5+ years of experience in insurance eligibility, medical billing, AR follow-up, and denial management
Direct experience in a hospital system or physician practice
Deep knowledge of payer portals and clearinghouse workflows
Proficiency in at least two practice management systems
Expertise in denial resolution across various categories
Responsibilities
Deploy to new client go-lives and manage claims from day one
Participate in client onboarding calls, providing feedback on workflows
Bridge the production gap during the ramp-up of permanent staff
Adapt quickly to multiple practice management systems and payer portals
Identify and escalate gaps in client-provided SOPs with recommendations
Execute claim follow-up, denial resolution, and payer calls
Document workflows and nuances for the permanent team's SOPs
Pressure-test AI tools against real claims and report findings to engineering
Benefits
Opportunity to work in a dynamic client onboarding environment
Exposure to a variety of practice management systems and payer situations
Ability to influence product development with actionable feedback
Collaboration with a team experienced in revenue cycle management
Scope for personal development through diverse engagement scenarios
Full Job Description
About the Role
We're looking for a Senior RCM Specialist to join our client onboarding team - a small group of experienced billers who deploy to new client go-lives, stabilize the engagement, and build the operational playbook that the permanent team inherits.
This is not a traditional billing seat. You'll rotate across clients, specialties, and payer environments. You'll be the first person to work claims in a new client's system, the one who documents what works and what doesn't, and the voice on client calls during the most critical phase of every engagement. You'll pressure-test our AI tooling against real claims and feed specifics back to engineering - not vague feedback, but actionable detail that shapes the product. The role demands deep RCM knowledge, fast adaptation to unfamiliar systems, and a bias for action.
What You'll Do
Deploy to new client go-lives and work claims end-to-end in the client's PMS and the Amperos workqueue from day one
Participate in client onboarding calls and provide claim-level feedback on workflows and tooling
Bridge the production gap while permanent associates ramp to full capacity
Work across multiple practice management systems and payer portals with minimal ramp time
Identify gaps in client-provided SOPs and escalate with specific recommendations
Execute claim follow-up, denial resolution, appeals, and payer calls per client-specific SOPs
Document every workflow, exception, and payer-specific nuance - these become the SOPs and training materials for the permanent team
Pressure-test Amperos's AI agents against real claims and surface product issues to engineering with enough detail to act on immediately
Conduct QA reviews of permanent BA work during the transition and flag quality gaps before the team exits the engagement
What We're Looking For
5+ years of hands-on experience in insurance eligibility and verification, medical billing, AR follow-up, and denial management
Direct experience working in a hospital system or physician practice - you've worked claims from inside a provider environment
Deep working knowledge of payer portals, clearinghouse workflows, and at least two practice management systems
Demonstrated expertise in denial resolution across multiple categories: authorization, medical necessity, timely filing, COB, coding
Experience with appeals processes including writing appeal letters and compiling supporting documentation
Perks & Benefits
In-person culture at our Flatiron office in NYC with paid lunch and dinner
