Revenue Cycle Management Executive

Sindhu Hospitals; Hyderabad; On-site; INR 350,000 - 600,000; Full time

Job summary

Sindhu Hospitals in Hyderabad seeks an experienced Hospital RCM professional to manage the revenue cycle lifecycle, including billing, insurance/TPA claims, AR follow-up, and denial management to ensure timely revenue realization.

The role requires 2-5 years of RCM/medical billing experience. Graduate in any discipline with healthcare billing certification preferred. Full-time on-site position with cross-functional collaboration across billing, finance and clinical teams.

Qualifications

• 2-5 years of experience in Hospital RCM, Medical Billing, Insurance/TPA or AR operations.
• Graduate in any discipline; healthcare billing certification preferred.

Responsibilities

• Manage end-to-end RCM activities including billing, claims submission and payment posting.
• Coordinate with TPA/insurance companies for cashless approvals and claim processing.
• Follow up on outstanding accounts receivable and pending claims.
• Identify and resolve claim denials, rejections and billing discrepancies.
• Coordinate with IP Billing, Finance, Insurance and Clinical teams for issue resolution.
• Maintain accurate billing, claims and payment records.
• Prepare RCM/AR reports and track pending and rejected claims.
• Ensure compliance with hospital billing policies and insurance/TPA requirements.

Skills

RCM processes

Hospital billing

Claims processing

AR follow-up

Denial management

Education

Graduate in any discipline

Healthcare billing certification

Tools

Billing software

TPA/Insurance systems

Job description

1 - 4 Years

Full Time

Job Description

Job Summary:
Responsible for managing the hospital revenue cycle process, including billing, insurance/TPA claims, accounts receivable, payment follow-up, and denial management to ensure timely revenue realization.

Key Responsibilities:

• Manage end-to-end RCM activities including billing, claims submission and payment posting.
• Coordinate with TPA/insurance companies for cashless approvals and claim processing.
• Follow up on outstanding accounts receivable and pending claims.
• Identify and resolve claim denials, rejections and billing discrepancies.
• Coordinate with IP Billing, Finance, Insurance and Clinical teams for issue resolution.
• Maintain accurate billing, claims and payment records.
• Prepare RCM/AR reports and track pending and rejected claims.
• Ensure compliance with hospital billing policies and insurance/TPA requirements.

Qualification: Graduate in any discipline; healthcare/hospital billing certification preferred.

Experience: 2-5 years of experience in Hospital RCM, Medical Billing, Insurance/TPA or AR operations.