Revenue Cycle Management Specialist

5 hours ago

Makati City, National Capital Region, Philippines Somewhere Full time

RCM Specialist

Location: Remote (PH)

Compensation: $1,300 - $1,700 USD/month

Industry: Dental / Healthcare Revenue Cycle Management

Schedule: 8:00 AM - 5:00 PM CST (Monday to Friday) (Full-time, Monday-Friday)

Overview

We are seeking a detail-oriented and experienced RCM Specialist to support the credentialing, billing, and accounts receivable (AR) processes for our dental practice. This role requires strong technical knowledge of dental billing systems, insurance processes, and claim management. You will work closely with the Swish Dental team to ensure smooth revenue cycle operations and a high standard of accuracy, compliance, and patient satisfaction.

Responsibilities

Credentialing

  • Complete and process provider applications.
  • Maintain accuracy and completeness of provider data in the database.
  • Communicate effectively with the Swish team throughout the credentialing process.
  • Proactively follow up on application statuses and missing information.

Billing and AR

  • Review all aspects of the revenue cycle process including insurance verification, claims submission, payment posting, and AR follow-up.
  • Utilize practice management software to enter data, prepare reports, and ensure accuracy.
  • Investigate and resolve denied, delayed, or underpaid claims.
  • Monitor AR aging reports and follow up on overdue accounts.
  • Analyze claim denials and communicate root causes to the Swish team.
  • Research and gather missing information needed for claim processing.
  • Collaborate with dental providers and staff to gather necessary documentation.
  • Handle appeals for denied claims with proper documentation.
  • Track claim progress and provide proactive updates to the team.
  • Maintain detailed records of all follow-up activities and claim outcomes.
Requirements
  • Minimum 2 years of experience in dental billing and revenue cycle management.
  • Proficiency with dental billing software (OpenDental, Dentrix, Eaglesoft) and dental coding (CPT, ICD-10).
  • Strong understanding of insurance billing processes and dental insurance plans.
  • 1-3 years of experience in the same role.
  • Excellent written and verbal communication skills.
  • Strong technical skills and/or ability to learn quickly.
  • Strong analytical and problem-solving abilities.
  • High attention to detail and accuracy.
  • Ability to prioritize tasks and work independently.
  • Positive, patient, and professional demeanor.
Physical Demands & Work Environment
  • May be required to sit or stand for long periods.
  • May be required to work more than 40 hours/week.
  • May be in a studio environment which can be noisy/distracting.
  • Requires clear communication with others to exchange information.
  • May involve repetitive motions (wrists, hands, fingers).
Seniority level
  • Entry level
Employment type
  • Full-time
Job function
  • Accounting/Auditing and Finance
Industries
  • Staffing and Recruiting

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