RCM Specialist

Requirements

• Education: Bachelor’s in: Health Informatics ,Healthcare Administration / Hospital Management , Business Administration , Management Information Systems
• Experience: Years: 2 – 3 Years
• Fluent in English (spoken & written).
• Advanced Excel skills and data analysis.
• Hands-on experience managing the full Revenue Cycle Management (RCM) process end-to-end (A-Z), including registration, eligibility, pre-authorization, charging, coding, billing, claims submission, rejection management, follow-up, and collections.
• Strong knowledge of Medical Claims, Billing, and Health Insurance Operations.
• Good knowledge of Hospital Information Systems (HIS) and Claims Management Systems.
• Strong knowledge of CCHI regulations, requirements, and healthcare insurance compliance standards.
• Good understanding of CBAHI requirements and healthcare quality standards.
• Ability to identify root causes of claim rejections and implement corrective actions to improve collections.
• Strong analytical, communication, and problem-solving skills.
• Ability to work effectively with cross-functional teams.