Revenue Cycle Manager

2 weeks ago

Manila, National Capital Region, Philippines MicroSourcing Full time

Accounts Receivable/Credit Control (Accounting)

With over 9,000 professionals across 11 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider.

Revenue Cycle Manager, be 100% YOU with MicroSourcing

A Revenue Cycle Manager is expected to:

  • Manager is responsible for managing the Insurance Accounts Receivable Representative's primary responsibility is to provide the highest quality of customer service and accounts receivable management to our patients by embracing the Well Care Guiding Principles. The representative will review and analyze patients' medical records in conjunction with the accounts receivables to ensure that the claims were billed correctly, and that the insurance company has the necessary information to adjudicate the claims. The representative must be well versed with the insurances and adjudication processes of their partner practices. The representative will follow the prescribed steps in the Insurance Follow-Up Process to ensure that the outstanding A/R is collected within 120 days from the aging date. The representative will accept other duties/projects as assigned by the Revenue Cycle Manager. Must be knowledgeable of HIPAA Law, and standard coding such as CPT/HCPCS.
  • Manager is responsible for managing the Certified Professional Coder CPC primary role of the Specialist is to abstract and identify the correct CPT and ICD-10 codes from various encounter forms and medical reports and file claims to insurance for timely and accurate reimbursement. The Specialist, Medical Coding and Billing is responsible for assisting other staff with CPT and ICD-10 coding issues hindering expedient collection processes. Responsibilities include confirming modifier coding, utilizing sound professional coding judgment in establishing priority sequencing of diagnosis codes and services to assure maximum allowable reimbursement consistent with Insurance Carriers.
  • Manager is responsible for managing the Certified Professional Coder CPC primary role of the Specialist is to abstract and identify the correct CPT and ICD-10 codes from various encounter forms and medical reports and file claims to insurance for timely and accurate reimbursement. The Specialist, Medical Coding and Billing is responsible for assisting other staff with CPT and ICD-10 coding issues hindering expedient collection processes. Responsibilities include confirming modifier coding, utilizing sound professional coding judgment in establishing priority sequencing of diagnosis codes and services to assure maximum allowable reimbursement consistent with Insurance Carriers.
  • Manager is responsible for managing Eligibility and Benefits Representatives Role to verify all scheduled appointment insurance coverage. Variance Medicaid Medicare and commercial insurance 3 days prior to the appointment scheduled date. All new patient appointments need to be verified before being scheduled. Verification includes Provider credentialing with the health plan, eligibility status, effective date, other health insurance or coordination of benefits, patient cost share responsibility ( copay , Co-ins or deductible. Representative will need to review patient ledger for any outstanding balances due from patient and communication with the Insurance denial management team if there's any trends, denials, claims that have not processes. Representative need to verify if authorization or referrals are required for services.

Qualifications:

  • Must have 3+ years of supervisory experience in healthcare
  • This position requires accuracy, thoroughness and a high level of understanding of insurance procedures for referrals, co-pays, deductibles and allowables.
  • Ability to understand logic of standard medical billing and coding guidelines (ICD-10-CM, CPT, HCPCS codes, etc.)
  • Knowledge of Medicare, Medicaid, and Commercial insurance.

What's in it for you?

  • Competitive Total Rewards (Compensation, HMO, Group Life Insurance, and Performance bonuses)
  • A very collaborative work culture

Find a balance between work and life that fits you. Do what you do best with MicroSourcing

For more information, visit

MicroSourcing is one of the leading offshoring and outsourcing solutions providers in the Philippines. Voted Best Non-voice Excellence Company of the Year in 2014, we are not your average BPO. We cater to foreign companies who operate in a wide variety of industries from all over the world. Therefore, you have the opportunity to do what you love and grow your career.

Our offices are located at Eastwood City, Mall of Asia Complex, Bonifacio Global City, Ortigas Center, and Cebu IT Park, all easily accessible no matter where you live. Join our growing family and be part of an international and collaborative working environment.

Visit and apply at one of our Career Hubs, Monday-Friday, 9AM-5PM with your updated resume and a valid ID:

Eastwood Career Hub - 6th Floor, 1880 Building, Eastwood City Cyberpark, Bagumbayan, Quezon City | Career Hub - 32nd Floor, Cyberscape Beta Building, Topaz Road, Ortigas Center, Pasig City | Complex Career Hub - Ground Floor, TwoE-com Center, Mall of Asia Complex, Pasay City | Career Hub - Upper Ground FLB Corporate Center, Cebu Business Park Mabolo, Archbishop Reyes Avenue, Cebu City, 6000 Cebu

MicroSourcing is one of the leading offshoring and outsourcing solutions providers in the Philippines. Voted Best Non-voice Excellence Company of the Year in 2014, we are not your average BPO. We cater to foreign companies who operate in a wide variety of industries from all over the world. Therefore, you have the opportunity to do what you love and grow your career.

Our offices are located at Eastwood City, Mall of Asia Complex, Bonifacio Global City, Ortigas Center, and Cebu IT Park, all easily accessible no matter where you live. Join our growing family and be part of an international and collaborative working environment.

Visit and apply at one of our Career Hubs, Monday-Friday, 9AM-5PM with your updated resume and a valid ID:

Eastwood Career Hub - 6th Floor, 1880 Building, Eastwood City Cyberpark, Bagumbayan, Quezon City | Career Hub - 32nd Floor, Cyberscape Beta Building, Topaz Road, Ortigas Center, Pasig City | Complex Career Hub - Ground Floor, TwoE-com Center, Mall of Asia Complex, Pasay City | Career Hub - Upper Ground FLB Corporate Center, Cebu Business Park Mabolo, Archbishop Reyes Avenue, Cebu City, 6000 Cebu

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