
Healthcare Revenue Cycle Specialist
1 day ago
We are seeking a skilled and detail-oriented Healthcare Revenue Cycle Specialist to join our team. In this role, you will be responsible for reviewing unpaid or underpaid claims in the billing system, performing voice-based follow-up with insurance companies to resolve claim issues, and documenting call summaries and updating claim status in internal systems.
Key Responsibilities:- Review and process claims in a timely manner to ensure accurate payment
- Communicate effectively with insurance companies to resolve claim issues
- Document all interactions and updates in internal systems
- Work on denials, rejections, and prepare claims for resubmission or appeal
- Education: Any graduate degree (B.Com, BBA, BSc, B.Pharm, Life Science, etc.)
- Experience:
- 0–3 years in US Healthcare RCM preferred
- Freshers with strong communication skills are welcome
- Skills Required:
- Good verbal communication in English
- Basic knowledge of medical billing, CPT, ICD, and denial codes preferred
- Typing speed of 30+ WPM with good accuracy
- Ability to understand EOBs and payer policies is a plus
- Comfortable with night shifts and target-based work
- Practice Management Software (eClinicalWorks, Kareo, AdvancedMD, etc.)
- Insurance portals (Availity, Navinet)
- Ticketing tools or CRMs
- Ongoing training and professional development opportunities
- A supportive and dynamic work environment
- The chance to make a meaningful contribution to our organization
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