Senior Medical Billing, RCM Specialist

Job not on LinkedIn

🔥 1 minute ago

🇰🇪 Kenya – Remote

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 25%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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SnappyCX

WebsiteLinkedInAll Job Openings

11 - 50 employees

💼 Consulting

☁️ SaaS

Consulting • SaaS • Customer Support

SnappyCX is a company that provides customizable outsourcing solutions designed to help businesses scale their operations efficiently. Offering a variety of services including IT and software development, customer support, finance and accounting, and virtual assistant solutions, SnappyCX delivers fast and reliable support to companies of all sizes. Their commitment to quality talent acquisition ensures that clients can save on operational costs while maintaining high standards in service delivery.

📋 Description

• Manage day-to-day U.S. medical billing and revenue cycle activities • Prepare, review, and submit claims to Medicare, Medicaid, and commercial insurance payers • Review patient accounts, charges, medical records, and insurance information for billing accuracy • Apply CPT, ICD-10-CM, HCPCS, and applicable modifiers • Identify and correct billing and coding issues causing claim rejections or denials • Manage denied, rejected, unpaid, and underpaid claims • Perform insurance follow-up and communicate with payers regarding outstanding claims • Conduct accounts receivable follow-up, including aging AR • Submit claim corrections, reconsiderations, and appeals • Review EOBs and ERAs and investigate payment discrepancies • Perform or support payment posting and account reconciliation • Verify patient and insurance information • Work with clearinghouses, payer portals, EHR/EMR systems, and billing platforms • Monitor outstanding accounts and take action toward resolution • Identify recurring billing, denial, and payment issues and communicate trends to the appropriate team • Maintain accurate billing documentation and follow client-specific procedures • Work independently while meeting productivity, accuracy, and turnaround-time expectations

🎯 Requirements

• Minimum 3 years of hands-on U.S. medical billing experience • Experience working directly with a U.S. healthcare practice, clinic, medical organization, or similar healthcare setting • Strong understanding of the U.S. healthcare revenue cycle • Hands-on experience with medical billing, claims submission, denial management, accounts receivable, insurance/payer follow-up, revenue cycle management, medical coding, CPT, ICD-10-CM, and HCPCS • Experience working with U.S. insurance payers • Working knowledge of EHR/EMR systems, clearinghouses, payer portals, and/or medical billing software • Strong attention to detail and ability to independently manage billing tasks • Strong written and verbal English communication skills • Ability to work effectively in a fully remote environment • Experience managing aging AR and complex denials preferred • Experience handling appeals and claim reconsiderations preferred • Experience with Medicare and Medicaid billing preferred • Experience with payment posting and EOB/ERA reconciliation preferred • Experience with multiple insurance payers and payer portals preferred • Experience in Primary Care, Behavioral Health/Mental Health, Ophthalmology, Dental, Specialty Clinics, or other U.S. healthcare practices preferred • CPC, CCS, CPB, CCA, or other relevant medical billing/coding certification preferred but not required

🏖️ Benefits

• Fully remote work arrangement • Full-time or part-time work options • Hours of 15–40 hours per week • Schedule based on U.S. business hours and agreed availability