Tamil Nadu Claims lead Jobs – 171 Open Jobs Today

RCM Manager - US healthcare
sara jobs —Coimbatore, Tamil Nadu
- ₹20,295.71 - ₹73,275.88 a month
- Full-time
- Microsoft Excel
- Management
- Master's degree
- Health insurance
- Flexible schedule
Quick apply
Agent Claims Service
DHL —Chennai, Tamil Nadu
- English
- Analysis skills
- Bachelor's degree
- Health insurance
- Paid time off
8d
Business Development Executive
OFFICEOYE CORPORTE SUPPLIES PVT LTD —Chennai, Tamil Nadu
- ₹15,000 - ₹20,000 a month
- Email
- Sales
- English
- Microsoft Office
- Health insurance
- Cell phone reimbursement
Quick apply
14d
RCM -Operations Manager
Gemcaps Healthcare Services Pvt Ltd —Pattabiram, Chennai, Tamil Nadu
- Full-time
- Bachelor's degree
- In-person
- Leadership
Quick apply
Tunnel Head
Larsen & Toubro —Chennai, Tamil Nadu
- Project management
- Bachelor's degree
- Civil Engineering
Relationship Manager
Enterprise IT solutions —Chennai, Tamil Nadu
- ₹25,000.00 - ₹72,779.75 a month
- Full-time
- Bachelor's degree
- Driving
- Travel
- Food provided
Quick apply
6d
AWS Architecture (Cloud Migration Architect) - coimbatore
LTM —Coimbatore, Tamil Nadu
- Microsoft Access
- Azure
- Computer Science
Quick apply
Delivery Lead Manager
Accenture —Chennai, Tamil Nadu
- Full-time
- Agile
- Banking
Analytics & Intelligence - Senior Analyst
Roche —Chennai, Tamil Nadu
- Microsoft Excel
- Salesforce
- Research
Supply Chain Analyst
Flex LTD —Chennai, Tamil Nadu
- Full-time
- ERP systems
- SQL
- Analysis skills
- Paid time off
5d
Marketing Executive – Voice Process (US Healthcare / Medical Billing)
Allzone Management Services —Nungambakkam, Chennai, Tamil Nadu
- Email
- English
- Microsoft Office
- Communication skills
Financial Analyst
V.S.T.Motors PVT LTD —Chennai, Tamil Nadu
- ₹7,00,000 - ₹15,00,000 a year
- Full-time
- Analysis skills
- Accounting
- Financial services
Quick apply
2h
Azure Cloud Lead Architect - Coimbatore
LTM —Coimbatore, Tamil Nadu
- Azure
- DevOps
- Windows
Quick apply
MBA Field Sales Executive - Coimbature
Vizza Fintech Private Limited —Coimbatore, Tamil Nadu
- ₹20,500.37 - ₹30,088.34 a month
- Full-time
- Sales
- Marketing
- Master's degree
- Health insurance
- Cell phone reimbursement
Quick apply
14d
Senior Insurance Manager
AtkinsRéalis —Chennai, Tamil Nadu
- Full-time
- Project management
- Construction
- Communication skills
- Health insurance
Lead Associate AR
Guidehouse India Pvt Ltd —Chennai, Tamil Nadu
- Full-time
- Microsoft Office
- Analysis skills
- Bachelor's degree
8d
Manager, Tax
Wabtec —Hosur, Tamil Nadu
- Full-time
- Oracle
- ERP systems
- Travel
Quick apply
Cybersecurity - Incident Commander
Neurealm —Chennai, Tamil Nadu
- ₹10,00,000 - ₹14,00,000 a year
- Full-time
- Azure
- Computer Science
- HIPAA
Chief Tunnel Manager
Larsen & Toubro —Chennai, Tamil Nadu
- Bachelor's degree
Senior Engineer - Cloud & Infra Management
LTM —Coimbatore, Tamil Nadu
- Microsoft Access
- Azure
- DevOps
Quick apply

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RCM Manager - US healthcare

sara jobs
Coimbatore, Tamil Nadu

Quick apply

Job details

Permanent | Full-time
₹20,295.71 - ₹73,275.88 a month

Benefits

Provident Fund
Health insurance
Flexible schedule
Paid sick time

Qualifications

Revenue cycle management
Accounts receivable
Microsoft Excel
Management
MHA
Medical coding
Practice management software
Financial report writing
Financial analysis
Master's degree
Quality assurance
Bachelor's degree
Medical billing
Business Administration
MBA
Leadership
Billing
Communication skills

Full job description

Job Summary:

The Revenue Cycle Management (RCM) Manager is responsible for overseeing the end-to-end revenue cycle process, ensuring timely and accurate billing, claims submission, payment posting, denial management, accounts receivable (AR) follow-up, and revenue optimization. The role focuses on maximizing reimbursement, improving cash flow, ensuring compliance with healthcare regulations, and leading RCM teams to achieve operational and financial goals.

Key Responsibilities:Revenue Cycle Operations

Manage the complete revenue cycle from patient registration through final payment collection.
Oversee medical billing, coding coordination, charge capture, claims processing, and reimbursement activities.
Ensure timely submission of clean claims and monitor claim acceptance rates.
Develop and implement strategies to improve collections and reduce AR aging.

Denial Management & AR Follow-up

Analyze denial trends and implement corrective actions.
Monitor and reduce denial rates through root cause analysis.
Oversee AR follow-up activities and ensure timely resolution of outstanding claims.
Track and improve key performance indicators (KPIs) related to collections and reimbursements.

Team Leadership

Lead, mentor, and develop RCM staff, team leads, and supervisors.
Establish performance goals and conduct regular performance evaluations.
Provide ongoing training on payer guidelines, billing regulations, and process improvements.
Foster a culture of accountability, collaboration, and continuous improvement.

Financial Performance

Monitor daily, weekly, and monthly revenue cycle metrics.
Prepare operational and financial reports for senior leadership.
Identify opportunities to increase revenue and improve operational efficiency.
Support budgeting, forecasting, and revenue planning activities.

Compliance & Quality Assurance

Ensure compliance with HIPAA, CMS regulations, payer requirements, and organizational policies.
Maintain audit readiness and support internal and external audits.
Develop and enforce standard operating procedures (SOPs) and quality standards.
Monitor coding and billing compliance in collaboration with coding teams.

Process Improvement

Implement best practices and automation initiatives to enhance productivity.
Conduct workflow analysis and recommend process improvements.
Collaborate with cross-functional teams including Coding, Clinical, Finance, and IT.
Participate in system implementations, upgrades, and optimization projects.

Required Qualifications:

Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field.
5–8+ years of experience in Revenue Cycle Management, Medical Billing, or Healthcare Operations.
2–5 years of leadership or people management experience.
Strong understanding of medical billing, claims processing, denials management, and reimbursement methodologies.
Experience with major payer regulations including Medicare, Medicaid, and commercial insurance.
Proficiency in RCM software, practice management systems, and Microsoft Excel.

Preferred Qualifications:

Master's degree in Healthcare Administration (MHA), Business Administration (MBA), or related field.
Professional certifications such as:
Certified Revenue Cycle Representative (CRCR)
Certified Professional Biller (CPB)
Certified Professional Coder (CPC)
Certified Healthcare Financial Professional (CHFP)

Key Skills:

Revenue Cycle Management
Medical Billing & Coding Knowledge
Denial Management
Accounts Receivable Management
Financial Analysis & Reporting
Process Improvement
Team Leadership & Coaching
Stakeholder Management
Regulatory Compliance
Data Analytics & KPI Management
Problem Solving & Decision Making
Excellent Communication Skills

Key Performance Indicators (KPIs):

Net Collection Rate
Days in Accounts Receivable (AR)
Clean Claim Rate
Denial Rate
First-Pass Resolution Rate
Cash Collection Performance
Bad Debt Percentage
Revenue Realization Rate
Team Productivity Metrics
Customer/Client Satisfaction Scores

Pay: ₹20,295.71 - ₹73,275.88 per month

Benefits:

Flexible schedule
Health insurance
Paid sick time
Provident Fund

Work Location: In person

Quick apply

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