RCM Ar

Company Description Zen Medical Services focuses on maximizing revenue for healthcare providers while reducing administrative burden and maintaining strict accuracy and compliance standards. The organization emphasizes timely cash flow by verifying active insurance coverage for every claim and ensuring correct ICD, CPT, and modifier usage. Teams closely track unpaid claims, targeting follow-up within 30 days and keeping accounts receivable over 90 days below 5%. Daily monitoring of clearinghouse rejection logs and denial management helps maintain high claim acceptance rates and efficient reimbursement processes. This systematic approach supports reliable financial performance and consistent operational efficiency for clients.
Role Description The RCM AR role at Zen Medical Services is a full-time, on-site position based in Ahmedabad. The role involves managing accounts receivable, reviewing and validating claims for accuracy, and ensuring that insurance information, coding, and modifiers are correctly applied. The RCM AR specialist will follow up on unpaid and denied claims, identify root causes, and coordinate with billing, coding, and client teams to resolve issues promptly. Daily responsibilities include monitoring A/R aging, maintaining targets for claims over 90 days, reviewing clearinghouse rejection logs, and updating documentation and systems to reflect current claim status. The role also requires maintaining compliance with payer guidelines, contributing to process improvements, and communicating clearly and professionally with internal stakeholders and, when needed, payers.
Qualifications
Strong knowledge of medical billing processes, revenue cycle management, and accounts receivable follow-up.
Understanding of insurance verification, payer guidelines, and denial management procedures.
Familiarity with ICD, CPT, and modifier usage, and ability to identify coding-related issues impacting reimbursement.
Experience working with billing software, clearinghouse platforms, and A/R reporting tools.
Attention to detail, analytical thinking, and ability to interpret A/R aging reports and claim status data.
Effective written and verbal communication skills, with the ability to collaborate with cross-functional teams.
Ability to work on-site in Ahmedabad, manage time efficiently, and handle multiple priorities in a fast-paced environment.
Previous experience in RCM, AR follow-up, or medical billing is preferred; a related diploma or degree in healthcare, finance, or business is an advantage.

Work arrangement
No