RCM Specialist
4 days ago
Job Title: RCM / Medical Billing Specialist Schedule: 5 Days a Week | Rotational Shifts | Rotational Week Off Experience: 3 – 6 Years Role Overview We are looking for experienced professionals with hands-on expertise in U.S. Healthcare Revenue Cycle Management (RCM) and medical billing troubleshooting . The ideal candidate should have strong analytical skills, deep domain knowledge, and the ability to resolve complex claim, posting, or configuration issues across multiple billing systems. This is a technical and analytical RCM support role ideal for those who go beyond basic AR follow-up or call-center responsibilities to identify and fix systemic billing issues . Key Responsibilities Provide Level 1 and Level 2 support for RCM workflows, including claim submission, charge entry, payment posting, and denial management. Troubleshoot payer rejections, configuration errors, and ERA posting discrepancies. Analyze EDI 835/837 transaction data to identify and resolve logic or mapping issues. Collaborate with clearinghouses (Waystar, Availity, Change Healthcare) to address payer-related discrepancies. Document recurring issues, perform root cause analysis, and work with internal teams to prevent recurrence. Communicate effectively with U.S. clients, ensuring clear, solution-oriented updates and documentation. Maintain compliance with HIPAA and 42 CFR Part 2 guidelines while handling sensitive data. Required Skills s Domain Expertise Strong understanding of U.S. Healthcare RCM including charge entry, payment posting, denial analysis, and AR follow-up. In-depth knowledge of payer rules (Medicare, Medicaid, commercial payers). Working knowledge of CPT, ICD-10, HCPCS, modifiers , and ERA/EDI 835- 837 transactions. Demonstrated ability to identify root causes behind denials and system-level billing issues. Technical Competencies Hands-on experience with one or more medical billing systems : CollaborateMD, Kareo, AdvancedMD, Athenahealth, eClinicalWorks, DrChrono, NextGen, PracticeSuite, or similar. Experience using clearinghouse portals such as Waystar, Availity, and Change Healthcare. Familiarity with ticketing tools like Zendesk, Freshdesk, or Salesforce Service Cloud. Strong Excel skills for reporting, validation, and analysis (pivot tables, lookups). Customer Support Competencies Analytical thinker who investigates workflow issues instead of surface-level resolutions. Excellent written and verbal communication skills tailored for non-technical audiences. Ability to collaborate with internal product or development teams for technical fixes and process improvements. Proven record of maintaining high CSAT scores and quick response times. Qualifications Bachelor’s Degree (preferably in Commerce, Healthcare Administration, or related field). 3 –6 years of relevant experience in U.S. Healthcare RCM. Certifications preferred: HIPAA Awareness, AAPC CPC (in progress or completed). . Skillset Required: Analytical Skill, Domain Expertise, Verbal Communication Skill, Excel Skill, Verbal Communication Skills, Workflow, Excel, Communication Skill, Healthcare, Customer Support, Documentation, Communication Skills, Strong Understanding, Technical Support, Strong Analytical, RCM , Revenue cycle management, US Healthcare Billing
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RCM Specialist
5 days ago
Navi Mumbai, Maharashtra, India Whitefield Careers Private Limited Full timeKey ResponsibilitiesProvide Level 1 and Level 2 support for RCM workflows, including claimsubmission, charge entry, payment posting, and denial management.Troubleshoot payer rejections, configuration errors, and ERA postingdiscrepancies.Analyze EDI 835/837 transaction data to identify and resolve logic ormapping issues.Collaborate with clearinghouses...
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Ar Caller/rcm(Male Candidates Only)
2 weeks ago
Navi Mumbai, Maharashtra, India Werq Labs Pvt Ltd Full timeRole & Responsibilties: - 1.Claims Processing: - Submit accurate claims to insurance companies. Monitor and track claim statuses. Manage denials and re-submissions. 2.Billing: - Generate and send patient invoices. Ensure timely and accurate billing processes. 3.Payment Posting: - Post payments from insurance companies and patients Reconcile...
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RCM Openings
2 days ago
Chennai, Hyderabad, Mumbai, India Axis Services Full timeWere Hiring – Healthcare RCM Professionals | AR Calling, Prior Authorization & Eligibility VerificationEmployment Type: Full-time | MNC HiringOpen PositionsHyderabadRole: AR Caller (Physician & Hospital Billing)Experience: Minimum 1 year in AR CallingSalary: Up to 40,000 (Take-Home)ChennaiRole: AR Caller (Physician & Hospital Billing)Experience: Minimum 1...
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Financial Solutions Specialist
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mumbai, India beBeeExpert Full timeRecruiting and Onboarding ExpertThe ideal candidate will have at least five years of experience working with SAP SuccessFactors, specifically in Recruiting/Career Portal (RCM) and Onboarding modules.A proven track record of implementing RCM + Onboarding modules end-to-end.A strong understanding of human resources/recruitment business processes is...
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Navi Mumbai, India RevUpside Business Solutions Private Limited Full timeKey Responsibilities for AR: Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis. Understand the reason for rejection, denials, or no status from the payer. Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e.,...
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AR Callers
3 days ago
Navi Mumbai, India RevUpside Business Solutions Private Limited Full timeKey Responsibilities for AR: Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis. Understand the reason for rejection, denials, or no status from the payer. Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e.,...
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AR Callers
1 day ago
Navi Mumbai, India RevUpside Business Solutions Private Limited Full timeKey Responsibilities for AR: Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis. Understand the reason for rejection, denials, or no status from the payer. Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e.,...
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Credentialing Specialist
2 weeks ago
Mumbai, India CapitalMed Solutions Full timeAbout CapitalMed SolutionsCapitalMed Solutions is a healthcare services company providing Revenue Cycle Management, Medical Billing & Coding, Credentialing, Call Center Support, Insurance Verification, Pre-Authorization, HEDIS, Referral Management, Accounting, and Virtual Assistant services. We support medical practices across the United States with...
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Credentialing Specialist
2 weeks ago
Mumbai, India CapitalMed Solutions Full timeAbout CapitalMed SolutionsCapitalMed Solutions is a healthcare services company providing Revenue Cycle Management, Medical Billing & Coding, Credentialing, Call Center Support, Insurance Verification, Pre-Authorization, HEDIS, Referral Management, Accounting, and Virtual Assistant services. We support medical practices across the United States with...
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Credentialing Specialist
2 weeks ago
Mumbai, India CapitalMed Solutions Full timeAbout CapitalMed SolutionsCapitalMed Solutions is a healthcare services company providing Revenue Cycle Management, Medical Billing & Coding, Credentialing, Call Center Support, Insurance Verification, Pre-Authorization, HEDIS, Referral Management, Accounting, and Virtual Assistant services. We support medical practices across the United States with...
