Medical Coding, Billing, Denial Management, Prior Authorization, Credentialing, Front Office Coordination, or RCM Team Leadership

3 weeks ago

Coimbatore, Tamil Nadu, India Synozon Technology Full time
Join Our Healthcare RCM Team – Multiple Open Positions (US Healthcare Process)

Location: Coimbatore | Shift: US Hours EST

We're hiring skilled professionals to join our growing Healthcare Revenue Cycle Management (RCM) team. If you have experience in Medical Coding, Billing, Denial Management, Prior Authorization, Credentialing, Front Office Coordination, or RCM Team Leadership, we invite you to apply.

Open Roles and Responsibilities

1. Medical Coder

- Review clinical documentation and assign ICD-10, CPT, and HCPCS codes.
- Ensure coding accuracy per CMS and payer guidelines.
- Collaborate with providers for documentation clarification.
- Use EHRs like eClinicalWorks, Epic, Cerner, Athena.

2. Medical Biller

- Submit insurance claims (manual/electronic) and follow up on rejections.
- Post payments and reconcile accounts.
- Verify patient insurance coverage and benefits.
- Handle Medicare, Medicaid, and commercial insurances.

3. Denial Management Specialist

- Analyze EOBs and identify root causes of denials.
- Draft and submit appeals with supporting documentation.
- Maintain denial logs and collaborate with coding and billing teams.

4. Prior Authorization Specialist

- Submit prior auth requests to insurance companies.
- Track approvals and communicate statuses to providers/patients.
- Ensure compliance with payer turnaround timelines.

5. Insurance Credentialing Specialist

- Submit and track credentialing applications with payers.
- Maintain provider profiles (CAQH, PECOS).
- Coordinate with providers for documentation and compliance.

6. Front Office Healthcare Coordinator (Voice Process)

- Answer inbound calls from patients and insurance reps.
- Handle billing queries, coverage explanations, denial statuses, and prior auth info.
- Document interactions in EMR/CRM systems.
- Ensure HIPAA compliance and quality service.

7. RCM Team Lead

- Lead a team across medical coding, billing, denial management, and credentialing.
- Ensure SLA/KPI adherence, client communication, and team development.
- Monitor quality, manage escalations, and enforce compliance protocols.

Required Skills Across Roles

- Strong understanding of US healthcare RCM processes
- Knowledge of ICD-10, CPT, HCPCS, EOBs, CARC/RARC, NPI/PECOS
- Familiarity with tools like eClinicalWorks, Kareo, Availity, CAQH, AthenaHealth
- Excellent communication, attention to detail, and time management
- EMR/EHR and payer portal proficiency

Preferred Certifications (Role-Based)

- Medical Coder/Biller: CPC, CCS, CPB (AAPC/AHIMA)
- Credentialing: CPCS (NAMSS)
- Team Lead: CRCP (HFMA), Lean Six Sigma (Green/Yellow Belt)
- Front Office: Medical Front Office Assistant (optional)

Experience Required

- Strong communication exceptional logical reasoning skills passed out in 2022,2023 & 2024 are open to apply for AR Billing and Analyst role.
- 1–5 years depending on the role
- Specialty coding or multi-specialty billing experience is a plus
- Prior exposure to US-based clients is advantageous
- RCM Team Lead: 5–7 years overall, with 2–3 years of supervisory experience

Educational Qualifications

- Bachelor's or Associate's degree in Life Sciences, Healthcare Administration, or related fields
- Master's/MBA (Healthcare focus) for leadership roles – preferred

Ready to be part of a high-performing RCM team?

Send us your resume to hr@synozon.com and specify the role you're applying for. Let's transform healthcare operations together

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