RCM Specialists (Payment Posting)

Amperos
•$50,000 - $65,000

About The Position

Amperos is hiring a detail-oriented Payment Posting Specialist with 2 to 4 years of experience in medical billing and revenue cycle management. The role combines traditional billing workflows with AI-enabled tools to help customers capture revenue and maintain high standards for automation. The specialist posts insurance and patient payments, applies contractual adjustments, reconciles deposits, and identifies underpayments and denials from remittance data. Responsibilities may change as the product and customer base evolve. The role offers meaningful ownership and room to grow. The position requires working US hours, 9 a.m. to 6 p.m. Eastern Time, to collaborate with the team and customers.

Requirements

  • 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 practice-management systems, including NextGen, ModMed, and Athenahealth.
  • Understanding of payer remittance workflows, patient responsibility, and secondary billing.
  • Ability to identify underpayments, incorrect adjustments, and posting discrepancies.
  • Detail-oriented, organized, and reliable in documentation and follow-through.
  • Ability to work US hours (9 a.m. to 6 p.m. ET) to collaborate with the team and customers.
  • Comfort working in a fast-paced environment where processes and priorities can change.

Responsibilities

  • Post insurance and patient payments from ERAs, EOBs, and lockbox files.
  • Enter payments, adjustments, and denial codes into customer practice-management 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 payment-related activity.
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