Career Opportunities in US Healthcare Revenue Cycle Management
2 days ago
Unlock Your Career in US Healthcare Revenue Cycle Management
We are seeking skilled professionals to join our growing team of experts in Medical Coding, Billing, Denial Management, Prior Authorization, Credentialing, Front Office Coordination, and RCM Team Leadership.
Key Responsibilities:- Medical Coder: Assign accurate ICD-10, CPT, and HCPCS codes, ensuring compliance with CMS and payer guidelines. Collaborate with providers for documentation clarification and utilize EHRs like eClinicalWorks, Epic, Cerner, and Athena.
- Medical Biller: Submit insurance claims manually or electronically, follow up on rejections, post payments, reconcile accounts, verify patient insurance coverage and benefits, and handle Medicare, Medicaid, and commercial insurances.
- Denial Management Specialist: Analyze EOBs, identify root causes of denials, draft and submit appeals with supporting documentation, maintain denial logs, and collaborate with coding and billing teams.
- Prior Authorization Specialist: Submit prior auth requests to insurance companies, track approvals, communicate statuses to providers and patients, and ensure compliance with payer turnaround timelines.
- Credentialing Specialist: Submit and track credentialing applications with payers, maintain provider profiles (CAQH, PECOS), coordinate with providers for documentation and compliance.
- Front Office Coordinator: Answer inbound calls from patients and insurance reps, handle billing queries, coverage explanations, denial statuses, and prior auth info, document interactions in EMR/CRM systems, and ensure HIPAA compliance and quality service.
- RCM Team Lead: Lead a team across medical coding, billing, denial management, and credentialing, ensure SLA/KPI adherence, client communication, and team development, monitor quality, manage escalations, and enforce compliance protocols.
- Strong understanding of US healthcare RCM processes.
- Knowledge of ICD-10, CPT, HCPCS, EOBs, CARC/RARC, NPI/PECOS.
- Familiarity with tools like eClinicalWorks, Kareo, Availity, CAQH, AthenaHealth.
- Excellent communication, attention to detail, and time management.
- EMR/EHR and payer portal proficiency.
- Medical Coder/Biller: CPC, CCS, CPB (AAPC/AHIMA).
- Credentialing: CPCS (NAMSS).
- Team Lead: CRCP (HFMA), Lean Six Sigma (Green/Yellow Belt).
- Front Office: Medical Front Office Assistant (optional).
- 1–5 years depending on the role.
- Specialty coding or multi-specialty billing experience is a plus.
- Prior exposure to US-based clients is advantageous.
- RCM Team Lead: 5–7 years overall, with 2–3 years of supervisory experience.
- Bachelor's or Associate's degree in Life Sciences, Healthcare Administration, or related fields.
- Master's/MBA (Healthcare focus) for leadership roles – preferred.
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Coimbatore, Tamil Nadu, India beBeeCareer Full time ₹ 60,00,000 - ₹ 1,20,00,000Transform Your Career with a Thriving RCM TeamJob DescriptionWe're seeking skilled professionals to join our growing Healthcare Revenue Cycle Management (RCM) team. If you have experience in Medical Coding, Billing, Denial Management, Prior Authorization, Credentialing, Front Office Coordination, or RCM Team Leadership, we invite you to apply.The ideal...
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