview: We are seeking an experienced eClinicalWorks (eCW) Superuser or Support Specialist to lead and support the implementation, optimization, and training of our EHR system. This key role supports our care teams by ensuring eCW functions smoothly and efficiently across departments. You’ll serve as a bridge between clinical users and technical systems, enhancing workflows, troubleshooting issues, and empowering users to make the most of eCW in their day-to-day operations. Key Responsibilities: Serve as the primary eCW expert for system functionality, configuration, and support Provide end-user support to clinical and administrative staff, resolving issues efficiently Customize templates, forms, and workflows to meet organizational and user needs Train providers and staff on eCW usage, updates, and best practices Work with clinical, billing, and IT teams to streamline and optimize workflows Monitor system performance and recommend enhancements Generate reports and assist with analytics using eCW and related tools Ensure compliance with HIPAA and other healthcare data security standards Qualifications: Hands-on experience as an eClinicalWorks Superuser, Administrator, or Support Specialist Strong understanding of EHR workflows in outpatient, home care, or multispecialty practices Technical troubleshooting and problem-solving skills Effective communication skills for training and end-user support Familiarity with clinical documentation, billing workflows, and patient portals Understanding of HIPAA regulations and secure health data practices Ability to work independently and collaboratively across teams Preferred Qualifications: eCW certification or formal training Experience supporting home care, mobile medical units, or community-based care settings Prior role in healthcare IT or technical support What We Offer: Competitive salary Remote work flexibility Health, dental, and vision insurance Paid time off and holiday pay 401(k) retirement plan Professional development and training opportunities A collaborative, mission-driven work culture Apply Today: If you're a proactive problem-solver passionate about healthcare technology and ready to make a meaningful impact, we’d love to hear from you. Please submit your resume highlighting your experience with eClinicalWorks.