Denials & Appeals Strategist - Revenue Cycle

PM Consulting; Quezon City; On-site; PHP 420,000 - 640,000; Full time

Job summary

PM Consulting in Quezon City is hiring a Denials and Appeals Specialist to join our Revenue Cycle Management team. This onsite role reviews post-service payer denials for clinic and surgical services and supports a night shift.

You will investigate denial reasons, determine the proper resolution, and prepare corrected claims, reconsiderations, and appeals. You will coordinate with Coding and other departments to address denials, monitor follow-ups, and help reduce preventable revenue loss.

Qualifications

• 3+ years in healthcare Revenue Cycle Management or denial management.
• Experience researching and resolving insurance/payer denials.
• Experience handling corrected claims and appeals.

Responsibilities

• Review and resolve payer denials for clinic and surgical services.
• Investigate denial reasons and determine appropriate resolution.
• Prepare and submit corrected claims, reconsiderations, and appeals.
• Monitor denied claims through to final resolution.
• Coordinate with Coding and Revenue Cycle teams to address denials.

Skills

Denials management

Medical billing

Research and analysis

EMR systems

Attention to detail

Tools

athenaOne

EPICor

Job description

PM Consulting in Quezon City is hiring a Denials and Appeals Specialist to join our Revenue Cycle Management team. This onsite role reviews post-service payer denials for clinic and surgical services and supports a night shift.

You will investigate denial reasons, determine the proper resolution, and prepare corrected claims, reconsiderations, and appeals. You will coordinate with Coding and other departments to address denials, monitor follow-ups, and help reduce preventable revenue loss.