Revenue Cycle Management (RCM) Generalist

Location: Remote (LATAM / South Africa preferred)
Type: Full-Time
Schedule: Must overlap with U.S. business hours (PST preferred)

Overview

We are seeking a well-rounded RCM Generalist with strong exposure across the back-end of the revenue cycle, including claims, denials, accounts receivable, and payment workflows.

This role is ideal for someone who understands the full claims lifecycle and can flex across multiple functions—supporting denials resolution, A/R follow-ups, and payment reconciliation as needed.

Key Responsibilities

Manage and support multiple areas of the back-end RCM workflow, including:
- Claims follow-up
- Denials review and basic appeals support
- A/R management
- Payment reconciliation
Investigate and resolve claim discrepancies and underpayments
Follow up with payers on outstanding or problematic claims
Assist in identifying denial trends and root causes
Maintain accurate documentation across all claim activity
Collaborate with internal teams to ensure smooth claim resolution
Support process improvements across billing and collections workflows

Requirements

3+ years of experience in U.S. healthcare RCM
Hands-on experience across at least 2–3 of the following areas:
- Denials management
- Claims follow-up
- Accounts receivable
- Payment posting or reconciliation
Strong understanding of:
- EOBs / ERAs
- Insurance workflows
- Claim lifecycle (submission → adjudication → payment)
Ability to work cross-functionally (not siloed in front-end only)
Excellent English communication skills

Nice-to-Have

Experience with Candid
Exposure to both denials and A/R workflows
Experience working with multiple payer systems

RCM Generalist - 58987031626