RCM Specialist – India
Category: Revenue Cycle Management (RCM)
Location: India
Experience Required: 4–6 years in end-to-end AR processes
Shift Timing: 6:00 PM IST – 3:00 AM IST
About the Role
We are hiring an experienced RCM Specialist to manage comprehensive revenue cycle processes, ensure billing accuracy, and support efficient reimbursement workflows. This role is essential to maintaining financial performance, operational compliance, and timely claims resolution across healthcare operations.
Qualifications & Desired Skills
Education: Intermediate or Bachelor’s degree.
Experience Required:
4–6 years of hands-on experience in end-to-end Accounts Receivable (AR) processes.
Experience in charge posting and payment posting will be an added advantage.
Strong understanding of healthcare billing regulations, coding guidelines, and payer systems.
Excellent analytical, problem-solving, and decision-making skills.
High attention to detail with strong focus on accuracy and compliance.
Effective communication skills for interacting with insurance providers, patients, and internal teams.
Ability to work independently as well as in a collaborative environment.
Proficiency in Microsoft Office and other RCM-related software applications.
Ability to manage Protected Health Information (PHI) in accordance with HIPAA guidelines.
Key Responsibilities
Oversee and manage the complete revenue cycle process, from charge capture to final payment posting.
Review and validate claims for accuracy, completeness, and regulatory compliance before submission.
Ensure adherence to billing regulations, payer guidelines, and healthcare compliance standards.
Investigate, resolve, and prevent denied or rejected claims.
Follow up on pending, unpaid, or delayed claims to ensure timely reimbursement.
Communicate effectively with insurance companies, patients, and healthcare stakeholders to resolve billing and coding issues.
Work closely with healthcare providers to ensure accurate charge capture and documentation.
Analyze billing, denial, and payment data to identify trends, discrepancies, and improvement areas.
Collaborate with physicians, nurses, and revenue cycle teams to optimize RCM processes.
Stay updated on evolving healthcare regulations, coding guidelines, payer policies, and reimbursement changes.
Maintain strict confidentiality and handle PHI in compliance with HIPAA standards.
Perform other RCM and account management duties as assigned.
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Japan | Saitama |Tokyo :
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