Senior Revenue Cycle Specialist Athenahealth — Remote India

Full-Time | Based in New Delhi (NCR) or Pune | Remote | ₹8–11 LPA CTC | Evening IST (US Central Time morning overlap)

About Remix Medical

Remix Medical is a US-based medical practice running our revenue cycle on athenahealth (athenaOne). We are hiring a Senior Revenue Cycle Specialist to take ownership of full-cycle billing, denials, AR follow-up, and payer communication — working remotely from New Delhi (NCR) or Pune on an evening IST shift that overlaps with US Central Time mornings. This is a direct seat with real ownership, working with US practice leadership — not a queue-clearing role inside a BPO.

About The Role

You will own end-to-end revenue cycle work in athenahealth: charge review, claim submission, denial management, AR follow-up, payment posting, and direct communication with US providers, practice staff, and US insurance payers. You must be comfortable across the full athena workflow — not just one slice of it — and technically sharp enough to build and maintain your own worklists, saved searches, and reports.

What You’ll Own

• Charge review and clean-claim submission, including charge capture verification.
• Insurance eligibility and benefits verification within athenaOne.
• End-to-end denial management: root-cause analysis, correction, resubmission, and appeals.
• AR follow-up across aging buckets, prioritized by payer, dollar value, and timely-filing risk.
• Payment posting, reconciliations, and resolution of unapplied or misapplied payments.
• Patient AR coordination, refund processing, and patient balance escalations.
• Direct phone and email communication with Medicare, Medicaid, and commercial payer representatives.
• Athena worklists, saved searches, holds, kick reasons, and reporting — including building your own.
• Period-end AR reporting and proactive status communication to US practice leadership.
  
  

Required Qualifications

• Minimum 5 years of US healthcare revenue cycle experience — full-cycle, not AR calling alone.
• Recent, hands-on athenahealth (athenaOne) experience across multiple modules — charge entry, denials, AR, payment posting, and worklist/saved-search building. Be ready to discuss specifics in interview.
• Direct experience supporting US-based healthcare clients. Be ready to name the practices, hospitals, or healthcare clients you have supported, your role, and tenure.
• Working knowledge of the US payer landscape: Medicare (Original and Advantage), Medicaid (federal and state variations), and major commercial payers (UnitedHealthcare, Aetna, Cigna, BCBS plans, Humana). Familiarity with common denial reasons, appeals processes, and timely-filing rules by payer type.
• Comfort with CPT, ICD-10, HCPCS, and modifiers to the extent needed to understand the relationship between coding and reimbursement (coding ownership not required).
• Strong written and spoken English for direct calls with US payers and US practice leadership. A short voice screening may be part of the interview.
• Strong Excel skills: pivot tables, lookups, filters, and formulas for AR analysis.
• Comfort with cloud-based US tools: Microsoft 365, Google Workspace, Slack/Teams, MFA, secure file sharing, and learning new payer portals quickly.
• Location: New Delhi (NCR) or Pune only for this posting.
• Sound judgment around HIPAA and PHI handling in a remote work environment.
• Reliable home office: stable broadband, quiet workspace, and a personal computer suitable for cloud-based healthcare applications.
• Ability to consistently work an evening IST shift with overlap into US Central Time mornings. No overnight shift required.
• Bachelor’s degree (B.Com, B.Sc., or related field).
  
  

Preferred Qualifications

• CPC (AAPC), CPB, CCS (AHIMA), or equivalent coding/billing certification.
• US ambulatory or physician-group billing experience (not just hospital billing).
• Prior experience supporting small-to-mid-size US medical practices directly, rather than only large BPO accounts.
• Specialty experience relevant to a multi-provider outpatient practice.
• Hands-on experience with athenahealth Marketplace tools, Bill.com, or integrated payment processors.
• Experience building athena saved searches, dashboards, or workflow customizations.
  
  

What You’ll Bring

• Ownership mindset — you treat the AR like it is your own.
• Audit-grade attention to detail.
• Comfort working independently across time zones with clear, proactive written communication.
• Discretion and integrity with sensitive financial and patient information.
• Bias toward fixing the upstream issue, not just clearing the work item in front of you.
  
  

Schedule, Location, and Compensation

• Full-time, fully remote from India. Candidate must be based in New Delhi (NCR) or Pune.
• Working hours: evening IST with partial overlap into US Central Time mornings. No overnight shift.
• CTC: ₹8,00,000–₹11,00,000 per annum, based on athena depth, US client tenure, and demonstrated communication and technical skills. Exceptional candidates with team-lead potential may be considered above this range.
• Group health insurance for employee and family, equipment allowance, internet/WFH stipend, performance bonus, and statutory benefits as per Indian labor law.
• Direct working relationship with a US-based practice — not a BPO sub-account.
  
  

How To Apply

Submit your resume along with a short note (5–7 sentences) covering:

• Which areas of athenahealth you have hands-on experience with (charge entry, denials, AR, payment posting, worklists, saved searches) and for how long.
• The US healthcare companies, practices, or hospitals you have directly supported, including your role and tenure with each.
• Specific US payers you have spoken with directly and the types of conversations you have handled.
• A brief example of a denial or complex AR issue you personally resolved end-to-end.
• Your current location (New Delhi/NCR or Pune), current CTC, and your comfort level for live calls with US payers.
  
  

Strongest candidates will demonstrate verifiable hands-on athenahealth experience, direct US healthcare client history, breadth across multiple RCM functions, and a Delhi/NCR or Pune base.

Equal Opportunity

We evaluate applicants based on qualifications, experience, and ability to perform the role, and we welcome candidates from all backgrounds.

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