Revenue Cycle Management Specialist - Care Navigation (Medicare CHI/PIN)

1 week, 4 days ago
Full-time
Mid Level
Operations
2070health

2070health

2070 Health is India’s first Venture Studio dedicated to building patient-centric healthcare companies from the ground up. They offer opportunities for individuals to become founders of companies that drive scale and impact in the healthcare industry, ...

Health Care Providers & Services
$30M raised

Description

  • Own end-to-end revenue cycle management for Medicare CHI and PIN claims from eligibility verification through payment posting and reconciliation.
  • Audit charge capture against time logs and clinical documentation to ensure clean CHI and PIN submissions.
  • Work clearinghouse edits, manage denials, and run appeals through resolution.
  • Handle accounts receivable aging, ERA/EOB posting, and payment reconciliation.
  • Identify payer- and MAC-specific trends and report KPI updates to leadership.
  • Partner with care navigators and clinicians to close documentation gaps and reduce claim risk.

Requirements

  • 2 to 5 years of hands-on US medical billing or revenue cycle experience, ideally in an Indian healthcare BPO or US-RCM offshore captive.
  • Direct, demonstrable experience billing Medicare Part B claims is required.
  • Hands-on experience with the CHI and PIN code family, including G0019, G0022, G0023, G0024, G0140, and G0146.
  • Exposure to adjacent time-based Medicare G-codes such as G0136, G0506, G0511, G0556, G0557, G0558, and G2211.
  • Strong working knowledge of related care-coordination codes including CCM, PCM, TCM, BHI, and RPM, and how they interact with CHI and PIN.
  • Fluency in HCPCS, CPT, and ICD-10-CM coding for chronic and serious-illness populations.
  • Comfort using EHR/PMS platforms such as Athenahealth, eClinicalWorks, AdvancedMD, DrChrono, Epic, Cerner, or Kareo, and clearinghouses such as Availity, Change Healthcare/Optum, Trizetto, or Waystar.
  • Excellent written and verbal English communication skills with comfort speaking with US-based providers and care teams.
  • Based in India with availability to work US night shift hours, typically with EST or CST overlap.
  • A stable home internet setup suitable for fully remote work.

Benefits

  • Competitive India-market base salary.
  • Group medical insurance for self and family.
  • Provident Fund (PF) and gratuity benefits.
  • Fully remote work-from-home setup.
  • Flexible PTO.
  • Annual learning and certification stipend for AAPC and AHIMA credentials.

Interested in this position?

Apply directly on the company website

Apply Now

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