About the job

Rex.zone is hiring a mid-senior healthcare Revenue Cycle Management (RCM) generalist to support end-to-end revenue cycle workflows while contributing to QA evaluation, SOP compliance, and training-data quality for automation initiatives.

Key Responsibilities

Own end-to-end RCM tasks across eligibility verification, claims submission/corrections, denials, and payment posting
Investigate claim rejections/denials, perform root-cause analysis, and coordinate appeals/corrective actions
Support patient billing workflows including statements, adjustments, refunds, and escalations
Coordinate claim status and remittance insights via payer portals and clearinghouses
Perform QA evaluation against SOPs, payer rules, and compliance checklists; maintain audit readiness
Document workflows using SOPs, templates, and checklists to improve operational consistency
Contribute to operational reporting (A/R aging, denial trends, accuracy, turnaround time)

Required Qualifications

Mid-senior experience across multiple RCM functions (end-to-end exposure)
Strong understanding of claims lifecycle and EOB/ERA interpretation
Experience working in EMR/EHR systems and payer portals with high attention to detail
Ability to follow strict SOPs with version control and audit-ready documentation
Excellent written communication for escalation notes and QA feedback

Work Model

Fully remote role intended for candidates located in Canada; full-time schedule aligned to North American business hours depending on assignment.

Secure handling of PHI/PII is required.

Compensation

Hourly base pay range: $30–$50 (HOURLY), based on scope and experience.

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Responsibilities