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:
Payment discrepancies
Claim denials
Rejections
Underpayments
Non-payment reasons
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
Submit:
Initial claims
Corrected claims
Secondary claims
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
Meet established:
Productivity targets
Quality standards
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
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 medical billing systems
Strong organizational and time-management skills
Strong analytical and problem-solving abilities
Excellent written and verbal English communication skills
Ability to independently manage billing responsibilities with minimal supervision
Ability to maintain accuracy while managing a high volume of claims
Previous remote work experience…