RCM Specialist: Maximize Revenue & Fast Claims

Global Finance Teams; Makati; On-site; PHP 400,000 - 640,000; Full time

Job summary

Global Finance Teams in the Philippines seeks a Revenue Cycle Management (RCM) Specialist for a full-time role. The focus is on optimizing revenue cycle processes to ensure accurate billing and timely reimbursement.

You will manage end-to-end processes including patient registration, insurance verification, charge capture, claims submission, payment posting, and AR follow-up while monitoring KPIs to identify improvement opportunities and ensure payer compliance.

Responsibilities

• Manage end-to-end revenue cycle processes including patient registration and insurance verification.
• Handle charge capture, claims submission, payment posting, and AR follow-up.
• Monitor KPIs such as days in AR, claim denial rates, and collection percent.
• Identify trends and improvement opportunities to maximize revenue.
• Ensure compliance with payer requirements and healthcare regulations.

Job description

Global Finance Teams in the Philippines seeks a Revenue Cycle Management (RCM) Specialist for a full-time role. The focus is on optimizing revenue cycle processes to ensure accurate billing and timely reimbursement.

You will manage end-to-end processes including patient registration, insurance verification, charge capture, claims submission, payment posting, and AR follow-up while monitoring KPIs to identify improvement opportunities and ensure payer compliance.