AR Specialist / Rcm Specialist / Charge Entry / Payment Posting / EVBV

Doctus Software Solutions Pvt Ltd; Hyderabad; On-site; INR 279,000 - 446,000; Full time

Job summary

Doctus Software Solutions Pvt Ltd in Hyderabad seeks a Medical Billing / RCM Executive with basic knowledge of US Healthcare billing. You will handle AR follow-ups, denial management, and CMS-1500 claim submissions to ensure timely reimbursements.

Ideal candidates demonstrate strong communication, analytical and problem-solving skills, maintain billing accuracy, verify eligibility, and follow HIPAA guidelines while meeting productivity targets.

Qualifications

• Graduate with a basic understanding of US Healthcare billing.
• Experience or exposure to AR denials, charge entry, and payment posting.
• Ability to verify patient eligibility and insurance benefits.
• Strong communication, analytical and problem-solving skills.

Responsibilities

• Handle AR follow-ups and denial management to resolve unpaid claims.
• Perform accurate charge entry based on provider documentation and billing guidelines.
• Post insurance and patient payments, including adjustments, and review EOB/ERA details.
• Verify patient insurance eligibility, benefits, deductibles, co-payments, and coverage details.
• Review CMS-1500 professional claims and ensure accurate claim submission.
• Identify claim rejections, analyze billing errors, and take corrective actions.
• Follow up with insurance companies to resolve claim and reimbursement issues.
• Maintain billing accuracy and follow payer guidelines and HIPAA regulations.

Skills

AR denials

Charge entry

Payment posting

Eligibility verification

US healthcare knowledge

Communication & problem-solving

Accuracy & productivity

Education

Graduate degree

Job description

Job Description Medical Billing / RCM Executive

We are looking for candidates with knowledge or experience in US Healthcare Medical Billing and Revenue Cycle Management (RCM).

Roles and Responsibilities

• Handle Accounts Receivable (AR) follow-ups and denial management to resolve unpaid and denied claims.
• Perform accurate charge entry based on provider documentation and billing guidelines.
• Post insurance and patient payments, including adjustments, and review EOB/ERA details.
• Verify patient insurance eligibility, benefits, deductibles, co-payments, and coverage details.
• Review and process CMS-1500 professional claims and ensure accurate claim submission.
• Identify claim rejections, analyze billing errors, and take corrective actions.
• Follow up with insurance companies to resolve claim and reimbursement issues.
• Maintain billing accuracy and follow payer guidelines and HIPAA regulations.

Required Skills

• Basic knowledge of AR Denials, Charge Entry, Payment Posting, and Eligibility Verification.
• Understanding of US Healthcare Medical Billing and RCM processes.
• Good communication, analytical, and problem-solving skills.
• Ability to maintain accuracy and meet productivity targets.

Qualification

Any graduate degree preferred. Relevant Medical Billing / RCM experience is an advantage.