RCM Analyst
Core
Manage day-to-day operational billing functions to ensure efficient and accurate revenue cycle operations for specialty pharmacy services.
Role type
Revenue Cycle Management Analyst (Medical Billing)
Builds
Clean claims, payment postings, and accurate billing documentation for specialty drug and infusion therapies.
Domain
Healthcare / Specialty Pharmacy / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
medical billing, claims processing, revenue cycle management, CPT coding, ICD-10 coding, HCPCS coding, J-code billing, Q-code billing, C-code billing, payer portal navigation, ERA/EOB processing, payment posting, EHR system operation, high-volume data management
Preferred skills
denial management, insurance appeals, HIPAA compliance knowledge, CMS billing regulations knowledge
Technologies
Waystar, Availity, AlayaCare, Epic, Athena
Responsibilities
Process and submit clean claims to insurance payers; perform payment posting and ERA/EOB reconciliation; maintain accurate documentation in practice management systems; ingest and follow up on nursing and pharmacy invoices; document treatment details and procedure codes; collaborate with clinical teams to resolve missing information; share observations and trends to improve billing workflows.
Seniority
Mid-level, hands-on IC