Senior Medical Billing, RCM Specialist

Posted 4hrs ago

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Job Description

Senior medical billing specialist managing U.S. healthcare claims, denials, AR, and payer follow-up for SnappyCX. Fully remote role supporting healthcare practices during U.S. business hours.

Responsibilities:

  • Manage day-to-day U.S. medical billing and revenue cycle activities
  • Prepare, review, and submit claims to Medicare, Medicaid, and commercial insurance payers
  • Review patient accounts, charges, medical records, and insurance information for billing accuracy
  • Apply CPT, ICD-10-CM, HCPCS, and applicable modifiers
  • Identify and correct billing and coding issues causing claim rejections or denials
  • Manage denied, rejected, unpaid, and underpaid claims
  • Perform insurance follow-up and communicate with payers regarding outstanding claims
  • Conduct accounts receivable follow-up, including aging AR
  • Submit claim corrections, reconsiderations, and appeals
  • Review EOBs and ERAs and investigate payment discrepancies
  • Perform or support payment posting and account reconciliation
  • Verify patient and insurance information
  • Work with clearinghouses, payer portals, EHR/EMR systems, and billing platforms
  • Monitor outstanding accounts and take action toward resolution
  • Identify recurring billing, denial, and payment issues and communicate trends to the appropriate team
  • Maintain accurate billing documentation and follow client-specific procedures
  • Work independently while meeting productivity, accuracy, and turnaround-time expectations

Requirements:

  • Minimum 3 years of hands-on U.S. medical billing experience
  • Experience working directly with a U.S. healthcare practice, clinic, medical organization, or similar healthcare setting
  • Strong understanding of the U.S. healthcare revenue cycle
  • Hands-on experience with medical billing, claims submission, denial management, accounts receivable, insurance/payer follow-up, revenue cycle management, medical coding, CPT, ICD-10-CM, and HCPCS
  • Experience working with U.S. insurance payers
  • Working knowledge of EHR/EMR systems, clearinghouses, payer portals, and/or medical billing software
  • Strong attention to detail and ability to independently manage billing tasks
  • Strong written and verbal English communication skills
  • Ability to work effectively in a fully remote environment
  • Experience managing aging AR and complex denials preferred
  • Experience handling appeals and claim reconsiderations preferred
  • Experience with Medicare and Medicaid billing preferred
  • Experience with payment posting and EOB/ERA reconciliation preferred
  • Experience with multiple insurance payers and payer portals preferred
  • Experience in Primary Care, Behavioral Health/Mental Health, Ophthalmology, Dental, Specialty Clinics, or other U.S. healthcare practices preferred
  • CPC, CCS, CPB, CCA, or other relevant medical billing/coding certification preferred but not required

Benefits:

  • Fully remote work arrangement
  • Full-time or part-time work options
  • Hours of 15–40 hours per week
  • Schedule based on U.S. business hours and agreed availability