You know the revenue cycle and you’re comfortable working in the detail.
We’re looking for an RCM Specialist who can support our day-to-day revenue cycle operation across billing, AR, denials, appeals, claim follow-up and payer-related issues.
This role will work closely with our Senior RCM Lead and wider operational team to help keep claims moving, resolve issues quickly, identify recurring problems and support strong cash collection performance.
You don’t need to own the entire RCM function — but you do need to take ownership of the work in front of you.
What you’ll doBilling & claims support
• Support accurate and timely claim submission.
• Review claim issues, rejections and billing errors.
• Follow up on outstanding claims and help resolve delays.
• Support charge capture and claim reconciliation where needed.
• Work with internal teams to correct documentation or billing issues.

AR & collections
• Work assigned AR and prioritize accounts based on aging, value and payer requirements.
• Follow up with payers on unpaid or underpaid claims.
• Identify payment delays,



underpayments and recurring payer issues.
• Maintain explicit notes and follow-through on outstanding accounts.
• Support collection targets and AR reduction goals.

Denials & appeals
• Review denied claims and determine the reason for denial.
• Prepare and submit appeals or corrected claims where appropriate.
• Track recurring denial trends and escalate patterns to the Senior RCM Lead.
• Help ensure corrective actions are followed through.
• Support timely filing and payer-specific requirements.

Payer & insurance support
• Work with Medicare, Medicaid and commercial payer processes.
• Research payer policies and claim requirements.
• Follow up on authorization, eligibility or coverage-related issues where required.
• Escalate complex payer issues appropriately.

Reporting & quality
• Maintain accurate worklists and reporting.
• Track assigned KPIs such as AR aging, denial volume, claim status and prod

📌 RCM Specialist (India)
🏢 NIVA Health
📍 India