Position Type: Full-Time, Remote
Working Hours: U.S. Business Hours
About the Role
We are looking for an experienced Medical Billing Account Manager to support our Revenue Cycle Management (RCM) operations. This role is ideal for someone with strong hands-on U.S. medical billing experience who can independently manage claims, denials, follow-ups, collections and account management.
The adecuado candidate is organized, detail-oriented, comfortable working independently and able to quickly adapt to established billing workflows.
Key Responsibilities
Medical Billing & RCM
- Review EOBs and ERAs to identify non-payment and denial reasons.
- Analyze and resolve claim denials and rejections.
- Review claims for proper diagnosis and procedure code linkage.
- Apply appropriate billing modifiers.
- Perform claims scrubbing and quality checks before submission.
- Manage claim queues and follow-up workflows.
- Submit initial and secondary claims according to payer guidelines.
- Research payer portals and insurance websites for claim updates and resolution.
- Follow up on unpaid and rejected claims.
- Maintain accurate billing records, documentation, and account notes.
Account Management
- Support client accounts and respond to billing-related questions.
- Communicate professionally with insurance companies, clients, patients, and provider offices when required.
- Support collections and ensure timely resolution of outstanding accounts.
- Meet productivity, quality, and turnaround-time expectations.
- Work independently with minimal supervision.
Required Experience & Skills
Must-Have
- 3+ years of U.S. medical billing / Revenue Cycle Management (RCM) experience.
- Strong hands-on experience across medical billing and revenue cycle workflows.
- Experience with claims processing, 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 modifier
📌 Remote Medical Billing Specialist (México)
🏢 Pavago
📍 México