Revenue Cycle Management (RCM) Roles

Roles directly supporting the financial and billing operations of healthcare providers. This is a core focus area for Amvik, as RCM outsourcing is in high demand across hospitals, clinics, and physician groups. Key RCM roles we can staff include:

Medical Coder

Certified coders who translate clinical documentation into
standardized codes (ICD-10, CPT) for billing. High demand: There’s a ~30%
shortage of medical coders in the US (Addressing another health care shortage: medical coders | American Medical Association), and outsourcing partners help fill this gap (Can’t find enough medical coders in healthcare? Here’s what you can do.).

Medical Billing Specialist

Manages submission of claims to insurance payers
and performs payment posting. Ensures claims are accurate and followed up for prompt reimbursement (Healthcare BPO: Services, Overview And Best
Practices).

Accounts Receivable (AR) Analyst / Collections Specialist

Monitors outstanding receivables, contacts insurance companies or patients for unpaid bills, and drives resolution of denied claims (Healthcare BPO: Services, Overview And Best Practices).

Claims Processing Specialist

Handles end-to-end processing of insurance claims, including eligibility verification, claims scrubbing, and coordination with payers (Healthcare BPO: Services, Overview And Best Practices).

Denial Management Specialist

Focuses on analyzing and appealing denied insurance claims to maximize recovery. Identifies denial patterns to prevent future revenue loss.

Insurance Verification &amp
Pre-Authorization Specialist

Verifies patient insurance coverage and obtains pre-certifications for procedures. This role ensures treatments are approved by payers, reducing denial rates.

Payment Posting Clerk

Posts payments from insurers and patients into the billing system, reconciles remittance data, and flags any payment discrepancies for follow-up.

RCM Analyst/Lead

Oversees revenue cycle metrics, prepares reports on
collections, days in A/R, denial rates, etc., and helps optimize the client’s billing
processes. Often serves as a team lead coordinating the above specialists.

Have questions or need assistance? Get in touch with us!

We provide seamless back-office solutions to our client, All Care Therapies, a leading US-based healthcare company specializing in Speech, Occupational, and Physical Therapy. We look forward to collaborating with you!