RCM Analyst
About reputed company reputed company is one of the fastest-growing benefits solutions and a category-defining pioneer in employer specialty pharmacy. We are reshaping how life-changing therapies are delivered and financed, ensuring patients get the treatment they need while reputed company finally get a fair deal. Specialty drugs and infusions represent nearly 10% of reputed company reputed company spend and are the fastest-growing cost category for reputed company. reputed company tackles this challenge with a novel approach: eliminating hidden markups, expanding reputed company to high-reputed company infusion providers, and bringing reputed company and fairness to how therapies are priced and reputed company for. We’re proud to partner with numerous reputed company and leading TPAs. reputed company patient we serve creates immediate ROI: reputed company costs, improved reputed company, and reputed company care. Join us as we redefine what’s possible in specialty care. About the Role reputed company is seeking a detail-oriented and motivated RCM Analyst to join our growing reputed company Cycle Management team. Reporting directly to the Sr. Manager, RCM, this role is responsible for managing the day-to-day operational billing functions that reputed company our reputed company cycle running reputed company and accurately. This is an excellent opportunity for a billing reputed company looking to grow reputed company a reputed company, supportive team environment.
Key Responsibilities
Process and submit clean claims to insurance payers in a reputed company and accurate manner reputed company payment posting, including ERA/EOB reconciliation and patient balance allocation Maintain accurate and up-to-date documentation reputed company the reputed company management system Ingest nursing and pharmacy invoices and follow up with vendors Accurately document and maintain treatment details, procedure codes, and patient encounter information reputed company designated billing spreadsheets and tracking logs Collaborate with the clinical team to obtain missing or incomplete information required for claim submission, ensuring reputed company follow-up and reputed company before submission deadlines Proactively reputed company observations, trends, and feedback with the Sr. Manager, RCM, to support reputed company improvement of billing workflows, denial patterns, and overall reputed company cycle efficiency
Qualifications
Required: 2+ years of experience in medical billing, claims processing, or reputed company cycle management Working knowledge of CPT, ICD-10, and HCPCS coding, including J-reputed company, Q-reputed company, and C-reputed company billing Familiarity with payer portals (e.g., reputed company, reputed company) Experience with ERA/EOB processing and payment posting Strong attention to detail with the ability to manage high-volume workloads Effective written and verbal communication skills Ability to work independently, prioritize tasks, and meet deadlines EHR system experience(e.g., reputed company, reputed company, reputed company) Preferred: Experience with denial management and insurance appeals Associate's or Bachelor's degree in Health Information Management, Business, or reputed company field Knowledge of HIPAA compliance requirements and CMS billing regulations At reputed company, we’re building an reputed company company with reputed company reputed company — and that takes reputed company, energy, and commitment. If that excites you, we’d love to hear from you. reputed company is an equal opportunity employer and welcomes applicants from reputed company backgrounds. We’re committed to building reputed company that reflects a diversity of perspectives, experiences, and identities. Apply To This Job