Medical Billing Specialist (Revenue Cycle Management) – Non Remote

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