Industry: US Healthcare (Revenue Cycle Management)

Employment Type: Full time | Night Shift (US Time Zone)

Location: Office-Based | Immediate Joiners Preferred

Job Summary

Key Responsibilities
Manage and follow up on unpaid, underpaid, and denied insurance claims.
Handle Ancillary Denial Management by identifying root causes and resolving denials effectively.
Investigate claim denials, correct billing/coding errors, and submit appeals with appropriate documentation.
Work on insurance follow-up with Medicare, Medicaid, and Commercial payers.
Analyze AR aging reports and prioritize high-value accounts to improve collections.
Communicate with insurance representatives and patients regarding claim status and payment resolutions.
Ensure accurate documentation and compliance with HIPAA and payer regulations.
Collaborate with Coding, Billing, Payment Posting, and Revenue Cycle teams to resolve claim issues.
Generate productivity and denial analysis reports to identify trends and improve AR performance.




Work efficiently using EMR/RCM platforms to ensure timely reimbursement.

Required Qualifications
3+ years of experience in US Healthcare Revenue Cycle Management (RCM).:
3+ years of experience in Ancillary Denial Management.:
Hands-on experience in Accounts Receivable (AR), Insurance Follow-up, and Denial Resolution.:
Robust knowledge of CPT, ICD-10, HCPCS coding, payer guidelines, and AR workflows.:
Experience working with Medicare, Medicaid, and Commercial insurance payers.:
Proficiency in EMR/RCM systems such as:
Epic
Oracle Cerner
Meditech
CPSI
NextGen
Athena
Artiva
Excellent verbal and written English communication skills.:
Robust analytical, problem-solving, and time management skills.
Ability to work night shifts (US Time Zone).:
Immediate Joiners Preferred.:
Preferred Qualifications
Bachelor's degree in Life Sciences, Healthcare, Finance, or a related field.
Certifications such as CMRS, CRCR, or equivalen

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