Revenue Cycle Management Specialist (eClinicalWorks) | Work from Office

Cloudstaff; Metro Manila; Hybrid; PHP 360,000 - 480,000; Full time

Benefits offered by this job

Health insurance

Leave credits

Flexible leave credits

Career advancement

Coffee & meals

Beer Fridays

Job summary

Cloudstaff is hiring a Revenue Cycle Management Specialist to support our healthcare operations in the Philippines. The role focuses on daily billing operations, claims management, and revenue cycle support under the supervision of a U.S.-based RCM Supervisor.

The ideal candidate has strong eCW CCM experience, Medicare and commercial insurance billing knowledge, and is highly organized to ensure timely claim submissions and accurate posting.

Qualifications

• Experience in revenue cycle management with healthcare billing.
• Familiar with Medicare and commercial insurance billing processes.
• Proficient in eClinicalWorks software for CCM modules.

Responsibilities

• Review and submit electronic claims.
• Monitor claim rejections and resubmit as needed.
• Post insurance and patient payments.
• Process electronic remittance advice (ERA).
• Follow up on unpaid claims and aging reports.
• Document activity in eCW.

Skills

RCM Billing

eCW experience

Medicare billing

Commercial insurance

Detail oriented

Tools

eCW CCM module

Claim submission tools

Job description

We’re Hiring: Revenue Cycle Management Specialist

Role: Revenue Cycle Management Specialist

Work Arrangement: Work from Office

Location: Philippines - Ortigas/Makati/Pampanga/Cebu

Schedule: Night shift

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

Non-negotiable skills and requirements

• Compare monthly CCM billing files with the eCW CCM module to identify missing or duplicate charges
• Review recurring visit (RV) charges before claim submission
• Monitor claim edits related to CCM, foot care, and Medicare services
• Escalate payer trends, recurring denials, or system issues to the RCM Supervisor
• Assist with monthly revenue reconciliation and billing audits

Perks & Benefits (Work From Office/Hybrid)

• Comprehensive health and life insurance on your 16th day of employment, covering 1 free dependent on the 16th day of employment
• Up to 24 leave credits per year
• Flexible leave credits which may be used for vacation, emergency and sick leaves
• Endless opportunities for career advancement
• Exclusive ATM inside the office for employee's convenience
• Annual Performance Review with Salary Increase
• We set you up for success with a company-provided PC/Laptop and fiber internet connection
• Look forward to weekly office perks for work from office staff – Free Coffee, Meals and Beer Fridays!
• Top notch workplace with first class VIP lounge and game rooms
• Child friendly spaces to cater to the needs of employees with children, enhancing work-life balance
• Participate and join our CS Social Clubs and Special Interest Groups to connect with colleagues
• Mental Wellness Employee Assistance program through Lifeworks
• In-house psychiatrist available to support employees' well-being
• Become part of the Employee Share Units program
• Cloudstaff Dream Points - To be used for bidding useful items like appliances, kitchenettes etc.
• Cloudstaff : Build Your Career, Anywhere Established in 2005, Cloudstaff is a leading outsourcing company that empowers businesses to thrive through smarter talent solutions. We're passionate about creating a work environment that fosters your professional growth and overall well-being.
• Why Cloudstaff is the #1 Workplace? Award-winning Culture: We're committed to building the #1 Workplace Everywhere, with a proven track record of staff engagement initiatives and industry recognition. Invest in You: We support your development through comprehensive training programs, mentoring and opportunities for career advancement. Thrive as an Individual: We offer a strong work-life balance with flexible schedules, meaningful perks and a collaborative team environment.