Professional, RCM
HyderabadFull-time4–7 yrs40k–₹60k a monthPosted 3 months ago
Mid-level legal role at Advantum Health in Hyderabad. Needs 4+ years. Pays ₹40,000–60,000 a month.
About the role
Professional, RCM at Advantum Health. Process and manage the complete revenue cycle, including charge entry, claim submission, payment posting, denial management, and AR follow-up.
What you'll do
- Process and manage the complete revenue cycle, including charge entry, claim submission, payment posting, denial management, and AR follow-up
- Review claim rejections and denials, identify root causes, and take corrective actions for timely reimbursement
- Follow up with commercial, Medicare, Medicaid, and Workers' Compensation payers through portals and phone calls
- Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) to ensure accurate payment posting
- Resolve underpayments, coding edits, authorization issues, eligibility errors, and documentation deficiencies
What you need
- Compliance
- SOP writing
- Documentation