About
**Job Overview:**
Join our expanding healthcare team as a Remote Revenue Cycle Management (RCM) Manager We are looking for an experienced professional to lead our internal billing processes, with a strong emphasis on Medicaid and commercial insurance. This is a hands-on leadership position that will serve as the primary connection between our team and remote administrative staff.
**Key Responsibilities:**
- Oversee the complete revenue cycle for Medicaid and other insurance payers, including patient registration, insurance verification (VOB), eligibility assessments, prior authorizations, charge entry, claims processing, payment posting, denial resolution, and accounts receivable follow-up.
- Lead and mentor a remote administrative team (4-10 members over time), providing training, process enhancements, and performance evaluations to ensure high levels of accuracy, compliance, and timely operations.
- Manage medical billing and coding using ICD-10, CPT, and HCPCS codes to ensure claims are submitted correctly and denials are minimized.
- Act as the primary liaison for verification of benefits, insurance inquiries, payer communications, and appeals, coordinating effectively with the remote admin team.
- Track and analyze key performance indicators (such as denial rates, days in accounts receivable, and collection rates) to identify challenges and implement strategies for revenue optimization.
- Ensure compliance with all Medicaid regulations, HIPAA standards, and specific payer requirements.
- Work collaboratively with healthcare providers and staff to address billing concerns and enhance documentation practices for improved reimbursement.
**Qualifications:**
years of direct experience in medical billing, coding, and revenue cycle management, with a strong emphasis on Medicaid (recent, hands-on experience required).
- Demonstrated experience in managing small teams (4-10 members) in a remote work environment.
- Comprehensive understanding of insurance verification, eligibility checks, claims processing, denial management, and appeals, particularly for Medicaid and major commercial insurers.
- Familiarity with medical coding (certifications such as CPC, CPB, or equivalent are advantageous but not mandatory).
- Proficient in healthcare billing software and electronic health record (EHR) systems (e.g., Availity, Candid, Healthie, etc.).
- Excellent communication skills for effective interaction with remote teams, payers, and internal staff.
- Detail-oriented, self-motivated, and capable of working independently in a remote setting.
- Candidates based in the U.S. are preferred for time zone alignment and Medicaid expertise, though highly qualified international applicants with relevant U.S. experience will be considered.
**Compensation & Details:**
- Hourly Rate: Up to $18–$19/hour (please propose within this range based on your qualifications).
- Estimated Commitment: 15-20 hours per week initially, with flexibility for part-time or full-time work.
- Long-term opportunity for the right candidate.
- Availability during U.S. business hours (preferably PST, 9 AM - 5 PM).
**Application Instructions:**
To apply, please include:
- Your years of experience in Medicaid-focused RCM.
- Details about the size and outcomes of teams you have managed.
- Any relevant certifications or experience with specific software.
- An explanation of why you would be an excellent fit for this liaison and managerial role.
We value reliability, accuracy, and proactive problem-solving. If you possess the Medicaid expertise and leadership experience we are looking for, we would love to hear from you
Contract duration of more than 6 months. with 30 hours per week.
Mandatory skills: Administrative Support, Medical Billing, medicaid, medicare, Insurance Verification
Languages
- English
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