Revenue Recovery Specialist (Remote, Georgia-based)

About the role

Pharmbills is hiring a Revenue Recovery Specialist who works remotely from Georgia, aligned with the New York time zone. The role helps U.S. healthcare providers reclaim underpayments, resolve denials and improve reimbursement processes, so providers can focus on patients.

Key responsibilities

• Analyze accounts to identify underpayments, denials and missed charges.
• Prepare and submit appeals, claim corrections and follow-ups with payers and clearinghouses.
• Reconcile payments, post adjustments and keep account records accurate.
• Communicate with payer representatives and, when needed, with patients to clarify balances and resolve discrepancies.
• Track recovery metrics, spot trends and recommend process improvements to reduce future revenue leakage.
• Use CRM, billing systems and Excel to document actions and keep clear audit trails.

Required profile

• Prior experience in revenue recovery, claims follow-up, denials management or collections; healthcare or insurance experience is a strong plus.
• Strong English communication skills (B2+).
• Detail-oriented, organized and able to manage several accounts at once.
• Solutions-focused, self-motivated and adaptable to changing payer rules and client priorities.

Required skills

• Microsoft Excel.
• EHR, billing or CRM software, or clearinghouse platforms.

What we offer

• Competitive compensation package.
• Professional development and exposure to U.S. healthcare revenue cycle best practices.
• Full onboarding and ongoing training, within a supportive international team.