Generalist Jobs in Canada (Healthcare RCM Generalist)

About The Role Rex.zone is hiring for Generalist Jobs in Canada focused on end-to-end healthcare revenue cycle management (RCM). You will independently own multiple workstreams across the billing lifecycle, maintain audit-ready documentation, and drive measurable outcomes (clean claim rate, first-pass resolution, and reduced days in A/R). What You Will Do Process claims and ensure clean claim submission with correct patient demographics, payer details, and required documentation Verify eligibility and benefits; coordinate prior authorizations when applicable and document outcomes in systems of record Post payments and adjustments; reconcile remittances (ERA/EOB) and identify underpayments Manage denials by analyzing reason codes, preparing appeals, correcting errors, and tracking root causes to prevent recurrence Maintain QA checks, follow SOPs, and contribute to reporting on accuracy, denial trends, throughput, and A/R performance Required Qualifications Mid-senior experience in healthcare billing/RCM across claims, eligibility, payment posting, denials, and A/R follow-up Strong attention to detail, documentation discipline, and comfort with structured workflows, checklists, and QA sampling Ability to interpret payer rules, benefit summaries, remittance details, and denial reason codes Clear written communication for internal notes, payer follow-ups, and appeal narratives Work Model Remote role aligned to Canada-based hiring needs. You must be able to handle sensitive health information securely in line with applicable privacy and security requirements. Compensation Hourly base pay range: $30–$50 per hour (BASE_SALARY, HOURLY).

You will independently own multiple workstreams across the billing lifecycle and drive measurable outcomes. Responsibilities include processing claims, verifying eligibility, managing denials, and maintaining audit-ready documentation.

Candidates should have mid-senior experience in healthcare billing and RCM, with strong attention to detail and the ability to interpret payer rules. Clear written communication skills are also essential for internal notes and appeals.

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• Healthcare Billing
• Revenue Cycle Management
• Claims Processing
• Eligibility Verification
• Payment Posting
• Denial Management
• Audit Documentation
• Communication
• Attention to Detail
• Quality Assurance
• Data Analysis
• Root Cause Analysis
• Structured Workflows
• Checklists
• SOPs
• Reporting

Expérience minimale

5+ ans