WFH Revenue Cycle Management Specialist (Elation)

BruntWork; Metro Manila; Remote; PHP 3,805,000 - 5,707,000; Full time

Benefits offered by this job

Permanent work from home

Immediate hiring

Health Insurance Coverage for eligible

Health Insurance Coverage for eligible

Job summary

BruntWork is seeking a Revenue Cycle Management Specialist to manage revenue cycle processes across multiple healthcare practices. The role focuses on eligibility verification, prior authorizations, coding reviews, denial resolutions, and aging follow-ups, using Elation and Slack in a remote setup.

The position requires U.S. healthcare RCM experience and operates during MST business hours. This is a full-time remote role, with opportunities for growth within a growing healthcare tech environment.

Qualifications

• 3+ years of U.S. healthcare RCM experience in eligibility, prior auth, coding review, denials, and A/R follow-up.
• In-depth knowledge of CPT, ICD-10-CM and modifiers for primary care E/M including CCM time rules.
• Experience with payer portals and reading ERAs/EOBs with CARC/RARC codes.

Responsibilities

• Verify eligibility and benefits for every scheduled visit, including new patients handed off from intake.
• Confirm active coverage, plan type, PCP assignment for Medicare Advantage and AHCCCS plans, copay, deductible, and coinsurance.
• Update insurance in Elation and flag inactive or mismatched coverage in Slack before the visit.

Skills

Eligibility verification

Prior Authorization

Coding review

Denial management

A/R aging

Tools

Elation

Slack

Availity

Medicare MAC portal

Job description

Job Overview

We are seeking a detail-oriented Revenue Cycle Management Specialist (Elation) to manage revenue cycle processes across multiple healthcare practices. In this role, you will oversee insurance eligibility verification, prior authorizations, pre-submission coding reviews, denial resolutions, and A/R aging follow-ups. Working primarily within Elation and Slack, you will collaborate with healthcare providers to resolve billing discrepancies and appeal denied claims within payer deadlines. This full-time remote position requires prior U.S. healthcare RCM experience and operates during US Mountain Standard Time (MST) business hours.

Schedule

• Mon - Fri, final schedule to be determined, MST (40 hrs per week)

Responsibilities

1. Eligibility and Benefits

• Verify eligibility and benefits for every scheduled visit, including new patients handed off from intake.
• Confirm active coverage, plan type, PCP assignment for Medicare Advantage and AHCCCS plans, copay, deductible, and coinsurance.
• Update insurance in Elation and flag inactive or mismatched coverage in Slack before the visit.

2. Prior Authorizations

• Identify orders that need authorization: referrals, imaging, DME, home health, and medications.
• Submit, track, and document each authorization in Elation until approved or denied.
• Alert the provider in Slack on any denial or peer-to-peer request.

3. Pre-Submission Coding Review

• Scrub signed provider notes in Elation before claims are submitted.
• Check that CPT/E/M level, ICD-10-CM codes, modifiers, place of service, and rendering NPI match the documentation.
• Catch missing elements: unsigned notes, missing time for time-based codes (including CCM), and unsupported diagnoses.
• Send fixes to the provider in Slack and hold the claim until the note is corrected.

4. Denial Management

• Work every denial and underpayment from the ERA/EOB to root cause.
• Submit corrected claims, reopenings, reconsiderations, and appeals within payer deadlines.
• Fix eligibility, authorization, and coding denials at the source so they do not repeat.
• Report denial trends weekly, by practice, payer, and reason.

5. A/R Aging

• Work aging by dollar value and age; call payers on claims past expected payment and document every call.
• Report A/R by bucket (0-30, 31-60, 61-90, 90+) per practice each week.
• Send charge errors found in denials to the billing partner through Slack.

Must-Have Requirements

• 3+ years of U.S. healthcare RCM focused on eligibility, prior authorization, coding review, denials, and A/R follow-up
• Elation and Slack experience (required)
• Working knowledge of CPT, ICD-10-CM, and modifiers for primary care E/M, including CCM time rules
• Experience with Medicare Part B, Medicare Advantage, AHCCCS (Arizona Medicaid) plans, and commercial payers
• Experience with payer portals (Availity, Medicare MAC portal, plan portals) and reading ERAs/EOBs with CARC/RARC codes

Nice-to-Have Requirements

• CPC, CRCR, or CPB certification
• Primary care experience, including chronic care management (CCM) and home visits
• athenaOne, Practice Fusion, or Practice Suite experience

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations