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: 1-2 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.
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
- 1-2 years of experience in US Healthcare Revenue Cycle Management.
- Basic knowledge of the end-to-end US Healthcare RCM process.
- Robust 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 practica