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
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