AM-RCM (OTC)

0 years

0 Lacs

Posted:2 days ago| Platform: Foundit logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Inviting applications for the role of AssistantManager, Medical Billing Specialist - RCM (Revenue Cycle Management)!

We are seeking a dedicated and detail-oriented Medical Billing Specialist with some years of experience in the US healthcare billing process, preferably from a US healthcare outsourcing company. This role is ideal for a professional who understands end-to-end billing functions and is passionate about accuracy, compliance, and timely submission of claims. If you%27re a strong communicator, analytical thinker, and growth-driven individual, this is the opportunity for you.


Responsibilities



  • Prepare and submit accurate claims to insurance carriers based on payer requirements and billing guidelines.

  • Ensure timely and compliant billing of charges for medical services rendered.

  • Scrub claims to detect and correct coding errors, modifiers, or missing information.

  • Coordinate with coding, AR, and eligibility teams to resolve billing-related issues.

  • Track and follow up on rejected or denied claims and initiate re-submissions.

  • Maintain up-to-date documentation and billing records in client systems.

  • Stay informed about payer rules, CMS guidelines, and billing regulation updates.


Qualifications we seek in you!


Minimum Qualifications / Skills


.Must have B.Com or M.Com degree

Preferred Qualifications/ Skills


.Experience in US healthcare billing with a US healthcare BPO or outsourcing company.

.Knowledge of CPT, ICD-10, HCPCS codes, and modifier usage.

.Familiar with commercial and government payers (Medicare, Medicaid, etc.).

.Strong communication skills - verbal and written.

.High attention to detail and analytical thinking.

.Proficient in billing platforms such as Kareo, AdvancedMD, Athena, or similar systems.


  • Passionate about revenue cycle and process improvement.

  • Goal-oriented and able to meet productivity and quality benchmarks.

  • Collaborative team player with the ability to work independently when needed.

  • Committed to continuous learning and professional growth.


.Work Environment

oOperate within a structured framework but is you are expected to be proactive and analytically independent in your own area of responsibility

Employment Type: Full-Time


Shift: [US Shift/Night Shift EST/EDT hours]
















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