Senior Medical Billing, RCM Specialist
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Job Description
Senior medical billing specialist managing U.S. healthcare claims, denials, AR, and payer follow-up. Supporting revenue cycle operations remotely for SnappyCX’s healthcare clients.
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 that may result in 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 in a remote environment 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
Benefits:
- Fully remote work arrangement
- Full-time and part-time work options
- 15–40 hours per week
- Schedule aligned with U.S. business hours based on client requirements and agreed availability
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