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Résumé du poste

Manage the end-to-end healthcare revenue cycle, including claims processing, payment posting, and denial management. Drive measurable outcomes such as clean claim rates and reduced days in accounts receivable.

Détails du poste

About The Role Rex.zone is hiring for Generalist Jobs in Canada focused on end-to-end healthcare revenue cycle management (RCM). You will independently own multiple workstreams across the billing lifecycle, maintain audit-ready documentation, and drive measurable outcomes (clean claim rate, first-pass resolution, and reduced days in A/R). What You Will Do Process claims and ensure clean claim submission with correct patient demographics, payer details, and required documentation Verify eligibility and benefits; coordinate prior authorizations when applicable and document outcomes in systems of record Post payments and adjustments; reconcile remittances (ERA/EOB) and identify underpayments Manage denials by analyzing reason codes, preparing appeals, correcting errors, and tracking root causes to prevent recurrence Maintain QA checks, follow SOPs, and contribute to reporting on accuracy, denial trends, throughput, and A/R performance Required Qualifications Mid-senior experience in healthcare billing/RCM across claims, eligibility, payment posting, denials, and A/R follow-up Strong attention to detail, documentation discipline, and comfort with structured workflows, checklists, and QA sampling Ability to interpret payer rules, benefit summaries, remittance details, and denial reason codes Clear written communication for internal notes, payer follow-ups, and appeal narratives Work Model Remote role aligned to Canada-based hiring needs. You must be able to handle sensitive health information securely in line with applicable privacy and security requirements. Compensation Hourly base pay range: $30–$50 per hour (BASE_SALARY, HOURLY).

Ce que vous ferez

Manage the end-to-end healthcare revenue cycle, including claims processing, payment posting, and denial management. Drive measurable outcomes such as clean claim rates and reduced days in accounts receivable.

Exigences

Requires mid-senior experience in healthcare billing and RCM with a strong ability to interpret payer rules and manage structured workflows. Must be able to handle sensitive health information securely in a remote environment.

Compétences indiquées

• Assurance qualité · Souhaitée

Autres compétences pertinentes

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• Healthcare Revenue Cycle Management
• Medical Billing
• Claims Processing
• Eligibility Verification
• Payment Posting
• Denial Management
• A/R Follow-up
• Prior Authorization
• Remittance Reconciliation
• Quality Assurance
• Documentation
• Payer Rules Interpretation

Domaines d’emploi

• Healthcare
• Finance & Accounting
• Administrative