Senior Medical Biller (India)

We are looking for an experienced Senior Medical Biller with 7+ years of hands-on experience in US Healthcare Provider-side Revenue Cycle Management (RCM), particularly in Accounts Receivable (A/R), Denial Management, Appeals, Payment Posting, and Collections. The successful candidate will independently manage assigned billing accounts, perform end-to-end claim follow-up, identify and resolve denial and payment issues, prepare appeals, and work directly with healthcare practices and insurance payers. This is a client-facing position, so strong communication, relationship management, analytical ability, and skilled judgment are essential. Key Responsibilities 1. Medical Billing & Revenue Cycle Management - Manage the complete medical billing and collections cycle for assigned client accounts. - Ensure claims are accurately prepared, submitted, and followed up within payer timelines. - Perform insurance verification, claim status checks, payment research, and account follow-up. - Work extensively with insurance portals including Medicare, Medicaid, CHAMPS, and other payer platforms. - Ensure timely resolution of billing issues to maximize reimbursement and reduce outstanding A/R. - Maintain accurate documentation of all billing activities and account actions. 2. A/R & Denial Management - Perform detailed A/R follow-up on outstanding and aged accounts. - Analyze A/R reports to identify trends, payment delays, underpayments, and high A/R days. - Investigate and resolve claim denials, rejections, and payment discrepancies. - Identify recurring denial patterns and perform root cause analysis (RCA). - Track and document top denial reasons and apply appropriate denial codes in the billing system. - Develop appropriate action plans to reduce recurring denials. - Maintain consistent follow-up on unresolved claims until appropriate resolution. 3. Appeals & Reconsiderations - Prepare and submit payer appeals and reconsideration requests for denied claims. - Handle Me .