Medical Billing Account Manager
TypeFull-time job
LocationJamaica
Posted3 hours ago
Medical Billing Account Manager – Revenue Cycle Management (RCM) | Remote
Position Type: Full-Time, Remote
Working Hours: Standard U.S. Business Hours
About the Role
At Pavago, one of our clients is hiring an experienced Medical Billing Account Manager to support day-to-day Revenue Cycle Management (RCM) operations across medical billing, claims processing, denial management, insurance follow-up, collections, and client account management.
This is an execution-focused role for someone with hands-on medical billing experience who can independently manage a high volume of claims while maintaining accuracy, compliance, and timely reimbursement.
You’ll review EOBs and ERAs, investigate denials, submit and correct claims, work with insurance carriers, monitor aging accounts, and maintain accurate billing documentation across assigned client accounts.
If you understand the medical billing lifecycle, can troubleshoot claim and payment issues independently, and thrive in a fast-paced remote environment, this role is a strong fit.
What You’ll Own
Medical Billing & Revenue Cycle Management
Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify:
Payment discrepancies
Claim denials
Rejections
Underpayments
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 before submission
Submit:
Initial claims
Corrected claims
Secondary claims
Follow payer-specific submission requirements and guidelines
Manage claim queues and prioritize follow-up activities
Maintain accurate billing records, account documentation, and claim notes
Follow up promptly on unpaid, rejected, or underpaid claims
Denial Management & Claims Follow-Up
Investigate the root cause of denied or rejected claims
Research payer requirements and determine appropriate corrective actions
Correct claim issues and support timely resubmission
Follow outstanding claims through payment or resolution
Monitor claim status and reimbursement timelines
Maintain clear documentation of actions taken and next steps
Help reduce unnecessary delays throughout the revenue cycle
Account Management & Insurance Follow-Up
Research payer portals and insurance websites to resolve claim issues and obtain billing updates
Coordinate directly with insurance carriers regarding:
Claim status
Payment inquiries
Denials
Rejections
Outstanding balances
Support client account management and respond to billing-related questions as needed
Monitor aging accounts and assist with collections activities
Maintain consistent communication with clients, payers, and internal stakeholders
Ensure assigned accounts receive timely and accurate follow-up
Quality & Compliance
Maintain accuracy and compliance with payer guidelines and billing regulations
Meet established productivity, quality, and turnaround-time expectations
Maintain complete and accurate billing documentation
Identify recurring billing or denial trends
Recommend process improvements where appropriate
Work independently while maintaining a high level of accuracy and accountability
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
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 independently manage assigned billing workflows with minimal supervision
Ability to maintain accuracy while handling a high volume of claims
Availability during standard U.S. business hours
Preferred Qualifications
Experience in high-volume medical billing environments
Experience supporting Texas-based medical practices
Experience with insurance verification and account management
Previous experience working remotely
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’ll likely thrive in this role if you:
Have extensive hands-on experience managing medical billing and RCM workflows
Can independently resolve claim denials and payment issues with minimal supervision
Understand how to interpret EOBs, ERAs, claim statuses, and payer responses
Are highly organized and comfortable managing a high volume of claims
Maintain accuracy even when working across multiple accounts and priorities
Follow unpaid and denied claims consistently until resolution
Communicate professionally with clients, insurance carriers, and internal teams
Take ownership of billing outcomes rather than simply completing tasks
Thrive in a remote environment and consistently meet productivity expectations
What a Typical Day Looks Like
You may start your day by reviewing claim queues, outstanding balances, denials, and accounts requiring immediate follow-up.
Throughout the day, you’ll review claim submissions, interpret EOBs and ERAs, resolve denials, follow up with insurance carriers, research payer requirements, submit corrected claims, update billing documentation, and monitor aging accounts.
You’ll also support assigned client accounts, investigate payment issues, and ensure claims continue progressing toward reimbursement.
In short: you help keep the revenue cycle moving by ensuring claims are accurate, denials are resolved, outstanding balances are followed up on, and reimbursement happens as efficiently as possible.
Key Metrics for Success
Claim submission accuracy
Denial and rejection resolution rate
Claims turnaround time
Reduction in aging accounts receivable
Collections and reimbursement performance
Timeliness of insurance follow-up
Accuracy of billing and account documentation
Productivity across assigned claim queues
Compliance with payer requirements
Client account satisfaction
Why This Role Stands Out
Direct impact on reimbursement and revenue-cycle performance
Hands-on ownership of medical billing and claims resolution
Exposure to multiple EHR and Practice Management systems
Opportunity to strengthen expertise across RCM, denial management, collections, and account management
Fully remote working environment
Opportunity to support established U.S. medical practices
Career growth opportunities into:
Senior Medical Billing Specialist
RCM Account Manager
Revenue Cycle Operations
Medical Billing Team Lead
RCM Management
Interview Process
Initial Application
Spark Hire One-Way Video Interview
Recruiter Screening
Client Interview
Offer Stage
Spark Hire Video Interview – Required
As part of the application process, all candidates are required to complete a one-way video interview through Spark Hire.
After completing the first step of your application, you’ll receive a Spark Hire invitation by email with instructions to record and submit your video responses.
Completion of the Spark Hire video is required to be considered for the next stage. Please check your inbox as well as your spam or junk folder for the invitation.
What Happens After You Apply
After submitting your application and completing the required Spark Hire video interview, our recruitment team will review your experience and qualifications.
Candidates whose backgrounds closely match the requirements will be contacted to discuss their medical billing and Revenue Cycle Management experience in greater detail.
During the hiring process, you may be asked about your experience with medical billing software, denial management, claims follow-up, collections, payer communication, and the EHR or Practice Management systems you’ve used.
Candidates with experience supporting high-volume medical billing operations, particularly Texas-based practices, will receive strong consideration.
Apply Now
If you have hands-on experience in medical billing and Revenue Cycle Management, can independently manage claims and denials, and understand what it takes to drive timely reimbursement, we’d love to hear from you.
Apply today and bring your expertise in RCM, claims processing, denial management, insurance follow-up, and collections to a fast-moving remote environment.
#MedicalBilling #MedicalBillingAccountManager #RevenueCycleManagement #RCM #MedicalBillingSpecialist #ClaimsManagement #DenialManagement #AccountsReceivable #HealthcareJobs #HealthcareBilling #EHR #RemoteJobs #RemoteWork
Originally posted on Himalayas
Position Type: Full-Time, Remote
Working Hours: Standard U.S. Business Hours
About the Role
At Pavago, one of our clients is hiring an experienced Medical Billing Account Manager to support day-to-day Revenue Cycle Management (RCM) operations across medical billing, claims processing, denial management, insurance follow-up, collections, and client account management.
This is an execution-focused role for someone with hands-on medical billing experience who can independently manage a high volume of claims while maintaining accuracy, compliance, and timely reimbursement.
You’ll review EOBs and ERAs, investigate denials, submit and correct claims, work with insurance carriers, monitor aging accounts, and maintain accurate billing documentation across assigned client accounts.
If you understand the medical billing lifecycle, can troubleshoot claim and payment issues independently, and thrive in a fast-paced remote environment, this role is a strong fit.
What You’ll Own
Medical Billing & Revenue Cycle Management
Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify:
Payment discrepancies
Claim denials
Rejections
Underpayments
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 before submission
Submit:
Initial claims
Corrected claims
Secondary claims
Follow payer-specific submission requirements and guidelines
Manage claim queues and prioritize follow-up activities
Maintain accurate billing records, account documentation, and claim notes
Follow up promptly on unpaid, rejected, or underpaid claims
Denial Management & Claims Follow-Up
Investigate the root cause of denied or rejected claims
Research payer requirements and determine appropriate corrective actions
Correct claim issues and support timely resubmission
Follow outstanding claims through payment or resolution
Monitor claim status and reimbursement timelines
Maintain clear documentation of actions taken and next steps
Help reduce unnecessary delays throughout the revenue cycle
Account Management & Insurance Follow-Up
Research payer portals and insurance websites to resolve claim issues and obtain billing updates
Coordinate directly with insurance carriers regarding:
Claim status
Payment inquiries
Denials
Rejections
Outstanding balances
Support client account management and respond to billing-related questions as needed
Monitor aging accounts and assist with collections activities
Maintain consistent communication with clients, payers, and internal stakeholders
Ensure assigned accounts receive timely and accurate follow-up
Quality & Compliance
Maintain accuracy and compliance with payer guidelines and billing regulations
Meet established productivity, quality, and turnaround-time expectations
Maintain complete and accurate billing documentation
Identify recurring billing or denial trends
Recommend process improvements where appropriate
Work independently while maintaining a high level of accuracy and accountability
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
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 independently manage assigned billing workflows with minimal supervision
Ability to maintain accuracy while handling a high volume of claims
Availability during standard U.S. business hours
Preferred Qualifications
Experience in high-volume medical billing environments
Experience supporting Texas-based medical practices
Experience with insurance verification and account management
Previous experience working remotely
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’ll likely thrive in this role if you:
Have extensive hands-on experience managing medical billing and RCM workflows
Can independently resolve claim denials and payment issues with minimal supervision
Understand how to interpret EOBs, ERAs, claim statuses, and payer responses
Are highly organized and comfortable managing a high volume of claims
Maintain accuracy even when working across multiple accounts and priorities
Follow unpaid and denied claims consistently until resolution
Communicate professionally with clients, insurance carriers, and internal teams
Take ownership of billing outcomes rather than simply completing tasks
Thrive in a remote environment and consistently meet productivity expectations
What a Typical Day Looks Like
You may start your day by reviewing claim queues, outstanding balances, denials, and accounts requiring immediate follow-up.
Throughout the day, you’ll review claim submissions, interpret EOBs and ERAs, resolve denials, follow up with insurance carriers, research payer requirements, submit corrected claims, update billing documentation, and monitor aging accounts.
You’ll also support assigned client accounts, investigate payment issues, and ensure claims continue progressing toward reimbursement.
In short: you help keep the revenue cycle moving by ensuring claims are accurate, denials are resolved, outstanding balances are followed up on, and reimbursement happens as efficiently as possible.
Key Metrics for Success
Claim submission accuracy
Denial and rejection resolution rate
Claims turnaround time
Reduction in aging accounts receivable
Collections and reimbursement performance
Timeliness of insurance follow-up
Accuracy of billing and account documentation
Productivity across assigned claim queues
Compliance with payer requirements
Client account satisfaction
Why This Role Stands Out
Direct impact on reimbursement and revenue-cycle performance
Hands-on ownership of medical billing and claims resolution
Exposure to multiple EHR and Practice Management systems
Opportunity to strengthen expertise across RCM, denial management, collections, and account management
Fully remote working environment
Opportunity to support established U.S. medical practices
Career growth opportunities into:
Senior Medical Billing Specialist
RCM Account Manager
Revenue Cycle Operations
Medical Billing Team Lead
RCM Management
Interview Process
Initial Application
Spark Hire One-Way Video Interview
Recruiter Screening
Client Interview
Offer Stage
Spark Hire Video Interview – Required
As part of the application process, all candidates are required to complete a one-way video interview through Spark Hire.
After completing the first step of your application, you’ll receive a Spark Hire invitation by email with instructions to record and submit your video responses.
Completion of the Spark Hire video is required to be considered for the next stage. Please check your inbox as well as your spam or junk folder for the invitation.
What Happens After You Apply
After submitting your application and completing the required Spark Hire video interview, our recruitment team will review your experience and qualifications.
Candidates whose backgrounds closely match the requirements will be contacted to discuss their medical billing and Revenue Cycle Management experience in greater detail.
During the hiring process, you may be asked about your experience with medical billing software, denial management, claims follow-up, collections, payer communication, and the EHR or Practice Management systems you’ve used.
Candidates with experience supporting high-volume medical billing operations, particularly Texas-based practices, will receive strong consideration.
Apply Now
If you have hands-on experience in medical billing and Revenue Cycle Management, can independently manage claims and denials, and understand what it takes to drive timely reimbursement, we’d love to hear from you.
Apply today and bring your expertise in RCM, claims processing, denial management, insurance follow-up, and collections to a fast-moving remote environment.
#MedicalBilling #MedicalBillingAccountManager #RevenueCycleManagement #RCM #MedicalBillingSpecialist #ClaimsManagement #DenialManagement #AccountsReceivable #HealthcareJobs #HealthcareBilling #EHR #RemoteJobs #RemoteWork
Originally posted on Himalayas
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