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Inviting applications for the role of RCM (AR) Specialist Customer MDM and Billing Operations
Work location: Noida(work from office)
Shift: Candidates must be willing to work 5 days from the office, with a 6:00 AM IST shift start
Responsibilities
We are seeking a detail-oriented and proactive Account Receivable (RCM) Specialist to own and execute end-to-end management of AR Follow-up and Denials Management, Billing & Collection. In this dynamic role, you will manage follow-up and resolution of outstanding claims with insurance payers and period-end reporting while ensuring accuracy and compliance. You will leverage solid analytical skills to investigate open balance. The ideal candidate possesses deep, hands-on experience with RCM.
Customer MDM & Billing Operations
Acts as a customer MDM and Billing Operations SME responsible for managing end-to-end billing and MDM processes, managing customer master data governance, driving billing accuracy, resolving complex billing exceptions, improving billing controls, supporting governance, and mentoring Analysts to ensure timely and accurate claim generation and submission.
Responsibilities
- Manage customer master creation, modification, maintenance, validation, and deactivation activities in compliance with defined governance controls.
- Manage Credit limit Approvals & Setup
- Manage complex billing inventories, including claim creation, validation, submission, correction, and rebilling across payer types.
- Investigate and resolve claim edits, rejections, missing information, coding or authorization dependencies, and billing-system exceptions.
- Perform root cause analysis on recurring billing defects, unbilled accounts, delayed submissions, and preventable claim rework.
- Coach Analysts on payer-specific billing requirements, claim-form accuracy, documentation standards, and escalation protocols.
- Partner with Coding, Authorization, AR, Payment Posting, and Client teams to resolve upstream issues affecting timely and accurate billing.
- Prepare operational insights on billing backlog, clean-claim performance, submission timeliness, defects, and revenue-risk trends.
Qualifications we seek in you!
Minimum Qualifications
- 5-8 years of healthcare RCM experience with significant exposure to Billing operations and Customer Master Data Management.
Preferred Qualifications/ Skills
- Strong healthcare RCM functional knowledge across MDM, Billing, and operational governance.
- Experience working with ERP platforms such as SAP, Oracle, SUN System, Telis or similar enterprise systems.
- Strong understanding of Customer Master Data processes, data governance frameworks, and data quality management principles.
- Strong knowledge of healthcare billing, claim forms, payer requirements, claim edits, and rejection resolution.
- Ability to manage complex billing scenarios, high-volume inventories, and escalated claim issues.
- Strong analytical, coaching, stakeholder management, and documentation skills.
- Experience with billing platforms, clearinghouses, payer portals, claim-scrubber tools, and operational reporting.
Why join Genpact?
- Be a transformation leader Work at the cutting edge of AI automation and digital innovation
- Make an impact Drive change for global enterprises and solve business challenges that matter
- Accelerate your career Get hands-on experience mentorship and continuous learning opportunities
- Work with the best Join 140 000+ bold thinkers and problem-solvers who push boundaries every day
- Thrive in a values-driven culture Our courage curiosity and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up.
Let’s build tomorrow together.
Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race color religion or belief sex age national origin citizenship status marital status military/veteran status genetic information sexual orientation gender identity physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity customer focus and innovation.
Furthermore please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit ' paying to apply or purchasing equipment or training.
📌 RCM (AR) -Specialist - Customer MDM and Billing Operations (Delhi)
🏢 Genpact
📍 Delhi