Revenue Cycle Management Associate

4 weeks ago


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 background in medical billing and claims to work in a collaborative, high-performance environment.

Key Responsibilities
  • Prepare and submit clean claims (electronic and paper) to payers in compliance with regulations
  • Perform AR follow-up to ensure timely payment from insurance companies
  • Manage denials and appeals, including coordination of mass appeals with payers
  • Reconcile payments, resolve discrepancies, and maintain accurate financial records
  • Generate KPI and month-end reports for finance and management teams
  • Ensure compliance with HIPAA and payer-specific rules
Qualifications
  • Minimum 2 years of experience in U.S. healthcare RCM, with exposure to claims, billing, and AR processes
  • Strong knowledge of denial management and appeals process
  • Familiarity with HIPAA compliance and payer guidelines
  • Excellent communication skills in English (verbal and written)
  • Proficient in MS Office and healthcare billing software
  • Willing to work the night shift
Why Join Us?
  • Competitive salary package
  • Performance bonuses
  • Comprehensive HMO coverage
  • Career growth in a global healthcare services environment
  • Supportive, team-driven workplace
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