RCM Analyst

Remote, US (excluding AK, CA, CO, NY, WA). Posted 27 days ago

The role

The RCM Analyst will own day-to-day billing work to ensure infusion treatments are billed accurately and on time. You will use an AI-assisted billing platform to review invoices and resolve discrepancies with vendors.

What you will do

Ingest nursing and pharmacy invoices
Review invoices in an AI-assisted billing platform
Resolve discrepancies with vendors
Build and submit clean claims to payers and TPAs
Post payments and perform ERA/EOB reconciliation
Help close each month's billing
Keep treatment details, HCPCS/CPT codes and encounter information accurate
Work with clinical and care teams to fill in missing information
Flag trends, errors and process gaps to the RCM lead

Required qualifications

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
Ability to prioritize and meet deadlines on your own

Nice to have

Specialty pharmacy, infusion or home-health billing experience
Experience with payer portals or clearinghouses (e.g., Availity, Waystar)
ERA/EOB processing experience
Familiarity with HIPAA

About the company

Leap is a benefits solutions company and pioneer in employer specialty pharmacy. They partner with Fortune 500 companies and leading TPAs to reshape how therapies are delivered and financed.