US Healthcare RCM Analyst SaaS Implementation US - Based Healthcare Startup

About the job:

US Healthcare RCM Analyst (Remote)

Location: Remote India

Company: Projile Corporation

Employment Type: Full-Time

Experience: 37 years

About Projile

Projile Corporation is a North Americabased healthcare technology company and the parent company of Aztute, a healthcare SaaS platform used by providers and community-based organizations in the United States.

Our platform supports care coordination, service delivery, referrals, eligibility, authorizations, billing workflows, claims, remittances, and operational reporting for healthcare organizations.

We are looking for a strong US healthcare RCM (Revenue Cycle Management)professional who can bring practical domain knowledge into a product and customer-facing environment.

About the Role

We are seeking a US Healthcare RCM Analyst to work with our product, development, implementation, and customer success teams.

This is not a medical coding production role, AR calling role, or traditional RCM BPO role. We are looking for someone who understands the US healthcare revenue cycle and can help translate real-world billing and reimbursement workflows into clear requirements, configurations, test scenarios, documentation, and customer guidance.

The right candidate should be comfortable speaking the language of US healthcare billing, claims, eligibility, authorizations, remittances, denials, payment posting, and AR follow-up, while also being able to work with software teams and customers.

What You Will Do

• Work with product, development, QA, implementation, and customer success teams on US healthcare RCM workflows.
• Help explain and document billing, authorization, claim, remittance, denial, adjustment, and payment-posting scenarios.
• Support customer onboarding and implementation discussions related to RCM workflows.
• Help identify whether customer issues are related to configuration, payer rules, workflow gaps, product behavior, or integration issues.
• Create and review practical test scenarios based on real US healthcare billing and reimbursement situations.
• Support internal teams with RCM domain knowledge so that workflows are implemented and explained correctly.
• Help document payer rules, common billing scenarios, exception handling, and customer-specific workflow decisions.
• Participate in customer calls when RCM domain expertise is needed.

What We Are Looking For

• 2-5 years of hands-on US healthcare RCM experience.
• Strong understanding of the US healthcare revenue cycle, including eligibility, authorizations, claims, remittances, denials, adjustments, payment posting, and AR follow-up.
• Experience working with US healthcare providers, payers, clearinghouses, payer portals, or healthcare billing systems.
• Ability to explain RCM concepts clearly to product, development, QA, implementation, support, and customer teams.
• Strong analytical skills and ability to break down billing scenarios into clear workflows, rules, issues, and next steps.
• Strong written and spoken English communication skills.
• Detail-oriented, organized, proactive, and comfortable working in a startup environment.

Strongly Preferred

• Experience as an RCM Business Analyst, Claims Analyst, Billing Systems Analyst, Implementation Analyst, Product Analyst, or RCM SME.
• Exposure to healthcare SaaS platforms, EHR/EMR billing systems, practice management systems, clearinghouses, or claims platforms.
• Familiarity with 837 claims, 835 remittances, claim acknowledgments, CMS-1500, UB-04, HCPCS/CPT, modifiers, ICD-10, CARC/RARC codes, and payer-specific billing rules.
• Experience with Medicaid, Medicare, managed care plans, behavioral health, community health, or home/community-based services.
• Experience with platforms such as Waystar, Office Ally, Availity, Change Healthcare/Optum, TriZetto, Experian, or similar systems.

This Role Is a Good Fit If You

• Have worked in US healthcare RCM and understand the broader claim-to-payment lifecycle.
• Can explain why a claim failed, why a payment did not match, or how payer rules affect billing.
• Enjoy solving workflow and system problems, not just processing transactions.
• Can communicate clearly with both technical and non-technical teams.
• Want to move from transactional RCM work into a product, implementation, and domain expert role.

This Role Is Not a Fit If Your Experience Is Limited To

• Medical coding only.
• AR calling only.
• Payment posting only.
• Eligibility calling only.
• Denial follow-up only.
• Charge entry only.
• Script-based BPO production work without broader RCM workflow understanding.

We respect those roles, but this position requires broader RCM domain knowledge, analysis skills, communication ability, and comfort working with software and customer teams.

Who can apply:

Only those candidates can apply who:

• have minimum 2 years of experience
• are Computer Science Engineering students

Salary:

Competitive salary

Experience

2 year(s)

Deadline:

2035-01-01 00:00:00