Remote RCM Generalist (Canada)

Job summary

The role involves owning end-to-end RCM tasks, including eligibility verification, claims submission, and payment posting. Additionally, the candidate will support QA evaluation and contribute to operational reporting.

Job details

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.

What you’ll do

The role involves owning end-to-end RCM tasks, including eligibility verification, claims submission, and payment posting. Additionally, the candidate will support QA evaluation and contribute to operational reporting.

Requirements

Candidates should have mid-senior experience across multiple RCM functions and a strong understanding of the claims lifecycle. Experience with EMR/EHR systems and the ability to follow strict SOPs are also required.

Listed skills

• Control · Preferred
• Évaluation · Preferred
• Escalations · Preferred
• analysis · Preferred
• Attention to detail · Preferred
• Compliance · Preferred
• Documentation · Preferred
• Communication · Preferred
• Accuracy · Preferred
• Time · Preferred
• Audit · Preferred
• Billing · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Revenue Cycle Management
• Claims Submission
• Denials Management
• Payment Posting
• Root-Cause Analysis
• Patient Billing
• QA Evaluation
• SOP Compliance
• EMR Systems
• EHR Systems
• Attention to Detail
• Written Communication
• Audit Readiness
• Operational Reporting
• Payer Portals
• Clearinghouses

Job areas

• Healthcare
• Finance & Accounting
• Technology
• Administrative

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