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