US healthcare and medical billing (Revenue Cycle Management - RCM)
. The role focuses on automating billing workflows, reducing claim denials, and improving operational efficiency using Machine Learning and AI technologies.
Key Responsibilities:
Develop and deploy AI/ML models for medical billing and RCM processes
Automate workflows related to claims, AR, eligibility, and denials
Build predictive models for denial forecasting and AR prioritization
Work with healthcare datasets including claims data and EOBs
Collaborate with billing and operations teams to deliver AI solutions
Required Skills:
Strong Python and Machine Learning fundamentals
Experience with TensorFlow / PyTorch / Scikit-learn
Data handling using Pandas, NumPy, and SQL
Understanding of US Medical Billing / RCM
Knowledge of ICD-10, CPT, and HCPCS codes