RCM Lead - Healthcare Billing & AR Ops

Eastvantage; Pasig; Sur place; PHP 1 200 000 - 1 800 000; Plein temps

Résumé du poste

Eastvantage is seeking an experienced RCM Expert & Lead to manage a healthcare revenue cycle team focused on US-based medical billing, collections, and posting. The role emphasizes leadership, process control, and continuous improvement to meet client KPIs.

You will drive performance, ensure HIPAA compliance, coordinate with clients, and mentor staff using Power BI and Excel dashboards. The position requires 5–7 years in US RCM with 1–2 years in supervision and willingness to work US shifts if

Qualifications

• 5–7 years of US healthcare revenue cycle operations experience.
• 1–2 years in a team lead or supervisory role.
• Strong knowledge of medical billing, denial management, and collections.
• Proficient with CPT/ICD-10 codes and payer rules (Medicaid/Medicare).
• Experience with HIPAA and compliance guidelines.
• Experience using EMR/EHR platforms and clearinghouses.

Responsabilités

• Lead, mentor, and manage a team handling billing, collections, and posting.
• Oversee daily operations for timely, accurate, compliant RCM processes.
• Be the client liaison for delivery updates, escalations, and issue resolution.
• Monitor workload, track productivity, and optimize performance.
• Ensure adherence to HIPAA and company policies.
• Track and report on SLAs and KPIs, including denial rates and days in A/R.
• Conduct performance reviews and share insights with stakeholders.
• Drive client satisfaction through proactive reporting and issue resolution.
• Audit denials and billing errors; drive root-cause analyses for improvements.
• Utilize Power BI and Excel dashboards to identify trends and improvements.
• Lead workflow improvements and automation of repetitive tasks.
• Facilitate knowledge sharing and upskilling sessions.

Connaissances

RCM expertise

HIPAA compliance

Billing & denial management

Excel (VLOOKUP, Pivot)

Power BI exposure

Stakeholder management

Communication skills

Problem-solving

Team leadership

CPT/ICD-10 knowledge

Formation

Bachelor’s degree in healthcare administration, Accounting, or related field

Outils

EMR software

EHR systems

Clearinghouses

Description du poste

Eastvantage is seeking an experienced RCM Expert & Lead to manage a healthcare revenue cycle team focused on US-based medical billing, collections, and posting. The role emphasizes leadership, process control, and continuous improvement to meet client KPIs.

You will drive performance, ensure HIPAA compliance, coordinate with clients, and mentor staff using Power BI and Excel dashboards. The position requires 5–7 years in US RCM with 1–2 years in supervision and willingness to work US shifts if