RCM Associate (Charge Posting)

Overview

Work as an RCM Associate focused on charge posting and payment posting, supporting accurate claim submission, payment processing, denial handling, and revenue cycle workflows through customer PM systems and Amperos platforms.

What you'll do

• Post and manage charges accurately.
• Enter charges and claims into customer PM systems and Amperos platforms using clinical documentation.
• Verify coding accuracy, modifiers, and medical necessity before claim submission.
• Research bundling rules, frequency limitations, and other clinical editing logic to prevent denials.
• Identify and escalate claim errors, including incorrect coding, unbundled charges, and missing documentation, before submission.
• Track charge submission status and manage claim resubmissions when needed.
• Maintain organized documentation of all charge-related activity.
• Post payments, adjustments, and denials from ERAs, EOBs, and lockbox files into customer PM systems and Amperos platforms.
• Balance daily batches, reconcile to bank deposits, and resolve missing or mismatched ERAs.
• Flag underpayments and denials.
• Resolve unapplied cash, credit balances, refunds, and recoupments, and transfer balances.

What you'll need

• At least 2 years of experience in medical billing, charge entry, or coding verification.
• Strong working knowledge of medical coding.
• Experience with leading PM systems, including eCW, ModMed, Athenahealth, and more.
• Solid understanding of insurance claim submission requirements and pre-authorization processes.
• Ability to identify coding errors and clinical editing issues before claim submission.
• Detail-oriented, organized, and reliable in documentation and follow-through.
• Ability to work US hours (9am–6pm ET) to collaborate with the team and customers.
• Comfort working in a fast-paced environment where processes and priorities can change.

Details

• Location: India.
• Work remotely.
• Working hours are 9am–6pm ET to collaborate with the team and customers.