US Healthcare RCM Subject Matter Expert (Noida)

US Healthcare RCM Subject Matter Expert (Noida)

07 Aug
|
Revenue Synergy
|
Noida

07 Aug

Revenue Synergy

Noida

We are hiring for experienced US Healthcare RCM Subject Matter Experts to strengthen our growing operations team in Noida.

This role is designed for professionals who have robust knowledge of end-to-end Revenue Cycle Management and are interested in transitioning into a Team Lead position based on their performance, leadership abilities, and process knowledge.

We are looking for people who can do more than manage daily production. The ideal candidate should be capable of training employees, improving processes, resolving complex billing issues, supporting client accounts, and helping build high-performing RCM teams.

Key Responsibilities

- Provide subject matter expertise across the complete US healthcare revenue cycle.
- Support processes including eligibility verification, prior authorization, charge entry, claim submission, payment posting, denial management, appeals, and accounts receivable follow-up.
- Review complex claims, denials, payer responses, and reimbursement issues.
- Identify root causes behind recurring denials, rejections, underpayments, and delayed collections.
- Develop corrective action plans and implement process improvements.
- Train new hires and existing team members on RCM processes, payer guidelines, client workflows, and quality standards.
- Create and maintain SOPs, training materials, process documents, and workflow guidelines.
- Conduct refresher training, process assessments, and knowledge checks.
- Support team managers with production planning, workload distribution, quality improvement, and employee development.
- Monitor productivity, quality, turnaround time, collections, denial trends, and other operational KPIs.
- Perform audits and provide clear, actionable feedback to team members.
- Handle client-specific escalations and coordinate with internal teams for timely resolution.

Candidate Requirements





- Strong experience in US Healthcare RCM Industry.
- Sound understanding of end-to-end RCM workflows.
- Hands-on experience in at least two or more areas such as billing, AR follow-up, denial management, payment posting, eligibility, prior authorization, or medical coding.
- Knowledge of commercial insurance, Medicare, Medicaid, and other US healthcare payers.
- Understanding of claim forms, CPT, ICD-10, HCPCS, modifiers, EOBs, ERAs, payer portals, clearinghouses, and medical billing terminology.
- Experience in training, mentoring, auditing, or supporting junior employees.
- Strong team-building and people-management capabilities.
- Excellent verbal and written communication skills.
- Strong problem-solving, analytical, and decision-making skills.

Work Experience

Experience requirements are flexible for candidates who demonstrate strong RCM knowledge, communication skills, leadership potential, and the ability to train and develop a team.

Candidates currently working as an SME, Senior AR Caller, Senior Medical Biller, Assistant Team Lead may apply.

Preferred Candidate Profile

We would especially like to meet candidates who:

- Want to move into a Team Lead or operations leadership position.
- Have previously trained or mentored RCM employees.
- Can build a team and establish strong process discipline.
- Can confidently handle client calls and operational escalations.
- Are comfortable working in a fast-growing organization with increasing responsibilities..

High-performing SMEs will have the opportunity to transition into Team Lead roles

What We Offer

- Competitive salary package for deserving candidates.
- Clear growth opportunity from SME to Team Lead.
- Exposure to end-to-end RCM operations.
- Performance-based career advancement.
- Quarterly Bonus based on team performance

Interested candidates can also send their resume to [email protected]

📌 US Healthcare RCM Subject Matter Expert (Noida)
🏢 Revenue Synergy
📍 Noida

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