We are looking for an experienced Medical Billing Account Manager to support our Revenue Cycle Management (RCM) operations. This role is ideal for someone with strong hands-on U.S. medical billing experience who can independently manage claims, denials, follow-ups, collections and account management.

The ideal candidate is organized, detail-oriented, comfortable working independently and able to quickly adapt to established billing workflows.

Key ResponsibilitiesMedical Billing & RCM

Review EOBs and ERAs to identify non-payment and denial reasons.
Analyze and resolve claim denials and rejections.
Review claims for proper diagnosis and procedure code linkage.
Apply appropriate billing modifiers.
Perform claims scrubbing and quality checks before submission.
Manage claim queues and follow-up workflows.
Submit initial and secondary claims according to payer guidelines.
Research payer portals and insurance websites for claim updates and resolution.
Follow up on unpaid and rejected claims.
Maintain accurate billing records, documentation, and account notes.

Account Management

Support client accounts and respond to billing-related questions.
Communicate professionally with insurance companies, clients, patients, and provider offices when required.
Support collections and ensure timely resolution of outstanding accounts.
Meet productivity, quality, and turnaround-time expectations.
Work independently with minimal supervision.

Required Experience & SkillsMust-Have

3+ years of U.S. medical billing / Revenue Cycle Management (RCM) experience.
Strong hands-on experience across medical billing and revenue cycle workflows.
Experience with claims processing, 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.
Experience using insurance payer portals and billing systems.
Strong organizational, analytical, and problem-solving skills.
Strong written and verbal English communication.
Ability to work independently with minimal supervision.

Preferred

Experience in high-volume medical billing environments.
OBGYN medical billing experience strongly preferred.
Experience with insurance verification and account management.
Previous remote work experience.

EHR / Practice Management Systems

Experience with one or more of the following is a plus:

eClinicalWorks (eCW)
Aprima
Medisoft
Veradigm
Nextech
CureMD
Office Practicum
NextGen

Technical & Remote Work RequirementsComputer

Windows 10 or Windows 11
Intel i5 / Ryzen 5 or equivalent minimum
16 GB RAM recommended
256 GB SSD minimum
Dual monitors preferred

Internet

Ping/latency: Under 50 ms
Download speed: 100+ Mbps
Upload speed: 100+ Mbps
Fiber internet with wired Ethernet/LAN preferred

Workspace

Noise-canceling headset required
Webcam required
Quiet and professional workspace required
Backup internet connection preferred

What Makes You a Strong Fit

You have 3+ years of hands-on U.S. medical billing/RCM experience.
You are confident handling claims, denials, EOBs/ERAs, payer follow-ups, and collections.
You have experience working with medical billing/EHR systems.
You can manage a high volume of work while maintaining accuracy.
You communicate professionally with payers, clients, and healthcare offices.
You can quickly adapt to established workflows and work independently.
OBGYN and eClinicalWorks experience will be a strong advantage.

Typical Day

You will spend your day reviewing claims and EOBs/ERAs, resolving denials and rejections, following up with insurance carriers, managing claim queues, researching payer requirements, updating billing records, and supporting assigned client accounts. Success in this role means maintaining billing accuracy, resolving claims efficiently, improving collections, and consistently meeting productivity and quality expectations.

Interview Process

SparkHire Video Interview
Initial Screening
Client Interview
Offer Stage

#LI-AG1

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