Job particulars
- Job title
- Senior Medical Billing & RCM Specialist
- Hiring organisation
- Testimonials
- Location
- Nairobi, Kenya
- Work arrangement
- Remote
- Industry
- Medical
- Level
- Middle
- Posted
- 23 Oct 2026
- Closing date
- 31 Oct 2026
Key responsibilities
- Manage day-to-day U. S. medical billing and revenue cycle activities.
- Prepare, review and submit claims to Medicare, Medicaid and commercial insurance payers.
- Apply knowledge of CPT, ICD-10-CM, HCPCS and applicable modifiers, and correct billing and coding issues that may cause claim rejections or denials.
- Manage denied, rejected, unpaid and underpaid claims, and submit corrections, reconsiderations and appeals as appropriate.
- Perform insurance follow-up and Accounts Receivable (AR) follow-up, including aging AR.
- Review EOBs and ERAs, investigate payment discrepancies, and support payment posting and account reconciliation.
- Work with clearinghouses, payer portals, EHR/EMR systems and billing platforms.
- Identify recurring billing, denial and payment issues and report trends to the team.
- Work independently in a remote environment while meeting productivity, accuracy and turnaround-time expectations.
Candidate requirements
- Minimum 3 years of hands-on U. S. medical billing experience, ideally in a U. S. healthcare practice, clinic or medical organisation.
- Strong understanding of the U. S. healthcare revenue cycle (RCM) and experience working with U. S. insurance payers.
- Hands-on experience in medical billing, claims submission, denial management, accounts receivable (AR) and payer follow-up.
- Knowledge of medical coding: CPT, ICD-10-CM and HCPCS.
- Working knowledge of EHR/EMR systems, clearinghouses, payer portals and/or medical billing software.
- Strong attention to detail and the ability to manage billing tasks independently.
- Strong written and verbal English communication skills.
- Ability to work effectively in a fully remote environment.
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Hiring organisation
Testimonials