Medical Billing Account Manager

Medical Billing Account Manager – Revenue Cycle Management (RCM) | Remote

Position Type: Full-Time, Remote

Working Hours: Standard U.S. Business Hours

About the Role

At Pavago , one of our clients is hiring an experienced Medical Billing Account Manager to support day-to-day Revenue Cycle Management (RCM) operations across medical billing, claims processing, denial management, insurance follow-up, collections, and client account management.

This is an execution-focused role for someone with hands-on medical billing experience who can independently manage a high volume of claims while maintaining accuracy, compliance, and timely reimbursement.

You’ll review EOBs and ERAs, investigate denials, submit and correct claims, work with insurance carriers, monitor aging accounts, and maintain accurate billing documentation across assigned client accounts.

If you understand the medical billing lifecycle, can troubleshoot claim and payment issues independently, and thrive in a fast-paced remote environment, this role is a strong fit.

What You’ll Own

Medical Billing & Revenue Cycle Management

Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify:

Payment discrepancies

Claim denials

Rejections

Underpayments

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 before submission

Submit

Initial claims

Corrected claims

Secondary claims

Follow payer-specific submission requirements and guidelines

Manage claim queues and prioritize follow-up activities

Maintain accurate billing records, account documentation, and claim notes

Follow up promptly on unpaid, rejected, or underpaid claims

Denial Management & Claims Follow-Up

Investigate the root cause of denied or rejected claims

Research payer requirements and determine appropriate corrective actions

Correct claim issues and support timely resubmission

Follow outstanding claims through payment or resolution

Monitor claim status and reimbursement timelines

Maintain clear documentation of actions taken and next steps

Help reduce unnecessary delays throughout the revenue cycle

Account Management & Insurance Follow-Up

Research payer portals and insurance websites to resolve claim issues and obtain billing updates

Coordinate directly with insurance carriers regarding

Claim status

Payment inquiries

Denials

Rejections

Outstanding balances

Support client account management and respond to billing-related questions as needed

Monitor aging accounts and assist with collections activities

Maintain consistent communication with clients, payers, and internal stakeholders

Ensure assigned accounts receive timely and accurate follow-up

Quality & Compliance

Maintain accuracy and compliance with payer guidelines and billing regulations

Meet established productivity, quality, and turnaround-time expectations

Maintain complete and accurate billing documentation

Identify recurring billing or denial trends

Recommend process improvements where appropriate

Work independently while maintaining a high level of accuracy and accountability

Requirements

Previous professional experience in Revenue Cycle Management (RCM)

Hands-on medical billing experience in a production environment

Strong knowledge of

Claim submission

Denial management

Claims follow-up

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 independently manage assigned billing workflows with minimal supervision

Ability to maintain accuracy while handling a high volume of claims

Availability during standard U.S. business hours

Preferred Qualifications

Experience in high-volume medical billing environments

Experience supporting Texas-based medical practices

Experience with insurance verification and account management

Previous experience working remotely

EHR & Practice Management Systems

Experience with one or more of the following systems is highly preferred:

eClinicalWorks | Aprima | Medisoft | Veradigm | Nextech | CureMD | Office Practicum | NextGen

What Makes You a Strong Fit

You’ll likely thrive in this role if you

Have extensive hands-on experience managing medical billing and RCM workflows

Can independently resolve claim denials and payment issues with minimal supervision

Understand how to interpret EOBs, ERAs, claim statuses, and payer responses

Are highly organized and comfortable managing a high volume of claims

Maintain accuracy even when working across multiple accounts and priorities

Follow unpaid and denied claims consistently until resolution

Communicate professionally with clients, insurance carriers, and internal teams

Take ownership of billing outcomes rather than simply completing tasks

Thrive in a remote environment and consistently meet productivity expectations

What a Typical Day Looks Like

You may start your day by reviewing claim queues, outstanding balances, denials, and accounts requiring immediate follow-up.

Throughout the day, you’ll review claim submissions, interpret EOBs and ERAs, resolve denials, follow up with insurance carriers, research payer requirements, submit corrected claims, update billing documentation, and monitor aging accounts.

You’ll also support assigned client accounts, investigate payment issues, and ensure claims continue progressing toward reimbursement.

In short: you help keep the revenue cycle moving by ensuring claims are accurate, denials are resolved, outstanding balances are followed up on, and reimbursement happens as efficiently as possible.

Key Metrics for Success

Claim submission accuracy

Denial and rejection resolution rate

Claims turnaround time

Reduction in aging accounts receivable

Collections and reimbursement performance

Timeliness of insurance follow-up

Accuracy of billing and account documentation

Productivity across assigned claim queues

Compliance with payer requirements

Client account satisfaction

Why This Role Stands Out

Direct impact on reimbursement and revenue-cycle performance

Hands-on ownership of medical billing and claims resolution

Exposure to multiple EHR and Practice Management systems

Opportunity to strengthen expertise across RCM, denial management, collections, and account management

Fully remote working environment

Opportunity to support established U.S. medical practices

Career growth opportunities into

Senior Medical Billing Specialist

RCM Account Manager

Revenue Cycle Operations

Medical Billing Team Lead

RCM Management

Interview Process

Initial Application

Spark Hire One-Way Video Interview

Recruiter Screening

Client Interview

Offer Stage

Spark Hire Video Interview – Required

As part of the application process, all candidates are required to complete a one-way video interview through Spark Hire .

After completing the first step of your application, you’ll receive a Spark Hire invitation by email with instructions to record and submit your video responses.

Completion of the Spark Hire video is required to be considered for the next stage . Please check your inbox as well as your spam or junk folder for the invitation.