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Revenue and Claims Specialists

Revenue and Claims Specialists

Impact Advisors MexicoMexico City, Mexico
Hace 13 días
Descripción del trabajo

We’re hiring revenue and claims specialists to support U.S.-based healthcare organizations. In this role, you’ll join our team as a Revenue Cycle Management (RCM) Specialist, playing a key part in ensuring insurance claims are submitted, tracked, and resolved accurately.

This is a great opportunity for professionals with experience in insurance claims, financial services, or billing operations. If you’re detail-oriented, quick to learn, and comfortable making decisions within structured workflows, your skills will transfer well. You’ll receive full training in U.S. healthcare billing systems—no prior experience in the healthcare industry is required, though it is a plus.

Position Summary

As an RCM Specialist, you’ll support medical billing for U.S. healthcare providers. Core responsibilities include submitting claims, recording payments, and resolving issues related to denied or delayed claims.

You’ll follow payer-specific rules and clearly defined processes to ensure billing accuracy and timeliness. Day-to-day success will require strong attention to detail, critical thinking, and appropriate escalation of complex issues. Your work directly impacts client financial performance and service quality.

Key Responsibilities

  • Submit insurance claims according to client and payer-specific guidelines
  • Review claims for accuracy to minimize rejections and delays
  • Monitor claim status using payer portals and billing systems
  • Correct and resubmit denied or rejected claims per payer guidance
  • Post insurance and patient payments to the correct accounts
  • Review account balances and take follow-up action when needed
  • Investigate and resolve basic claim issues
  • Escalate complex issues with full documentation
  • Attend training and team meetings to stay current on processes
  • Consistently follow client-specific workflows and quality standards

Qualifications

Education & Experience

  • High school diploma required, associate or bachelor’s degree in Accounting, Finance, Business Administration, or a related field preferred
  • 1+ year of experience in claims processing, medical billing, accounting, or financial processing required
  • Healthcare or insurance industry experience is a strong plus
  • Skills & Characteristics

  • Experience managing accounts, processing claims, or following structured procedures in insurance, finance, or related environments
  • High attention to detail with strong organizational and time management skills
  • Clear and professional communication skills in both written and spoken English
  • Ability to follow defined workflows while using sound judgment to solve problems
  • Dependable, responsible, and committed to delivering accurate work
  • Adaptable and open to learning new systems, rules, and client-specific processes
  • Works well with others; respectful, empathetic, and collaborative in team settings
  • Patient and composed when handling repetitive tasks or resolving claim issues
  • Location

    Insurgentes sur #945, Ciudad de los deportes, next to the station of Metrobus "Colonia del Valle".

    Salary Compensation

    $21,946 - $27,328 MXN GROSS

  • 4k Monthly Voucher
  • Additional Information

  • Travel : Not required
  • Work Schedule : Standard business hours, 8 hours + 1 hour for meal
  • Work Type : In-office, possible future hybrid
  • Our People and Culture

    At Impact Advisors, we cultivate a caring, fun, honest, and autonomous work environment. Our success stems from our associates' dedication and a shared mission to create a “Positive Impact.” We embrace diversity and inclusion, fostering an environment where all employees feel valued and empowered.

    Join Impact Advisors and make a real difference in healthcare.

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    Specialist • Mexico City, Mexico

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