Job Summary

PrimePulse Healthcare is seeking a highly organized and detail-oriented Remote RCM Specialist to join our growing Revenue Cycle Management team. In this role, you will be responsible for overseeing end-to-end revenue cycle processes including billing, coding, claims submission, payment posting, denial management, and AR follow-up. This position is ideal for individuals who have strong analytical skills, a passion for accuracy, and experience working with healthcare billing systems.

Key Responsibilities

• Manage the full revenue cycle process from patient registration to final payment.

• Review medical records and documentation to ensure accurate coding and billing.

• Submit claims electronically and manually to insurance payers.

• Follow up on unpaid or denied claims and take necessary action to resolve issues.

• Monitor account balances and ensure timely collection of payments.

• Communicate with insurance companies, patients, and internal teams as needed.

• Handle payment posting and reconcile payments received with billed amounts.

• Identify trends in reimbursement delays or denials and suggest process improvements.

• Ensure compliance with HIPAA regulations and payer guidelines.

Required Skills and Qualifications

• Strong understanding of the healthcare revenue cycle process.

• Knowledge of medical billing, coding systems (CPT, ICD-10), and insurance claim procedures.

• Proficiency in medical billing software and EHR systems.

• Excellent analytical and problem-solving skills.

• Strong communication skills (verbal and written).

• Ability to work independently and in a remote team environment.

• High attention to detail and accuracy.

Experience

• Minimum 2+ years of experience in RCM, medical billing, or healthcare administration.

• Experience in hospital, clinic, or medical billing environments preferred.

• Familiarity with Medicare, Medicaid, and commercial insurance claims is an advantage.

Working Hours

• Flexible remote work environment.

• Full-time position (Monday to Friday).

• Occasional weekend or overtime work based on workload or deadlines.

Knowledge, Skills, and Abilities

• Deep understanding of healthcare reimbursement methodologies.

• Familiarity with denial management and AR follow-up strategies.

• Ability to multitask and prioritize in a fast-paced environment.

• Strong organizational and documentation skills.

• Knowledge of medical terminology and healthcare compliance standards.

Benefits

• Competitive salary & performance bonuses.

• Remote work flexibility.

• Health insurance & wellness programs.

• Paid time off and holidays.

• Career development and growth opportunities.

• Supportive and professional remote work culture.

Why Join PrimePulse Healthcare?

At PrimePulse Healthcare, we are committed to innovation, accuracy, and patient-centered care. Joining our team means becoming part of a forward-thinking healthcare organization that values expertise, integrity, and professional growth. We invest in our people, promote from within, and provide a healthy work-life balance — all while shaping the future of medical billing excellence.

How to Apply

Interested candidates should submit their updated resume and a brief cover letter outlining relevant experience to our hiring team.
Apply directly via email or through our careers portal.
Only shortlisted candidates will be contacted for interviews.