Job Title: Senior Customer Service ExecutiveDate Updated: 23rd May 2025

Function/Sub Function: Operations

Band/Grade: E0.2 & E0.3

Reporting To: Team Leader

Working Shift: US Shifts

Employment Type: Full-Time, Regular

Experience Required:

• Minimum: E0.2 – 12+ months / E0.3 – 24+ months
• Maximum: Up to 48 months

Job Summary:We are looking for an experienced RCM Customer Service Executive – Voice to join our team. The ideal candidate will be responsible for managing the end-to-end revenue cycle process, with a focus on denial management and accounts receivable calling. This role requires excellent communication skills, a proactive approach to issue resolution, and the ability to work effectively in US shifts.

• Key Responsibilities:Review and analyze denied claims to identify trends and root causes
• Develop and implement strategies to reduce denials and improve reimbursement
• Liaise with insurance companies, healthcare providers, and internal teams to resolve denials
• Prepare and submit appeals for denied claims with complete documentation
• Monitor appeal status and follow up regularly for resolution
• Maintain accurate documentation of all denial and appeal activities
• Generate regular reports on denial trends and appeal performance
• Stay updated on payer policies and compliance requirements
• Skills and Competencies:Excellent verbal and written communication skills
• Neutral accent and adaptability to US culture
• Strong ability to resolve queries during first contact
• High level of professionalism, courtesy, and empathy
• Effective active listening and interpersonal skills
• Fast and accurate typing and data entry skills
• Ability to multitask in a dynamic and fast-paced environment
• Team-oriented with the ability to contribute process improvement ideas
• Customer-centric mindset focused on delivering positive experiences
• Educational Qualifications & Experience:Graduate in any stream
• 12–24 months of hands-on experience in Denial Management and Provider/DME AR Calling in the US Healthcare/RCM domain

Key Skills:RCM, Denial Handling, AR Calling, US Healthcare, Medical Billing, Revenue Cycle Management, Voice Support, Communication Skills