Medical Billing Account Manager

2 hours, 20 minutes ago
Full-time
Mid Level
Operations
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

  • Submit, correct, scrub, and quality-check primary, secondary, and corrected claims.
  • Review EOBs and ERAs to identify denials, rejections, underpayments, discrepancies, and non-payment reasons.
  • Investigate denial root causes, correct claim information, and track claims through final resolution.
  • Follow up with insurance carriers through payer portals regarding unpaid, rejected, and underpaid claims.
  • Manage claim queues, aging accounts, collections activities, and reimbursement timelines.
  • Review diagnosis and procedure code relationships and apply appropriate billing modifiers.
  • Maintain accurate claim notes, billing records, account documentation, and follow-up histories.
  • Communicate with clients, payers, and internal stakeholders regarding billing and reimbursement issues.
  • Monitor productivity, quality, turnaround-time, compliance, and recurring billing trends.
  • Recommend process improvements and independently manage assigned accounts with minimal supervision.

Requirements

  • Professional Revenue Cycle Management (RCM) experience and hands-on medical billing experience in a production environment.
  • Strong knowledge of claim submission, denial management, claims follow-up, collections, and reimbursement workflows.
  • Ability to interpret EOBs and ERAs and investigate payment discrepancies.
  • Experience reviewing diagnosis and procedure code relationships, billing modifiers, and claims scrubbing.
  • Experience using insurance payer portals, EHR systems, practice management systems, or medical billing platforms.
  • Strong organizational, time-management, analytical, and problem-solving skills.
  • Excellent written and verbal English communication skills.
  • Ability to manage high claim volumes accurately and work independently with minimal supervision.
  • Availability during standard U.S. business hours; previous remote work experience preferred.
  • High-volume billing experience, Texas-based medical practice experience, insurance verification, and client account management experience preferred.
  • Experience with eClinicalWorks, Aprima, Medisoft, Veradigm, Nextech, CureMD, Office Practicum, or NextGen preferred.
  • Completion of a required Spark Hire one-way video interview.

Benefits

  • Fully remote work environment.
  • Standard U.S. business-hour schedule.
  • Career growth opportunities toward senior RCM, team lead, billing manager, or revenue cycle manager roles.
  • Opportunity to manage client accounts and gain exposure to multiple payer portals and billing systems.

Interested in this position?

Apply directly on the company website

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