RCM Specialist

Job Summary:

We are looking for a detail-oriented and experienced RCM Specialist to manage the full Revenue Cycle Management process for our healthcare clients. The ideal candidate should have hands-on experience in all phases of the RCM cycle including patient registration, charge entry, coding, claims submission, payment posting, denial management, AR follow-up, and reporting.

Key Responsibilities:

• Handle the complete end-to-end RCM process, from patient registration to payment posting and denial resolution.
• Perform accurate charge entry and ensure all services rendered are captured.
• Work with CPT/ICD codes and ensure accurate medical coding (if applicable).
• Submit claims electronically or via paper as required by payers.
• Manage payment posting (ERA and manual).
• Analyze and resolve claim denials; initiate appeals as needed.
• Conduct regular Accounts Receivable (AR) follow-ups for outstanding claims.
• Maintain up-to-date knowledge of payer policies and billing guidelines.
• Coordinate with internal teams to ensure client satisfaction and compliance.
• Generate and review RCM performance reports regularly.

Key Skills Required:

• Strong understanding of US healthcare billing and RCM cycle
• Experience in working on software like Athena, Kareo, AdvancedMD, eClinicalWorks, or similar
• Knowledge of insurance types (Medicare, Medicaid, Commercial)
• Proficiency in denial management and AR calling
• Excellent communication and analytical skills
• Attention to detail and time management

Qualifications:

• Bachelor's degree preferred
• Certification in Medical Billing/Coding (optional but advantageous)
• Minimum 2 years of experience in End-to-End RCM

Job Types: Full-time, Permanent

Pay: From ₹200,000.00 per year

Benefits:

• Leave encashment
• Paid sick time
• Provident Fund

Schedule:

• Night shift
• US shift