15 ago
|
Pavago
|
Argentina
Medical Billing Account Manager
Position Type: Full-Time, Remote
Working Hours: Standard U.S. Business Hours
About the Role
We are seeking an experienced Medical Billing Account Manager to join our Revenue Cycle Management (RCM) team. This is an execution-focused role for a highly organized professional who can independently manage day-to-day medical billing operations while ensuring timely claim processing, denial resolution, collections, and account management.
The idóneo candidate has hands-on experience in medical billing and Revenue Cycle Management (RCM), is comfortable working in a fast-paced remote environment, and can quickly integrate into established workflows with minimal supervision.
ResponsibilitiesMedical Billing & Revenue Cycle Management
Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify payment discrepancies, denials, and 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 prior to submission.
Submit initial, corrected, and secondary claims according to payer guidelines.
Manage claim queues and prioritize follow-up activities to ensure timely reimbursement.
Maintain accurate billing records, account documentation, and claim notes.
Ensure prompt follow-up on unpaid, rejected, or underpaid claims.
Account Management & Insurance Follow-Up
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 and respond to billing-related questions as needed.
Monitor aging accounts and assist with collections activities.
Maintain consistent communication while delivering excellent service to clients and internal stakeholders.
Quality & Compliance
Mainta
📌 Medical Billing Account Manager (Argentina)
🏢 Pavago
📍 Argentina