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