Jobs at SHAI Health

Entry-level AR Caller role supporting US healthcare revenue cycle management. Responsibilities include managing claim denials, rejections, underpayments, and information requests; contacting insurance companies by phone and payer websites; verifying claim status; investigating denial explanations; and preparing appeal packets. Candidates should understand basic RCM and US healthcare processes, communicate effectively, analyze problems, and work night shifts. Freshers are welcome, while international voice process, customer support, or BPO experience is preferred.

Leads medical coding teams, ensuring compliance with ICD-10, CPT, HCPCS, and DRG standards. Oversees coding audits, quality assurance, productivity and accuracy metrics, process improvements, automation, workflow optimization, stakeholder collaboration, and coder training. Requires extensive medical coding expertise, senior leadership experience, people management, and strong communication skills.

Generates leads and develops relationships with healthcare payers, providers, TPAs, and managed care organizations. Conducts outbound outreach, qualifies prospects, schedules meetings, supports proposals and presentations, maintains CRM records, tracks outreach performance, follows up after meetings, and monitors healthcare market trends to identify opportunities.

Manage accounts receivable for US healthcare providers by investigating unpaid and denied medical claims, contacting insurers, submitting appeals, documenting follow-up activities, and meeting denial-reduction KPIs. Maintain HIPAA compliance and patient confidentiality while staying current on medical billing, coding, insurance policies, and healthcare regulations. Payment posting experience is an advantage.

Designs, delivers, and evaluates corporate learning programs across classroom, virtual, blended, and e-learning formats. Conducts training needs assessments, facilitates leadership and skills training, manages the LMS, supports onboarding and career development, evaluates effectiveness using feedback and performance metrics, and recommends innovative learning solutions. The role requires expertise in instructional design, adult learning principles, facilitation, stakeholder management, and digital learning tools.

Manage and optimize enterprise LAN, WAN, WLAN, and VPN infrastructure; configure and troubleshoot network devices, firewalls, and load balancers; improve security, availability, and performance; lead network upgrades and migrations; coordinate vendors and procurement; support audits and incidents; maintain documentation; and provide technical leadership to junior team members.

Sources and evaluates suppliers, negotiates pricing and contracts, processes purchase requisitions and orders, monitors inventory and deliveries, maintains procurement records, and resolves supplier issues. The role conducts market research, identifies cost-saving opportunities, supports budgeting and cost control, analyzes purchasing trends, manages vendor relationships, and ensures compliance with procurement policies and regulations.

Process hospital billing and IPA/commercial claims, manage aged and high-value accounts receivable, validate payments and contract sheets, identify payment variances, handle denials and appeals, and maintain accurate documentation while meeting productivity, quality, HIPAA, and payer requirements.

Manages employee engagement, relations, queries, payroll processing, statutory compliance, HR records, attendance, leave systems, HR letters, and HR MIS reporting. The role requires advanced Excel skills, familiarity with GreytHR, confidentiality, strong communication, and independent multitasking. It also coordinates with internal teams and vendors and requires willingness to work night shifts.

The AR Caller follows up with insurance companies and clients regarding overdue physician billing claims and outstanding payments. Responsibilities include checking claim status, resolving denials and underpayments, managing appeals, conducting AR follow-ups, maintaining accurate communication records, and meeting daily collection performance standards. The role requires CMS-1500 physician billing experience, U.S. healthcare revenue cycle knowledge, strong communication skills, and willingness to work night shifts aligned with Central or Pacific Time.

Supports US-focused business development through market and competitive analysis, opportunity assessment, client requirement gathering, proposal and RFP/RFI preparation, pricing analysis, market sizing, revenue forecasting, and sales pipeline tracking. Coordinates sales and delivery teams, prepares reports and presentations, and helps align technology or consulting offerings with client needs and go-to-market strategies.

Coordinate a 10-member accounts receivable team supporting hospital and physician billing. Provide floor support, training, production oversight, reporting, client communication, and quality monitoring. Analyze and resolve denials, claim rejections, underpayments, payment variances, and escalated account issues. Conduct root cause analysis, validate payments and contracts, manage aged and high-value AR inventories, and ensure compliance with payer guidelines, turnaround times, productivity, and client requirements.

Reviews inpatient, outpatient, home health, and behavioral health services for medical necessity and prior authorization. Coordinates with providers, medical directors, and clinical staff on case reviews and appropriate resource use. Supports quality improvement initiatives, clinical guideline development, regulatory compliance, recordkeeping, and utilization trend reporting. This entry-level role is open to nursing graduates, with hospital experience considered an advantage.