01Responsibilities
- Handle end-to-end US Healthcare RCM processes.
- Process and manage medical claims accurately and within defined turnaround times.
- Perform AR follow-up and communicate with insurance companies/payers for calling profiles.
- Handle denials, rejections, underpayments, and unpaid claims and take appropriate corrective action.
- Work on claims submission, charge entry, payment posting, eligibility & benefits, and appeals.
- For non-calling profiles, review and process assigned billing and RCM activities accurately.
- For medical coding profiles, review medical documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes as per guidelines.
- Identify billing errors and discrepancies and ensure timely resolution.
- Follow client-specific SOPs, quality standards, and process guidelines.
- Maintain compliance with HIPAA and US Healthcare regulations.
- Meet defined productivity, quality, accuracy, and TAT targets.
- Coordinate with internal teams to resolve process-related issues.
- Maintain proper documentation and update system records.
- Support process improvement initiatives and assist junior team members when required.
- Senior/SME candidates may be responsible for team support, process guidance, and handling escalations.
Required Skills & Qualifications:
- 510+ years of relevant experience in US Healthcare RCM.
- Strong understanding of end-to-end US Healthcare Revenue Cycle Management.
- Experience in one or more of the following:
- Medical Billing, Medical Coding, AR Calling, Non-Calling RCM, Denial Management, Claims Processing, Payment Posting, Charge Entry, Eligibility & Benefits, Appeals
- Strong knowledge of US insurance, payer processes, claims, denials, and reimbursement.
- Positive communication skills for calling profiles.
- Robust analytical and problem-solving skills.
- Ability to work independently and handle process responsibilities effectively.
- Candidates with SME/team-handling experience will be preferred.
- Willingness to work from office in Hyderabad.
- Comfortable working in day or night shifts.
Key Skills:
US Healthcare | RCM | Medical Billing | Medical Coding | AR Calling | Non-Calling | Denial Management | Claims Processing | Payment Posting | Appeals | Eligibility & Benefits | Charge Entry | End-to-End RCM
Interested Candidates:
Interested candidates can share their updated resume at:
hr@ambs.co.in
Contact: 9063602526 for more details.
Join Arya Medical Billing Services Pvt. Ltd. and grow your career in US Healthcare RCM! .
