Walk-in | Subject Matter Expert

Reach Talent Solutions; Tiruchirappalli; On-site; INR 600,000 - 900,000; Full time

Job summary

Reach Talent Solutions in Tiruchirappalli, India, seeks a seasoned US Medical Billing/RCM specialist to manage the full lifecycle from charge entry to final payment. You will perform AR follow-up, deny management, and submit appeals while coordinating with clients via calls and emails.

The role requires 5+ years of US billing experience, strong knowledge of payer rules and CPT/ICD basics, and solid Excel/reporting skills. On-site mid-shift position with team collaboration.

Qualifications

• 5+ years of experience in US Medical Billing / RCM.
• Strong hands-on knowledge of the complete claim lifecycle (charge entry, claim submission, payment posting, AR follow-up, denials and appeals).
• Mandatory: prior experience in client handling through calls and emails.
• Good understanding of payer rules, EOB/ERA, CPT/ICD/modifier basics and denial codes (CARC/RARC).
• Proficiency in MS Excel and reporting.

Responsibilities

• Manage the complete US medical billing and revenue cycle process from charge entry to final payment
• Handle charge entry and payment posting accurately and within defined timelines
• Perform AR follow-up with payers to ensure timely claim resolution and reduce outstanding receivables
• Manage denial management by analyzing claim denials, identifying root causes and driving permanent resolutions
• Prepare and submit appeals and corrected claims, and work toward reducing denial rates
• Handle client queries professionally through calls and emails, ensuring clear and timely communication
• Monitor team productivity, quality and turnaround time (TAT) against client SLAs and targets
• Guide, coach and support team members, and help resolve their process-related queries
• Identify process gaps and recommend improvements to enhance efficiency and collections
• Ensure compliance with client guidelines, HIPAA regulations and payer requirements
• Manage escalations and resolve complex billing issues with ownership and urgency
• Prepare and share regular performance, AR and denial trend reports with management and clients

Skills

US billing knowledge

RCM process

Charge entry

Payment posting

AR follow-up

Denial management

Appeals

Client handling (calls/emails)

Communication skills

Payer rules & CPT/ICD basics

Excel & reporting

Billing software knowledge

Tools

Kareo

AdvancedMD

Athenahealth

eClinicalWorks

Job description

Roles & Responsibilities

• Manage the complete US medical billing and revenue cycle process from charge entry to final payment
• Handle charge entry and payment posting accurately and within defined timelines
• Perform AR follow-up with payers to ensure timely claim resolution and reduce outstanding receivables
• Manage denial management by analyzing claim denials, identifying root causes and driving permanent resolutions
• Prepare and submit appeals and corrected claims, and work toward reducing denial rates
• Handle client queries professionally through calls and emails, ensuring clear and timely communication
• Monitor team productivity, quality and turnaround time (TAT) against client SLAs and targets
• Guide, coach and support team members, and help resolve their process-related queries
• Identify process gaps and recommend improvements to enhance efficiency and collections
• Ensure compliance with client guidelines, HIPAA regulations and payer requirements
• Manage escalations and resolve complex billing issues with ownership and urgency
• Prepare and share regular performance, AR and denial trend reports with management and clients

Required Skills & Experience

• 5+ years of experience in US Medical Billing / RCM
• Strong hands-on knowledge of the complete claim lifecycle (charge entry, claim submission, payment posting, AR follow-up, denials and appeals)
• Excellent verbal and written communication skills
• Mandatory: prior experience in client handling through calls and emails
• Strong analytical, problem-solving and decision-making skills
• Good understanding of payer rules, EOB/ERA, CPT/ICD/modifier basics and denial codes (CARC/RARC)
• Working knowledge of billing software / PM systems (e.g., Kareo, AdvancedMD, Athenahealth, eClinicalWorks) is an advantage
• Proficiency in MS Excel and reporting

Candidate Requirements

• Must be currently residing in Trichy
• Willing to work from office in a mid-shift schedule.