James Santhosh
RCM Specialist – Denials Management
Talent
ChennaiMember since May 19, 2026
ICD-10 codingRevenue Cycle Management (RCM)Medical claim submissionsClaim audits and validationsHealthcare reimbursement methodologiesWMS software
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ICD-10 codingRevenue Cycle Management (RCM)Medical claim submissionsClaim audits and validationsHealthcare reimbursement methodologies
About
Dynamic and results-driven Medical Billing Specialist at OncoSpark Private Limited, with demonstrated expertise in CPT and ICD-10 coding, and a deep understanding of healthcare reimbursement methodologies. Recognized for consistently resolving complex denied claims and driving measurable improvements in revenue cycle performance.
Experience
Medical billing Specialist - ONCOSPARK INDIA PVT LTD
(2023-03)
- Spearheaded end-to-end Revenue Cycle Management (RCM) processes, ensuring timely and accurate medical claim submissions to insurance providers.
- Prepared, processed, and submitted both electronic and paper-based medical claims, adhering to payer-specific requirements and billing guidelines.
- Conducted detailed claim audits and validations, identifying and correcting errors to ensure billing accuracy and minimize claim rejections.
- Effectively analyzed and resolved denied or rejected claims, leveraging payer policies and coding expertise to recover reimbursements and reduce revenue leakage.
- Maintained comprehensive and compliant documentation of billing activities, ensuring data integrity and audit-readiness.
- Collaborated with cross-functional teams to enhance billing workflow efficiency, contributing to overall improvements in revenue cycle performance.
Education
Bachelor of Engineering - CSI Institute of Technology Kaniya kumari (2019-07)
Higher Secondary School Certificate - Kallakurichi Higher Secondary School (2015-07)
Government Boys Higher Secondary School
Skills
RCM SpecialistDenials Management
