Revenue Cycle Management Specialist - Care… at Everhope… · San…

About 2070 Health

W Health Ventures has set up India's first healthcare focused Venture Studio called  2070Health - an innovation platform that builds transformative healthcare companies from scratch by discovering disruptive opportunities in whitespaces. Distinct from the accelerator approach, our venture studio is closely involved in idea generation, day-to-day operations, and strategic decisions of growing the new business. Companies incubated in the last 24 months includeEverbright Health, Elevate Now, Nivaan Care, Reveal Healthtech , BabyMD and Everhope Oncology.

This role is for a company we are incubating within the studio.

The Role

This role is part of a new company we are actively incubating in the US care navigation space. We embed fully managed care navigation, including staffing, technology, and compliance, into provider practices so they can stand up CMS-reimbursable Community Health Integration (CHI) and Principal Illness Navigation (PIN) programs for their Medicare patients with zero upfront cost. We exist to make a brand-new Medicare benefit easy to deliver and easy to bill.

This is a chance to be on the ground floor of something being built from scratch.

We are hiring a Revenue Cycle Management Specialist based in India, with hands-on, in-the-claims experience billing Community Health Integration (CHI) and Principal Illness Navigation (PIN) for US Medicare beneficiaries. This is a fully remote role working US shift hours (EST or CST overlap, typically 5:30 PM IST onwards). This is not a generic billing role. You will own the end-to-end RCM motion for Kero's care navigation services and be the person who makes sure our claims get paid clean, on time, and with zero compliance risk.

What You'll Own

·       Own end-to-end RCM 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 / PIN submissions.

·       Work clearinghouse edits, manage denials, and run appeals to closure.

·       Run AR aging, payment posting, and ERA / EOB reconciliation; flag payer and MAC-specific trends to leadership.

·       Partner with care navigators and clinicians to close documentation gaps, and report KPIs back to the team.