Medical Billing Account Manager
RemoteUnited States
Job Summary
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 while applying appropriate billing modifiers for accurate adjudication. Perform claims scrubbing and quality assurance prior to submission, then manage claim queues to ensure timely reimbursement across assigned accounts. Research payer portals and coordinate with insurance carriers regarding claim status and payment inquiries. Maintain accurate billing records, account documentation, and claim notes while monitoring aging accounts and assisting with collections activities. Work independently with minimal supervision to meet productivity, quality, and turnaround time expectations.
Required Qualifications
- 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
Desired Qualifications
- Previous experience working remotely
- Experience in high-volume medical billing environments
- Experience supporting Texas-based medical practices
- Experience with insurance verification and account management
- Experience with eClinicalWorks
- Experience with Aprima
- Experience with Medisoft
- Experience with Veradigm
- Experience with Nextech
- Experience with CureMD
- Experience with Office Practicum
- Experience with NextGen
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.