Revenue Cycle Management

4 weeks ago


Taguig, Philippines HRTX Full time

Qualifications Required

  • Bachelors degree in Accounting, Finance, Healthcare Administration, or related field

  • At least 1 to 2 years of experience in the US healthcare revenue cycle, with exposure to payment posting, cash reconciliation, and EOB interpretation

  • Strong attention to detail and data accuracy

  • Proficiency in Microsoft Office (Excel, Word, Outlook)

  • Effective verbal and written communication skills

Preferred
  • Hands-on experience with Practice Management Systems (e.g., Avatar, Catalyst, PCMS, Therap, Rethink)

  • Familiarity with RCM and payment platforms (e.g., Ability/Inovalon, Netsmart)

  • Knowledge of HIPAA and payment card industry (PCI) data security standards

  • Experience working with multi-state payers and large-scale healthcare providers

Roles & Responsibilities
  • Accurately post payments, denials, and adjustments from insurance, patients, and third-party payers within set timelines

  • Perform daily, weekly, and monthly cash reconciliation and ensure alignment with internal records and bank statements

  • Monitor and manage unapplied payments, provider-level balances, and refund requests

  • Balance and verify payment batches and ensure they match remittance advices and bank deposits

  • Investigate and resolve discrepancies or posting errors by coordinating with other departments or payers

  • Interpret and apply Explanation of Benefits (EOBs) data for accurate payment processing

  • Process and post credit card transactions securely and in compliance with industry standards

  • Generate reports on cash posting activity and identify trends, issues, or improvement opportunities

  • Maintain clear and professional communication with team members, clients, insurance carriers, and patients regarding payment matters

  • Ensure compliance with HIPAA, payer guidelines, and internal audit requirements

  • Recommend and support process improvements to enhance posting workflow efficiency

  • Support special projects and cross-functional initiatives as assigned by leadership

#J-18808-Ljbffr
  • Revenue Cycle Analyst

    2 weeks ago


    Taguig, Philippines Tenet Healthcare Full time

    Join to apply for the Revenue Cycle Analyst role at Tenet Healthcare . Overview Join to apply for the Revenue Cycle Analyst role at Tenet Healthcare . Summary The analyst is responsible for posting payments, approving manual adjustments and patient refunds and resolving billing edits to ensure timely claim submission. Responsibilities The analyst is...


  • Taguig, National Capital Region, Philippines First Source Solutions Limited Full time ₱900,000 - ₱1,200,000 per year

    Role Description: We are seeking a detail-oriented and analytical Revenue Cycle Denial Representative to join our team. This role is responsible for managing hospital claim denials, identifying root causes, and working with payer's and internal teams to resolve and prevent future denials. The ideal candidate will have experience in hospital revenue cycle...


  • Taguig, Philippines HRTX Full time

    We are looking for an experienced RCM Associate to join our growing U.S. healthcare team. In this role, you will manage the end-to-end Revenue Cycle Management process, ensuring timely and accurate claims submission, payment posting, AR follow-up, and denial management for our U.S. clients. This is a great opportunity for professionals with a solid...


  • Taguig, Philippines Optum, a UnitedHealth Group Company Full time

    Work Experience 5+ years of experience in Hospital Revenue Cycle or must undergo process training and pass ramp certification 7+ years of management/leadership experience Thorough understanding of insurance policies and procedures Working knowledge of medical terminology; intermediate to advanced computer skills, including Excel Excellent written and verbal...


  • Taguig, Philippines Tenet Healthcare Full time

    Join to apply for the Revenue Cycle Analyst | Hybrid Setup role at Tenet Healthcare Summary: Posts insurance and patient payments per our contract and the EOB. Possesses strong knowledge in centers Managed Care contracts to accurately calculate insurance allowable. Puts comments in the account for explanation of any discrepancies in payment. Notifies the...


  • Taguig, Philippines First Source Solutions Limited Full time

    Overview Job Title: Manager – Receivables / Revenue Cycle About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency,...


  • Taguig, Philippines HRTX Full time

    The RCM Senior Associate plays a key role in ensuring timely and accurate execution of the end-to-end revenue cycle processes, from claim submission to reimbursement. This role supports both routine and strategic RCM functions, helping to maximize revenue collection, maintain compliance, and enhance operational efficiency across multi-state operations....

  • Medical Billing

    4 weeks ago


    Taguig, Philippines HRTX Full time

    Overview The RCM Senior Associate is responsible for overseeing a broad range of duties within the revenue cycle management process, ensuring accurate and timely claims and billing submission, denial and appeals processing, reconciliation, and KPI monitoring. This role focuses on optimizing revenue collection through clean claim submission, A/R follow-up,...


  • Taguig, Philippines Netskope, Inc. Full time

    Today, there's more data and users outside the enterprise than inside, causing the network perimeter as we know it to dissolve. We realized a new perimeter was needed, one that is built in the cloud and follows and protects data wherever it goes, so we started Netskope to redefine Cloud, Network and Data Security. Since 2012, we have built the market-leading...


  • Taguig, Philippines Netskope Full time

    Netskope is seeking a Senior Revenue Accountant in Taguig, National Capital Region, Philippines. About Netskope Today, there's more data and users outside the enterprise than inside, causing the network perimeter as we know it to dissolve. We realized a new perimeter was needed, one that is built in the cloud and follows and protects data wherever it goes,...