10 sep
|
Pavago
|
Argentina
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 corr
📌 Medical Billing Account Manager (Argentina)
🏢 Pavago
📍 Argentina