Negotiations and Repricing Specialist

2 weeks ago


Cebu City, Philippines Clinovation Corp. Full time

Remote | Cagayan de Oro | Full-time | U.S. Shift Clinovation Corp. provides back-office support to U.S.-based vein and pain clinics, focusing on seamless, compliant revenue cycle management. We’re looking for an experienced Negotiations and Repricing Specialist to ensure accurate claim pricing, timely collections, and optimized reimbursement. Key Responsibilities Review and reprice medical claims based on payer contracts and fee schedules Investigate and resolve underpaid or denied claims Negotiate out-of-network rates and communicate directly with insurance payers Collaborate with the Billing Manager to improve revenue processes Maintain detailed documentation and ensure HIPAA compliance Qualifications 2–3 years of experience in medical billing, collections, or payer negotiations (U.S. healthcare preferred) Knowledge of CPT, ICD-10, and payer fee schedules Strong negotiation, analytical, and communication skills Experience with RCM platforms like Kareo or AdvancedMD Detail-oriented and able to work independently in a remote setup Why Join Clinovation Corp Competitive salary: ₱29,700 – ₱32,670/month 100% company-paid SSS, Pag-IBIG, and PhilHealth (no deductions) Comprehensive benefits including HMO, dental, PTO, and holiday pay Collaborative, growth-driven team culture November 10, 2025 #J-18808-Ljbffr


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