Senior Revenue Cycle Lead

CF Solutions Philippines Inc.; Quezon City; On-site; PHP 800,000 - 1,200,000; Full time

Job summary

CF Solutions Philippines Inc. is seeking a Senior Revenue Cycle Management Specialist to oversee the full revenue cycle—from insurance verification to denials management and collections—for U.S. payer accounts.

You will act as the subject-matter expert and escalation point for complex coding or reimbursement issues. The role requires a Bachelor's degree and at least five years of hands-on U.S. medical billing experience, with expertise in CPT/ICD-10/HCPCS, payer guidelines, and denial

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field.
• Minimum of 5 years of hands-on experience in U.S. medical billing and revenue cycle management.
• Strong expertise in insurance guidelines, reimbursement methodologies, and denial management strategies.
• Experience with EMR/EHR and billing platforms (e.g., Athena, Kareo, eCW, DrChrono, Epic).
• Knowledge of CPT, ICD-10, and HCPCS coding principles.
• Strong analytical, organizational, and problem-solving ability.
• Excellent written and verbal communication for working with payers and providers.
• Ability to work independently, prioritize workload, and lead process improvement initiatives.
• High accuracy and attention to detail.

Responsibilities

• Claims Processing & Billing Oversight
• Insurance Verification & Prior Authorizations
• Denials, Appeals, & A/R Management
• Payment Posting & Reconciliation
• Compliance & Quality Assurance
• Reporting & Process Improvement
• Cross-Functional Collaboration

Skills

RCM Expertise

Denials management

Coding knowledge

EMR/EHR systems

Analytical skills

Payer communications

Process improvement

Education

Bachelor's degree in Healthcare Administration/Business/Finance

Tools

Athena

Kareo

eCW

DrChrono

Epic

Job description

CF Solutions Philippines Inc. is seeking a Senior Revenue Cycle Management Specialist to oversee the full revenue cycle—from insurance verification to denials management and collections—for U.S. payer accounts.

You will act as the subject-matter expert and escalation point for complex coding or reimbursement issues. The role requires a Bachelor's degree and at least five years of hands-on U.S. medical billing experience, with expertise in CPT/ICD-10/HCPCS, payer guidelines, and denial