Medical Billing Account Manager

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 and ensure accurate, timely reimbursement across assigned client accounts.

This is an execution-focused role for a highly organized medical billing professional who can independently manage claim submissions, denial resolution, insurance follow-ups, collections, EOB/ERA review, and account management.

You’ll work within established billing workflows, manage high volumes of claims, communicate with insurance carriers and clients, and help ensure outstanding balances are resolved efficiently.

If you have hands-on medical billing and RCM experience and can independently take ownership of claims from submission through payment, 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 for proper diagnosis and procedure code relationships

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

Manage claim queues and prioritize follow-up activities

Maintain accurate billing records, claim notes, and account documentation

Follow up promptly on unpaid, rejected, or underpaid claims

Denial Management & Claims Follow-Up

Investigate the root causes of denied and rejected claims

Determine appropriate next steps for claim resolution

Correct billing or claim information where required

Track unresolved claims through final resolution

Follow up consistently with insurance carriers

Monitor claim status and reimbursement timelines

Help reduce preventable denials and delayed payments

Maintain clear documentation of all follow-up activities

Account Management & Insurance Follow-Up

Research payer portals and insurance websites to resolve claim issues

Obtain claim status and payment updates from insurance carriers

Communicate with payers regarding billing and reimbursement inquiries

Support client account management and respond to billing-related questions

Monitor aging accounts and support collections activities

Maintain consistent communication with clients and internal stakeholders

Ensure outstanding billing issues are followed through to resolution

Quality & Compliance

Maintain accuracy and compliance with payer guidelines and billing requirements

Meet established:

Productivity targets

Quality standards

Turnaround-time expectations

Maintain accurate and complete billing documentation

Identify recurring billing trends and potential process issues

Recommend practical improvements where appropriate

Work independently while maintaining a high level of accountability and accuracy

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 medical billing systems

Strong organizational and time-management skills

Strong analytical and problem-solving abilities

Excellent written and verbal English communication skills

Ability to independently manage billing responsibilities with minimal supervision

Ability to maintain accuracy while managing a high volume of claims

Previous remote work experience preferred

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

Experience managing client billing accounts

Strong background in denial resolution and collections

Experience working directly with insurance carriers and payer portals

EHR & Practice Management Systems

Experience with one or more of the following is highly preferred:

eClinicalWorks

Aprima

Medisoft

Veradigm

Nextech

CureMD

Office Practicum

NextGen

Tools & Technology

eClinicalWorks | Aprima | Medisoft | Veradigm | Nextech | CureMD | Office Practicum | NextGen | Insurance Payer Portals | EHR Systems | Practice Management Systems | Medical Billing Platforms

What Makes You a Strong Fit

You’ll likely thrive in this role if you:

Have extensive hands-on experience with medical billing and RCM workflows

Can independently resolve claim denials and payment issues

Understand the full process from claim submission through reimbursement

Are comfortable interpreting EOBs, ERAs, codes, and payer responses

Know how to prioritize aging and outstanding claims

Can manage a high volume of claims without sacrificing accuracy

Follow up persistently until billing issues are resolved

Communicate effectively with clients, insurance providers, and internal teams

Take ownership without requiring constant supervision

Thrive in a remote environment and consistently meet productivity expectations

What a Typical Day Looks Like

Your day may begin by reviewing claim queues, EOBs, ERAs, and aging accounts to identify claims requiring immediate attention.

Throughout the day, you’ll submit and review claims, resolve denials, follow up with insurance carriers, research payer requirements, update billing documentation, and monitor outstanding balances across assigned accounts.

You may also communicate with clients regarding billing questions, investigate underpayments, update claim notes, and identify recurring issues that could be affecting reimbursement.

In short: you keep the revenue cycle moving by ensuring claims are accurate, denials are resolved, outstanding balances are followed up on, and payments are collected efficiently.

Key Metrics for Success

Clean and accurate claim submissions

Reduced claim denial and rejection rates

Timely resolution of denied claims

Improved claims turnaround time

Consistent follow-up on unpaid and underpaid claims

Aging accounts actively managed

Improved collections and reimbursement

Accurate account and claim documentation

Achievement of productivity and quality targets

Strong client account management

Reduced outstanding claim backlog

Consistent compliance with payer requirements

Why This Role Stands Out

Hands-on ownership across the medical billing and RCM lifecycle

Direct impact on reimbursement and revenue performance

Exposure to multiple payer portals and billing systems

Opportunity to manage client accounts independently

Work across claims, denials, collections, and insurance follow-up

Fully remote working environment

Career growth opportunities into:

Senior Medical Billing Account Manager

Senior RCM Specialist

RCM Team Lead

Medical Billing Manager

Revenue Cycle Manager

Interview Process

Initial Application

Spark Hire One-Way Video Interview

Initial 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 role may be asked about their experience with medical billing, RCM, denial management, claims follow-up, collections, payer communications, and EHR/Practice Management systems.

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 (RCM) and know how to manage claims, resolve denials, follow up with payers, and improve reimbursement, we’d love to hear from you.

This is a strong opportunity for an experienced medical billing professional who can combine accuracy, persistence, account management, and operational ownership in a remote environment.

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Originally posted on Himalayas