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

5 years

0 Lacs

Posted:3 weeks ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Join Our Healthcare RCM Team – Multiple Open Positions (US Healthcare Process)

Location: Coimbatore (Onsite/Hybrid) | Shift: US Hours EST

We’re hiring skilled professionals to join our growing Healthcare Revenue Cycle Management (RCM)

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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