Revenue Cycle Management Specialist

Virtual Binz; Udaipur District; On-site; INR 350,000 - 650,000; Full time

Job summary

Virtual Binz LLP in India seeks an RCM professional to manage end-to-end revenue cycle operations, ensuring accurate billing and timely realization. You will oversee eligibility checks, pre-determinations, claims processing, payments, and AR while coordinating across teams.

The role requires strong knowledge of payer guidelines, denials management, and proficiency with platforms like Dentrix, TherapyNotes, and SimplePractice.

Qualifications

• Experience in end-to-end RCM operations.
• Strong knowledge of insurance processes and claims management.
• Proficiency with healthcare practice management software.
• Ability to minimize denials and support revenue realization.

Responsibilities

• Manage the complete RCM workflow from patient scheduling to follow-ups.
• Verify eligibility, benefits, pre-determinations, and processing of claims.
• Monitor claims, denials, payments, AR, and reconciliations.
• Coordinate with payers/clients to resolve issues and closures.
• Identify denial trends and support resubmissions and appeals.
• Maintain detailed documentation and ensure payer compliance.

Skills

Detail oriented

Proactive

Insurance workflows

Claims management

PMS software

RCM end-to-end

Tools

Dentrix

Dentrix Ascend

TherapyNotes

SimplePractice

Headway

Job description

Job Description

We are seeking a detail-oriented and proactive RCMprofessional to manage end-to-end healthcare revenue cycle operations, ensureaccurate billing, minimize claim denials, and support timely revenuerealization. The ideal candidate should have strong knowledge of insuranceprocesses, claims management, and healthcare practice management software.

Requirements

Key Responsibilities

• Managethe complete RCM workflow, including patient scheduling, insuranceeligibility and benefits verification, pre-determinations (Pre-Ds), claimsprocessing, payments, ERAs, denials, accounts receivable (AR),reconciliation, and patient follow-ups.
  
• Reviewpayer guidelines, coverage history, service frequencies, benefitlimitations, out-of-network (OON) benefits, and documentation to identifypotential billing issues.
  
• Monitorappointments, claims, outstanding balances, payments, denials, andfollow-ups while maintaining accurate records and resolving discrepanciesacross systems.
  
• Investigatecomplex account issues and coordinate with payers and clients to ensuretimely resolution from initial verification to final account closure.
  
• Identifyclaim rejection and denial trends, follow up on unpaid or underpaidclaims, and support timely resubmissions and appeals to minimize revenueloss.
  
• Maintaindetailed account documentation, ensure compliance with payer requirements,and recommend process improvements to enhance billing accuracy andoperational efficiency.
  

Required Software Knowledge

Hands-on experience with one or more of the followingplatforms:

• Dentrix
  
• DentrixAscend
  
• TherapyNotes
  
• SimplePractice
  
• Headway