Medical Billing Specialist (Revenue Cycle Management) Non Remote

Reliant Healthcare Group

Texas

Remote

USD 42,000 - 62,000

Full time

3 days ago
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Benefits offered by this job

Medical, dental, and vision insurance
Health Savings Account (HSA)
Company-paid life insurance and AD&D
Disability coverage
Paid Time Off, holidays and sick leave
401(k) with employer match
Employee Referral Bonus Program

Job summary

Reliant Healthcare Group is seeking an experienced Medical Billing Specialist to oversee Revenue Cycle Management in-office, Monday through Friday. The role focuses on AR management, payer follow-ups, and timely claim resolution to maximize reimbursement.

The ideal candidate has at least 2 years in medical billing with RCM duties, proficiency in EMR/EHR systems, and strong CPT/ICD coding knowledge. Bilingual English/Spanish a plus.

Qualifications

  • 2+ years of medical billing with RCM duties.
  • AR follow-up and medical collections experience.
  • Knowledge of medical office workflows.
  • Proficient with EMR/EHR systems.
  • Understanding of medical terminology.
  • Knowledge of CPT/ICD-9/ICD-10 coding (DRG preferred).
  • Experience with payment posting and account reconciliation.
  • Ability to manage payer communications independently.

Responsibilities

  • Manage full Revenue Cycle Management (RCM) processes.
  • Verify insurance eligibility and benefits for commercial/Medicaid payers.
  • Follow up on ARs >30 days.
  • Review AR aging and resolve balances.
  • Post payments and reconcile accounts.
  • Obtain and manage insurance authorizations.
  • Review and correct claims to prevent denials.
  • Interpret payer contracts and reimbursement guidelines.
  • Maintain accurate billing documentation.
  • Communicate with payers, patients, and internal teams.

Skills

RCM expertise
AR follow-up
Payer communications
Medical terminology
CPT/ICD coding
EMR/EHR proficiency

Tools

EMR/EHR systems
Payer portals

Job description

Medical Billing Specialist (Revenue Cycle Management)

This is not a remote position; it is in the office Monday - Friday. Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement.

Essential Duties & Responsibilities
  • Manage full Revenue Cycle Management (RCM) processes
  • Verify insurance eligibility and benefits for commercial and Medicaid MCO payers
  • Follow up on Accounts Receivable exceeding 30 days
  • Review AR aging reports and resolve outstanding balances
  • Post payments and perform account reconciliations
  • Obtain and manage insurance authorizations
  • Review and correct claims to prevent denials
  • Interpret payer contracts and reimbursement guidelines
  • Maintain accurate billing documentation
  • Communicate with payers, patients, and internal teams
Required Qualifications
  • Minimum 2 years of medical billing with RCM responsibilities
  • Experience with AR follow-up and medical collections
  • Knowledge of medical office workflows
  • Proficiency with EMR/EHR systems
  • Understanding of medical terminology
  • Knowledge of CPT, ICD-9, ICD-10 coding (DRG preferred)
  • Experience with payment posting and account reconciliation
  • Ability to manage payer communications independently
Preferred Qualifications
  • Bilingual (English/Spanish)
  • Medicaid MCO billing experience
  • Multi-location healthcare billing experience
Benefits
  • Medical, dental, and vision insurance
  • Health Savings Account (HSA)
  • Company-paid life insurance and AD&D
  • Short- and long-term disability options
  • Paid Time Off (PTO), holidays, and sick leave
  • 401(k) with employer match
  • Employee Referral Bonus Program
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