The role
Neon Link places experienced US healthcare revenue cycle professionals with US medical practices, billing companies, behavioral health groups and DME suppliers, matched to whichever of four lanes you know best: billing and AR calling, medical coding, prior authorization and eligibility verification, or provider credentialing and payer enrollment. Billing and AR own the claim from submission through denial management, appeal and payment, in practice management systems such as Kareo or Tebra, AdvancedMD or athenahealth and payer portals like Availity. Coders assign CPT, ICD-10-CM and HCPCS codes from the documentation and hold the line when a payer pushes back.
Prior authorization and eligibility clear the way before the visit, and credentialing keeps providers enrolled and in network through CAQH ProView, PECOS and payer enrollment, so the claims can be paid at all. AR calling is a voice process, authorization and credentialing work means regular calls with US payers, and coding is non-voice. If you've done AR calling at a US healthcare BPO or coding at a KPO, it's the same work, from home, for a US client.
It matters because a practice runs on money it has already earned: a denial nobody works, a code the note won't support or an enrollment that lapses is money that never arrives.
Every placement handles patient health information under HIPAA rules and a signed BAA, the business associate agreement US healthcare privacy law requires, so we look for people who are careful by habit, not only when someone is watching. People do well here when they read a denial and know the next move, document every call, and keep the provider informed without being chased. Day to day you'll take direction from the client's practice manager or team lead, as part of their team, with Neon Link behind you. Before your first live claim, chart or enrollment you're trained on the client's systems, payer rules and escalation path.
What you'll do
- Billing and AR: review charges and submit clean claims on the CMS-1500 or UB-04 with the right modifiers and payer rules, and clear clearinghouse rejections and front end edits before they reach the payer
- Billing and AR: do pre-call analysis, check claim status by payer call, IVR or portal, work the aging report by bucket, oldest and largest balances first, and handle denial management from the CARC and RARC codes until each claim is paid or closed for a documented reason
- Billing and AR: post payments from ERAs and EOBs, spot underpayments against the fee schedule or payer contract, and flag credit balances and overpayments for refund review
- Coding: assign CPT, ICD-10-CM, HCPCS Level II and modifiers from the documentation under E/M guidelines, NCCI edits and LCD and NCD rules, query the provider when a note won't support the code, recode or defend coding denials, and keep up with annual code set changes
- Prior authorization and eligibility: verify eligibility and benefits before the visit, submit authorizations through payer portals with the clinical notes the payer asks for, and track each one to approval, peer to peer review or appeal
- Credentialing: build and maintain CAQH ProView profiles, file CMS-855 applications through PECOS, keep NPPES current, run commercial and Medicaid enrollments, revalidations and re-credentialing, and track every expirable, from licenses and DEA registrations to malpractice coverage
- Log every payer call, portal check and provider query with a reference number, name, date and next step, so anyone can pick up the account
- Escalate payer problems with the facts gathered: claim or application number, call reference, timeline and what you tried, and send your lead a short weekly note on what moved, what's stuck and what you need
- For billing and AR, clean claim rate, first pass denials, days in AR and the 90 plus day bucket moving the right way, against targets set with the client
- For coding, accuracy on the client's coding audits, and few denials that trace back to a code you assigned
- For prior authorization and eligibility, every scheduled visit verified and every required authorization on file before the date of service, on the client's timelines
- For credentialing, CAQH attestations and every expirable tracked for every provider, and enrollments submitted complete so they don't come back for missing items
What you bring
- 2 or more years in one of the four lanes on US healthcare accounts, at an RCM company, BPO or KPO, or directly for US providers; tell us which lane, for how long, and which is strongest if you've done more than one
- Billing for hospitals, clinics or TPAs in India doesn't count for this role, and neither does payer-side claims processing or coding training without production coding on live US charts, so this isn't a fresher role
- Billing and AR: hands-on AR calling and denial management on US claims, fluent in CARC and RARC codes, CMS-1500 and UB-04 claims, modifiers and timely filing, in at least one US practice management or EHR system, for example Kareo or Tebra, AdvancedMD, eClinicalWorks, athenahealth, DrChrono, NextGen or Epic, and a clearinghouse such as Availity, Office Ally or Waystar, with the patience to stay professional at minute forty on hold
- Coding: production coding on live US charts in CPT, ICD-10-CM, HCPCS Level II and modifiers under E/M guidelines, NCCI edits and LCDs, with an encoder such as EncoderPro or Find-A-Code, and a current CPC, COC or CCS; tell us your specialty, such as E/M, ED, surgery, radiology or risk adjustment
- Prior authorization and eligibility: eligibility and benefits verification through payer portals and calls, and authorizations submitted with medical necessity documentation and tracked to a decision, including peer to peer requests and appeals
- Credentialing: CAQH ProView profiles and attestations, Medicare enrollment through PECOS and the CMS-855 forms, NPPES updates, and commercial and Medicaid enrollment and re-credentialing for providers and groups
- Every lane: working knowledge of how commercial plans, Medicare, Medicare Advantage, Medicaid and workers comp differ on coverage rules, appeals and timely filing
- Careful with patient and provider information: you understand the HIPAA minimum necessary rule and don't move charts, EOBs or provider files onto personal devices, and you'll sign a confidentiality agreement, pass a background check and show a photo ID and proof of your US healthcare RCM experience, such as experience letters, relieving letters or payslips
- Clear, neutral spoken English for calls with US payer reps, which matters more than any accent, and clear written English for appeals, provider queries and account notes
- Able to work US business hours, a night shift that starts between 5:30pm and 10:30pm India time depending on the client's US time zone and the time of year, and to hold that schedule long term
- Education: any graduate preferred, not required; relevant experience matters more
- Outside the coding lane, a current CPB, CRCR, CPCS or CPMSM; for coders, a second credential such as CPMA
- A specialty you know cold, for example behavioral health, orthopedics, DME, anesthesia, oncology or telehealth
- Credentialing platforms such as Modio, Verifiable, CredentialStream or symplr
- Experience clearing the claims or charts that billing or coding automation flags
- Excel or Google Sheets past the basics, including pivot tables, lookups and a readable AR aging report
Work setup
- Your own Windows 10 or 11 computer with a Core i5 or Ryzen 5 and 8 GB of RAM or more that runs the client's tools, plus two monitors, a webcam and a noise canceling headset
- Broadband of at least 25 Mbps with a mobile hotspot as backup
- UPS or inverter power backup so a power cut doesn't end your shift
- A quiet, private workspace where patient information can't be seen or overheard
- Tell us your city and state when you apply; we hire across regions, so one storm or outage doesn't hit everyone at once
You'll do well here if
Questions applicants ask
- Is this job work from home?
- Yes. Remote, work from home, anywhere in India, no night commute.
- How much does it pay?
- INR 40,000 to 65,000 a month (about INR 238 to 387 an hour). About 4.8 to 7.8 LPA, paid as a fixed amount that already covers night hours. Pay is in Indian rupees (INR).
- What are the working hours?
- Monday to Friday, US business hours (night shift in India), weekends off; exact shift set with the client.
- When would I start?
- Hiring now.
- How do I apply?
- Use the form on this page: your resume, a few questions about this role, your expected pay and a short voice introduction you record on the page. A person reads every application.
- Does Neon Link charge a fee to apply?
- No. Neon Link never charges a fee to apply, test, train or start, and only contacts applicants from neonlink.ai email addresses.