RCM Administration Clerk

Job Description

Job Description

About AmeriPharma

AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.

AmeriPharma’s Benefits

• Full benefits package including medical, dental, vision, life that fits your lifestyle and goals
• Great pay and general compensation structures
• Employee assistance program to assist with mental health, legal questions, financial counseling etc.
• Comprehensive PTO and sick leave options
• 401k program
• Plenty of opportunities for growth and advancement
• Company sponsored outings and team-building events
• Casual Fridays

Job Summary 

The RCM Administration Clerk plays a vital role in supporting the financial operations of AmeriPharma® by ensuring the accuracy and efficiency of the billing and collections process. This position is responsible for a range of administrative and clerical tasks to assist with billing, cash posting, collections, and overall reimbursement activities. This role requires strong communication and time management skills, as well as the ability to work collaboratively with internal departments such as billing, collections, and reimbursement. This role will support day-to-day operations, assist in maintaining accurate financial records, and help ensure timely reimbursement from insurance payers and patients.

Schedule Details 

• Location: On-Site, Laguna Hills, CA
• Hours: Monday to Friday, 8:00 AM to 4:30 PM

Duties and Responsibilities

• Retrieve and provide Explanation of Benefits (EOBs) to the cash posting team
• Sort incoming correspondence and route to the appropriate reimbursement specialist
• Scan and upload daily correspondence into designated folders
• Distribute incoming faxes to appropriate team members
• Support the unapplied cash reporting process
• Assist with patient balance adjustments and related account tasks
• Collaborate with the Lead Biller and Lead Collector to ensure workflows are followed accurately
• Enter and manage data using spreadsheets and Google Sheets
• Maintain and organize departmental documents and communications
• Assist in processing refund and overpayment requests
• Perform general clerical duties such as answering phones and preparing reports or internal documents
• Carry out other duties as assigned by management
  

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
  

Education and Experience Requirements

• 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
  

Preferred 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 is a plus
  

AmeriPharma’s Mission Statement 

Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!

Physical Requirements 

The following physical activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and expectations. While performing the duties of this job, the employee is continuously required to sit and talk or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and stoop, kneel, crouch or crawl. The employee must regularly lift and/or move up to 20 pounds and occasionally lift/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and the ability to adjust focus.

EEO Statement 

The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or on the basis of disability or any other legally protected class.