Job Description
This is not a Remote position; it is in the Office Monday - Friday.
Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred
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&D
- Short- 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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