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AmeriPharmaPosted 1 month ago

RCM Administration Clerk

$41,600–$54,080 year

On-siteLaguna Hills, California, United States

Full TimeEntry LevelSmall

Job Summary

Retrieve and provide Explanation of Benefits (EOBs) to the cash posting team, sort incoming correspondence, and scan daily documents into designated folders. Distribute faxes to appropriate team members, support the unapplied cash reporting process, and assist with patient balance adjustments. Enter and manage data using spreadsheets, maintain departmental documents, and process refund or overpayment requests. Collaborate with the Lead Biller and Lead Collector to ensure workflows are followed accurately while performing general clerical duties such as answering phones and preparing reports. Work Monday to Friday, 8:00 AM to 4:30 PM, on-site in Laguna Hills, CA.

Required Qualifications

  • Ability to read, write, and speak fluent English
  • Strong interpersonal and communication skills
  • Excellent time management, prioritization, and multi-tasking abilities
  • Ability to work independently and collaboratively in a fast-paced environment
  • Strong analytical and problem-solving skills
  • Proficiency with spreadsheets, document scanning, and online claim submission portals
  • Ability to understand and interpret data, reports, and insurance documentation
  • Attention to detail and ability to handle sensitive information with confidentiality
  • High School Diploma or equivalent
  • 1–3 years of experience in billing, collections, clerical, or administrative support
  • Knowledge of ICD-10, CPT, HCPCS codes, and the CMS HCFA 1500 form & electronic billing

Desired Qualifications

  • Billing certification or coursework
  • Understanding of medical billing processes for both commercial and government insurance payers
  • Prior experience with electronic billing systems and terminology used in specialty or infusion pharmacy

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