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Rcm Specialist | India

4-6 years
Not Disclosed
10 Nov. 26, 2025
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

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.