Medical Billing Account Manager

Medical Billing Account Manager – Revenue Cycle Management (RCM) | RemotePosition Type: Full-Time, Remote Working Hours: Standard U.S. Business HoursAbout the RoleAt Pavago, one of our clients is hiring an experienced Medical Billing Account Manager to support day-to-day Revenue Cycle Management (RCM) operations across medical billing, claims processing, denial management, insurance follow-up, collections, and client account management.This is an execution-focused role for someone with hands-on medical billing experience who can independently manage a high volume of claims while maintaining accuracy, compliance, and timely reimbursement.You’ll review EOBs and ERAs, investigate denials, submit and correct claims, work with insurance carriers, monitor aging accounts, and maintain accurate billing documentation across assigned client accounts.If you understand the medical billing lifecycle, can troubleshoot claim and payment issues independently, and thrive in a fast-paced remote environment, this role is a strong fit.What You’ll OwnMedical 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 to ensure proper diagnosis and procedure code linkage 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 and guidelines Manage claim queues and prioritize follow-up activities Maintain accurate billing records, account documentation, and claim notes Follow up promptly on unpaid, rejected, or underpaid claims Denial Management & Claims Follow-Up Investigate the root cause of denied or rejected claims Research payer requirements and determine appropriate corrective actions Correct claim issues and support timely resubmission Follow outstanding claims through payment or resolution Monitor claim status and reimbursement timelines Maintain clear documentation of actions taken and next steps Help reduce unnecessary delays throughout the revenue cycle Account Management & Insurance Follow-Up Research payer portals and insurance websites to resolve claim issues and obtain billing updates Coordinate directly with insurance carriers regarding: Claim status Payment inquiries Denials Rejections Outstanding balances Support client account management and respond to billing-related questions as needed Monitor aging accounts and assist with collections activities Maintain consistent communication with clients, payers, and internal stakeholders Ensure assigned accounts receive timely and accurate follow-up Quality & Compliance Maintain accuracy and compliance with payer guidelines and billing regulations Meet established productivity, quality, and turnaround-time expectations Maintain complete and accurate billing documentation Identify recurring billing or denial trends Recommend process improvements where appropriate Work independently while maintaining a high level of accuracy and accountability 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 billing systems Strong organizational, analytical, and problem-solving skills Excellent written and verbal English communication skills Ability to independently manage assigned billing workflows with minimal supervision Ability to maintain accuracy while handling a high volume of claims Availability during standard U.S. business hours Preferred Qualifications Experience in high-volume medical billing environments Experience supporting Texas-based medical practices Experience with insurance verification and account management Previous experience working remotely EHR & Practice Management SystemsExperience with one or more of the following systems is highly preferred:eClinicalWorks | Aprima | Medisoft | Veradigm | Nextech | CureMD | Office Practicum | NextGenWhat Makes You a Strong FitYou’ll likely thrive in this role if you: Have extensive hands-on experience managing medical billing and RCM workflows Can independently resolve claim denials and payment issues with minimal supervision Understand how to interpret EOBs, ERAs, claim statuses, and payer responses Are highly organized and comfortable managing a high volume of claims Maintain accuracy even when working across multiple accounts and priorities Follow unpaid and denied claims consistently until resolution Communicate