RCM Analyst

🕒 Junho 1

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $55.000 - $60.000 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🧐 Analista

🦅 Patrocina Visto H1B

info

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Leap

Leap

11 - 50 funcionários

Fundada em 2023

⚕️ Seguro de Saúde

🤝 B2B

💰 $1.000.000 Venture Round - LEAP HEALTH em 2024-03

Healthcare Insurance • B2B

A Leap é a única solução transparente de benefícios para infusões especiais destinada a empregadores. Ela elimina acréscimos ocultos nos preços de medicamentos e oferece coordenação completa do cuidado com infusões especiais — desde o fornecimento em farmácias até a enfermagem domiciliar — para reduzir os custos de medicamentos especiais e simplificar a experiência do paciente. A Leap atende empregadores autogeridos, corretores/consultores e pacientes com um modelo de cuidado habilitado por tecnologia que reduz gastos com infusões, melhora o engajamento e proporciona economias significativas durante o ano.

Descrição

• Process and submit clean claims to insurance payers in a timely and accurate manner • Perform payment posting, including ERA/EOB reconciliation and patient balance allocation • Maintain accurate and up-to-date documentation within the practice management system • Ingest nursing and pharmacy invoices and follow up with vendors • Accurately document and maintain treatment details, procedure codes, and patient encounter information within designated billing spreadsheets and tracking logs • Collaborate with the clinical team to obtain missing or incomplete information required for claim submission, ensuring timely follow-up and resolution before submission deadlines • Proactively share observations, trends, and feedback with the Sr. Manager, RCM, to support continuous improvement of billing workflows, denial patterns, and overall revenue cycle efficiency

🎯 Requisitos

• 2+ years of experience in medical billing, claims processing, or revenue cycle management • Working knowledge of CPT, ICD-10, and HCPCS coding, including J-code, Q-code, and C-code billing • Familiarity with payer portals (e.g., Waystar, Availity) • 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., AlayaCare, Epic, Athena) • Experience with denial management and insurance appeals (Preferred) • Associate's or Bachelor's degree in Health Information Management, Business, or related field (Preferred) • Knowledge of HIPAA compliance requirements and CMS billing regulations (Preferred)

🏖️ Benefícios

• Offers Equity • Competitive total rewards packages including stock options and benefits

Candidatar-se

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