Revenue Cycle Representative Job at ResMed (Chennai)

Revenue Cycle Representative - Facilities

The Revenue Cycle Representative – Facilities (SNF & LTC) is responsible for sup...

Location

India , Chennai

Salary:

Not provided

ResMed

Expiration Date

Until further notice

Requirements

Education equivalent to a High school diploma, college degree preferred
Experience in healthcare revenue cycle operations, billing, cash posting, or A/R
Knowledge of UB‑04 billing, SNF/LTC payer rules, and basic accounting principles
Strong computer and EMR/billing software skills
Excellent attention to detail and organizational skills

Job Responsibility

Prepare, review, and submit electronic and paper claims for SNF and LTC services to Medicare, Medicaid, Managed Care plans, and commercial payers
Verify claim accuracy, including rates, patient liability, room and board charges, therapy services, and ancillary items
Monitor and resolve held, rejected, or denied claims prior to submission
Ensure billing compliance with regulatory requirements specific to SNF and LTC, including UB‑04 claim standards and state Medicaid guidelines
Coordinate with facility teams to reconcile documentation, correct billing issues, and ensure timely claim submission
Post all incoming payments, adjustments, and remittance information accurately and timely into the billing system
Reconcile daily deposits, EFTs, ERAs, and lockbox transactions
Identify and correct payment discrepancies, underpayments, and payer errors
Process and document refunds or recoupments in accordance with internal and regulatory standards
Maintain accurate cash logs and ensure proper month‑end balancing

Fulltime

Revenue Cycle Representative - Auth & Eligibility

The Home Health (HH) and Hospice (HOS) Authorization & Eligibility Specialist is...

Location

India , Chennai

Salary:

Not provided

ResMed

Expiration Date

Until further notice

Requirements

Minimum one year of progressive Home Health and/or Hospice billing experience preferred
Prior experience working with Medicare rules, regulations, billing codes (preferred)
Education equivalent to a High school diploma, college degree preferred
Ability to perform basic bookkeeping and compile statistics as needed
Ability to work independently
Must be organized and able to multitask
Strong written and verbal communication skills
Ability to type, operate computers and office equipment
Aptitude for learning computer systems
Maintain a professional demeanor, courteous and flexible at all times

Job Responsibility

Verify insurance eligibility and benefits for all incoming home health and hospice referrals
Obtain prior authorizations from commercial, Medicare Advantage, Medicaid, and other payers as required
Review clinical documentation to ensure authorization requests meet payer requirements
Track authorization status, submit updates or re-auth requests, and prevent lapses in coverage
Document all eligibility and authorization details accurately within internal systems
Communicate authorization requirements and eligibility outcomes to intake, clinical teams, and billing
Collaborate with referral partners, including hospitals, physician offices, and case managers
Respond promptly to payer inquiries and requests for additional information
Serve as a subject matter expert for authorization rules and payer-specific policies
Ensure all processes adhere to payer regulations, CMS guidelines, and organizational policies

Fulltime

Patient Access Principal Trainer, Revenue Cycle Education & Development

Baptist Health is looking for a Non-Clinical Principal Trainer to join our Reven...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

High School Diploma Required
Minimum 5 Years of Related Experience Required
3-5 Years of Training Experience Required
Minimum of one Epic application certification
Certified in at least one other application within the first 6 months into the position
Driver's License - DMV
Certified - EPIC - EPIC
Associates Degree Preferred

Job Responsibility

Reports to an Epic Training Manager and is responsible for understanding and applying adult learning theory, and instructional design principles to project related work
Serves as a liaison and representative to Epic and Baptist Health communities, work groups, and committees
Performs task analysis, long term and short-term planning, and determines training needs of the end users
Collaborates with the instructional designers to assure all content being developed is deployed through modalities that offer the best opportunities for team members to understand and adopt the elements into their practices

Fulltime

Senior Analyst, Revenue Cycle

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Monroeville

Salary:

46988.00 - 102000.00 USD / Year

CVS Health

Expiration Date

Until further notice

Requirements

Minimum 5 years related work experience
Strong analytical, organizational, and problem-solving skills
Ability to manage multiple priorities with a high degree of accuracy and attention to detail
Strong written and verbal communication skills
Proficiency with Microsoft Office applications, including Excel, Word, PowerPoint, and Teams

Job Responsibility

Maintain onboarding access documentation and related processes, updating materials as business needs and systems evolve
Identify and implement resources that improve the onboarding experience for new colleagues
Support the Revenue Cycle Leadership Team with provisioning access, telecom system setup, and call-recording processes
Troubleshoot access and system issues for new hires throughout onboarding
Support strategic initiatives and business growth related to digital platforms, website capabilities, and Revenue Cycle operations
Lead system and process-related projects from planning through implementation, including system enhancements, workflow changes, documentation, and cross-functional coordination
Partner with IT developers, business analysts, and business stakeholders to gather and document system requirements tied to regulatory, contractual, operational, and efficiency-focused initiatives
Coordinate implementation readiness by aligning key resources, tracking deliverables, and helping ensure process, policy, and procedural updates are completed
Serve as the Revenue Cycle subject matter expert for digital initiatives and related system enhancements
Manage monthly digital communication efforts and represent Revenue Cycle in Digital Champion forums and discussions

What we offer

Medical insurance
Dental insurance
Vision insurance
Paid time off
Retirement savings options
Wellness programs
Bonus
Commission
Short-term incentive program

Fulltime

Sr. Consultant - Revenue Cycle Management

Thrivence is a young, growing, and agile management consulting firm built on the...

Location

United States , Nashville

Salary:

Not provided

Barge Design Solutions

Expiration Date

Until further notice

Requirements

Strong analytical, communication, and project management skills
Demonstrated ability to lead portions of projects and manage junior staff
Experience engaging directly with clients in a professional capacity
Bachelor's degree required
advanced degree preferred
At least one relevant certification
5–8 years of consulting or related experience

Job Responsibility

Lead project workstreams, manage day-to-day execution, and ensure high-quality deliverables
Drive analyses and translate findings into client-ready insights, strategies, and presentations
Engage directly with clients, representing the firm's perspective, and navigating smaller negotiations with professionalism
Mentor and coach junior consultants to build team capability and support project success
Contribute to business development by supporting proposals, authoring case studies, and participating in client pursuits
Lead internal initiatives and serve on Thrivence or Barge committees to advance firm priorities
Balance delivery excellence with professional growth and composure under pressure

Fulltime

Revenue Cycle Specialist

We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryv...

Location

United States , Emeryville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical coding with expertise in ICD-10 and CPT codes
Certification in medical coding (e.g., CPC, CCS, or equivalent) is required
Strong knowledge of outpatient coding and commercial insurance processes
Familiarity with handling claim denials and insurance appeals
Excellent analytical skills to identify and resolve coding discrepancies
Ability to work collaboratively with healthcare providers and insurance representatives
Attention to detail and commitment to maintaining accuracy in coding
Familiarity with current industry standards and regulations related to medical coding

Job Responsibility

Accurately apply ICD-10 and CPT codes to medical records and claims
Review and analyze outpatient coding to ensure compliance with regulatory standards
Manage and resolve insurance denials and claim discrepancies effectively
Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries
Monitor claims for commercial insurance to ensure timely processing and reimbursement
Identify trends in claim denials and implement corrective actions to minimize future issues
Assist in maintaining updated coding certifications and staying informed about changes in coding practices
Communicate with insurance companies to negotiate resolutions for denied claims
Support the revenue cycle team in optimizing workflows and achieving financial goals

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Revenue Cycle Specialist

We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryv...

Location

United States , Emeryville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical coding with expertise in ICD-10 and CPT codes
Certification in medical coding (e.g., CPC, CCS, or equivalent) is required
Strong knowledge of outpatient coding and commercial insurance processes
Familiarity with handling claim denials and insurance appeals
Excellent analytical skills to identify and resolve coding discrepancies
Ability to work collaboratively with healthcare providers and insurance representatives
Attention to detail and commitment to maintaining accuracy in coding
Familiarity with current industry standards and regulations related to medical coding

Job Responsibility

Accurately apply ICD-10 and CPT codes to medical records and claims
Review and analyze outpatient coding to ensure compliance with regulatory standards
Manage and resolve insurance denials and claim discrepancies effectively
Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries
Monitor claims for commercial insurance to ensure timely processing and reimbursement
Identify trends in claim denials and implement corrective actions to minimize future issues
Assist in maintaining updated coding certifications and staying informed about changes in coding practices
Communicate with insurance companies to negotiate resolutions for denied claims
Support the revenue cycle team in optimizing workflows and achieving financial goals

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Revenue Cycle Specialist

We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryv...

Location

United States , Emeryville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical coding with expertise in ICD-10 and CPT codes
Certification in medical coding (e.g., CPC, CCS, or equivalent) is required
Strong knowledge of outpatient coding and commercial insurance processes
Familiarity with handling claim denials and insurance appeals
Excellent analytical skills to identify and resolve coding discrepancies
Ability to work collaboratively with healthcare providers and insurance representatives
Attention to detail and commitment to maintaining accuracy in coding
Familiarity with current industry standards and regulations related to medical coding

Job Responsibility

Accurately apply ICD-10 and CPT codes to medical records and claims
Review and analyze outpatient coding to ensure compliance with regulatory standards
Manage and resolve insurance denials and claim discrepancies effectively
Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries
Monitor claims for commercial insurance to ensure timely processing and reimbursement
Identify trends in claim denials and implement corrective actions to minimize future issues
Assist in maintaining updated coding certifications and staying informed about changes in coding practices
Communicate with insurance companies to negotiate resolutions for denied claims
Support the revenue cycle team in optimizing workflows and achieving financial goals

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

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Revenue Cycle Representative

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