Healthcare providers go into medicine to care for people, but end up losing valuable time each day to admin work and other workplace challenges. Time that could otherwise be spent helping patients. And patients end up suffering as a result. At Commure, we build solutions that simplify providers' lives and keep them connected to their patients so they can focus on doing what matters most: providing care.

Our innovative suite of software and hardware – augmented by advanced LLM AI, RTLS, and healthcare workflow automations – boosts efficiency across every domain of healthcare, freeing up healthcare providers to spend more of their time caring for patients. Our growing suite of technologies include staff duress alerting, asset tracking, patient elopement, revenue cycle management, clinical documentation and intake, provider copilots, patient engagement and communication, home health, remote patient monitoring, and more.

Today, we support over 250,000 clinicians across hundreds of care sites around the country. And we’re only just getting started: Healthcare’s watershed moment for AI-powered transformation is here – so join us in creating the technology to power healthcare!

About the Role:

We are seeking a detail-oriented and proactive Operations Analyst to join our growing Revenue Cycle Management (RCM) team. This role is critical in identifying, analyzing, and resolving medical claim denials across multiple payers and specialties. The ideal candidate will have a strong understanding of RCM workflows, denial codes, and payer policies—with a focus on root-cause resolution and long-term denial prevention.

What You'll Do:

• Analyze and resolve denied medical claims, focusing on CARC/RARC codes and payer-specific denial reasons.

• Collaborate with coding, billing, and enrollment teams to identify and prevent recurring denial patterns.

• Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and LCD/NCD coverage guidelines.

• Work on denials related to modifiers, timely filing, COB, ICD/CPT mismatches, and medical necessity.

• Track resolution timelines, maintain denial logs, and contribute to denial dashboards and performance metrics.

• Assist in preparing appeals and resubmissions, ensuring accurate and compliant documentation.

• Maintain updated knowledge of CMS, Medicare, Medicaid, and commercial payer requirements.

• Contribute to internal denial runbooks, SOPs, and reference documentation.

What You Have:

Educational Qualifications:

• Bachelor’s degree in Healthcare Administration, Business, Life Sciences, or a related field.

• Additional training or certifications in Medical Billing, CPC, or RCM fundamentals is a plus.

Professional Experience:

• 1–2 years of experience in medical billing or RCM, with a specialization in denial management.

• Hands-on experience with denial codes (CO, PR), modifiers, ICD-10/CPT coding, and CLIA compliance.

• Familiarity with EHR systems and clearinghouse platforms.

• Understanding of LCD/NCD policies and payer-specific coverage guidelines.

Technical and Analytical Skills:

• Strong analytical abilities to investigate and resolve claim denial root causes.

• Ability to interpret and work with large volumes of claims data, remittance files, and denial reason codes.

• Comfortable using Microsoft Excel, Google Sheets, and reporting tools.

• Experience with Notion or similar documentation tools is a plus.

Soft Skill Requirements:

• Excellent written and verbal communication skills to interact with cross-functional teams and explain complex denial cases.

• Detail-oriented with a proactive problem-solving approach.

• Capable of working both independently and collaboratively in a high-volume, performance-driven environment.

• High adaptability and eagerness to stay updated with payer policies and regulatory changes.

Preferred Skills:

• Exposure to Medicare, Medicaid, and commercial payer workflows.

• Experience in appeal writing and supporting payer audits.

• Familiarity with maintaining or contributing to a denial runbook or appeals log

Details:

• Work Shift: Night (On-site)

• Weekdays: Monday to Friday

Why you’ll love working at Commure + Athelas:

• Highly Driven Team: We work hard and fast for exceptional results, knowing we’re doing mission-driven work to transform the country’s largest sector.

• Strong Backing: We are backed by top investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital and Elad Gil.

• Incredible Growth: Prior to our merger, Commure and Athelas had independently grown more than 500% YoY for three consecutive years. We’ve achieved Series D funding, have an industry-leading runway, and continue to scale rapidly.

• Competitive Benefits: Flexible PTO (pending specific geographical locations) , medical, dental, vision, maternity and paternity leave. Note that benefits are subject to change and may vary based on jurisdiction.

Commure + Athelas is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process.

Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com, @commure.com or @augmedix.com. Any emails from other domains are not affiliated with our organization.

Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.