Job Description
Charge Entry and Eligibility Verification Executive (RCM)

Department: Revenue Cycle Management (RCM) – Data Operations
Location: Chennai
Reports To: Data Team Lead / Operations Manager

Job Summary

The Data Entry Executive plays a critical role in ensuring the accuracy and completeness of patient and insurance information before claims are submitted. With approximately 85% of charge entry automated through the TrueRCM platform, this role focuses on validating system-generated data, performing demographic and insurance updates, verifying eligibility, identifying missing or incorrect payer information, and resolving exceptions that could impact clean claim submission.

The ideal candidate should possess solid knowledge of healthcare insurance, payer portals, Medicare and Medicaid guidelines, and revenue cycle workflows.

Key Responsibilities

Patient & Demographic Management
- Review and update patient demographic information accurately.
- Validate patient registration details before claim submission.




- Correct demographic discrepancies identified through system edits.

Insurance Verification & Updates
- Verify insurance eligibility through payer portals and clearinghouse tools.
- Update primary, secondary, and tertiary insurance information.
- Identify and update Medicare Advantage, Medicaid Managed Care (MCO), Commercial, and other insurance plans.
- Verify Medicare Secondary Payer (MSP) information and update records accordingly.
- Identify hospice enrollment that may impact claim billing.
- Research and identify insurance coverage when policy/member ID is unavailable using payer portals and available patient demographics.
- Review coordination of benefits (COB) and determine the correct payer sequence.

Charge & Coding Review
- Review automated charge entries for completeness and accuracy.
- Validate CPT codes against encounter documentation and identify discrepancies for escalation.
- Ensure claims meet payer-specific billing requirements befor

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