RCM Specialist: Claims, Denials & AR Expert

KMC Solutions; Metro Manila; Remote; PHP 420,000 - 540,000; Full time

Job summary

KMC Solutions in Metro Manila is seeking an RCM Specialist to support end-to-end revenue cycle activities, including payment posting, AR, denial management, and reconciliation. You will work with billing, coding, and RCM teams to ensure accurate processing of claims and timely cash flow.

Ideal candidates have 2+ years of RCM hands-on experience, strong attention to detail, and excellent communication and organizational skills to manage multiple priorities in a fast-paced environment.

Qualifications

• 2+ years of hands-on Revenue Cycle Management experience.
• Experience in Payment Posting, Denial Management or Accounts Receivable.
• Ability to manage multiple RCM processes and workflows.
• Strong attention to detail in financial and claims transactions.
• Strong organizational and communication skills.

Responsibilities

• Perform day-to-day RCM activities across payment posting, denial management, and AR processes.
• Review and process claims, payments, adjustments, and outstanding balances accurately and within timelines.
• Monitor assigned accounts to identify discrepancies or unresolved items.
• Ensure RCM transactions and documentation are accurate and complete.
• Post insurance and patient payments, adjustments, and other transactions accurately.
• Reconcile payments and deposits against posted transactions.
• Research and resolve discrepancies or unapplied payments.
• Review denied or underpaid claims and determine follow-up actions.
• Monitor outstanding accounts and perform timely follow-up on unpaid claims.
• Collaborate with billing, coding, payment posting and denial teams to resolve issues.

Skills

Revenue Cycle Management

Payment Posting

Denial Management

Accounts Receivable

End-to-end RCM

Attention to detail

Communication skills

Organizational skills

Job description

KMC Solutions in Metro Manila is seeking an RCM Specialist to support end-to-end revenue cycle activities, including payment posting, AR, denial management, and reconciliation. You will work with billing, coding, and RCM teams to ensure accurate processing of claims and timely cash flow.

Ideal candidates have 2+ years of RCM hands-on experience, strong attention to detail, and excellent communication and organizational skills to manage multiple priorities in a fast-paced environment.