Revenue Cycle Management Executive

Role Summary

We are seeking to onboard two professionals in our RCM team – one Senior Executive with a strong background in Accounts Receivable (AR) and Denial Management, and one Mid-Level Executive with hands-on experience across various RCM functions. These roles are crucial for maintaining timely collections, ensuring claim accuracy, and supporting the end-to-end revenue cycle process.

Key Responsibilities

Senior RCM Executive – AR/Denial Management Focus

• Perform end-to-end Accounts Receivable follow-up.
• Analyze and resolve claim denials and rejections.
• Communicate with payers for claim status, appeals, and escalations.
• Provide insights and reports on aging AR and collection trends.
• Mentor junior team members and ensure team compliance with SOPs.

Mid-Level RCM Executive – General RCM Responsibilities

• Conduct insurance eligibility and benefits verification.
• Process accurate charge entry and coding.
• Submit claims to payers (electronic/paper) in a timely manner.
• Post payments (ERA/EOB) and reconcile accounts.
• Follow up on pending AR and address standard denials.
• Support patient billing and coordinate with internal departments.

Required Skills & Qualifications

Senior Executive

• 4–6 years of relevant experience in US Healthcare RCM.
• Strong expertise in AR follow-up and denial management.
• In-depth knowledge of payer policies, CPT, ICD-10, HCPCS codes.
• Strong communication and client coordination skills.
• Familiarity with RCM software like Athena, Kareo, AdvancedMD, etc.

Mid-Level Executive

• 2–4 years of hands-on experience in RCM operations.
• Exposure to insurance verification, charge entry, and payment posting.
• Basic understanding of denial follow-up and claim reprocessing.
• Good communication and analytical abilities.
• Knowledge of any standard billing software is preferred.

Compensation

As per industry standards, commensurate with experience and role level.

Revenue Cycle Management (RCM) Executive

Job Type: Full-time

Pay: ₹15,000.00 - ₹30,000.00 per month

Schedule:

• Day shift
• Monday to Friday
• Morning shift
• Night shift

Work Location: In person