Job Summary The RCM Associate will be responsible for managing all aspects of the revenue cycle, including billing, coding, and collections. A successful candidate will have a strong understanding of healthcare billing regulations, coding guidelines, and payment systems.

Qualifications

- Bachelor’s degree in healthcare administration, business administration, or a related field.

- Minimum of 2 years of experience in healthcare revenue cycle management.

- Strong knowledge of healthcare billing regulations, coding guidelines, and payment systems.

- Excellent analytical and problem-solving skills.

- Robust attention to detail and accuracy.

- Ability to communicate effectively with insurance companies, patients, and other stakeholders.

- Ability to work independently and as part of a team.

- Proficient in Microsoft Office and other relevant software applications.

Responsibilities

- Manage and oversee the revenue cycle process, from charge capture to payment posting.

- Review and analyze claims for accuracy and completeness before submitting to payers.





- Ensure compliance with billing and coding regulations and guidelines.

- Identify and resolve issues with denied or rejected claims.

- Follow up on unpaid claims and collections to ensure timely payment.

- Communicate with insurance companies, patients, and other stakeholders to resolve billing and coding issues.

- Work with healthcare providers to ensure accurate charge capture and documentation.

- Analyze billing and payment data to identify trends and opportunities for improvement.

- Collaborate with other healthcare professionals, such as physicians and nurses, to ensure efficient and effective revenue cycle management.

- Stay up-to-date on changes to healthcare regulations, coding guidelines, and payment systems.

- Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA).

- Other duties as assigned

📌 Associate, RCM (IPD) (Hyderabad)
🏢 Advantum Health Private
📍 Hyderabad