Revenue Cycle Management Associate

ActionLabs IT Services Phils. Corp; Quezon City; On-site; PHP 240,000 - 360,000; Full time

Benefits offered by this job

HMO

Employee discount

Professional development

Job summary

ActionLabs IT Services Phils. Corp seeks a Revenue Cycle Management Associate to manage denied/ unpaid insurance claims and support timely reimbursement. You will follow up on claims, liaise with payers, and process resubmissions and appeals to optimize revenue cycle performance.

The role requires 1–3 years of related experience, with a diploma or equivalent, and strong analytical and communication skills in a fast-paced IT services environment.

Qualifications

• Bachelor’s degree or equivalent work experience preferred.
• Experience in revenue cycle management, medical billing, or healthcare claims processing.
• Knowledge of insurance claims, EOBs, denial management, and AR follow-up processes.
• Familiarity with clearinghouse systems and healthcare billing platforms.
• Understanding of CPT, ICD, and HCPCS coding basics is an advantage.
• Strong analytical, problem-solving, and communication skills.
• Ability to manage multiple claims and meet productivity targets in a fast-paced environment.
• Proficiency in MS Office and healthcare-related systems/tools.

Responsibilities

• Review, analyze, and resolve denied or rejected insurance claims.
• Contact insurance companies to verify claim status and appeal claim denials.
• Prepare, correct, and resubmit claims through clearinghouse systems.
• Perform accounts receivable (AR) follow-up for outstanding claims and unpaid balances.
• Coordinate with hospitals, clinics, providers, and insurance payers regarding billing and reimbursement concerns.
• Monitor claim adjudication, reimbursement, and payment status.
• Maintain accurate documentation of claim actions, payer communications, and appeal outcomes.
• Identify root causes of claim denials and recommend corrective actions to reduce recurring issues.
• Ensure compliance with client productivity, accuracy, and quality standards.
• Escalate complex claims, payer disputes, or unresolved billing issues when necessary.

Skills

Revenue cycle management

Medical billing

Claims processing

Denial management

AR follow-up

Coding basics CPT ICD HCPCS

Analytical skills

Communication skills

Multi-tasking

MS Office

Education

Bachelor’s degree or equivalent experience

Tools

Clearinghouse systems

MS Office

Healthcare billing platforms

Job description

On-site - Quezon City 1-3 Yrs Exp Diploma Full-time

Job Description

Employee Recognition and Rewards

Government Mandated Benefits

Insurance Health & Wellness

• HMO
• Employee Discount

Professional Development

• Professional Development

Who we are?

ActionLabs is an IT service provider offering end-to-end IT solutions, including Managed Services, Cybersecurity, Infrastructure, Field Support, and more-tailored to meet the needs of businesses across industries.

Job Summary

The Revenue Cycle Management Associate is responsible for managing and resolving denied, rejected, and unpaid insurance claims to support timely reimbursement and optimize revenue cycle performance. This role involves claims follow-up, payer communication, appeals processing, clearinghouse resubmissions, and coordination with healthcare providers and insurance companies to ensure accurate and efficient claims resolution.

Key Responsibilities

• Review, analyze, and resolve denied or rejected insurance claims.
• Contact insurance companies to verify claim status and appeal claim denials.
• Prepare, correct, and resubmit claims through clearinghouse systems.
• Perform accounts receivable (AR) follow-up for outstanding claims and unpaid balances.
• Coordinate with hospitals, clinics, providers, and insurance payers regarding billing and reimbursement concerns.
• Monitor claim adjudication, reimbursement, and payment status.
• Maintain accurate documentation of claim actions, payer communications, and appeal outcomes.
• Identify root causes of claim denials and recommend corrective actions to reduce recurring issues.
• Ensure compliance with client productivity, accuracy, and quality standards.
• Escalate complex claims, payer disputes, or unresolved billing issues when necessary.

Qualifications

• Bachelor’s degree preferred; equivalent work experience may be considered.
• Experience in revenue cycle management, medical billing, or healthcare claims processing.
• Knowledge of insurance claims, EOBs, denial management, and AR follow-up processes.
• Familiarity with clearinghouse systems and healthcare billing platforms.
• Understanding of CPT, ICD, and HCPCS coding basics is an advantage.
• Strong analytical, problem-solving, and communication skills.
• Ability to manage multiple claims and meet productivity targets in a fast-paced environment.
• Proficiency in MS Office and healthcare-related systems/tools.

HIPAA CPT ICD and HCPCS AR Claim processing RCM Medical Billing