RCM Specialist

3 days ago

Hyderabad, Telangana, India Globe Centrix Full time ₹ 4,50,000 - ₹ 7,50,000 per year

Roles and Responsibilities:

We are seeking experienced professionals to join our team as RCM US Healthcare Specialists. The role involves managing the complete revenue cycle process, including Charge Entry, Claims Submission, Payment Posting, Denial Management, and Accounts Receivable follow-up, maintaining compliance with HIPAA and payer guidelines, and coordinating with insurance providers, patients, and internal teams to secure timely reimbursements and support smooth operational workflow.

Roles and Responsibilities:

  • Manage
    end-to-end U.S. healthcare billing functions
    with accuracy and compliance.
  • Handle
    Accounts Receivable (AR):
    follow-up on claims, resolve denials, post payments, and ensure timely collections.
  • Perform
    Charge Entry
    with precision, ensuring correct coding and billing information.
  • Manage
    Prior Authorization (PA):
    verify insurance, obtain approvals, and coordinate with providers/payers.
  • Conduct
    Eligibility & Benefits Verification
    to confirm patient coverage and benefits before services.
  • Accurately manage
    Payment Posting
    for insurance and patient payments.
  • Provide
    Customer Service support:
    address patient and provider queries, resolve billing issues, and maintain professional communication.
  • Maintain detailed records, generate reports, and ensure compliance with payer and regulatory requirements.

Desired Candidate Profile:

  • Experience: Minimum 2+ years in U.S. healthcare billing (AR, Prior Authorization, or Customer Service).
  • Strong verbal and written communication skills in English, with the ability to interact with U.S. customers, insurance companies, and healthcare providers.
  • Ability to work U.S. shift timings.
  • Attention to detail with strong problem-solving and analytical skills.
  • Comfortable using computers, MS Office, and billing/healthcare software.

Benefits and Perks:

  • Transportation cab service provided.
  • Transportation Bonus (if using a personal vehicle).
  • Yearly bonus.

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