Revenue Cycle Management Associate

CareDesk; Makati; On-site; PHP 446,000 - 502,000; Full time

Job summary

CareDesk in the Philippines is seeking an RCM Associate to support Accounts Receivable, Medical Coding, and Patient Financial Services. This on-site role focuses on clean claims and timely reimbursements, with duties spanning payer communications and patient interaction.

The position is full-time, follows PST business hours, and reports to RCM Department Leads. Ideal candidates have RCM experience, EPIC familiarity, and strong communication skills to navigate insurer portals and patient

Qualifications

• Prior experience in customer service roles supporting English-speaking countries.
• Prior experience in a healthcare-related role.
• Revenue Cycle Management (RCM) experience.
• EPIC EMR Systems familiarity.
• Familiarity with professional CMS 1500 claims.
• Patient communication via phone and digital platforms.
• Knowledge of reading and interpreting EOBs.

Responsibilities

• Check payer portals or call insurance to understand denials and claim status.
• Contact patients when updated insurance information is needed.
• Fix and resubmit claims using approved procedures.
• File appeals, escalate when needed, and document status.

Skills

RCM experience

Customer service

Patient communication

Reading EOBs

Google Suite

Insurance payor portals

Tools

EPIC EMR Systems

CMS 1500 claims

Job description

Position: RCM Associate

Pay Range:P40,000 - P45,000

Department: Revenue Cycle Management (RCM)

Reports to: RCM Department Leads

Job Location: On site - Philippines

Job Type: Full-Time

Coverage Hours:PST Business Hours (8:00 AM - 5:00 PM PST)

Position Overview: The RCM Associate supports key parts of CareDesk’s Revenue Cycle: Accounts Receivable, Medical Coding, and Patient Financial Services. This role helps ensure clean claims, timely reimbursements, correct coding, and smooth patient communication. It is a flexible position that shifts based on operational needs.

Key Responsibilities

Accounts Receivable

• Check payer portals or call insurance to understand denials and claim status.




• Contact patients when updated insurance information is needed.




• Fix and resubmit claims using approved procedures.




• File appeals, elevate when needed, and accurately document status.




• Escalate claims older than 90 days to leadership.

Medical Coding

• Perform charge review for E/M visits and procedures at increasing complexity levels




• Ensure accuracy of coding based on medical chart notes and flag as appropriate




• Work on assigned coding denials, claim errors, and rejections




• Provide coding updates to team leads for provider distribution

Patient Financial Services

• Accurately input information for patient pre-registration




• Verify insurance eligibility.




• Handle patient/insurance communication for verification needs.




• Generate cost estimates.




• Process authorization and referral requests.

Patient Communication

• Handle inbound calls for billing inquiries and payment collection




• Respond to patient requests via phone, email, and digital messaging platforms




• Maintain professional communication standards with all stakeholders

Qualifications

Required

• Prior experience in customer service roles supporting english speaking countries




• Prior experience in a healthcare-related role




• Revenue Cycle Management (RCM) experience

  
  
  
  

  • Experience using EPIC EMR Systems

  
  

  • Familiarity with professional CMS 1500 claims

  
  

  • Patient communication experience via phone and digital messaging platforms

  
  

  • Knowledge of how to read and interpret Explanation of Benefits (EOBs)

  
  
  
  



• Familiarity with Google Suite products (Gmail, Google Drive, Google Sheets, etc.)

Preferred

• Experience with Dermatology billing




• CPCD Certification or equivalent medical coding credentials

Education & Experience

• Minimum 3-5 years of experience in Revenue Cycle Management with demonstrated proficiency across multiple RCM functions




• Proven track record working in high-volume healthcare billing environments




• Experience working with insurance portals and payor communications

Skills & Competencies

Technical Skills

• Advanced proficiency in EPIC Professional Billing




• Deep technical understanding of insurance claim lifecycle systems




• Applied knowledge of medical coding frameworks CPT, ICD-10, and modifier logic




• High-level navigation and systems fluency across payer portals




• Technical competency with virtual payment platforms




• Working knowledge of healthcare regulatory and compliance frameworks

Soft Skills

• Exceptional attention to detail and organizational discipline




• Strong written and verbal communication skills with professional phone, text, and email etiquette




• Adaptability and flexibility to transition between different RCM functions seamlessly




• Team player mentality with willingness to support various departments based on organizational needs




• Problem-solving orientation with the ability to work independently and collaboratively




• Time management skills with the ability to prioritize competing demands




• Proactive mindset with the capacity to identify and escalation issues appropriately




• Commitment to continuous learning and professional development in RCM




• Owns one’s work from start to finish, taking full accountability for delivering results and following through on commitments

Success in this role will be measured by:

• Quality and accuracy of work completed across all assigned functions




• Process adherence and compliance with established RCM workflows, escalation protocols, and documentation standards




• Responsiveness in addressing patient inquiries, including escalations, insurance follow-ups, and cross-departmental collaboration requests




• Attendance and reliability, including consistent participation in meetings, daily check-ins, and scheduled work hours




• Adaptability demonstrated through successful transitions between departments and the ability to maintain performance across different RCM functions




• Team collaboration and proactive communication with leadership, onsite teams, and cross-functional partners




• Continuous improvement through ongoing learning and application of RCM best practices