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