RCM Specialist

Hammerjack Pty Ltd; Philippines; On-site; PHP 300,000 - 540,000; Full time

Job summary

ScribeRunner in Biñan is seeking a full-time RCM Specialist to manage end-to-end revenue cycle processes for healthcare clients, including insurance verification, authorizations, claims submission, and denial management.

You will post payments, reconcile accounts, ensure compliant documentation, and collaborate with payer and provider teams worldwide to improve revenue performance. On-site role requiring strong analytical skills and attention to detail.

Qualifications

• Revenue cycle management including insurance verification, prior authorization, claims creation and submission.
• Payment posting, account reconciliation, and billing procedures for outpatient clinics.
• Experience with practice management systems, EHR platforms, and payer portals to manage patient and billing data accurately.
• Strong analytical and problem-solving abilities to identify RCM issues, interpret payer policies, and recommend process improvements.
• Effective written and verbal communication skills for interacting with payers, healthcare staff, and internal teams in a clear and professional manner.
• High attention to detail, organizational skills, and the ability to manage multiple accounts and tasks in a fast-paced environment.
• Prior experience in medical billing, collections, or healthcare finance; knowledge of CPT, ICD, and HCPCS codes is highly beneficial.
• Familiarity with compliance standards and privacy regulations (e.g., HIPAA) and commitment to data security and quality oversight.

Responsibilities

• Verify patient insurance and processing authorizations.
• Create and submit claims, monitor status, and follow up on denials.
• Post payments and reconcile accounts.
• Maintain accurate documentation to support compliance and revenue performance.
• Communicate with payers and provider teams; identify trends in rejections or delays, and recommend improvements.
• Work with cross-functional teams and leverage technology and established workflows to deliver timely RCM services.

Skills

RCM skills

PM systems & EHR

Analytical thinking

Communication skills

Attention to detail

HIPAA/privacy

Healthcare billing experience

Team collaboration

Tools

Practice management systems

EHR platforms

Payer portals

Job description

Company Description

ScribeRunner is a people-and-technology company that helps healthcare and legal teams complete complex work using ScribeRunnerAI (SAI), expert teams, or a combination of both. The organization is strongly people-first, investing in long-term careers, training, and advancement so team members can deeply learn client workflows and take ownership of outcomes. Its core work spans outpatient clinics and physician groups, skilled nursing facilities, and legal teams, focusing on clinical documentation, patient coordination, revenue cycle management, and documentation-intensive legal workflows. Global teams across the United States, Colombia, India, the Philippines, and Pakistan support clients in improving operations, optimizing revenue, and reducing burnout. ScribeRunner operates under robust quality and security frameworks, including ISO 9001, ISO 27001, SOC 2 Type II, and HITRUST in progress.

Role Description

The RCM Specialist is a full-time, on-site role based in Biñan, responsible for managing end-to-end revenue cycle processes for healthcare clients. This role includes verifying patient insurance, processing authorizations, creating and submitting claims, monitoring claim status, and following up on denials and underpayments. The RCM Specialist will post payments, reconcile accounts, and ensure accurate documentation to support compliance and revenue performance. Day-to-day responsibilities also involve communicating with payers and provider teams, identifying trends in rejections or delays, and recommending process improvements. The specialist will work closely with cross-functional teams and leverage both technology and established workflows to deliver timely, accurate, and efficient RCM services.

Qualifications

• Revenue cycle management skills, including insurance verification, prior authorization, claims creation and submission, and denial management.
• Proficiency in payment posting, account reconciliation, and billing processes within outpatient clinics, physician groups, or similar healthcare settings.
• Experience working with practice management systems, EHR platforms, and payer portals to manage patient and billing data accurately.
• Strong analytical and problem-solving abilities to identify RCM issues, interpret payer policies, and recommend process improvements.
• Effective written and verbal communication skills for interacting with payers, healthcare staff, and internal teams in a clear and professional manner.
• High attention to detail, organizational skills, and the ability to manage multiple accounts and tasks in a fast-paced environment.
• Prior experience in medical billing, collections, or healthcare finance; knowledge of CPT, ICD, and HCPCS codes is highly beneficial.
• Familiarity with compliance standards and privacy regulations (e.g., HIPAA) and commitment to data security and quality oversight.
• Ability to work on-site in Biñan, collaborate with global teams, and adapt to