RCM Specialist

Navi Mumbai - India

Monthly Salary: Not Disclosed

Posted on: 16 hours ago

Vacancies: 1 Vacancy

Job Summary

Job Title: RCM / Medical Billing Specialist

Schedule: 5 Days a Week Rotational Shifts Rotational Week Off

Experience: 3 – 6 Years

Role Overview

We are looking for experienced professionals with hands-on expertise in U.S.

Healthcare Revenue Cycle Management (RCM) and medical billing troubleshooting.

The ideal candidate should have strong analytical skills deep domain knowledge and

the ability to resolve complex claim posting or configuration issues across multiple

billing systems.

This is a technical and analytical RCM support roleideal for those who go beyond

basic AR follow-up or call-center responsibilities to identify and fix systemic billing

issues.

Key Responsibilities

Provide Level 1 and Level 2 support for RCM workflows including claim

submission charge entry payment posting and denial management.

Troubleshoot payer rejections configuration errors and ERA posting

discrepancies.

Analyze EDI 835/837 transaction data to identify and resolve logic or

mapping issues.

Collaborate with clearinghouses (Waystar Availity Change Healthcare) to

address payer-related discrepancies.

Document recurring issues perform root cause analysis and work with

internal teams to prevent recurrence.

Communicate effectively with U.S. clients ensuring clear solution-oriented

updates and documentation.

Maintain compliance with HIPAA and 42 CFR Part 2 guidelines while

handling sensitive data.

Required Skills s Domain Expertise

Strong understanding of U.S. Healthcare RCM including charge entry

payment posting denial analysis and AR follow-up.

In-depth knowledge of payer rules (Medicare Medicaid commercial

payers).

Working knowledge of CPT ICD-10 HCPCS modifiers and ERA/EDI 835-

837 transactions.

Demonstrated ability to identify root causes behind denials and system-level

billing issues.

Technical Competencies

Hands-on experience with one or more medical billing systems:

CollaborateMD Kareo AdvancedMD Athenahealth eClinicalWorks

DrChrono NextGen PracticeSuite or similar.

Experience using clearinghouse portals such as Waystar Availity and

Change Healthcare.

Familiarity with ticketing tools like Zendesk Freshdesk or Salesforce

Service Cloud.

Strong Excel skills for reporting validation and analysis (pivot tables

lookups).

Customer Support Competencies

Analytical thinker who investigates workflow issues instead of surface-level

resolutions.

Excellent written and verbal communication skills tailored for non-technical

audiences.

Ability to collaborate with internal product or development teams for

technical fixes and process improvements.

Proven record of maintaining high CSAT scores and quick response times.

Qualifications

Bachelor’s Degree (preferably in Commerce Healthcare Administration or

related field).

3–6 years of relevant experience in U.S. Healthcare RCM.

Certifications preferred: HIPAA Awareness AAPC CPC (in progress or

completed).

Required Skills:

Analytical Skill Domain Expertise Verbal Communication Skill Excel Skill Verbal Communication Skills Workflow Excel Communication Skill Healthcare Customer Support Documentation Communication Skills Strong Understanding Technical Support Strong Analytical RCM Revenue cycle management US Healthcare Billing

Job Title: RCM / Medical Billing SpecialistSchedule: 5 Days a Week Rotational Shifts Rotational Week OffExperience: 3 – 6 YearsRole Overview We are looking for experienced professionals with hands-on expertise in U.S. Healthcare Revenue Cycle Management (RCM) and medical billing troubleshooting.T...