Healthcare Revenue Operations Specialist

6 days ago

Sorsogon, Bicol, Philippines beBeeRevenueCycle Full time ₱2,400,000 - ₱4,800,000

Job Title: Revenue Cycle Specialist

Description:

We are seeking a detail-oriented Revenue Cycle Specialist to support the revenue operations of a healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims.

  • Log into the clients billing system to review and manage denied or aging claims
  • Work claim queues to identify root causes of denials and submit appropriate documentation or corrections
  • Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
  • Escalate recurring denial trends or system/process bottlenecks to the clients RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
Qualifications:
  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
  • Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD)
  • High attention to detail and ability to work independently on repetitive or process-heavy tasks
  • Strong written and verbal communication skills in English

This is an ideal opportunity for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.

Key responsibilities include managing claim queues, communicating with payers, and escalating denial trends. The ideal candidate will have strong analytical and problem-solving skills, as well as excellent written and verbal communication skills.

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