Senior Medical Billing, RCM Specialist
Posted 1 month ago
You'll complete your application on SnappyCX's career site.
About the Role
This senior-level position focuses on overseeing comprehensive U.S. medical billing and revenue cycle operations for a diverse portfolio of healthcare clients. You will ensure financial precision while providing high-quality outsourcing support designed to optimize administrative efficiency. Working within a professional, remote-first environment, you will prioritize productivity and clear communication while collaborating with various healthcare practices and specialized billing platforms.
Requirements
- You must have at least three years of recent, practical experience in U.S. medical billing within a clinical or medical business setting.
- You need an expert grasp of the U.S. healthcare revenue cycle and fluency in coding standards including HCPCS, ICD-10-CM, and CPT.
- You should be proficient with clearinghouse tools, payer portals, and various medical billing or electronic health record systems.
- You need high attention to detail, the capability to handle billing functions autonomously, and strong written and verbal English communication skills.
- You must be prepared to excel in a fully remote capacity while meeting productivity benchmarks and client-specific needs.
Responsibilities
- You will oversee day-to-day billing operations, including preparing and transmitting claims to commercial insurers, Medicare, and Medicaid.
- You will validate patient and insurance information, audit medical records for billing integrity, and implement appropriate coding modifiers.
- You will oversee the full revenue cycle by addressing denials, rejections, and underpaid claims through systematic follow-up and the appeals process.
- You will conduct accounts receivable reconciliation, evaluate electronic remittance advice and explanation of benefits, resolve payment variances, and track aging accounts.
- You will analyze ongoing billing or denial patterns to suggest process improvements while ensuring thorough documentation for every client process.
Benefits & Perks
- You will have the benefit of a fully remote role with the flexibility to choose between part-time or full-time schedules from 15 to 40 hours weekly.
- Your working hours will be scheduled according to U.S. business time zones, contingent on your availability and the needs of the client.
Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.
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