Revenue Cycle Management (RCM) Associate | US-based Healthcare

Qualifications

Required :

Bachelors degree in Accounting, Finance, Healthcare Administration, or related field

At least 1 to 2 years of experience in the US healthcare revenue cycle, with exposure to payment posting, cash reconciliation, and EOB interpretation

Strong attention to detail and data accuracy

Proficiency in Microsoft Office (Excel, Word, Outlook)

Effective verbal and written communication skills

Preferred :

Hands-on experience with Practice Management Systems (e.g., Avatar, Catalyst, PCMS, Therap, Rethink)

Familiarity with RCM and payment platforms (e.g., Ability / Inovalon, Netsmart)

Knowledge of HIPAA and payment card industry (PCI) data security standards

Experience working with multi-state payers and large-scale healthcare providers

Roles & Responsibilities

Accurately post payments, denials, and adjustments from insurance, patients, and third-party payers within set timelines

Perform daily, weekly, and monthly cash reconciliation and ensure alignment with internal records and bank statements

Monitor and manage unapplied payments, provider-level balances, and refund requests

Balance and verify payment batches and ensure they match remittance advices and bank deposits

Investigate and resolve discrepancies or posting errors by coordinating with other departments or payers

Interpret and apply Explanation of Benefits (EOBs) data for accurate payment processing

Process and post credit card transactions securely and in compliance with industry standards

Generate reports on cash posting activity and identify trends, issues, or improvement opportunities

Maintain clear and professional communication with team members, clients, insurance carriers, and patients regarding payment matters

Ensure compliance with HIPAA, payer guidelines, and internal audit requirements

Recommend and support process improvements to enhance posting workflow efficiency

Support special projects and cross-functional initiatives as assigned by leadership