RCM Analyst

Job Description – RCM Analyst (US Healthcare)

Job Title

RCM Analyst - US Healthcare

Experience

Freshers to 2 Years

Location

Bengaluru, Karnataka

Work Mode

Work from Office / In-Person/Offline

Shift

US Night Shift - Mandatory

Employment Type

Full-Time

About the Role

We are looking for motivated and detail-oriented RCM Analysts to join our US Healthcare Revenue Cycle Management (RCM) team. This role is suitable for freshers and candidates with 0–2 years of experience who are interested in building a career in the US Healthcare industry.

The RCM Analyst will be responsible for supporting various stages of the US Healthcare Revenue Cycle, including payment posting, claims processing, accounts receivable, denial management, insurance follow-up, and patient account resolution.

Key Responsibilities

Perform Payment Posting for insurance and patient payments.

Post EOB (Explanation of Benefits) and ERA (Electronic Remittance Advice) accurately.

Review and understand EOBs, ERAs, CPT, HCPCS, ICD-10, and revenue codes.

Identify and work on underpayments, overpayments, contractual adjustments, and patient responsibility.

Perform Insurance Verification and Eligibility checks when required.

Assist with Claims Submission, Claims Status, and Claims Follow-up.

Work on Accounts Receivable (AR) and outstanding insurance balances.

Perform AR Follow-up with insurance companies/payers.

Research and resolve Claim Denials and Rejections.

Handle Denial Management by identifying denial reasons and taking appropriate corrective action.

Understand common denial categories such as CO, PR, OA, and PI adjustments.

Work on Aging Reports and prioritize accounts based on aging and payer requirements.

Assist with Medical Billing and Claims Adjudication processes.

Understand HIPAA compliance and maintain confidentiality of patient information.

Work with US insurance payers, including Medicare, Medicaid, Commercial/Private Insurance, and Managed Care plans.

Maintain accurate documentation and update account notes in the relevant Practice Management / EHR / Billing systems.

Meet defined productivity, quality, accuracy, and turnaround-time (TAT) targets.

Escalate complex accounts and issues to the appropriate team members.

Follow established SOPs, payer guidelines, and client-specific processes.

Required Skills

Good English communication skills - both written and verbal.

Strong attention to detail and numerical accuracy.

Basic understanding of computers and MS Office.

Ability to understand and follow process guidelines/SOPs.

Good analytical and problem-solving skills.

Ability to work with large volumes of data and repetitive processes.

Willingness to learn US Healthcare and Medical Billing concepts.

Ability to work effectively in a team environment.

Candidates should be comfortable communicating in English with internal teams and, where applicable, US-based stakeholders.

Eligibility

Freshers are welcome to apply.

Candidates with 0–2 years of experience in US Healthcare RCM, Medical Billing, Payment Posting, AR Calling/Follow-up, Claims Processing, Denial Management, or related processes are preferred.

Graduates from any relevant discipline may apply.

Prior experience in US Healthcare RCM/BPO/KPO is an advantage but not mandatory for freshers.

Shift & Work Location

US NIGHT SHIFT - MANDATORY

This is a US Healthcare process, and candidates must be comfortable working in US night-shift timings.

Work from Office / In-Person only.

Location

Bengaluru, Karnataka.

Candidates should be willing to work night shifts on a regular basis.

What We Look For

We are looking for candidates who are

Excellent in English communication

Detail-oriented and accurate

Comfortable working in US night shifts

Willing to learn US Healthcare RCM

Good at analytical thinking and problem solving

Comfortable working in an office environment

Reliable, professional, and committed to meeting process targets

Why Join Us?

Opportunity to build a career in US Healthcare Revenue Cycle Management

Suitable for freshers and early-career professionals

Structured process training

Exposure to multiple areas of US Healthcare RCM

Opportunity to develop expertise in Payment Posting, AR, Claims, and Denial Management

Professional and collaborative work environment

Career growth opportunities based on performance

Interested candidates can apply with their updated resume.

Pay

₹25,000.00 - ₹29,166.00 per month

Benefits

Health insurance

Leave encashment

Provident Fund

Work Location

In person