revenue cycle management specialist

EqualizeRCM Services

Job Title: DME Sales Support/RCM Specialist The CompanyEqualizeRCM is a premier provider of specialized consulting and remote revenue cycle management services. Our team comprises top-tier professionals &ndash; CEOs, CFOs, RCM operations managers, Six Sigma practitioners, CTOs, and seasoned consultants &ndash; dedicated to delivering comprehensive revenue cycle solutions to clients of all sizes from one provider offices to rural community hospitals to nation-wide urgent care chains.The RoleThe Durable Medical Equipment Sales Support/RCM Specialist serves as the primary point of contact for DME sales representatives/distributors, ensuring excellent customer service throughout the order process, as well as complete and accurate order process. This role also serves as a lead supporting revenue cycle management (RCM) operations, leading offshore team agents, and assisting with client account performance. The position requires strong communication, organizational, and leadership skills to deliver high-quality service and operational excellence.Responsibilities and Duties<ul><li>Serve as the first point of contact for DME sales representatives/distributors, addressing inquiries, providing order status updates, and resolving issues with professionalism and patience.</li><li>Lead and mentor a small team of offshore agents, providing training, guidance, and performance feedback.</li><li>Support account management activities, including assisting with new sales representative/distributor onboarding and day-to-day RCM operations.</li><li>Facilitate effective communication between sales representatives/distributors, providers, payers, and internal teams.</li><li>Adhere to SLAs, such as turnaround times, customer satisfaction scores, etc.</li><li>Ensure compliance with HIPAA, Medicare, and organizational policies.</li><li>Assist with troubleshooting and resolving RCM issues, serving as a subject matter expert for the team.</li><li>Participate in virtual meetings to build relationships and resolve issues.</li><li>Support software implementation and process improvements for assigned accounts.</li><li>Perform other duties as assigned.</li></ul>Required Experience and Qualifications<ul><li>Extensive knowledge of healthcare revenue cycle management (facility and/or professional billing, insurance eligibility and prior authorization, and workflow optimization), specific to DME.</li><li>Minimum 2-3 years&rsquo; experience in patient services, healthcare billing, or account management, DME specific preferred.</li><li>Demonstrated ability to lead and develop team members.</li><li>Excellent communication skills, both oral and written, with the ability to interact confidently with sales representatives/distributors, providers, and internal staff.</li><li>Strong customer service orientation and problem-solving skills.</li><li>Analytical skills to interpret data, prepare reports, and draw actionable insights.</li><li>Proficiency with healthcare billing systems and Microsoft Office Suite.</li><li>Ability to travel occasionally for client meetings or training (if required).</li><li>Commitment to compliance and confidentiality standards.</li><li>Prior experience in a team lead or junior account manager role within healthcare, especially DME-related, preferred.</li></ul>Job Type: Full-time.Benefits:<ul><li>401(k) program with generous company match</li><li>Health benefit plans (medical, dental, vision)</li><li>Life insurance policy</li><li>Generous PTO policy</li><li>Long Term Disability</li></ul>Work Location: RemoteJob Type: Full-timeBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>This job has an anticipated start date of March 1st. Does this work for you?</li></ul>Experience:<ul><li>Healthcare DME: 3 years (Required)</li></ul>Work Location: Remote

DME Jr. Case Manager

Digital Frontier

<div>
 
 
 Medical Biller
 
 
 
 This role requires availability to work in line with U.S.-based timings.
 
 
 Digital Frontier is looking for a detail-oriented Medical Billing Specialist with 1-2 years of experience to join our team. This opportunity is ideal for someone with a good working knowledge of medical billing who is looking to build a stable, long-term career in revenue cycle management.
 
 
 
 Key Responsibilities:
 
 
 <ul>
 <li>
 Perform day-to-day medical billing activities with accuracy, discipline, and adherence to process
 </li>
 <li>
 Handle
 
 charge entry and intake validation
 
 to ensure claims are complete and ready for submission
 </li>
 <li>
 Prepare and submit clean claims to insurance companies in a timely manner
 </li>
 <li>
 Review and resolve
 
 claim rejections
 
 , corrections, and resubmissions
 </li>
 <li>
 Manage
 
 payment posting and reconciliation
 
 accurately
 </li>
 <li>
 Conduct
 
 accounts receivable follow-up
 
 to recover outstanding balances efficiently
 </li>
 <li>
 Support
 
 denials and appeals
 
 processes with proper documentation and follow-through
 </li>
 <li>
 Maintain accurate notes, billing records, statuses, and updates within the workflow
 </li>
 <li>
 Identify billing issues, payer-specific problems, and unresolved blockers early, and escalate them in a timely manner
 </li>
 <li>
 Follow company procedures and quality standards to support consistent billing performance and clean record keeping
 </li>
 </ul>
 
 
 Candidate Profile:
 
 
 <ul>
 <li>
 
 1&ndash;2 years of experience
 
 in medical billing or revenue cycle management
 </li>
 <li>
 Good knowledge of medical billing processes,
 
 
 claim flow, denials, payment posting, and AR follow-up
 </li>
 <li>
 Working knowledge of
 
 
 CPT, ICD-10, and HCPCS
 
 
 codes
 </li>
 <li>
 Good communication, coordination, and follow-up skills
 </li>
 <li>
 Ability to work in a structured environment and meet deadlines
 </li>
 <li>
 Open to working in line with
 
 U.S.-based timings
 
 </li>
 <li>
 Willing to learn, grow, and build a long-term career with the company
 </li>
 </ul>
 
 We are looking for someone reliable, process-oriented, and committed to delivering quality work in a professional environment.
 
 <ul>
 <li>
 
 Apply now to grow your career in medical billing with Digital Frontier.
 
 </li>
 </ul>
</div>

Medical Biller

Eplanet Global

Job Title: AR Specialist &ndash; Medical BillingLocation: Karachi (Onsite) Experience: 2&ndash;5 Years (US Healthcare AR) Shift: US Shift (Night) Salary Range: 150K&ndash; 160K PKR (depending on experience)Job Summary:I am looking for a skilled AR Specialist (Medical Billing) with hands-on experience in US healthcare revenue cycle management. The candidate will be responsible for managing insurance follow-ups, claim resolutions, and ensuring maximum reimbursement by working on denied, rejected, and unpaid claims.Key Responsibilities:<ul><li>Work on Accounts Receivable (AR) for US healthcare clients</li><li>Perform insurance follow-ups on unpaid/underpaid claims (via calls/portals)</li><li>Analyze and resolve denied and rejected claims</li><li>Handle payment posting discrepancies and reconciliation</li><li>Ensure timely appeals filing for denied claims</li><li>Work on aging reports (30/60/90/120+ days) and prioritize collections</li><li>Coordinate with billing and coding teams to fix claim issues</li><li>Maintain accurate documentation of follow-ups and actions taken</li><li>Meet daily/weekly productivity and collection targets</li></ul>Required Skills &amp; Qualifications:<ul><li>Bachelor&rsquo;s degree (preferred)</li><li>2&ndash;5 years of US Medical Billing AR experience</li><li>Strong understanding of RCM (Revenue Cycle Management)</li><li>Knowledge of CPT, ICD-10, HCPCS codes</li><li>Familiarity with insurance portals (e.g., Availity, Navinet)</li><li>Experience with denial management &amp; appeals</li><li>Good communication skills for US insurance calling</li><li>Proficiency in MS Excel and billing software</li></ul>Preferred:<ul><li>Experience in specialties (e.g., Radiology, DME, Internal Medicine, etc.)</li><li>Exposure to EHR/EMR systems (e.g., Kareo, AdvancedMD, eClinicalWorks)</li></ul>KPIs / Performance Metrics:<ul><li>AR aging reduction</li><li>Collection ratio / recovery rate</li><li>Denial resolution turnaround time</li><li>Productivity (claims handled per day)</li><li>Quality &amp; accuracy of follow-ups</li></ul>Job Type: Full-timePay: Rs150,000.00 - Rs160,000.00 per monthWork Location: In person

AR Specialist – Medical Billing

MyOme

<div>
 MyOme&rsquo;s mission is to provide clinically actionable genetic information to patients throughout their lives. We combine clinical-grade whole genome sequencing, advanced AI methods for genome interpretation, and seamless digital tools for doctors and patients to order and access results. Our team is composed of seasoned entrepreneurs, scientists, and operators, and we're backed by top-tier investors.
 
 
 
 Position Overview:
 
 
 
 We are looking for a Billing Specialist to join our Customer Support pod at a pivotal moment in MyOme's growth. You won't be stepping into a fully built billing function &mdash; you'll be shaping it. As the single point of contact for all things billing, you'll own full-cycle revenue cycle management end-to-end, work directly with patients, providers, and internal teams, and build the systems and documentation that prevent issues before they escalate.
 
 
 If you're energized by building playbooks, not following them &mdash; and you want your billing expertise to matter at a company where it will directly impact patient outcomes &mdash; this is the role.
 
 
 
 What You'll Do:Patient-facing billing support:
 
 
 
 
 
 <ul>
 <li>
 Primary point of contact for all patient billing inquiries &mdash; first inquiry to final resolution via phone calls and tickets
 </li>
 <li>
 Educate patients on cost transparency, EOBs, insurance benefits, and financial assistance options in plain, accessible language
 </li>
 <li>
 Handle billing escalations with empathy and urgency
 
 
 </li>
 </ul>
 
 Provider &amp; partner billing support:
 
 
 
 
 
 <ul>
 <li>
 Respond to provider and partner billing questions accurately and promptly
 </li>
 <li>
 Clarify CPT codes, reimbursement policies, and prior authorization requirements
 </li>
 <li>
 Communicate billing updates and policy changes to relevant contacts
 
 
 </li>
 </ul>
 
 Revenue cycle &amp; cross-functional operations:
 
 
 
 
 
 <ul>
 <li>
 Own full-cycle RCM &mdash; claims submission, payment posting, denial management, appeals tracking, and resolution
 </li>
 <li>
 Partner with finance and commercial operations to align billing workflows with organizational goals
 </li>
 <li>
 Identify denial trends and implement SOPs to reduce errors and increase resolution rates
 </li>
 <li>
 Manage escalations between patients, payors, and internal departments
 </li>
 <li>
 Contribute to billing ticket metrics and dashboard reporting
 </li>
 <li>
 Proactively surface ambiguous billing ownership issues before they become blockers
 
 
 </li>
 </ul>
 
 Systems &amp; documentation:
 
 
 
 
 
 <ul>
 <li>
 Own the billing SOP library &mdash; build it, maintain it, and improve it as the company scales
 </li>
 <li>
 Leverage HubSpot and clearinghouse/claims platforms to document interactions and track trends
 </li>
 <li>
 Contribute to AI-assisted deflection workflows for tier-1 billing FAQs
 </li>
 <li>
 Maintain HIPAA compliance; HIPAA/PHI training must be completed within the first 30 days
 
 
 </li>
 </ul>
 
 What You'll Ne
 
 
 ed:
 
 
 
 <ul>
 <li>
 3&ndash;6 years of medical billing and RCM experience &mdash; genomics, clinical laboratory, or precision medicine a significant advantage
 </li>
 <li>
 Deep knowledge of full-cycle RCM: EOBs, CPT/ICD-10 coding, denial management, appeals, prior authorizations, and payer processes
 </li>
 <li>
 Experience working cross-functionally with finance, operations, or clinical teams
 </li>
 <li>
 Familiarity with billing and clearinghouse platforms; HubSpot or equivalent CRM preferred
 </li>
 <li>
 Strong communicator &mdash; equally comfortable explaining a bill to an anxious patient and presenting billing trends to leadership
 </li>
 <li>
 Systems thinker who builds SOPs as a habit, not an exception
 </li>
 <li>
 Comfortable with AI tools and automation &mdash; you see them as a force multiplier, not a threat
 </li>
 <li>
 HIPAA certified or willing to complete certification immediately upon hire
 </li>
 <li>
 Startup or early-stage experience preferred &mdash; you're comfortable building the playbook, not following one
 
 
 </li>
 </ul>
 
 Location, Compensation, and Benefits:
 
 
 
 <ul>
 <li>
 
 Location:
 
 Remote in the US
 </li>
 <li>
 
 Compensation:
 
 Annual base salary range is $70,000 - $90,000, depending on experience and location
 
 
 </li>
 </ul>
 San Francisco Bay Area pay range: $70,000 USD - $90,000 USD
 
 
 
 Benefits:
 
 
 
 <ul>
 <li>
 Comprehensive healthcare coverage (Health, Dental, and Vision)
 </li>
 <li>
 401K
 </li>
 <li>
 Unlimited PTO
 </li>
 <li>
 Professional development opportunities
 </li>
 <li>
 Company-sponsored off-sites and team meals during in-person meetings
 </li>
 <li>
 Direct access to company leadership and the opportunity for career growth
 
 
 </li>
 </ul>
 
 Diversity, Inclusion, and Equal Opportunity:
 
 
 
 MyOme values diversity in all forms. We believe that diverse perspectives drive better science and better patient outcomes. We are an Equal Opportunity Employer committed to creating an inclusive workplace that empowers every individual.
 
 
 
 Why Work at MyOme?
 
 
 
 
 Join us if you:
 
 
 
 <ul>
 <li>
 Want to make an impact at the intersection of healthcare and technology, changing the way people engage with their health at the genetic level
 </li>
 <li>
 Enjoy rolling up your sleeves, taking initiative, and being empowered to lead
 </li>
 <li>
 Value humility, transparency, and collaborative problem-solving
 </li>
 <li>
 Thrive in fast-moving, dynamic environments with smart, driven teammates
 </li>
 <li>
 Appreciate competitive compensation, meaningful equity, and excellent benefits
 
 
 </li>
 </ul>
 Learn More: myome.com
</div>

Billing Specialist

CareSpot Urgent Care

<div><h1 class="jobSectionHeader">Position Summary</h1>
??The Revenue Cycle Specialist will be responsible for the day-to-day operation in the following areas: billing, Claims resolution, A/R follow-up, Credit Balance, EDI Billing, or Posting. Under the direction of the Manager the specialist will be responsible for handling all functions related to the designated area and any other duties assigned by management.???
<h1 class="jobSectionHeader">Duties and Responsibilities</h1>
<ul><li>??Responsible for claim submissions to Urgent Care payors in accordance with all insurance regulations and requirements.
</li><li>Process Urgent Care Payor credit card payments.
</li><li>?Provide all necessary documentation required by payors to resolve claim issues or denials, including medical records, prior authorizations, audits, etc.
</li><li>?Analyze and research all denials and over or under payments, with focus on Medicaid/Medicare.
</li><li>?Ensure all payor correspondence is reviewed and followed up on immediately.
</li><li>??Provide exceptional customer service and communication to payors and resolve any accounts receivable requests in a timely and accurate manner.
</li><li>?Communicate any issues to the Revenue Cycle Director\Management.
</li><li>Validate/Update unbilled Medicaid/Medicare unbilled charges, daily.</li>
<li>Act as the liaison between Omega and Centers for Urgent Care, Medicare and Medicaid focused, questions/issues.</li>
<li>Other duties and responsibilities as assigned.</li>
</ul>
?
?Please Note:?The list of responsibilities detailed above is not a comprehensive list, nor is it intended to be a list of all responsibilities and duties of the RCM specialist.?
<h1 class="jobSectionHeader">Experience, Skills and Education</h1>
<ul><li>??2+ years of relevant Healthcare billing experience within a healthcare facility or healthcare insurance company.
</li><li>?Deep understanding of medical billing rules and supporting documentation requirements for relevant Healthcare claims and remits.
</li><li>Medicaid and/or Medicare credentialing experience preferred, not required.</li>
<li>?Knowledge of ICD-10 and HCPC coding, modifiers, and other medical terminology.
</li><li>?Proficient with Microsoft Office, specifically Excel, Outlook, and Word.
</li><li>?NextGen experience a plus, but not a requirement.
</li><li>?High School diploma required.?</li>
<li>Ability to pass a Level II background screening and clearance through AHCA (Agency for Healthcare Administration) - https://info.flclearinghouse.com/</li>
</ul>
<h1 class="jobSectionHeader">Physical Demands</h1>
The physical demands and work environment characteristics described here are representative of those that must be met by a team member to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While working the essential functions of this job, the employee is occasionally required to stand, walk, sit, life, carry, use hands to handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch or crawl, talk, hear and lift and/or move up to 40 pounds.
Work Environment
Admin - While performing the essential functions of the job the employee may be in office or work remotely dependent upon the company and/or department&rsquo;s policies.</div>

Specialist, Revenue Cycle - Onsite

Meds IT Nexus

Kickstart Your Career as a Verification of Benefits (VOB) Specialist at Meds Nexus Pvt. Ltd.!Are you ready to grow with one of Pakistan&rsquo;s fastest-growing medical billing companies? Meds Nexus Pvt. Ltd., located in the heart of Rawalpindi, is hiring Verification of Benefits (VOB) Specialists to join our dynamic team. If you're passionate about healthcare processes, have sharp attention to detail, and possess excellent spoken English skills, this is your opportunity!Job DescriptionAs a VOB Specialist, your core responsibility will be to verify patients&rsquo; insurance eligibility and benefits before their medical visits. You will play a crucial role in supporting our clients in the U.S. healthcare industry by ensuring accurate and timely benefit verification.Key Responsibilities:<ul><li>Contact U.S.-based insurance companies to verify patient coverage details</li><li>Maintain and track the verification workflow for each patient</li><li>Document call notes with precision and take corrective measures as needed</li><li>Update actions and notes on the client&rsquo;s revenue cycle management (RCM) platform</li><li>Follow client-specific documentation standards and protocols</li><li>Uphold Meds Nexus&rsquo; data protection and information security guidelines</li><li>Demonstrate integrity and adhere to the highest standards of ethical conduct</li></ul>Desired Candidate ProfileWe&rsquo;re looking for someone who is detail-oriented, proactive, and well-versed in U.S. medical billing processes.Requirements:<ul><li>Minimum 2+ years of experience as a VOB Specialist with a medical billing service provider</li><li>Strong knowledge of the U.S. revenue cycle, Eligibility &amp; Benefits Verification, and Prior Authorization</li><li>Ability to understand and apply client-specific business rules</li><li>Skilled in generating reports and maintaining accurate records</li><li>Strong communication skills with a neutral/clear accent</li><li>Graduate degree in any field</li><li>Problem-solving attitude with a willingness to learn and grow</li></ul>Job Rewards and Benefits:<ul><li>Paid Leaves</li><li>HR Bonus</li><li>Inflation Bonus</li><li>MTD (Month-To-Date) Bonus</li><li>Promotion</li><li>Increments</li><li>Medical Coverage</li><li>Leave Encashment</li><li>Contributory Saving Plan (CSP)</li><li>Annual Trip</li><li>Saturday and Sunday Off</li><li>Transportation allowances only for female staff</li><li>Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)</li></ul>Office Timing: 5:30 PM to 2:30 AMWhy Join Meds Nexus?Join our team and become part of a forward-thinking organization that values innovation, promotes continuous learning, and provides real opportunities for career advancement. At Meds Nexus, your hard work is not only appreciated&mdash;it&rsquo;s recognized and rewarded.Apply now and take the next step in your medical billing career with Meds Nexus Pvt. Ltd.!Job Type: Full-timeWork Location: In personJob Type: Full-timeWork Location: In person

VOB Specialist

Caregenix Solutions

Role: RCM Specialist Location: Cherry Plaza, DHA Phase 2, Karachi Shift: 6:00 PM &ndash; 3:00 AM (US Hours) Compensation: Competitive Salary + Fuel Allowance / TransportRequirements: <ul><li>3&ndash;5 years of proven experience in Medical Billing / Revenue Cycle Management.</li><li>Strong understanding of US healthcare billing processes, insurance claims, and denials management.</li><li>Excellent English communication skills (written &amp; spoken).</li><li>Leadership skills and ability to mentor junior team members.</li><li>Detail-oriented, analytical, and results-driven.</li></ul>What We Offer:<ul><li>A competitive compensation package</li><li>Opportunities for career growth and leadership roles</li><li>A collaborative and supportive work environment</li></ul>Job Type: Full-timePay: Up to Rs150,000.00 per monthApplication Question(s):<ul><li>What is your expected pay?</li></ul>Work Location: In person

RCM Specialist/Medical billing Specialist

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