RCM Specialist | India
Full-Time | Healthcare Revenue Cycle Management
Role Overview
We are seeking an experienced RCM Specialist to manage end-to-end Revenue Cycle Management operations, including AR follow-up, charge posting, payment posting, claim review, and denial resolution. This role supports accurate billing, compliance, and timely reimbursement across multiple healthcare workflows. The ideal candidate is detail-oriented, analytical, and confident in managing complex payer interactions.
Key Responsibilities
Manage the complete revenue cycle process, from charge capture to payment posting.
Review and analyze claims for accuracy, completeness, and compliance before submission.
Ensure adherence to healthcare billing regulations, payer policies, and coding guidelines.
Identify, address, and resolve issues related to denied or rejected claims.
Perform timely AR follow-up and collections to ensure payment within defined timelines.
Communicate effectively with insurance companies, patients, and internal stakeholders to resolve billing concerns.
Work closely with healthcare providers to support accurate charge capture and clinical documentation.
Analyze billing, denial, and payment trends to identify improvement opportunities.
Collaborate with physicians, nurses, and billing teams to ensure efficient revenue cycle workflows.
Stay updated on regulatory changes, coding revisions, and updates to payment systems.
Handle Protected Health Information (PHI) in full compliance with HIPAA guidelines.
Perform additional duties related to account management or billing operations as assigned.
Qualifications & Desired Skills
Intermediate or Bachelor’s degree in a relevant field.
4 to 6 years of experience in end-to-end Accounts Receivable (AR) processes within healthcare.
Additional experience in Charge Posting and Payment Posting is an advantage.
Strong understanding of healthcare billing rules, payer regulations, and coding requirements.
Excellent analytical, investigative, and problem-solving skills.
High level of accuracy and attention to detail.
Effective communication skills for interaction with payers, patients, and internal teams.
Ability to work independently as well as collaboratively in a team environment.
Proficiency in Microsoft Office and relevant RCM software tools.
Experience Required
Minimum 4 years of professional experience in healthcare RCM.
Hands-on 4–6 years of experience in AR follow-up, claim management, denials, and reimbursement processes.
Prior experience in Charge Posting and Payment Posting is highly preferred.
Shift Timings
6:00 PM IST to 3:00 AM IST
About the Opportunity
This role offers the chance to contribute significantly to efficient reimbursement cycles and operational accuracy within a healthcare organization. Candidates with strong RCM knowledge, excellent communication skills, and a commitment to compliance will excel in this position.
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