RCM Analyst

Our Clients; Quezon City; On-site; PHP 391,000 - 614,000; Full time

Job summary

Our Clients in Manila is seeking a Revenue Cycle Management (RCM) Analyst to join our healthcare operations team onsite in Bridgetowne, Quezon City. The role supports various RCM functions to ensure accurate, timely processing of claims, payments, and related transactions.

The successful candidate will research and resolve account issues, review payer information and remittances, and collaborate with internal teams and providers to optimize revenue cycle performance.

Qualifications

• 2–3 years of experience in Healthcare Revenue Cycle Management, Medical Billing, or related healthcare operations.

Responsibilities

• Research and resolve account issues across RCM functions.
• Process and review claims, payments, and related transactions.
• Coordinate with internal teams and external stakeholders to support clean claims and accurate reimbursement.

Job description

Revenue Cycle Management (RCM) Analyst

Work Location: Bridgetowne, Quezon City
Work Arrangement: Onsite
Shift: Night Shift
Employment Type: Full-time

Job Description

We are looking for a Revenue Cycle Management (RCM) Analyst to join our healthcare operations team. The role will support various Revenue Cycle functions to ensure accurate, timely, and efficient processing of healthcare accounts, claims, payments, and related transactions.

The successful candidate will be responsible for researching and resolving account issues, processing transactions, reviewing claims and payment information, and coordinating with internal teams and external stakeholders to support clean claims, accurate reimbursement, and overall revenue cycle performance.

Key Responsibilities

• Perform assigned Revenue Cycle activities across areas such as charge entry, eligibility and benefits, authorization, claims processing, payment posting, accounts receivable, denials, and reconciliation.
• Review patient, insurance, claim, and account information for accuracy and completeness.
• Process and maintain healthcare accounts and transactions in accordance with established procedures.
• Research and resolve claim edits, billing issues, payment discrepancies, denials, and other account-related concerns.
• Review payer information, remittances, EOBs, and other supporting documentation as applicable.
• Coordinate with internal teams, healthcare providers, payers, and other stakeholders to obtain information and resolve outstanding issues.
• Monitor assigned work queues and accounts to ensure timely follow-up and resolution.
• Identify missing, incomplete, or inaccurate information that may impact claim submission, payment, or account resolution.
• Perform account and payment reconciliation as assigned and investigate discrepancies across systems.
• Maintain accurate and complete documentation of research, actions taken, and resolutions.
• Follow payer requirements, healthcare billing guidelines, company policies, and established Revenue Cycle procedures.
• Identify recurring issues and communicate trends or process gaps to appropriate leadership.
• Support quality assurance, audits, process improvement initiatives, and other RCM projects as assigned.
• Maintain patient confidentiality and appropriately handle protected health and financial information.

Qualifications

• At least 2–3 years of experience in Healthcare Revenue Cycle Management, Medical Billing, or a related healthcare operations role.
• Experience in one or more RCM functions such as:
  • Charge Entry
  • Claims Processing
  • Insurance Verification
  • Eligibility and Benefits
  • Prior Authorization
  • Payment Posting
  • Accounts Receivable
  • Denials and Appeals
  • Billing and Collections
  • Reconciliation
• Experience using EMR, EHR, practice management, patient accounting, or other healthcare systems.
• Working knowledge of healthcare insurance, claims, billing, and reimbursement processes.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Ability to research account issues and determine appropriate next steps.
• Strong organizational and time-management skills.
• Good written and verbal communication skills.
• Ability to work independently and manage multiple priorities in a high-volume environment.
• Willing to work onsite in Bridgetowne, Quezon City and on a night shift.

Preferred Qualifications

• Experience supporting U.S. healthcare or U.S. medical billing operations.
• Experience with athenaOne, Epic, Cerner, Meditech, or other comparable healthcare systems.
• Familiarity with commercial insurance, Medicare, Medicaid, Workers' Compensation, and other U.S. healthcare payers.
• Experience with payer portals such as Availity, NaviNet, or comparable platforms.
• Knowledge of CPT, ICD-10, HCPCS, modifiers, EOBs, ERAs, and common healthcare billing processes.
• Medical billing, coding, or Revenue Cycle-related certification is an advantage.