RCM Analyst

Posted 16hrs ago

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Job Description

RCM Analyst managing high-volume medical billing for Leap’s employer specialty-pharmacy platform. Submitting claims, reconciling payments, and scaling infusion revenue-cycle processes.

Responsibilities:

  • Ingest nursing and pharmacy invoices and review them in the AI-assisted billing platform
  • Resolve invoice discrepancies with vendors
  • Build and submit clean claims to payers and TPAs accurately and on time
  • Post payments, including ERA/EOB reconciliation
  • Help close each month’s billing
  • Maintain accurate treatment details, HCPCS/CPT codes and encounter information in billing trackers and systems
  • Work with clinical and care teams to fill in missing information before submission deadlines
  • Flag trends, errors and process gaps to the RCM lead to support automation and scaling
  • Report to the Sr. Manager, RCM
  • Own day-to-day billing work for infusion treatments

Requirements:

  • 2+ years of experience in medical billing, claims processing or revenue cycle
  • Working knowledge of HCPCS, especially J-codes, CPT and ICD-10
  • Strong attention to detail across high-volume, repetitive work
  • Comfort with spreadsheets and learning new tools quickly
  • Clear written communication and ability to prioritize and meet deadlines independently
  • Specialty pharmacy, infusion or home-health billing experience (bonus)
  • Experience with payer portals or clearinghouses such as Availity or Waystar (bonus)
  • ERA/EOB processing experience (bonus)
  • Familiarity with HIPAA (bonus)
  • Must be legally authorized to work in the United States
  • Must not require visa sponsorship to work in the United States

Benefits:

  • Stock options
  • Benefits
  • Competitive total rewards package