Revenue Cycle Specialist

1 day ago

Iloilo City, Western Visayas, Philippines beBeeCollections Full time $45,000 - $65,000
Revenue Cycle Specialist

As a Revenue Cycle Specialist, you will be responsible for managing all aspects of the revenue cycle, including billing and collections. Your primary focus will be on securing payments within defined guidelines for Medicare, Medicaid, Managed Care, Co-insurance companies, and Long Term Care Insurance Companies.

Key Responsibilities:
  • Coordinate accumulation of information with various departments to post to resident accounts.
  • Review charges for accuracy, completeness, consistency, and payers charged.
  • Prepare and timely issue accurate billing statements to the correct payer using electronic systems provided.
  • Monitor all submissions on a daily basis to address any denials or requests for additional information (ADRs).
  • Coordinate with all departments and submit ADR information within 10 days of receipt of request.
Collections Responsibilities:
  • Follow up on unpaid claims/denials within company standard billing cycle timeframes; Determine reasons for denial. Correct claims and Re-bill when required.
  • Document all communications and collection attempts, taking follow-up action in accordance with established policies and procedures.
  • Provide needed supporting documentation to payer upon request in a timely manner.
  • Maintain A/R Aging levels for assigned accounts within company guidelines.
  • Notify supervisors of difficult/problem accounts; residents unwilling or unable to pay balances.
  • Process claim reclassification to private accounts upon approval from management.
  • Process bad debts in a timely fashion when claims are determined to be uncollectable. Document all reasons for uncollectability and efforts in the process.
Additional Responsibilities:
  • Apply Third Party payments daily including checks, wire transfers, EFT payments, other bank deposits, cash, and credit card payments. Confirm completeness and accuracy of payment information to the residents' accounts.
  • Establish good relationships with all third-party payers with professional communications.
  • Efficiently conduct inquiries and analysis for resolution of discrepancies.
  • Adhere to the policies and procedures of the business with the highest practical standards.
  • Participate in and maintain current status on all training and education required by the company.
  • Communicate effectively with all members of the staff and business partners.
  • Provide feedback to others for continuous quality improvement of the entire organization.
  • Openly accept feedback from others for the continuous quality improvement of the entire organization.
  • Escalate issues when there is an appearance that business standards of quality are not present.
  • Comply with all rules and regulations of the organization, including HIPAA and safety.
Requirements and Specifications:Education and Experience:
  • Two to three years of experience processing skilled nursing medical claims with third parties including Medicare, Managed Care, and Insurance Companies with a track record of successful collections.
  • One or more years of experience working in a high-volume, short-term rehab environment.
  • Knowledge of billing and related software preferred and/or experience with similar software.
  • Proficiency with Microsoft Office and ability to learn company IT systems.
Essential Qualifications:
  • Strong communication, interpersonal, and organizational skills.
  • Detail orientation.
  • Ability to manage multiple priorities.
  • Discretionary judgment.
  • Ability to work independently and as part of a team.
Language Skills:
  • Ability to read, write, and speak English proficiently.

  • Revenue Cycle Implementation Specialist

    1 day ago

    Iloilo City, Western Visayas, Philippines beBeeImplementation Full time $55,000 - $85,000

    Job DescriptionThe primary responsibility of the Revenue Cycle Implementation Specialist is to collaborate with a team in implementing Med-Metrix's Suite of Revenue Cycle Technology.Main Responsibilities:Participate in assessment meetings with Accounts Receivable Services to develop design documentation and best practice recommendations.Gain insight into...

  • Clinical Revenue Cycle Associate

    24 hours ago

    Iloilo City, Western Visayas, Philippines beBeeMedicalBilling Full time $60,000 - $80,000

    Job Title: Medical Billing SpecialistWe are seeking a detail-oriented professional to support the revenue cycle operations of a healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims.Main Responsibilities:Log into the client's billing system to review and manage denied or aging claimsWork claim queues...

  • Revenue Cycle Management Consultant

    1 day ago

    Iloilo City, Western Visayas, Philippines beBeeRecovery Full time ₱60,000 - ₱100,000

    Job SummaryOur organization is seeking an experienced Revenue Cycle Management Professional to develop and deliver training programs for accounting professionals transitioning into U.S. healthcare revenue cycle management.

  • Revenue Cycle Operations Specialist

    1 day ago

    Mandaue City, Central Visayas, Philippines beBeeOperations Full time ₱60,000 - ₱100,000

    Job OverviewWe are seeking an experienced Revenue Cycle Operations Specialist to develop and deliver training programs for accounting professionals transitioning into U.S. healthcare revenue cycle management.About the RoleThe ideal candidate will have a strong background in medical billing, coding, claims processing, and financial revenue cycle operations...

  • Assistant Manager with Revenue Cycle Management

    1 week ago

    Iloilo City, Western Visayas, Philippines Kavi Global Full time $70,000 - $120,000 per year

    We are currently seeking seasoned Call Center Leaders to manage our healthcare claims processing delivery center. This leadership position involves overseeing Assistant Managers and managing a team of 50 Claim Resolution Specialists. The role is performance-focused, requiring strong leadership, organization, and people skills.Ideal candidates should have...

  • Revenue Cycle Strategist

    1 day ago

    Mandaue City, Central Visayas, Philippines beBeeFinancial Full time $80,000 - $120,000

    Revenue Cycle Management ProfessionalWe are seeking a highly skilled Revenue Cycle Management professional to oversee the entire revenue cycle process. The ideal candidate will have a strategic mindset and be able to drive operational improvements to maximize revenue and reduce denials.Key Responsibilities:Lead the revenue cycle team to achieve performance...

  • Revenue Cycle Expert

    24 hours ago

    Cebu City, Central Visayas, Philippines beBeeRevenueCycleManagement Full time ₱2,000,000 - ₱2,500,000

    The Senior Revenue Cycle Management role requires a strategic mindset and the ability to drive operational improvements to maximize revenue and reduce denials.Key ResponsibilitiesDrive performance and financial results by leading the revenue cycle team.Analyze data to identify trends and areas for improvement within the revenue cycle, enabling informed...

  • Revenue Cycle Management

    1 week ago

    Cebu City, Central Visayas, Philippines Staff4Me Full time $60,000 - $100,000 per year

    Job Summary:We are seeking an experienced Revenue Cycle Management (RCM) Trainer based in the Philippines to develop and deliver training programs for accounting professionals transitioning into U.S. healthcare revenue cycle management. The ideal candidate will have a strong background in medical billing, coding, claims processing, and financial revenue...

  • Healthcare Revenue Specialist

    1 day ago

    Iloilo City, Western Visayas, Philippines beBeeMedicalBiller Full time $45,000 - $60,000

    Job SummaryOur organization is seeking a skilled Medical Biller to support our revenue cycle management team.Key ResponsibilitiesPrepare and submit accurate medical claims electronically or via paper.Process payments from insurance companies and patients in our electronic medical record system.Identify discrepancies and resolve payment issues by reconciling...

  • Revenue Growth Specialist

    24 hours ago

    Iloilo City, Western Visayas, Philippines beBeeGrowth Full time $450,000 - $750,000

    Revenue Growth SpecialistThis role is responsible for monitoring trade spend efficiency, developing revenue performance dashboards, and partnering with cross-functional teams to drive business growth.About the Role:As a Revenue Growth Specialist, you will play a critical part in optimizing trade promotions, reducing costs, and improving overall revenue...