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:
- 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
- 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
- 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
- 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