Remote RCM SME & Implementation Expert

Hammerjack Pty Ltd; Philippines; Remote; PHP 900,000 - 1,800,000; Full time

Benefits offered by this job

Permanent Work From Home

Annual Bonus

Weekly Paychecks

Training Programs

Competitive Salary

Job summary

BizForce Healthcare is seeking an experienced Revenue Cycle Management (RCM) SME to support client implementations, operational performance, and process improvements from a remote, national capacity in the Philippines. The role requires translating complex client requirements into scalable workflows, SOPs, staffing models, and KPIs.

The ideal candidate will have hands-on RCM expertise across AR, denials, billing, credentialing, and payer workflows, with strong analytical and communication skills

Qualifications

• 7+ years of healthcare Revenue Cycle Management experience.
• Strong understanding of the end-to-end healthcare revenue cycle.
• Extensive experience with AR, denials, billing, claims follow-up, payment posting, eligibility, prior authorization, and payer workflows.
• Ability to analyze aged AR and identify operational and financial trends.
• Experience creating SOPs, playbooks, workflows, process documentation, training materials, job aids, and KPIs.
• Excellent written and verbal English communication skills.

Responsibilities

• Participate in discovery, training, and implementation activities for new clients, service lines, and complex RCM engagements.
• Translate client requirements into clear operational processes and expectations for internal teams.
• Develop detailed RCM SOPs, playbooks, workflows, process maps, job aids, and training materials.
• Analyze client concerns related to productivity, quality, collections, denials, workflows, and employee performance.
• Provide RCM expertise to support onboarding, production, and escalation handling.
• Partner with operations and leadership to improve staffing, processes, and performance.

Skills

RCM expertise

Healthcare analytics

English communication

KPIs & metrics

Stakeholder collaboration

Job description

BizForce Healthcare is seeking an experienced Revenue Cycle Management (RCM) SME to support client implementations, operational performance, and process improvements from a remote, national capacity in the Philippines. The role requires translating complex client requirements into scalable workflows, SOPs, staffing models, and KPIs.

The ideal candidate will have hands-on RCM expertise across AR, denials, billing, credentialing, and payer workflows, with strong analytical and communication skills