Medical Billing Account Manager

3 weeks, 1 day ago
Full-time
Senior
Finance and Accounting
Pavago

Pavago

Pavago specializes in connecting small and medium-sized businesses with skilled offshore talent from Pakistan and Latin America, offering a streamlined recruitment process that enables the hiring, onboarding, and payment of remote employees at signific...

IT Services
Founded 2023

Description

  • Review EOBs and ERAs to identify payment discrepancies, denials, and non-payment reasons.
  • Analyze and resolve claim denials and rejections.
  • Review claims for proper diagnosis and procedure code linkage and apply billing modifiers as needed.
  • Perform claims scrubbing and quality assurance before submission.
  • Submit initial, corrected, and secondary claims according to payer guidelines.
  • Manage claim queues and follow up on unpaid, rejected, or underpaid claims to support timely reimbursement.
  • 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, monitor aging accounts, and assist with collections.
  • Maintain accurate billing records, documentation, and claim notes while meeting productivity, quality, and turnaround expectations.

Requirements

  • Previous professional experience in Revenue Cycle Management (RCM).
  • Hands-on medical billing experience 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 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 remote work experience preferred.
  • Experience in high-volume medical billing environments preferred.
  • Experience supporting Texas-based medical practices preferred.
  • Experience with insurance verification and account management preferred.
  • Experience with one or more EHR/practice management systems, including eClinicalWorks, Aprima, Medisoft, Veradigm, Nextech, CureMD, Office Practicum, or NextGen, is highly preferred.

Benefits

  • Full-time remote position.
  • Standard U.S. business hours schedule.

Interested in this position?

Apply directly on the company website

Apply Now

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