Number of Open Positions: 10

We are hiring experienced professionals for our growing US Healthcare Revenue Cycle Management (RCM) operations team. Candidates with experience in Medical Coding, Medical Billing, AR Calling, Denial Management, Payment Posting, and US Healthcare Insurance Follow-up are encouraged to apply.

Open Roles

• Medical Coders
• Medical Billing Executives
• AR Callers
• Denial Management Specialists
• Payment Posting Executives

Mandatory Skills (Applicable Across Roles)

• Experience working with US Healthcare standards and workflows
• Hands-on experience with EMR/EHR platforms such as:
• Epic Systems
• Athenahealth
• Strong understanding of US insurance processes
• Familiarity with HIPAA compliance standards
• Experience with Medicare, Medicaid, and Commercial insurance payers
• Knowledge of RCM lifecycle, denial management, and payer workflows
• Strong communication and documentation skills
• Experience in US Healthcare Revenue Cycle Management (RCM)
• Willingness to work in US/Night shifts
• Ability to work in a fast-paced operational environment

1. Medical Coders

Roles & Responsibilities

• Review medical records and clinical documentation
• Assign accurate ICD-10, CPT, and HCPCS codes
• Apply modifiers appropriately based on payer guidelines
• Ensure coding compliance and accuracy
• Coordinate with billing teams for coding clarifications
• Maintain productivity and quality standards

Required Skills

• Strong knowledge of ICD-10, CPT, HCPCS
• Multi-specialty coding experience preferred
• CPC/CCS certification preferred
• Knowledge of US healthcare payer guidelines

2. Medical Billing Executives

Roles & Responsibilities:

• Perform charge entry and claim preparation
• Submit claims electronically through billing platforms
• Handle clearinghouse rejections and corrections
• Monitor claim acceptance status
• Ensure timely claim submission
• Coordinate with coding and AR teams

Required Skills

• Experience in US medical billing
• Knowledge of claim submission workflows
• Familiarity with clearinghouse processes
• Experience with Athena preferred

3. AR Callers / Denial Management Specialists

Roles & Responsibilities:

• Follow up with insurance companies regarding unpaid claims
• Work on denied and rejected claims
• Handle appeals and claim resubmissions
• Analyze denial reasons and take corrective actions
• Maintain AR aging within operational targets
• Update claim status and notes accurately

Required Skills

• Strong US insurance calling experience
• Knowledge of denial management workflows
• Experience handling Medicare, Medicaid, and commercial payers
• Good communication and analytical skills

4. Payment Posting Executives

Roles & Responsibilities:

• Post insurance and patient payments accurately
• Process ERA/EOB postings
• Reconcile payments and adjustments
• Identify posting discrepancies
• Maintain payment posting accuracy and TAT

Required Skills

• Experience in payment posting processes
• Understanding of EOB/ERA interpretation
• Attention to detail and reconciliation skills

5. Team Lead / QA Executive

Roles & Responsibilities:

• Monitor team productivity and quality
• Conduct workflow audits and quality reviews
• Track KPIs and operational metrics
• Handle escalations and process coordination
• Prepare operational and client reports
• Support training and workflow improvements

Required Skills

• Experience managing US healthcare RCM teams
• Strong reporting and operational skills
• Experience in QA and workflow management
• Good leadership and communication skills