Revenue Cycle Management Lead

PM Pediatrics; United States; Remote; USD 100,000 - 125,000; 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 is pivotal in managing billing workflows, ensuring efficient claim submissions, and analyzing financial data. Ideal candidates will possess strong analytical skills and a deep understanding of medical billing processes. The position offers a dynamic work environment where proactive problem-solving and collaboration across teams are key. If you thrive in a fast-paced setting and are passionate about improving operational efficiencies, this opportunity is perfect for you.

Qualifications

• 2+ years experience in healthcare administration, especially RCM or medical billing.
• Strong Excel skills including pivot tables and data analysis.

Responsibilities

• Support claim submissions, denials, and appeals tracking.
• Utilize Excel for RCM and financial reporting.
• Assist with tracking revenue cycle KPIs and documentation.

Skills

Analytical Skills

Organizational Skills

Communication Skills

Proficiency in Microsoft Excel

Knowledge of Medical Billing Workflows

Education

2+ years in healthcare administrative role

Tools

Microsoft Excel

Job description

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.