Subject Matter Expert

Enovis Corp; Hyderabad; On-site; INR 600,000 - 1,000,000; Full time

Benefits offered by this job

Medical, Life, and Accidental Insurance

Transportation Allowance/ Pick and Drop Facility

Nightshift Allowances

Job summary

Enovis Corp is looking for a motivated Subject Matter Expert based in Hyderabad, India. As part of our dedicated Revenue Cycle Management team, you will oversee accounts receivable follow-up and resolution of denial claims with US insurance companies.

You will mentor junior associates while ensuring compliance with regulations. This full-time opportunity requires excellent communication skills, analytical abilities, and a strong background in healthcare RCM.

Qualifications

• Minimum 5 years in healthcare RCM with proven expertise.
• Strong knowledge of US Healthcare RCM, especially AR follow-up.
• Proficiency in medical terminology, CPT, ICD-10, HCPCS coding.

Responsibilities

• Train staff on RCM procedures, medical coding, and billing guidelines.
• Investigate claim denials and implement strategies to reduce them.
• Prepare and submit appeals for denied claims in compliance with payer guidelines.

Skills

Communication skills

Analytical skills

Revenue Cycle Management knowledge

Problem-solving ability

Education

Bachelor’s degree in Business or Healthcare Management

Tools

Medical billing software

MS Office Suite

Job description

## Subject Matter ExpertApplylocations: Enovis India - Hyderabadtime type: Full timeposted on: Posted Todayjob requisition id: R0033443## **Who We Are****ABOUT ENOVISTM**Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company’s extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit www.enovis.com.**What You'll Do**At EnovisTM we pay attention to the details. We embrace collaboration with our partners and patients and take pride in the pursuit of scientific excellence — with the goal of transforming medical technology as we know it.Because that’s how we change the lives of patients for the better. And that’s how we create better together. Why work at Enovis? See for yourself.As a key member of the Revenue Cycle Management team, you will play an integral part in helping Enovis drive the medical technology industry forward by transforming patient care and improving patient outcomes.## Job Title: Subject Matter Expert## Location: Hyderabad, India## Business Unit: Revenue Cycle Management## Role Summary:Are you detail-oriented and results-driven? We are looking for a motivated, customer-focused individual to join our team as a Senior Process Executive - Voice. In this role, the Senior Process Executive - Voice will be responsible for accounts receivable (AR) follow-up and denial resolution through effective communication with U.S. insurance companies and payers.The position requires strong communication skills, analytical abilities, and knowledge of revenue cycle management (RCM) to resolve claim issues, reduce outstanding AR, and improve cash flow. Additionally, the Senior Process Executive will mentor junior associates and contribute to process improvements.This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changinginnovations possible in orthopedics and beyond with brands such as DonJoy, Aircast, ProCare and Exos.## Key Responsibilities:*The following are the primary duties and responsibilities of this role. Other related duties may be assigned to meet the business need.** Train staff on updated RCM procedures, medical coding, and billing guidelines.* Provide expert guidance during client meetings and internal reviews.* Act as the primary knowledge source for RCM processes such as billing, cash posting, credit balance, accounts receivables, denial management, and correspondence review.* Monitor RCM metrics like Days in AR, aging above 90 days, collections, and bad debt.* Allocate work and track team performance with operational scorecards.* Investigate claim denials, identify root causes, and implement strategies to reduce denial rates.* Oversee collections follow-up to ensure timely payments from insurers and patients.* Prepare and submit appeals for denied claims in compliance with payer guidelines.* Generate daily, weekly, and monthly operational reports using billing systems and MS Excel.* Identify trends and patterns in accounts receivable and initiate corrective action plans.* Provide insights and recommendations to leadership based on data analysis.* Ensure adherence to HIPAA, state, and federal healthcare regulations.* Recommend process improvements to enhance accuracy, efficiency, and revenue.* Collaborate with other departments to maintain the integrity of the RCM process## Required Skills:* Strong knowledge of US Healthcare RCM, especially AR follow-up, denial management, and payer guidelines.* Excellent verbal communication skills with neutral accent and active listening.* Proficiency in working with practice management systems, payer portals, and MS Office tools.* Strong problem-solving and analytical ability.* Ability to work independently and make decisions under pressure.* Attention to detail and ability to multitask while working with multiple systems.* Flexibility to work in night shifts/US time zones.* Team player with the ability to mentor and support junior staff.* Ability to work 5 days a week in Hyderabad office## Qualifications:* Bachelor’s degree in Business, Healthcare Management, or equivalent.* Minimum 5 years in healthcare RCM with proven expertise.* Medical terminology, CPT, ICD-10, HCPCS coding.* Proficiency in medical billing software and MS Office Suite.* Strong analytical and problem-solving abilities.* Excellent communication (verbal and written).# # ABOUT ENOVISEnovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generatemeasurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company’s extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. Visit www.enovis.com to learn more.**“Creating** **better** **together”.** **It’s** **the** **Enovis** **purpose,** **and** **it’s** **what** **drives** **us** **and** **empowers** **us** **every** **day** **on** **a** **global** **scale.** We know that the power to create better – for our customers, our team members, and our shareholders – begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes.## What does creating better together mean to us at Enovis? Discover the “why” behind our purpose, values and behaviors:Our Enovis Purpose, Values and Behaviors on Vimeo## We offer a comprehensive benefits package which includes:* Medical, Life, and Accidental Insurance* Leaves and Holidays* Transportation Allowance/ Pick and Drop Facility* Nightshift Allowances and Other Benefits