RCM Associate (Charge Posting) in भारत

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an RCM Associate (Charge Posting) based in India. The RCM Associate (Charge Posting) will play an important role in ensuring accurate medical billing, efficient claim submission, and reliable revenue cycle management for healthcare providers. In this position, you will work across charge entry, coding verification, insurance claim processing, and payment posting to support accurate and timely reimbursement. You will review clinical documentation, validate billing details, and identify potential coding errors or claim discrepancies before submission to help prevent denials. The role also involves reconciling payments, investigating underpayments, resolving posting issues, and maintaining accurate financial records. You will collaborate with a growing healthcare revenue cycle team while using practice management systems and AI-powered platforms to streamline billing workflows. This opportunity offers meaningful ownership, exposure to evolving healthcare automation technologies, and the chance to contribute to operational improvements in a fast-paced environment. The position is fully remote within India, with working hours aligned to the US Eastern Time zone to support collaboration with customers and colleagues. Accountabilities: - Accurately enter, review, and manage medical charges and claims in customer practice management (PM) systems and internal platforms using clinical documentation. - Verify medical coding, modifiers, billing details, and medical necessity requirements before submitting claims to insurance companies. - Review clinical documentation and billing information to identify missing records, incorrect codes, unbundled charges, and other discrepancies that could result in claim denials. - Research payer-specific billing guidelines, bundling rules, frequency limitations, clinical editing requirements, and other claim submission policies to ensure compliance.

- Validate claims against insurance requirements, including applicable pre-authorization and supporting documentation requirements. - Submit charges and claims accurately and within established timelines, monitor submission statuses, and coordinate resubmissions when necessary. - Identify, investigate, and escalate coding errors, documentation gaps, and other claim-related issues before submission. - Maintain organized and complete documentation of charge entry, claim submissions, corrections, and related follow-up activities. - Post insurance payments, adjustments, and denials from Electronic Remittance Advice (ERA), Explanation of Benefits (EOB), and lockbox files into customer practice management systems and internal platforms. - Reconcile daily payment batches against bank deposits, investigate missing or mismatched remittance records, and ensure posting accuracy. - Identify underpayments, payment discrepancies, and denials, escalating issues for appropriate follow-up and resolution. - Resolve unapplied cash, credit balances, refunds, recoupments, and balance transfer issues in accordance with established procedures. - Maintain accurate financial and billing records while ensuring that all charge posting and payment posting activities are properly documented. - Collaborate with internal teams and healthcare customers to resolve billing discrepancies, improve claim accuracy, and maintain efficient revenue cycle operations. - Adapt to evolving workflows, customer needs, and operational priorities while contributing to the improvement of AI-supported billing and revenue recovery processes. Requirements: - Have at least 2 years of professional experience in medical billing, charge entry, payment posting, revenue cycle management (RCM), or coding verification. - Possess a strong working knowledge of medical coding, charge capture, claim preparation, and insurance billing procedures.