RCM Specialists (Payment Posting)

About the Role

We are looking for a detail-oriented Payment Posting Specialist with 2 to 4 years of experience in medical billing and RCM to join our team. You'll work at the intersection of traditional billing workflows and cutting-edge AI, helping our customers capture every dollar they're owed while ensuring our automation systems perform at the highest standard.

You'll be responsible for posting insurance and patient payments, applying contractual adjustments, reconciling deposits, and identifying underpayments and denials from remittance data. As our product and customer base evolve, your responsibilities may shift to align with near-term priorities. This is a role with meaningful ownership and room to grow.

What you'll do

* Post insurance and patient payments accurately from ERAs, EOBs, and lockbox files

* Enter payments, adjustments, and denial codes into customer PM systems and Amperos platforms

* Apply contractual adjustments and verify allowed amounts against payer contracts and fee schedules

* Reconcile posted payments to bank deposits and clearinghouse reports

* Identify and escalate underpayments, overpayments, and refund situations

* Flag denials and route them to the appropriate follow-up queue with clear notes

* Track unapplied cash, payment variances, and posting errors through resolution

* Maintain organized documentation of all payment-related activity

What we're looking for

* 2 to 4 years of experience in medical billing, payment posting, or cash reconciliation

* Strong working knowledge of ERA/EOB interpretation, CARC/RARC codes, and adjustment types

* Experience with leading PM systems, including NextGen, ModMed, Athenahealth, and more

* Solid understanding of payer remittance workflows, patient responsibility, and secondary billing

* Ability to spot underpayments, incorrect adjustments, and posting discrepancies

* Detail-oriented, organized, and reliable in documentation and follow-through

* Ability to work US hours (9am to 6pm ET) to collaborate with our team and customers

* Comfortable working in a fast-paced environment where processes and priorities can change

Our Values

* Lead with Empathy - Great products and teams are built on empathy—whether for our customers, users, or team members. We take the time to walk in others' shoes, listen actively, and truly understand their challenges, needs, and perspectives.

* Humbly Ambitious - We combine humility with ambition. No task is beneath us, and no challenge too big. Greatness comes from being willing to do whatever it takes, while having the courage to take bold risks and learn from failures.

* Radical Agency - Own your domain. Drive initiatives with autonomy and accountability. Think deeply, communicate with the team, and maintain a bias for action.