Sobre esta vaga de Medical Billing Account Manager na Pavago
Medical Billing Account Manager
Position Type: Full-Time, Remote
Working Hours: Standard U.S. Business Hours
About the Role
We are seeking an experienced Medical Billing Account Manager to join our Revenue Cycle Management (RCM) team. This is an execution-focused role for a highly organized professional who can independently manage day-to-day medical billing operations while ensuring timely claim processing, denial resolution, collections, and account management.
The ideal candidate has hands-on experience in medical billing and Revenue Cycle Management (RCM), is comfortable working in a fast-paced remote environment, and can quickly integrate into established workflows with minimal supervision.
Responsibilities
Medical Billing & Revenue Cycle Management
- Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify payment discrepancies, denials, and non-payment reasons.
- Analyze, investigate, and resolve claim denials and rejections.
- Review claims to ensure proper diagnosis and procedure code linkage.
- Apply appropriate billing modifiers to support accurate claim adjudication.
- Perform claims scrubbing and quality assurance prior to submission.
- Submit initial, corrected, and secondary claims according to payer guidelines.
- Manage claim queues and prioritize follow-up activities to ensure timely reimbursement.
- Maintain accurate billing records, account documentation, and claim notes.
- Ensure prompt follow-up on unpaid, rejected, or underpaid claims.
Account Management & Insurance Follow-Up
- Research payer portals and insurance websites to resolve claim issues and obtain billing updates.
- Coordinate with insurance carriers regarding claim status and payment inquiries.
- Support client account management and respond to billing-related questions as needed.
- Monitor aging accounts and assist with collections activities.
- Maintain consistent communication while delivering excellent service to clients and internal stakeholders.
Quality & Compliance
- Maintain accuracy and compliance with payer guidelines and billing regulations.
- Meet productivity, quality, and turnaround time expectations.
- Identify billing trends and recommend process improvements where appropriate.
- Work independently while maintaining a high standard of accuracy and accountability.
Required Experience & Skills
Must-Have
- Previous professional experience in Revenue Cycle Management (RCM).
- Hands-on experience with medical billing in a production environment.
- Strong knowledge of claim submission, denial management, claims follow-up, and collections.
- Ability to read and interpret EOBs and ERAs.
- Experience reviewing diagnosis and procedure code relationships.
- Knowledge of billing modifiers and claims scrubbing processes.
- Experience working with insurance payer portals and billing systems.
- Strong organizational, analytical, and problem-solving skills.
- Excellent written and verbal English communication skills.
- Ability to work independently with minimal supervision.
- Previous experience working remotely is preferred.
Preferred Qualifications
- Experience in high-volume medical billing environments.
- Experience supporting Texas-based medical practices.
- Experience with insurance verification and account management.
EHR / Practice Management Systems
Experience with one or more of the following systems is highly preferred:
- eClinicalWorks
- Aprima
- Medisoft
- Veradigm
- Nextech
- CureMD
- Office Practicum
- NextGen
What Makes You a Strong Fit
- You have extensive experience managing medical billing and Revenue Cycle Management workflows.
- You can independently resolve claim denials and payment issues with minimal supervision.
- You are highly organized and can manage a high volume of claims while maintaining accuracy.
- You communicate effectively with clients, insurance providers, and internal teams.
- You thrive in a remote work environment and consistently meet productivity goals.
What Does a Typical Day Look Like?
You'll spend your day reviewing claim submissions, resolving denials, following up with insurance carriers, managing claim queues, researching payer requirements, updating billing documentation, and ensuring timely reimbursement across assigned accounts. You'll work independently while maintaining billing accuracy, supporting client accounts, and helping optimize the overall revenue cycle process.
Success in this role comes from delivering accurate billing, reducing claim turnaround times, improving collections, and maintaining high-quality account management.
Interview Process
- Initial Recruiter Screening
- Client Interview
- Offer Stage
What Happens After You Apply
After submitting your application, our recruitment team will review your experience and qualifications. Candidates whose backgrounds closely match the role requirements will be contacted to discuss their medical billing and Revenue Cycle Management experience in more detail.
During the hiring process, you may be asked about your experience with medical billing software, denial management, claims follow-up, collections, payer communications, and the EHR or Practice Management systems you've used. Candidates with experience supporting high-volume medical billing operations—particularly Texas-based practices—will be given strong consideration.
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