RCM Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Timely and accurately process and submit clean claims to insurance payers.

• Execute payment posting tasks, which include ERA/EOB reconciliation and allocation of patient balances.

• Keep documentation within the practice management system accurate and up-to-date.

• Manage nursing and pharmacy invoices while coordinating with vendors for follow-ups.

• Precisely document and track treatment details, procedure codes, and patient encounter information within designated billing spreadsheets and logs.

• Work closely with the clinical team to gather any missing or incomplete information necessary for claim submission, ensuring prompt follow-up and resolution prior to submission deadlines.

• Actively provide insights, trends, and feedback to the Sr. Manager, RCM, to enhance billing workflows, address denial patterns, and improve overall revenue cycle efficiency.

⛳️ Requirements

• Minimum of 2 years of experience in medical billing, claims processing, or revenue cycle management.

• Proficient knowledge of CPT, ICD-10, and HCPCS coding, including J-code, Q-code, and C-code billing.

• Experience with payer portals like Waystar and Availity.

• Background in ERA/EOB processing and payment posting.

• Exceptional attention to detail with the capacity to handle high-volume workloads.

• Strong written and verbal communication skills.

• Capability to work independently, prioritize tasks effectively, and meet deadlines.

• Experience with EHR systems such as AlayaCare, Epic, or Athena.

• Background in denial management and insurance appeals is preferred.

• An Associate's or Bachelor's degree in Health Information Management, Business, or a related field is preferred.

• Understanding of HIPAA compliance requirements and CMS billing regulations is preferred.

🏝️ Benefits

• Equity offerings.

• Competitive total rewards packages, which include stock options and other benefits.