[Hiring] RCM Specialist @Veroa.ai

Role Description

As an RCM Specialist, you will drive key initiatives, solve complex challenges, and collaborate closely with cross-functional teams to help our clients scale and succeed.

• Manage the full revenue cycle, from eligibility and benefits verification to charge entry, claim submission, and payment posting.
• Monitor claim status, work rejections and denials, and file timely appeals.
• Follow up on insurance and patient AR to maximize collections and reduce days in AR.
• Post ERAs/EOBs and reconcile payments to deposits.
• Identify denial trends and coding or documentation issues, and work with providers and front desk staff to fix root causes.
• Manage patient balances, statements, and payment plans with empathy and professionalism.
• Prepare RCM reports on collections, AR aging, denial rate, and payer performance.
• Keep all processes compliant with HIPAA and payer requirements.

Qualifications

• 3+ years of U.S. healthcare revenue cycle management experience.
• Strong knowledge of CPT, ICD-10, modifiers, and commercial and government payer rules.
• Hands-on experience with EHR/practice management systems and clearinghouses.
• Proven success in reducing denials and AR aging.
• Strong analytical and Excel/Google Sheets skills.
• Clear written and spoken English and a solid understanding of HIPAA.

Requirements

• Certifications: CRCR (HFMA), CPC, or CPB (AAPC).
• Technical Exposure: Familiarity with athenahealth, eClinicalWorks, Office Ally, Availity, or Waystar.
• Domain Knowledge: Background in pediatric or primary care practices, including commercial and Medicaid payers, well-child visits, and vaccine billing.

Benefits

• High visibility, fast-paced learning, and ownership over real client outcomes.
• Embrace modern technology, AI workflows, and smart automation internally and externally.
• Work with a team that values output, creative problem-solving, and work-life harmony.

Company Description

Veroa is building the AI-native workforce and learning platform for the next generation of professional services. We believe AI won't replace exceptional professionals. It will amplify them. Our mission is to help organizations identify, develop, and hire exceptional talent globally while giving professionals better ways to continuously learn, build skills, and grow in an AI-driven economy.