Revenue Cycle Management Specialist

4 weeks 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

#J-18808-Ljbffr

  • Revenue Cycle Management

    2 weeks ago

    Quezon City, National Capital Region, Philippines Private Advertiser Full time $90,000 - $120,000 per year

    Qualifications:5+ years of experience in the US healthcare industry with acute and ambulatory billing5+ years of experience in healthcare revenue cycle management services, with understanding of upstream and downstreamWorked as AR representative and effectively implemented the experiential learning in the new hire batchesIn-depth knowledge of denial...

  • Revenue Cycle Management Trainer

    2 weeks ago

    Makati City, National Capital Region, Philippines Optum Full time $104,000 - $130,878 per year

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers,...

  • Revenue Operations Specialist

    1 week ago

    Makati City, National Capital Region, Philippines Booth and Partners Pte Ltd Full time ₱900,000 - ₱1,200,000 per year

    Job Title: Revenue Operations Specialist About Us: Pipe17 is a fast-growing SaaS company simplifying commerce operations for brands and retailers. We are scaling rapidly and looking for a Revenue Operations Specialist to join our team. This role will be offshore and focused on the orders-to-cash / quote-to-cash workflow, ensuring accurate billing, revenue...

  • Revenue Operations Specialist

    1 week ago

    Makati City, National Capital Region, Philippines Booth & Partners Full time ₱1,200,000 - ₱2,400,000 per year

    Job Title: Revenue Operations SpecialistAbout Us: Pipe17 is a fast-growing SaaS company simplifying commerce operations for brands and retailers. We are scaling rapidly and looking for a Revenue Operations Specialist to join our team. This role will be offshore and focused on the orders-to-cash / quote-to-cash workflow, ensuring accurate billing, revenue...

  • Revenue Operations Specialist

    4 days ago

    Makati City, National Capital Region, Philippines Booth and Partners Full time ₱900,000 - ₱1,200,000 per year

    Job Title: Revenue Operations SpecialistAbout Us: Pipe17 is a fast-growing SaaS company simplifying commerce operations for brands and retailers. We are scaling rapidly and looking for a Revenue Operations Specialist to join our team. This role will be offshore and focused on the orders-to-cash / quote-to-cash workflow, ensuring accurate billing, revenue...

  • Finance Specialist, MI Revenue

    4 days ago

    Makati City, National Capital Region, Philippines S&P Global Full time $60,000 - $80,000 per year

    About The RoleGrade Level (for internal use):09S&P Global CorporateThe Role:Finance Specialist, RevenueGrade Level:09The Role:S&P Global Market Intelligence, the division of S&P Global (NYSE: SPGI) that provides essential intelligence for individuals, companies and governments to make decisions with confidence, is searching for a Senior Finance Specialist to...

  • Revenue Audit

    6 days ago

    Makati City, National Capital Region, Philippines Green Pasture People Management Inc. Full time ₱240,000 - ₱264,000 per year

    Examine and verify documents related to income and revenue for an organization or client.Job Type: Full-timePay: Php20, Php22,000.00 per monthWork Location: In person

  • Sr. Finance Specialist, MI Revenue

    2 weeks ago

    Makati City, National Capital Region, Philippines S&P Global Full time ₱1,200,000 - ₱2,400,000 per year

    About The RoleGrade Level (for internal use):09S&P Global CorporateThe Role:Senior Finance Specialist, RevenueGrade Level:09The Role:S&P Global Market Intelligence, the division of S&P Global (NYSE: SPGI) that provides essential intelligence for individuals, companies and governments to make decisions with confidence, is searching for a Senior Finance...

  • Revenue Operations Lead

    4 days ago

    Mandaluyong City, National Capital Region, Philippines Birmingham Holdings Inc. Full time ₱900,000 - ₱1,200,000 per year

    Work Arrangement – We Commit to Work-Life BalanceHybrid setup: 1x per week in-office (Mandaluyong), 4days remote WFHTraining period: First 30 days in-office, Monday to FridayWork hours: 8:00 AM to 5:00 PMAbout the RoleWe are seeking a detail-oriented and strategic Revenue Operations Lead to join our dynamic team. As the Revenue Operations Lead, you will be...

  • Revenue Officer

    1 week ago

    Makati City, National Capital Region, Philippines Private Advertiser Full time ₱900,000 - ₱1,200,000 per year

    Job SummaryThe Revenue Officer is responsible for managing and optimizing the hotel's revenue streams by ensuring accurate pricing, inventory management, and consistent monitoring of performance. This role oversees all Online Travel Agency (OTA) channels, ensuring competitive positioning, timely posting of rates and promotions, and accurate room...