RCM Specialist

Virtual Staffing Solutions; Philippines; On-site; PHP 180,000 - 300,000; Full time

Job summary

Virtual Staffing Solutions is seeking a Revenue Cycle Management Specialist to strengthen our Gensan Operations. The role focuses on accurate billing, authorization management, and payer compliance, requiring strong analytical ability and basic Excel skills.

The candidate will verify data across Billing System, CRM, Excel, and payer portals, handle account adjustments, and collaborate with the RCM department to meet payer requirements. Excellent communication with stakeholders is essential.

Qualifications

• Strong organizational and data verification skills.
• Ability to navigate multiple payer portals with accuracy.
• Basic Excel abilities for data entry and reconciliation.
• Clear communication with internal and external stakeholders.

Responsibilities

• Accurately enter authorizations and required billing fields.
• Verify data across Billing System, CRM, Excel, and payer portals.
• Understand payer requirements and ensure contractual obligations are met.
• Communicate with internal and external stakeholders.

Tools

Billing System

CRM

Excel

Healthcare Portals

Job description

0 - 2 Years

REGULAR

Job Description

We are looking for a highly organized and detail-orientedRevenue Cycle Management Specialist to join our growing team. This role plays acritical part in ensuring accurate billing, authorization management, and payercompliance. The ideal candidate will have strong analytical skills, at leastbasic Excel skills, and experience navigating various healthcare payerportals.

Key Responsibilities:

• Data Entry & Verification:
  • Accurately enter authorizations andrequired billing fields.
  • Verify data across multiple systemsincluding Billing System, CRM, Excel, and Healthcare Payer Portals.
• Payer Requirements:
  • Understand and fulfill varying payerrequirements, ensuring contractual obligations are met.
  • Collaborate effectively with the RCMdepartment.
• Problem-Solving & Research:
  • Identify issues in standard operatingprocesses and recognize patterns that deviate from expected procedures
  • Research and address non-standardscenarios in the process.
  • Communicate effectively with internaland external stakeholders.
• Account Management:
  • Process adjustments on account ledgersand manage missing/expired or reach out to obtain correct authorizations.
  • Handle outbound calls, terminations,and payer changes.

Job Snapshot

Updated Date

Oct 08 2026

Department

Gensan Operations

Location