Healthcare RCM Specialist

Job Description Healthcare RCM Specialist Company: CogniAI Advanced Research Solutions Pvt Ltd Location: Perungudi, Chennai Employment Type: Full-time, Permanent Role Work Mode: Work from Office Shift: US Shift Experience: 12 Years About the Role CogniAI Advanced Research Solutions Pvt Ltd is looking for a knowledgeable and talented Healthcare Revenue Cycle Management (RCM) Specialist to support our team in developing innovative healthcare RCM solutions. The ideal candidate must have a basic understanding of the end-to-end US Healthcare RCM process and strong hands-on expertise in at least one of the following areas: Prior Authorization, Denial Management, or Medical Coding. This role is ideal for someone who can provide real-world process insights, workflows, challenges, and practical suggestions to help our product and technology teams develop an effective and practical RCM solution. Key Responsibilities Demonstrate a basic understanding of the end-to-end US Healthcare RCM process. Have strong practical knowledge and hands-on experience in at least one of the following areas: Prior Authorization Denial Management Medical Coding Provide insights into real-world RCM workflows, processes, challenges, and exceptions. Work closely with the product, engineering, and AI teams to help translate real-world RCM processes into system requirements and workflows. Identify common process gaps, challenges, and opportunities for automation and improvement. Support the development team by sharing practical use cases and real-world scenarios. Review proposed RCM workflows and provide suggestions based on practical industry experience. Contribute domain knowledge to help build practical, accurate, and effective RCM solutions. Required Skills & Qualifications 12 years of experience in US Healthcare Revenue Cycle Management. Basic knowledge of the end-to-end US Healthcare RCM process. Strong expertise in at least one of the following areas: Prior Authorization Denial Management Medical Coding Ability to explain real-world processes and workflows clearly. Good analytical and problem-solving skills. Ability to identify process challenges and provide practical suggestions. Good communication and collaboration skills. Experience working with EMR/EHR systems, practice management systems, or RCM tools will be an added advantage. What We Are Looking For We are looking for a candidate who understands how RCM processes work in the real-world healthcare environment and can share valuable practical insights with our team. The candidate should have strong hands-on knowledge in at least one core areaPrior Authorization, Denial Management, or Medical Codingand should be able to help us understand the actual workflows, challenges, decision-making processes, and opportunities for improvement. Their domain expertise will play an important role in helping us develop a practical and effective Healthcare RCM solution. Compensation: 25,000.00 - 45,000.00 per month Benefits Health insurance Provident Fund Work Location: In person .