Clinic Payment Operations Representative

Overview

Taguig, National Capital Region ₱ - ₱

Posted 1 day ago

Revenue Cycle Operations – Clinic Payment Operations Representative

Our client is seeking a skilled and experienced Revenue Cycle Management & Accounting Specialist to join our team. The role involves handling payment posting, billing, invoicing, and collections processes to ensure efficient and timely management of the revenue cycle. Administrative support to the accounting department includes assistance with month-end close journal entries, reconciliations, and filing business license renewals and state/local tax documents.

Responsibilities

• Conduct weekly and monthly reconciliations of select balance sheet accounts.
• Coordinate timely filing of state and local business license renewals and tax documentation.
• Assist with employee expense reviews and other administrative payroll duties.
• Manage payment posting for insurance and patients, reconciling electronic payments, manual check deposits, and virtual credit cards to ensure data integrity and accuracy.
• Collaborate with families to obtain proper documentation for timely processing of patient responsibility charges.
• Work with the team on billing and collections efforts for commercial insurances, Medicaid, Regional Centers, and School Districts.
• Conduct eligibility checks through automated systems or provider portals to ensure active coverage during service periods.
• Maintain confidentiality and adherence to HIPAA guidelines and regulations.
• Troubleshoot complex issues independently, collaborating with the team to improve revenue cycle processes.
• Communicate with the onshore team and families in clear English (written and oral).
• Document and communicate updates to managers and team using comprehensive written trackers.

Required Skills and Qualifications

• Associates Degree or higher in a related field (preferred).
• Minimum of 2 years of experience in the US Healthcare industry with knowledge of revenue cycle and accounting functions.
• Proficient in Excel and practice management software.
• Strong problem-solving skills and initiative.
• Ability to thrive in a fast-paced environment with attention to detail and quality.
• Strong organizational and communication skills.

Job Type: Full-time

Must-have Experiences: Revenue Cycle Management, HIPAA

Application: Click Apply or send your CV to

Second Posting: Revenue Cycle Associate

Posted 1 day ago

Role: Revenue Cycle Associate

Work Schedule: Monday to Friday | Night shift (9pm to 6am)

Role Overview

The RCM Posting Associate posts payments, adjustments, and denials from various payers, ensuring integrity in financial records and client accounts. This role supports cash flow accuracy through reconciliation, ledger updates, and timely processing of payment data.

Qualifications

• Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field
• 1 to 2 years of US healthcare revenue cycle experience 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:

• Experience with Practice Management Systems (e.g., Avatar, Catalyst, PCMS, Therap, Rethink)
• Familiarity with RCM platforms (e.g., Ability/Inovalon, Netsmart)
• HIPAA and PCI data security knowledge
• Experience with multi-state payers and large healthcare providers
• Ability to post payments, denials, and adjustments within timelines
• Cash reconciliation and refund processing
• Strong problem-solving, communication, and collaboration skills

Education: Bachelor’s (Required)

Experience: US Healthcare RCM Posting: 1 year (Required)

Note

This description reflects portions of the postings and related roles in Taguig. Other postings include roles such as Revenue Cycle Analyst, Trainer, and Director-level positions in Clinical Operations and Revenue Cycle Management with associated qualifications and responsibilities.

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