Role Overview

- We are looking for a detail-oriented Executive Revenue Cycle Management (RCM) to manage end-to-end revenue cycle processes including billing, charge entry, claims submission, payment posting, and denial management
- The ideal candidate should have robust analytical skills, knowledge of medical billing processes, and experience working with US healthcare systems

Key Responsibilities

- Manage the complete revenue cycle process including patient registration, charge entry, coding support, billing, and collections

- Prepare, submit, and track claims to insurance companies (Medicare, Medicaid, commercial payers)

- Perform payment posting, reconcile payments, and identify underpayments or discrepancies

- Handle denials and rejections, perform root-cause analysis, and reprocess claims

- Verify patient insurance eligibility and benefits

- Maintain accuracy in medical billing documentation and coding (ICD-10, CPT)

- Coordinate with providers, coders, and payers to resolve claim issues

- Monitor AR (Accounts Receivable)



aging and follow up on outstanding claims

- Generate RCM reports and ensure compliance with HIPAA and healthcare regulations

- Ensure timely collection of payments and improve revenue cycle efficiency

Skills & Qualifications

- Experience in Revenue Cycle Management, US Healthcare, or Medical Billing

- Knowledge of CPT/ICD-10 codes, EOBs, AR workflows

- Familiarity with medical billing software (Athena, Kareo, NextGen, Epic, eClinicalWorks, etc)

- Strong understanding of insurance guidelines and claim processing

- Excellent communication and analytical skills

- Proficient in MS Excel, reporting tools, and documentation

- Ability to work with tight deadlines and handle multiple tasks

Preferred Skills

- Experience in specialty billing (Radiology, Anesthesia, Emergency, etc)

- Knowledge of RCM KPIs (AR days, First Pass Rate, denial rate)

- Experience with EDI transactions and clearinghouses

📌 Executive - Revenue Cycle Management (Kozhikode)
🏢 Aster DM Healthcare
📍 Kozhikode