RCM Project Lead: Backlog & Claim Resolution

Lever, Inc.; Manila; On-site; PHP 300,000 - 420,000; Full time

Job summary

Lever, Inc. is seeking a temporary RCM Project Support to drive targeted revenue cycle initiatives from identification through resolution in Manila. The role focuses on coding and AR backlogs, organizing project work, tracking progress, and removing barriers to completion.

The ideal candidate is highly organized, analytical, and comfortable handling large volumes of healthcare revenue cycle data, capable of independent investigation and actionable recommendations.

Qualifications

• Minimum 3-5 years combination of coding and AR experience.
• Knowledge of AMA CPT, CMS, and ICD-10 coding guidelines and proper AR resolution.
• Strong research and organizational skills with the ability to work efficiently and independently.
• Proficiency with Excel, Power BI reporting, and payer portal navigation.

Responsibilities

• Drive resolution of coding backlogs, unbilled or missing encounters, and coding-related worklists.
• Identify documentation or workflow barriers preventing timely claim submission.
• Monitor strict 72-hour claim submission TAT, escalating and assisting as required.
• AR backlog and account-resolution, including aged, denied, high-dollar, or unresolved claims.
• Perform comprehensive claim-level research from initial submission through current status, including original claim submissions, clearinghouse and payer responses, denials/rejections, corrected claims, appeals, resubmissions, remittance activity, adjustments, and historical payment posting to determine the true current status of the account, independently validating the claim history.
• Validate that prior payments, adjustments, transfers, and other vendor posting activity were applied accurately.
• Own assigned claims through final resolution rather than reassigning. Resolutions may include corrected claim submission, payer portal appeal/reconsideration, posting/transfer correction, and/or appropriate write-offs.
• Monitor outstanding claim "touches" for required 48-hour TAT status update.
• Reporting: Maintain project plans, trackers, and action-item worklists for immediate resolution count inquiries
• Provide regular, sometimes daily, status updates highlighting progress, barriers, next steps, and results.

Job description

Lever, Inc. is seeking a temporary RCM Project Support to drive targeted revenue cycle initiatives from identification through resolution in Manila. The role focuses on coding and AR backlogs, organizing project work, tracking progress, and removing barriers to completion.

The ideal candidate is highly organized, analytical, and comfortable handling large volumes of healthcare revenue cycle data, capable of independent investigation and actionable recommendations.