RCM Specialist

13 hours ago

tamil nadu, India CapMinds Full time
Company Owerview:
CapMinds is a health-IT digital transformation partner for healthcare and related organizations worldwide. We provide technology research, solutions, and services for global businesses, enabling them to be more efficient, focused, and innovative.
www.capminds.com
Job Description:
 We are looking for an experienced Revenue Cycle Management (RCM) Specialist with 4–5 years of proven expertise in end-to-end RCM operations. The ideal candidate will be responsible for managing and optimizing the complete revenue cycle, ensuring accuracy, compliance, and efficiency across all processes.
Key Responsibilities:
  • Manage the full revenue cycle, including patient registration, insurance verification, charge capture, coding, claim submission, payment posting, denial management, and accounts receivable follow-up.
  • Review patient accounts to ensure accurate ICD-10, CPT, and HCPCS coding, along with compliant billing practices.
  • Investigate and resolve denied or rejected claims, coordinating timely resubmissions to minimize revenue loss.
  • Collaborate with clinical teams to ensure documentation accurately supports coding and billing requirements.
  • Optimize RCM processes to reduce denials, improve cash flow, and accelerate collections.
  • Ensure compliance with HIPAA guidelines and payer-specific regulations.
  • Prepare and present reports on billing performance, AR aging, and key revenue metrics.
  • Identify and implement workflow improvements to drive efficiency and maximize revenue.
Requirements:
  • 4–5 years of proven experience in end-to-end RCM within the healthcare industry.
  • Strong knowledge of ICD-10, CPT, and HCPCS coding standards.
  • Hands-on experience with EMR/EHR systems and billing software.
  • Excellent analytical, organizational, and problem-solving abilities.
  • Strong communication skills for effective interaction with patients, payers, and internal stakeholders.
  • Expertise in insurance verification, claim submission, denial management, and AR follow-up.

  • Hcc Medical Coder

    4 days ago

    Eachanari, Coimbatore, Tamil Nadu, India Clarus RCM Full time

    **Position: Medical Coder (Fresher)** **Location**: Coimbatore **Qualification**:Student With Life Science Background **Company Overview**: Clarus RCM is a dynamic and rapidly growing healthcare revenue cycle management (RCM) company dedicated to optimizing for healthcare providers nationwide. Our innovative solutions and expert team ensure efficient...

  • Hcc Medical Coder

    2 days ago

    Eachanari, Coimbatore, Tamil Nadu, India Clarus RCM Full time

    **Position: Medical Coder (Fresher)** **Location**: Coimbatore **Qualification**: Student With Life Science Background and Certified persons Preferred-BSC,MSC Microbiology, Biology, Botony, BE BME, B Pharm, M pharm, Biochemistry **Company Over** **view**: Clarus RCM is a dynamic and rapidly growing healthcare revenue cycle management (RCM) company...

  • Rcm

    4 days ago

    Coimbatore, Tamil Nadu, India SARA INFOTECH Full time

    **Operational Leadership**: - Manage the full revenue cycle including charge entry, claims submission, payment posting, denial management, and patient billing. - Monitor and improve key RCM metrics such as AR days, collection efficiency, clean claim rate, and denial percentage. - Develop, document, and implement SOPs and quality assurance procedures across...

  • Workflow Specialist

    1 week ago

    Puliakulam, Coimbatore, Tamil Nadu, India NuScript Data Solutions Full time ₹ 1,83,120 - ₹ 32,00,000 per year

    Job Title: Workflow Executive – Medical TranscriptionLocation: Coimbatore, Tamil NaduJob Type: Full-Time | Shift-Based (Including Night Shifts, if required)Salary: ₹1,83,120 – ₹2,61,600 per annum (CTC), depending on experienceAbout UsNuScript is a rapidly growing medical transcription and medical billing company based in Coimbatore, providing...