RCM Analyst

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

📋 Description

• Process nursing and pharmacy invoices, reviewing them within the AI-supported billing platform.

• Address any invoice discrepancies with vendors.

• Accurately build and submit clean claims to payers and TPAs within set deadlines.

• Manage payment postings, including reconciliation of ERA/EOB.

• Assist in closing the billing cycle at the end of each month.

• Ensure accurate maintenance of treatment details, HCPCS/CPT codes, and encounter information in billing systems and trackers.

• Collaborate with clinical and care teams to gather any missing information prior to submission deadlines.

• Identify trends, errors, and process inefficiencies to report to the RCM lead, aiding in automation and scalability efforts.

• Report directly to the Sr. Manager, RCM.

• Oversee daily billing responsibilities for infusion treatments.

⛳️ Requirements

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

• Proficient understanding of HCPCS, particularly J-codes, as well as CPT and ICD-10.

• Exceptional attention to detail in high-volume, repetitive tasks.

• Proficient with spreadsheets and quick to learn new tools.

• Strong written communication skills with the ability to prioritize tasks and meet deadlines independently.

• Experience in specialty pharmacy, infusion, or home-health billing is a plus.

• Familiarity with payer portals or clearinghouses such as Availity or Waystar is advantageous.

• Experience with ERA/EOB processing is a bonus.

• Awareness of HIPAA regulations is beneficial.

• Must be legally authorized to work in the United States.

• Must not require visa sponsorship to work in the United States.

🏝️ Benefits

• Stock options.

• Comprehensive benefits package.

• Competitive total rewards package.