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
- 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
