- Manage the complete US medical billing and revenue cycle process from charge entry to final payment
- Handle charge entry and payment posting accurately and within defined timelines
- Perform AR follow-up with payers to ensure timely claim resolution and reduce outstanding receivables
- Manage denial management by analyzing claim denials, identifying root causes and driving permanent resolutions
- Prepare and submit appeals and corrected claims, and work toward reducing denial rates
- Handle client queries professionally through calls and emails, ensuring explicit and timely communication
- Monitor team productivity, quality and turnaround time (TAT) against client SLAs and targets
- Guide, coach and support team members, and help resolve their process-related queries
- Identify process gaps and recommend improvements to enhance efficiency and collections
- Ensure compliance with client guidelines, HIPAA regulations and payer requirements
- Manage escalations and resolve complex billing issues with ownership and urgency
- Prepare and share regular performance, AR and denial trend reports with management and clients
Required Skills & Experience
- 5+ years of experience in US Medical Billing / RCM
- Strong hands-on knowledge of the complete claim lifecycle (charge entry, claim submission, payment posting, AR follow-up, denials and appeals)
- Excellent verbal and written communication skills
- Mandatory: prior experience in client handling through calls and emails
- Strong analytical, problem-solving and decision-making skills
- Good understanding of payer rules, EOB/ERA, CPT/ICD/modifier basics and denial codes (CARC/RARC)
- Working knowledge of billing software / PM systems (e.g., Kareo, AdvancedMD, Athenahealth, eClinicalWorks) is an advantage
- Proficiency in MS Excel and reporting
Candidate Requirements
- Must be currently residing in Trichy
- Willing to work from office in a mid-shift schedule.