RCM Billing Executive

1 day ago

Bodla Agra, India CSIC Medical Solutions Full time ₹ 4,50,000 - ₹ 7,50,000 per year

Position Overview:

We are seeking a detail-oriented and proactive Billing Executive to join our Revenue Cycle Management (RCM) team. The role involves handling end-to-end medical billing activities, ensuring accurate claim submission, timely follow-ups, and denial management to maximize revenue recovery for healthcare providers.

  • Key Responsibilities: Prepare, review, and submit medical claims to insurance companies (electronic/paper).
  • Verify accuracy of CPT, ICD-10, and modifier usage before claim submission.
  • Track claims to ensure timely payment and resolve rejections/denials.
  • Perform payment posting (ERA/manual) and reconcile accounts.
  • Coordinate with insurance carriers for claim status, appeals, and eligibility checks.
  • Manage patient billing, statements, and outstanding balances.
  • Maintain compliance with HIPAA and insurance guidelines.
  • Work closely with coding, AR, and posting teams to ensure smooth RCM process.
  • Generate and analyze billing and collection reports.
  • Requirements: Bachelor's degree (preferred) or equivalent experience in medical billing/RCM.
  • 0–3 years of experience in US healthcare billing and RCM process.
  • Knowledge of CPT, ICD-10, HCPCS, and insurance guidelines.
  • Familiarity with claim submission portals and EHR/EMR systems.
  • Strong communication and analytical skills.
  • Ability to work independently and meet deadlines.

Fluency in English and ready to work night shift from office is mandatory.

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