pspan style="font-weight: bold"Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred/span/p
pbrspan style="color: rgb(224, 62, 45); font-weight: bold"This is not a Remote position; it is in the Office Monday - Friday./span/p
p /p
pspan style="font-weight: bold"This is not an entry-level role and requires independent ownership of revenue cycle processes./span/p
p /p
pspan style="font-weight: bold"Position Summary/span/p
pspan style="font-weight: bold"Reliant Healthcare Group/span is seeking an experienced Medical Billing Specialist with demonstrated span style="font-weight: bold"Revenue Cycle Management (RCM)/span expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement./p
p /p
pspan style="font-weight: bold"Essential Duties Responsibilities/span/p
ul
liManage span style="font-weight: bold"full Revenue Cycle Management (RCM)/span processes/li
liVerify insurance eligibility and benefits for commercial and Medicaid MCO payers/li
liFollow up on span style="font-weight: bold"Accounts Receivable exceeding 30 days/span/li
liReview AR aging reports and resolve outstanding balances/li
liPost payments and perform account reconciliations/li
liObtain and manage insurance authorizations/li
liReview and correct claims to prevent denials/li
liInterpret payer contracts and reimbursement guidelines/li
liMaintain accurate billing documentation/li
liCommunicate with payers, patients, and internal teams/li
/ul
p /p
pspan style="font-weight: bold"Required Qualifications/span/p
ul
liMinimum span style="font-weight: bold"2 years of medical billing with RCM responsibilities/span/li
liExperience with AR follow-up and medical collections/li
liKnowledge of medical office workflows/li
liProficiency with EMR/EHR systems/li
liUnderstanding of medical terminology/li
liKnowledge of span style="font-weight: bold"CPT, ICD-9, ICD-10/span coding (DRG preferred)/li
liExperience with payment posting and account reconciliation/li
liAbility to manage payer communications independently/li
/ul
p /p
pspan style="font-weight: bold"Preferred Qualifications/span/p
ul
liBilingual (English/Spanish)/li
liMedicaid MCO billing experience/li
liMulti-location healthcare billing experience/li
/ul
p /p
pspan style="font-weight: bold"Benefits/span/p
ul
liMedical, dental, and vision insurance/li
liHealth Savings Account (HSA)/li
liCompany-paid life insurance and ADD/li
liShort- and long-term disability options/li
liPaid Time Off (PTO), holidays, and sick leave/li
li401(k) with employer match/li
liEmployee Referral Bonus Program/li
/ul
p /p
pspan style="font-weight: bold"Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred/span/p
pbrspan style="color: rgb(224, 62, 45); font-weight: bold"This is not a Remote position; it is in the Office Monday - Friday./span/p
p /p
pspan style="font-weight: bold"This is not an entry-level role and requires independent ownership of revenue cycle processes./span/p
p /p
pspan style="font-weight: bold"Position Summary/span/p
pspan style="font-weight: bold"Reliant Healthcare Group/span is seeking an experienced Medical Billing Specialist with demonstrated span style="font-weight: bold"Revenue Cycle Management (RCM)/span expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement./p
p /p
pspan style="font-weight: bold"Essential Duties Responsibilities/span/p
ul
liManage span style="font-weight: bold"full Revenue Cycle Management (RCM)/span processes/li
liVerify insurance eligibility and benefits for commercial and Medicaid MCO payers/li
liFollow up on span style="font-weight: bold"Accounts Receivable exceeding 30 days/span/li
liReview AR aging reports and resolve outstanding balances/li
liPost payments and perform account reconciliations/li
liObtain and manage insurance authorizations/li
liReview and correct claims to prevent denials/li
liInterpret payer contracts and reimbursement guidelines/li
liMaintain accurate billing documentation/li
liCommunicate with payers, patients, and internal teams/li
/ul
p /p
pspan style="font-weight: bold"Required Qualifications/span/p
ul
liMinimum span style="font-weight: bold"2 years of medical billing with RCM responsibilities/span/li
liExperience with AR follow-up and medical collections/li
liKnowledge of medical office workflows/li
liProficiency with EMR/EHR systems/li
liUnderstanding of medical terminology/li
liKnowledge of span style="font-weight: bold"CPT, ICD-9, ICD-10/span coding (DRG preferred)/li
liExperience with payment posting and account reconciliation/li
liAbility to manage payer communications independently/li
/ul
p /p
pspan style="font-weight: bold"Preferred Qualifications/span/p
ul
liBilingual (English/Spanish)/li
liMedicaid MCO billing experience/li
liMulti-location healthcare billing experience/li
/ul
p /p
pspan style="font-weight: bold"Benefits/span/p
ul
liMedical, dental, and vision insurance/li
liHealth Savings Account (HSA)/li
liCompany-paid life insurance and ADD/li
liShort- and long-term disability options/li
liPaid Time Off (PTO), holidays, and sick leave/li
li401(k) with employer match/li
liEmployee Referral Bonus Program/li
/ul
p /p