Remote Medical Billing Specialist (Revenue Cycle Management) Non Remote

Posted 18 days ago

grabjobsSacramento (CA)

SENIORITY

Senior

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About the role

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes.
Position Summary: 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&DShort- and long-term disability options
  • Paid Time Off (PTO), holidays, and sick leave 401(k) with employer match
  • Employee Referral Bonus Program

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