RCM Associate (Charge Posting)

<h3>Accountabilities:</h3><li>Accurately enter, review, and manage medical charges and claims in customer practice management (PM) systems and internal platforms using clinical documentation.</li><li>Verify medical coding, modifiers, billing details, and medical necessity requirements before submitting claims to insurance companies.</li><li>Review clinical documentation and billing information to identify missing records, incorrect codes, unbundled charges, and other discrepancies that could result in claim denials.</li><li>Research payer-specific billing guidelines, bundling rules, frequency limitations, clinical editing requirements, and other claim submission policies to ensure compliance.</li><li>Validate claims against insurance requirements, including applicable pre-authorization and supporting documentation requirements.</li><li>Submit charges and claims accurately and within established timelines, monitor submission statuses, and coordinate resubmissions when necessary.</li><li>Identify, investigate, and escalate coding errors, documentation gaps, and other claim-related issues before submission.</li><li>Maintain organized and complete documentation of charge entry, claim submissions, corrections, and related follow-up activities.</li><li>Post insurance payments, adjustments, and denials from Electronic Remittance Advice (ERA), Explanation of Benefits (EOB), and lockbox files into customer practice management systems and internal platforms.</li><li>Reconcile daily payment batches against bank deposits, investigate missing or mismatched remittance records, and ensure posting accuracy.</li><li>Identify underpayments, payment discrepancies, and denials, escalating issues for appropriate follow-up and resolution.</li><li>Resolve unapplied cash, credit balances, refunds, recoupments, and balance transfer issues in accordance with established procedures.</li><li>Maintain accurate financial and billing records while ensuring that all charge posting and payment posting activities are properly documented.</li><li>Collaborate with internal teams and healthcare customers to resolve billing discrepancies, improve claim accuracy, and maintain efficient revenue cycle operations.</li><li>Adapt to evolving workflows, customer needs, and operational priorities while contributing to the improvement of AI-supported billing and revenue recovery processes.</li><h2>Requirements:</h2><li>Have at least 2 years of professional experience in medical billing, charge entry, payment posting, revenue cycle management (RCM), or coding verification.</li><li>Possess a strong working knowledge of medical coding, charge capture, claim preparation, and insurance billing procedures.</li><li>Demonstrate experience entering and reviewing charges, validating claims, identifying coding discrepancies, and ensuring accurate submissions to insurance payers.</li><li>Understand insurance claim submission requirements, payer-specific billing rules, medical necessity criteria, and pre-authorization processes.</li><li>Be familiar with clinical documentation review, medical coding modifiers, bundling rules, frequency limitations, and clinical editing requirements.</li><li>Have hands-on experience with leading practice management systems, such as eClinicalWorks (eCW), ModMed, Athenahealth, or comparable healthcare billing platforms.</li><li>Understand payment posting workflows, including processing ERAs and EOBs, reconciling payment batches, investigating discrepancies, and identifying underpayments or denials.</li><li>Be capable of resolving unapplied cash, credit balances, refunds, recoupments, and other payment reconciliation issues accurately.</li><li>Demonstrate strong attention to detail, organizational skills, and reliability when handling billing information, financial records, and supporting documentation.</li><li>Possess analytical and problem-solving skills to identify claim errors, investigate discrepancies, and determine appropriate corrective actions.</li><li>Communicate clearly and professionally with colleagues and customers, escalating issues promptly and providing accurate updates.</li><li>Be comfortable working in a fast-paced environment where workflows, customer requirements, and priorities may evolve.</li><li>Demonstrate ownership, accountability, adaptability, and a willingness to learn new tools and processes.</li><li>Be available to work US business hours, specifically<strong>9:00 AM–6:00 PM US Eastern Time</strong>, to support collaboration with customers and distributed team members.</li><li>Be comfortable working remotely while maintaining productivity, documentation standards, and consistent follow-through.</li><h2>Benefits:</h2><li>
<strong>Competitive compensation:</strong>Salary package designed to attract qualified revenue cycle management professionals.</li><li>
<strong>Performance-related opportunity:</strong>Eligibility for a bonus on the employment anniversary date, subject to the applicable compensation terms.</li><li>
<strong>Paid time off:</strong>Paid sick days and vacation days.</li><li>
<strong>Meal stipends:</strong>Financial support for meals as part of the employee benefits package.</li><li>
<strong>Fully remote work:</strong>Work remotely from India without a mandatory office-based arrangement.</li><li>
<strong>Career growth:</strong>Opportunity to develop professionally as part of an expanding healthcare billing and revenue cycle management team.</li><li>
<strong>Emerging technology exposure:</strong>Work at the intersection of traditional medical billing workflows and AI-powered automation.</li><li>
<strong>Meaningful ownership:</strong>Take responsibility for charge accuracy, claim quality, payment reconciliation, and operational improvements.</li><li>
<strong>Collaborative environment:</strong>Work closely with colleagues and healthcare customers while contributing to evolving processes and shared goals.</li><li>
<strong>Global team experience:</strong>Join an expanding team supporting healthcare revenue cycle operations and customer needs.</li><li>
<strong>Working schedule:</strong>US Eastern Time coverage from 9:00 AM to 6:00 PM, with the corresponding local hours in India depending on seasonal daylight-saving changes.</li>