MEDICAL BILLING SPECIALIST (US HEALTHCARE RCM)

Company: Synergy Health 360

Position: Medical Billing Specialist

Work Arrangement: Remote

Working Hours: US Time Zone (Night Shift – aligned with US business hours)

About Synergy Health 360

Synergy Health 360 is a US-based healthcare and wellness organization focused on delivering comprehensive, patient-centered healthcare services. With a commitment to quality care, innovation, and operational excellence, we bring together experienced healthcare professionals and modern medical practices to enhance patient experiences and outcomes.

Job Overview

We are looking for a skilled, detail-oriented, and motivated Medical Billing Specialist with experience in US Healthcare Revenue Cycle Management (RCM) to join our growing team. The ideal candidate should have a strong understanding of medical billing processes and the ability to manage claims accurately and efficiently.

Key Responsibilities

- Handle end-to-end medical billing operations.
- Perform charge entry and claim generation.
- Review patient encounters and validate billing information.
- Ensure accurate CPT, HCPCS, ICD-10, and modifier entry.
- Submit claims electronically through clearinghouses and payer portals.
- Review and resolve claim rejections.
- Correct and resubmit rejected claims within payer deadlines.




- Monitor unbilled encounters and pending charge entries.
- Verify insurance information and coordinate with the eligibility team.
- Coordinate with Coding and AR teams to resolve billing discrepancies.
- Follow payer-specific billing guidelines and submission requirements.
- Maintain billing trackers and daily productivity reports.
- Identify recurring billing issues and escalate them to management.
- Ensure compliance with HIPAA guidelines and billing regulations.

Required Skills & Qualifications

- 1–3 years of experience in US Medical Billing.
- Valuable understanding of the US Healthcare RCM lifecycle.
- Knowledge of CPT, HCPCS, ICD-10, and modifiers.
- Experience with Medicare, Medicaid, and commercial insurance.
- Hands-on experience with Athenahealth or similar EHR/PM systems preferred.
- Knowledge of CMS-1500 and electronic claim submission.
- Good analytical, communication, and problem-solving skills.
- Ability to meet daily productivity and quality targets.

What We Are Looking For

- Strong attention to detail.
- Ability to work independently and within a team.
- Good time management and organizational skills.
- Willingness to learn and adapt to changing billing requirements.
- Flexibility to work according to US business hours.

📌 Medical Billing Specialist - US Healthcare RCM (India)
🏢 Synergy Health 360
📍 India