13 Aug
|
PerceptGo
|
India
RCM Specialist – Billing, Payment Posting, Denials & Reporting
Remote | Full time
Healthcare Revenue Cycle Management / Medical Billing
About the Role
We are looking for an experienced RCM Specialist with at least 3+ years of hands-on experience across medical billing, payment posting, denial resolution, accounts receivable follow-up, and RCM reporting.
This role requires someone who can work independently, understand the full revenue cycle, identify claim issues, resolve denials, follow up with insurance payers, post payments accurately, and prepare meaningful reports for management and clients.
This is not a basic data-entry billing role. We need someone who understands how claims move from charge entry to payment, denial, correction, resubmission, and final resolution.
Key Responsibilities
- Review and submit clean claims to insurance payers.
- Verify claim accuracy, including CPT, ICD-10, modifiers, place of service, provider details, payer information, and patient demographics.
- Work claim rejections and make corrections before resubmission.
- Post insurance payments, patient payments, adjustments, contractual write-offs, and denials accurately.
- Review ERA/EOB details and identify payment discrepancies, underpayments, overpayments, and incorrect adjustments.
- Work insurance denials by identifying root causes, correcting claims, submitting appeals, and following up until resolution.
- Handle AR follow-up for unpaid, underpaid, rejected, and denied claims.
- Call insurance payers when needed to obtain claim status, denial reasons, payment details, appeal status, and corrected claim instructions.
- Track denial trends and report recurring issues to management.
- Prepare weekly and monthly RCM reports, including claims submitted, payments posted, denials worked, AR status, aging, unresolved claims, and payer issues.
- Maintain accurate notes in the billing system for every action taken.
- Communicate clearly with team members, managers, and clients regard
📌 RCM Specialist – Billing, Payment Posting (India)
🏢 PerceptGo
📍 India