Junior RCM Executive Jobs Opening in Key MedSolutions Inc. at Bodakdev, Ahmedabad-Others, Ahmedabad
Job Description
A Junior RCM Executive (Revenue Cycle Management) plays a critical role in ensuring the smooth financial operations of healthcare providers by managing the billing, coding, and payment processes. This entry-level position is ideal for candidates looking to build a career in healthcare administration, medical billing, or medical coding.
Jr. RCM Executive work in hospitals, clinics, healthcare outsourcing companies, or medical billing firms. They are responsible for supporting the end-to-end revenue cycle — from patient registration to the final payment of a medical bill — by ensuring accurate data entry, claims submission, and timely follow-up with insurance companies.
Key Responsibilities
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Patient Data and Charge Entry
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Accurately enter patient demographics, insurance details, and medical service information into billing systems.
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Review and validate billing forms and medical records for completeness and accuracy.
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Ensure all data is compliant with healthcare regulations and privacy standards.
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Medical Coding Support
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Assist in applying standard medical codes (ICD-10, CPT, HCPCS) based on physician documentation and medical procedures.
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Coordinate with coders or senior executives to ensure correct coding for insurance reimbursement.
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Identify and flag discrepancies or missing information for review.
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Claims Submission
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Prepare and submit clean claims to insurance companies (private, government, and third-party payers) via electronic or paper format.
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Monitor claim rejections or denials and work with the billing or coding team to resolve issues promptly.
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Ensure timely filing of claims to avoid delays in payment.
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Accounts Receivable Follow-Up
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Follow up on outstanding claims with insurance companies via calls, emails, or online portals.
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Investigate denied or underpaid claims and initiate corrective actions such as appeals or resubmissions.
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Update claim status in the system and maintain detailed logs of communication.
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Payment Posting and Reconciliation
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Assist in posting insurance and patient payments accurately into billing systems.
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Match payments against claims and identify any shortfalls or overpayments.
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Coordinate with the finance team to resolve payment discrepancies.
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Customer and Client Communication
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Interact with patients (if applicable) to clarify billing questions or payment options.
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Collaborate with clients, team leaders, or providers to address RCM issues and provide status updates.
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Maintain a high level of professionalism and confidentiality in all interactions.
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Compliance and Documentation
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Adhere to HIPAA and other regulatory standards related to patient data and financial information.
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Maintain accurate and organized documentation for audits and internal reviews.
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Stay updated on changes in billing rules, payer policies, and coding guidelines.
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More information about this Junior RCM Executive Job
Please go through the below FAQs to get all answers related to the given Junior RCM Executive job
- What are the job requirements to apply for this Junior RCM Executive job position?
- Ans: A candidate must have a minimum of fresher as an Junior RCM Executive
- What is the qualification for this job?
- Ans: The candidate can be a Graduate from any of the following: B.Com, B.Pharm, BA, BBA/BBM, BSc, Other Graduate
- What is the hiring Process of this job?
- Ans: The hiring process all depends on the company. Normally for an entry level, hiring the candidate has to go for Aptitude, GD (If they look for communication),Technical test and face to face interviews.
- This Junior RCM Executive is a work from home job?
- Ans: No ,its not a Work from Home Job.
- How many job vacancies are opening for the Junior RCM Executive position?
- Ans: There are immediate 100 job openings for Junior RCM Executive in our Organisation.