Revenue Cycle Management Lead

PM Pediatrics; United States; Remote; USD 50,000 - 90,000; Full time

Job summary

An established industry player is seeking a detail-oriented Senior Billing Specialist to enhance their Revenue Cycle Management team. This remote role involves critical tasks such as managing billing workflows, assisting with payer follow-ups, and generating insightful reports using Excel. The ideal candidate will possess strong analytical skills and a solid understanding of medical billing processes. Join a dynamic team committed to delivering exceptional healthcare and be part of an innovative approach to urgent care for children and young adults. If you're passionate about making a difference in healthcare, this opportunity is perfect for you.

Qualifications

• Experience in healthcare administration, especially in RCM and medical billing.
• Strong proficiency in Excel for data analysis and reporting.

Responsibilities

• Support claim submissions, denials, and appeals tracking.
• Generate and maintain RCM and financial reports using Excel.

Skills

Analytical Skills

Organizational Skills

Communication Skills

Data Analysis

Problem-Solving

Education

2+ years in healthcare administration

Tools

Microsoft Excel

Claims Management Systems

Job description

Revenue Cycle Management Lead page is loaded

Revenue Cycle Management Lead

Apply locations Remote - United States time type Full time posted on Posted Yesterday job requisition id 2025-R0441

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Summary

This is a remote role

PM Pediatrics is seeking a highly organized and detail-oriented Senior Billing Specialist to support the Revenue Cycle Management (RCM) team. This role is critical in ensuring the smooth operation of RCM related functions, including Excel-based reporting, payer project follow-ups, and supporting leadership with financial and operational data tracking.

The ideal candidate will have strong analytical and organizational skills, knowledge of medical billing workflows, and the ability to work with large datasets. This individual must be comfortable with billing terminology and payer processes to assist with reporting, denial trends, and operational efficiencies.

Description

Billing & Payer Coordination:

• Understand billing workflows to support claim submissions, denials, and appeals tracking.
• Assist with payer follow-ups and tracking outstanding claims across RCM and BH teams.
• Work with billing vendors to ensure enrollments, claim submissions, and reports are aligned with PM Pediatrics’ needs.
• Help identify trends in denials, rejections, and payer issues, escalating as needed.

Data & Reporting:

• Utilize Excel to generate, maintain, and distribute RCM and financial reports.
• Assist leadership with data entry, dashboard creation, and reconciliation of reports.
• Track revenue cycle KPIs, including claim turnaround times, denial rates, and payer trends.
• Organize and maintain documentation for compliance, payer audits, and reporting requirements.

Qualifications

• 2+ years of experience in a healthcare administrative role, preferably within RCM, medical billing, or provider enrollment.
• Strong proficiency in Microsoft Excel, including pivot tables, VLOOKUP, and data analysis.
• Knowledge of HCFA claim forms, including sorting, printing, and submission workflows.
• Familiarity with medical billing terminology, payer processes, and revenue cycle functions.
• Excellent organizational and multitasking skills in a fast-paced environment.
• Strong written and verbal communication skills, with the ability to interact across teams.
• Ability to work independently and proactively identify process improvements.

Preferred Qualifications:

• Experience working with RCM and BH revenue cycle functions.
• Familiarity with payer portals and claims management systems.
• Understanding of denial management workflows and payer contract structures.
• Previous experience supporting leadership with data analysis, reporting, and financial tracking.
• Experience working with outsourced partners.

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

EEO Statement

PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

About Us

PM Pediatrics was founded on the belief that there is a better way to deliver urgent care to kids and young adults. PM Pediatric Care has over 75 urgent care locations across the country, telehealth, 5+ large hospital partnerships, pediatric behavioral health, and a growing presence in school health nationwide. Our goal is to ensure that our patients receive comprehensive and superior quality acute and behavioral health care when they need it, without having to wait long for it. PM Pediatric Care treats children and young adults exclusively. Our team seeks to hire individuals, like you, who have a passion for innovation and quality care. With a growing national presence and an expanding corporate team, your addition to PM Pediatric Care will contribute to the specialized care of our patients and our mission to revolutionize the way healthcare is delivered.