Senior Customer Services Executive

Job Title: Senior Customer Service ExecutiveDate Updated: 23rd May 2025 Function/Sub Function: Operations Band/Grade: E0.2 & E0.3 Reporting To: Team Leader Working Shift: US Shifts Employment Type: Full-Time, Regular Experience Required: Minimum: E0.2 – 12+ months / E0.3 – 24+ months Maximum: Up to 48 months Job Summary:We are looking for an experienced RCM Customer Service Executive – Voice to join our team. The ideal candidate will be responsible for managing the end-to-end revenue cycle process, with a focus on denial management and accounts receivable calling. This role requires excellent communication skills, a proactive approach to issue resolution, and the ability to work effectively in US shifts. Key Responsibilities:Review and analyze denied claims to identify trends and root causes Develop and implement strategies to reduce denials and improve reimbursement Liaise with insurance companies, healthcare providers, and internal teams to resolve denials Prepare and submit appeals for denied claims with complete documentation Monitor appeal status and follow up regularly for resolution Maintain accurate documentation of all denial and appeal activities Generate regular reports on denial trends and appeal performance Stay updated on payer policies and compliance requirements Skills and Competencies:Excellent verbal and written communication skills Neutral accent and adaptability to US culture Strong ability to resolve queries during first contact High level of professionalism, courtesy, and empathy Effective active listening and interpersonal skills Fast and accurate typing and data entry skills Ability to multitask in a dynamic and fast-paced environment Team-oriented with the ability to contribute process improvement ideas Customer-centric mindset focused on delivering positive experiences Educational Qualifications & Experience:Graduate in any stream 12–24 months of hands-on experience in Denial Management and Provider/DME AR Calling in the US Healthcare/RCM domain Key Skills:RCM, Denial Handling, AR Calling, US Healthcare, Medical Billing, Revenue Cycle Management, Voice Support, Communication Skills