Revenue Cycle Management Specialist

Alfa AI; Philippines; Remote; PHP 300,000 - 600,000; Full time

Job summary

Slash Staffing seeks a meticulous Revenue Cycle Management Specialist for a fully remote, permanent role focused on DME and respiratory billing. You will work during Eastern Time business hours handling billing, authorizations, AR recovery, and legacy cleanups in a HIPAA-compliant environment.

Autonomous RCM professional with payer-experience will thrive navigating Medicare/Medicaid rules and complex denial resolutions across Availity, NaviNet, and ePACES.

Qualifications

• Hands-on medical billing with DME/respiratory workflows.
• Experience with Medicare/Medicaid billing rules and claim resolutions.
• Managed insurance authorizations and aging accounts receivable.

Responsibilities

• Execute end-to-end DME/respiratory billing with accurate modifiers and diagnoses.
• Secure and track prior authorizations and monitor expirations.
• Resolve claim issues across payer portals and liaise with insurers.
• Drive aging AR cleanup, appeals, and balance recovery.
• Support legacy AR collections and HIPAA-compliant operations.

Skills

DME billing

Medicare/Medicaid rules

Prior authorizations

AR collections

Payer portals (Availity/NaviNet/ePACES

HIPAA compliance

Job description

Turn complex claims into collected revenue and take command of full-cycle healthcare billing. Slash Staffing is seeking an exceptional, detail-oriented Revenue Cycle Management Specialist for a permanent, full-time remote role. Operating during Eastern Time (ET) business hours, you will step directly into high-impact billing, authorizations, accounts receivable recovery, and legacy cleanups. If you are an autonomous RCM professional who thrives in DME and respiratory billing and can navigate intricate payer ecosystems from day one, this role offers the perfect platform to showcase your expertise.

Key Responsibilities

• Execute end-to-end medical equipment and respiratory billing, applying accurate Medicare modifiers, diagnosis pointers, unit-based calculations, and calorie counts for enteral nutrition.
• Secure and track initial and recurring insurance prior authorizations, monitoring expiration dates and proactively resolving payer discrepancies.
• Navigate and resolve claim issues across primary payer portals, including Availity, NaviNet, and ePACES, liaising with insurance representatives whenever complex denials arise.
• Drive aging accounts receivable cleanup by researching denied or delayed claims, filing appeals, and recovering outstanding balances.
• Assist with legacy AR collections in Brightree while supporting ongoing workflow transitions.
• Maintain rigorous HIPAA compliance and data integrity standards across all remote back-office operations and documentation workflows.

Required Skills & Experience

• Proven, hands‑on medical billing background with deep expertise in DME, HME, or respiratory equipment workflows.
• Strong command of Medicare and Medicaid billing rules, modifier applications, and claim rejection resolutions (with specific exposure to New York Medicaid workflows).
• Direct experience handling insurance prior authorizations and managing monthly recurring authorization cycles.
• Track record of successfully managing aging accounts receivable, appeals, and collections cleanup.
• Proficiency working across payer portals such as Availity, NaviNet, or ePACES.
• Dedicated home office setup, full adherence to HIPAA standards, and the ability to work full‑time during Eastern Time (ET) business hours (visa sponsorship not available).

Nice‑to‑have

• Prior hands‑on experience using Brightree for billing and collections cleanup.
• Familiarity with NikoHealth billing systems.
• Specialized experience with CareCentrix authorizations and Blue Cross Blue Shield of New Jersey (BCBS NJ) workflows.

What We Offer / Why Join

Join Slash Staffing to play a pivotal role in resolving critical healthcare revenue cycles from the ground up. In this fully remote, permanent position, you will take ownership of sophisticated DME billing workflows, drive meaningful AR recovery, and bring immediate order to complex payer pipelines while working alongside a dedicated back‑office team.