RCM Specialist

CF Outsourcing Solutions; Quezon City; In loco; PHP 335.000 - 502.000; Tempo pieno

Descrizione del lavoro

CF Outsourcing Solutions is seeking a Revenue Cycle Specialist to deliver comprehensive patient financial services and support revenue recovery. The role focuses on billing inquiries, payments, insurance follow-up, collections support, refunds, and admin tasks to boost efficiency.

Onsite work is required at Eastwood, Quezon City. The ideal candidate has at least 1 year of RCM experience and strong knowledge of medical billing, COB, EHR, and MS Office, with excellent English communication.

Competenze

• Minimum 1 year of experience in revenue cycle management, medical billing, or healthcare collections.
• Strong knowledge of medical billing, insurance claims, EOBs, denials and patient balances.
• Experience handling patient billing inquiries and payment arrangements.
• Familiarity with COB and insurance verification processes.
• Proficient in EHR, practice management systems, and MS Office.
• Excellent verbal and written English communication.

Mansioni

• Handle patient billing inquiries via phone and approved channels.
• Explain statements, insurance payments, denials, and patient balances.
• Set up payment plans and process payments.
• Obtain updated insurance information and resolve COB issues.
• Notify patients of denials and outstanding balances.
• Conduct outreach regarding account resolution.
• Monitor payment plans and follow up on missed payments.
• Review collection accounts and perform final collection attempts.
• Coordinate account placements with collection agencies.
• Process approved refunds and resolve refund discrepancies.
• Complete revenue cycle administrative tasks.

Conoscenze

Patient billing

Insurance follow-up

COB knowledge

EHR familiarity

Excel & Office

Communication skills

Strumenti

EHR systems

Practice management systems

Descrizione del lavoro

Position Summary

The Revenue Cycle Specialist is responsible for delivering exceptional patient financial services and providing comprehensive revenue cycle support. This role manages patient billing inquiries, payment processing, insurance follow-up, collections support, refund administration, and related financial activities to enhance patient satisfaction, optimize revenue recovery, and support overall operational efficiency.

Key Responsibilities

Patient Financial Services

• Handle patient billing inquiries via phone and approved communication channels.
• Explain statements, insurance payments, denials, and patient balances.
• Set up payment plans and process payments.

Insurance & Patient Follow-Up

• Obtain updated insurance information and resolve COB issues.
• Notify patients of denials and outstanding balances.
• Conduct outbound outreach regarding account resolution.

Payment Plans & Collections

• Monitor payment plans and follow up on missed payments.
• Review collection accounts and perform final collection attempts.
• Coordinate account placements with collection agencies.

Refund Administration

• Process approved patient and insurance refunds.
• Resolve refund discrepancies and support escheatment activities.

Administrative Support

• Review credit balances and post applicable charges.
• Maintain accurate documentation and correspondence records.
• Complete assigned revenue cycle administrative tasks.
  

Work Set Up: Work Onsite in Eastwood, Quezon City

Required Qualifications

• Minimum 1 year of experience in Revenue Cycle Management (RCM), Medical Billing, Patient Financial Services, Accounts Receivable, or Healthcare Collections.
• Strong knowledge of medical billing, insurance claims, EOBs, denials, and patient balances.
• Experience handling patient billing inquiries and payment arrangements.
• Familiarity with Coordination of Benefits (COB) and insurance verification processes.
• Proficiency in electronic health records (EHR), practice management systems, and Microsoft Office applications.
• Excellent verbal and written English communication skills.
• Strong customer service, problem-solving, and organizational skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Knowledge of HIPAA regulations and patient data privacy requirements.