Job Overview

We are seeking a detail-oriented and experienced US Healthcare Billing & RCM Specialist to support the end-to-end revenue cycle process for a US healthcare organization. The role will be responsible for ensuring accurate and timely claims processing, payment collection, accounts receivable follow-up, denial resolution, and insurance-related activities.

The ideal candidate has strong knowledge of US healthcare billing and insurance processes, excellent attention to detail, and the ability to communicate effectively with insurance payers, healthcare providers, and patients.

Schedule

• 40 hours per week, fixed schedule during client's business hours

Key Responsibilities

• Manage day-to-day healthcare revenue cycle activities, including billing, claims processing, accounts receivable, and collections.
• Verify patient insurance eligibility, benefits, coverage, and authorization requirements.
• Prepare, review, and submit clean medical claims to insurance payers.
• Monitor claim status through payer portals and clearinghouse systems.
• Perform A/R follow-up on unpaid, delayed, and aging claims.
• Investigate rejected, denied, and underpaid claims and determine the appropriate resolution.
• Correct and resubmit claims when necessary.
• Prepare and submit insurance appeals with appropriate supporting documentation.
• Review EOBs and ERAs to identify payment discrepancies, denials, adjustments, and patient responsibility.
• Post insurance and patient payments accurately and reconcile payment records.
• Apply contractual adjustments, write-offs, and refunds according to established guidelines.
• Communicate with insurance companies regarding claim status, reimbursement issues, and outstanding documentation.
• Maintain accurate documentation of claim activity, payer communications, follow-ups, and resolutions.
• Identify recurring denial and billing issues and recommend corrective actions to reduce revenue leakage.
• Coordinate with coding, clinical, credentialing, and billing teams to resolve claim-related issues.
• Ensure claims and billing activities comply with payer requirements and applicable healthcare regulations, including HIPAA.
• Meet established productivity, accuracy, turnaround-time, and collection targets.

Qualifications

• 1–3+ years of experience in healthcare Revenue Cycle Management, medical billing, insurance claims, A/R follow-up, or denial management.
• Experience working with US healthcare insurance payers is highly preferred.
• Strong understanding of medical billing and claims processes.
• Familiarity with CPT, ICD-10-CM, HCPCS, EOB, ERA, and medical necessity concepts is preferred.
• Experience using payer portals, clearinghouses, EHR/EMR, and medical billing systems.
• Strong knowledge of insurance claims, denials, appeals, and reimbursement processes.
• Excellent written and verbal English communication skills.
• Strong analytical, problem-solving, and organizational skills.
• High attention to detail and accuracy.
• Ability to handle multiple accounts and prioritize aging or high-value claims.
• Proficient in Microsoft Office, particularly Excel.
• Ability to work independently while meeting productivity and quality targets.

Preferred Experience

Candidates with experience in any of the following areas are highly desirable:

• Medical Billing
• Healthcare Accounts Receivable
• Insurance Verification
• Claims Submission
• A/R Follow-Up
• Denial Management
• Claims Appeals
• Payment Posting
• Patient Billing and Collections
• Prior Authorization
• Medical Coding
• Payer Portal Management

Independent Contractor Perks

• Health insurance coverage for eligible locations
• Permanent work from home
• Immediate hiring

Note

• Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

Important Disclaimer
BruntWork never charges fees for applying or any part of the hiring process—it is 100% free. If you are ever asked for payment, please stop and report it immediately to our official email us through the ‘Contact Us’ form on our official BruntWork website.