Revenue Cycle Management Specialist (eClinicalWorks) | WFO

Cloudstaff; Philippines; Remote; PHP 420,000 - 660,000; Full time

Benefits offered by this job

Employee Share Units program

Cloudstaff Dream Points

Comprehensive health and lifeinsurance

Career advancement opportunities

Mental Wellness program

Company laptop and fiber internet

Quarterly perks boxes for WFH

Team events and socials

Job summary

Cloudstaff is seeking an experienced Revenue Cycle Management (RCM) Specialist with strong eClinicalWorks (eCW) experience to support our growing healthcare organization in a US-based environment. You will handle daily billing operations, claims management, payment posting, and revenue cycle support under the supervision of the US RCM Supervisor.

The ideal candidate is highly organized, detail-oriented, and experienced with Medicare and commercial payers, CPT/HCPCS/ICD-10 coding, and proficient

Qualifications

• 3+ years of medical billing and revenue cycle experience.
• Minimum 2 years hands-on experience using eClinicalWorks (eCW).
• Experience with Medicare, Medicare Advantage, Medicaid, and Commercial payers.
• Experience working in a U.S. healthcare environment.
• Strong understanding of CPT, HCPCS, ICD-10, and medical terminology.
• Excellent written and verbal English communication.
• Advanced Excel or Google Sheets skills.
• Experience working remotely with U.S.-based teams.

Responsibilities

• Review and submit electronic claims.
• Monitor claim rejections and correct/resubmit claims.
• Work clearinghouse rejections daily.
• Review claim edits and billing errors.
• Ensure claims are submitted timely.
• Post insurance and patient payments.
• Process electronic remittance advice (ERA).
• Reconcile payment batches.
• Follow up on unpaid claims and aging reports.
• Investigate denied claims and submit corrected claims.
• Prepare appeals when appropriate.
• Document all follow-up activity in eCW.
• Verify eligibility and update insurance information.
• Maintain patient demographics and billing information.
• Maintain daily work queues.
• Track outstanding claims.
• Assist with monthly billing reconciliation.
• Report recurring billing issues to management.

Skills

Medical billing

eCW experience

Attention to detail

English communication

Tools

eCW

Job description

Job Description

We are seeking an experienced Revenue Cycle Management (RCM) Specialist with strong eClinicalWorks (eCW) experience to support our growing healthcare organization. This individual will be responsible for daily billing operations, claims management, payment posting, and revenue cycle support while working closely with our U.S.-based RCM Supervisor.

The ideal candidate is highly organized, detail-oriented, and experienced with Medicare and commercial insurance billing.

Primary Responsibilities

• Review and submit electronic claims
• Monitor claim rejections and correct/resubmit claims
• Work clearinghouse rejections daily
• Review claim edits and billing errors
• Ensure claims are submitted timely
• Post insurance and patient payments
• Process electronic remittance advice (ERA)
• Reconcile payment batches
• Follow up on unpaid claims and work aging reports
• Investigate denied claims and submit corrected claims
• Prepare appeals when appropriate
• Document all follow-up activity in eCW
• Verify eligibility and update insurance information
• Maintain patient demographics and billing information
• Maintain daily work queues
• Track outstanding claims
• Assist with monthly billing reconciliation
• Report recurring billing issues to management

Qualifications and Requirements

• 3+ years of medical billing and revenue cycle experience
• Minimum 2 years of hands‑on experience using eClinicalWorks (eCW)
• Experience with Medicare, Medicare Advantage, Medicaid, and Commercial payers
• Experience working in a U.S. healthcare environment
• Strong understanding of CPT, HCPCS, ICD-10, and medical terminology
• Excellent written and verbal English communication
• Advanced Excel or Google Sheets skills
• Experience working remotely with U.S.-based teams

Perks and Benefits

• Become part of the Employee Share Units program
• Cloudstaff Dream Points - To be used for bidding useful items like appliances, kitchenettes etc.
• Comprehensive health and life insurance on your 16th day of employment, covering 1 free dependent on the 16th day of employment
• Endless opportunities for career advancement
• In-house psychiatrist available to support employees' well-being
• International career growth and connections
• Mental Wellness Employee Assistance program through Lifeworks
• Participate and join our CS Social Clubs and Special Interest Groups to connect with colleagues
• Quarterly perks boxes for WFH staff, offering groceries and snacks to keep you fueled
• Superb and exciting Mid-Year Parties – with items to give away and cash prizes!
• Unlimited cash incentives for hired referrals
• We set you up for success with a company-provided PC/Laptop and fiber internet connection.