RCM Associate (Charge Posting)

Accountabilities:

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