Medical Billing Account Manager

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 ideal 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. Responsibilities Medical 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 - Maintain accuracy and compliance with payer guidelines and billing regulations. - Meet productivity, quality, and turnaround time expectations. - Identify billing trends and recommend process improvements where appropriate. - Work independently while maintaining a high standard of accuracy and accountability. Required Experience & Skills Must-Have - Previous professional experience in Revenue Cycle Management (RCM) . - Hands-on experience with medical billing in a production environment. - Strong knowledge of claim submission, denial management, claims follow-up, and 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 work independently with minimal supervision. - Previous experience working remotely is preferred. Preferred Qualifications - Experience in high-volume medical billing environments. - Experience supporting Texas-based medical practices . - Experience with insurance verification and account management. 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 have extensive experience managing medical billing and Revenue Cycle Management workflows. - You can independently resolve claim denials and payment issues with minimal supervision. - You are highly organized and can manage a high volume of claims while maintaining accuracy. - You communicate effectively with clients, insurance provider