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Pavago

Medical Billing Account Manager

RemotePhilippines only· UTC-12…UTC+14
Published
Role
Operations
Employment
Full-time
Salary not disclosed
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Open to PH only · UTC-12…UTC+14. Set where you work from to check your eligibility.

No BS summary

Experienced Medical Billing Account Manager needed for a remote, full-time role. Requires strong RCM, claims processing, denial resolution, and account management skills. Must be proficient in English and able to work independently under U.S. business hours.

Core skills

Revenue Cycle Management (RCM)medical billingdenial management

Required skills

claim submissionclaims follow-upcollectionsEOBsERAsdiagnosis and procedure code relationshipsbilling modifiersclaims scrubbinginsurance payer portalsbilling systems

Optional skills

high-volume medical billing environmentsTexas-based medical practicesinsurance verificationaccount managementeClinicalWorksAprimaMedisoftVeradigm

Required languages

English

What you'll do

  • Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify payment discrepancies, denials, and non-payment reasons.
  • Analyze, investigate, and resolve claim denials and rejections.
  • Review claims to ensure proper diagnosis and procedure code linkage.
  • Apply appropriate billing modifiers to support accurate claim adjudication.
  • Perform claims scrubbing and quality assurance prior to submission.
  • Submit initial, corrected, and secondary claims according to payer guidelines.
  • Manage claim queues and prioritize follow-up activities to ensure timely reimbursement.
  • Maintain accurate billing records, account documentation, and claim notes.
  • Ensure prompt follow-up on unpaid, rejected, or underpaid claims.
  • Research payer portals and insurance websites to resolve claim issues and obtain billing updates.
  • Coordinate with insurance carriers regarding claim status and payment inquiries.
  • Support client account management and respond to billing-related questions as needed.
  • Monitor aging accounts and assist with collections activities.
  • Maintain consistent communication while delivering excellent service to clients and internal stakeholders.
  • Maintain accuracy and compliance with payer guidelines and billing regulations.
  • Meet productivity, quality, and turnaround time expectations.
  • Identify billing trends and recommend process improvements where appropriate.
  • Work independently while maintaining a high standard of accuracy and accountability.

What they require

  • Previous professional experience in Revenue Cycle Management (RCM).
  • Hands-on experience with medical billing in a production environment.
  • Strong knowledge of claim submission, denial management, claims follow-up, and 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 billing systems.
  • Strong organizational, analytical, and problem-solving skills.
  • Excellent written and verbal English communication skills.
  • Ability to work independently with minimal supervision.
  • Previous experience working remotely is preferred.
  • You have extensive experience managing medical billing and Revenue Cycle Management workflows.
  • You can independently resolve claim denials and payment issues with minimal supervision.
  • You are highly organized and can manage a high volume of claims while maintaining accuracy.
  • You communicate effectively with clients, insurance providers, and internal teams.
  • You thrive in a remote work environment and consistently meet productivity goals.

Pavago is hiring for one of its clients seeking an Accounting & Finance Coordinator to support finance and operations teams.

🇺🇸 United StatesRecruitingStartup
Salary not disclosed