Hiring For Medical Billing & Revenue Cycle Management (RCM) Expert

PFB J.D:

Job Title: Medical Billing & Revenue Cycle Management (RCM) Expert (title will vary depending on current role but must be willing to work as IC)
Location: Remote

Contract: 6 months
Experience: 8 to 12 years

Job Summary

We are looking for a dedicated and proactive Medical Billing & Revenue Cycle Management (RCM) Executive to join our growing team. The ideal candidate will have hands-on experience with end-to-end medical billing processes, claim submissions, payment posting, denial management, and working with US (or international) healthcare systems. This role is a critical part of our SME-focused medical billing/RCM operations.

Key Responsibilities

Process patient and insurance claims accurately using practice management and billing software.
Submit claims to insurance companiesboth electronically and manually—ensuring all supporting documentation is included.Review, track, and resolve claim denials and rejections.Post payments from insurance providers and patients into billing systems.Follow up on outstanding accounts receivable and unpaid claims.Verify patient eligibility and coverage details as required.Communicate with insurance companies, healthcare providers, and patients to resolve billing issues.Maintain up-to-date knowledge of medical coding guidelines, payer policies, and RCM industry best practices.Prepare and present RCM/billing reports as directed by management.Contribute to process improvement and compliance initiatives.Requirements

Bachelor’s degree or diploma in a relevant field (Commerce, Healthcare Administration, Life Sciences, etc.).
8 to 12 years’ experience in medical billing, RCM, or health insurance processes (US/International healthcare preferred).Familiarity with CPT, ICD-10, HCPCS codes, and common billing software/platforms (e.g., Kareo, Athena, AdvancedMD, etc.).Understanding of healthcare insurance terminology (EOB, denials, AR, etc.).Proficiency in MS Office Suite (Excel, Outlook).Strong analytical, problem-solving, and communication skills.Attention to detail and ability to work independently or in a team environment.Ability to manage multiple priorities in a fast-paced setting.Preferred Qualifications (not mandatory)

Certification as a Certified Professional Coder (CPC) or similar credential.
Previous experience working with SME medical billing vendors or BPO/KPO sector.Knowledge of US HIPAA compliance.Compensation and Benefits

Competitive salary (commensurate with experience).
Incentives/performance bonuses.Healthcare and wellness benefits.Opportunities for training and career advancement.