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Sr Executive - Rcm Services

2-4 years
Not Disclosed
10 Dec. 2, 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

Senior Executive – RCM Services

Location: Noida
Job Type: Full Time
Requisition ID: JR103896

About the Company

Our organization is dedicated to helping healthcare clients achieve superior financial performance. With advanced technology, scalable revenue cycle solutions, and strong clinical expertise, we support end-to-end reimbursement processes with accountability and measurable results.

We believe in long-term career growth and invest in the development of our team members. Your success drives our success.


Position Overview

The Senior Executive – RCM Services plays a critical role in insurance rejection management, claim follow-up, and revenue optimization. This role requires strong analytical skills, high accuracy, and the ability to work in a fast-paced RCM environment.


Experience Required

2 to 4 years of experience in:

  • Insurance Rejections handling (Clearing House and Payer Level)

  • Claims follow-up and RCM operations


Eligibility Criteria

  • Any graduation

  • Proficient computer skills

  • Excellent verbal and written communication skills

  • Strong interpersonal and organizational abilities

  • Ability to maintain strict confidentiality

  • Willingness to work permanent night shifts


Key Responsibilities

  • Perform pre-call analysis and verify claim status through payer calls, IVR, or web portals

  • Document all interactions accurately in the client system and maintain audit-ready records

  • Record post-call actions and conduct necessary follow-up analysis

  • Review all available documentation such as EOBs, medical notes, and authorizations before initiating calls

  • Analyze accounts receivable data, underpayments, top denial codes, and aging

  • Prepare, validate, and transmit claims using RCM/AR software (electronic and paper-based)

  • Review patient bills for completeness, accuracy, and documentation gaps


Physical Requirements

  • Ability to work at a computer workstation for 6–8 hours daily

  • Regular hand–eye coordination and dexterity to operate office equipment

  • Occasional requirement to lift up to 20 lbs

  • Ability to function effectively amid frequent interruptions and multiple deadlines