Senior Medical Billing & RCM Specialist Job SnappyCX

Medical Billing Jobs, SnappyCX Jobs. Senior Medical Billing & RCM Specialist managing U.S. medical billing and revenue cycle activities including claims submission, denial management, accounts receivable and payer follow-up, requiring minimum 3 years hands-on U.S. medical billing experience, knowledge of CPT, ICD-10-CM and HCPCS coding, and working knowledge of EHR/EMR systems and clearinghouses, in a healthcare and remote BPO environment, work-from-home role.

About the Role

We are seeking an experienced Senior Medical Billing & RCM Specialist to support U.S. healthcare practices and medical organizations. The ideal candidate has at least 3 years of direct U.S. medical billing experience and can independently manage key areas of the revenue cycle, including claims submission, denial management, accounts receivable (AR), insurance follow-up and payment review. This is a hands-on medical billing role, not a general healthcare administrative or patient coordination position. Candidates with experience in Primary Care, Behavioral Health, Ophthalmology, Dental or Specialty Clinics are encouraged to apply.

Responsibilities

• Manage day-to-day U.S. medical billing and revenue cycle activities.
• Prepare, review and submit claims to Medicare, Medicaid and commercial insurance payers.
• Apply knowledge of CPT, ICD-10-CM, HCPCS and applicable modifiers, and correct billing and coding issues that may cause claim rejections or denials.
• Manage denied, rejected, unpaid and underpaid claims, and submit corrections, reconsiderations and appeals as appropriate.
• Perform insurance follow-up and Accounts Receivable (AR) follow-up, including aging AR.
• Review EOBs and ERAs, investigate payment discrepancies, and support payment posting and account reconciliation.
• Work with clearinghouses, payer portals, EHR/EMR systems and billing platforms.
• Identify recurring billing, denial and payment issues and report trends to the team.
• Work independently in a remote environment while meeting productivity, accuracy and turnaround-time expectations.

Qualifications

• Minimum 3 years of hands-on U.S. medical billing experience, ideally in a U.S. healthcare practice, clinic or medical organisation.
• Strong understanding of the U.S. healthcare revenue cycle (RCM) and experience working with U.S. insurance payers.
• Hands-on experience in medical billing, claims submission, denial management, accounts receivable (AR) and payer follow-up.
• Knowledge of medical coding: CPT, ICD-10-CM and HCPCS.
• Working knowledge of EHR/EMR systems, clearinghouses, payer portals and/or medical billing software.
• Strong attention to detail and the ability to manage billing tasks independently.
• Strong written and verbal English communication skills.
• Ability to work effectively in a fully remote environment.

How to Apply

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