Revenue Cycle Management

20 hours ago

Manila, National Capital Region, Philippines HRTX Full time $40,000 - $80,000 per year

Qualifications

Required:

  • Bachelors degree in Accounting, Finance, Healthcare Administration, or related field
  • At least 1 to 2 years of experience in the US healthcare revenue cycle, 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:

  • Hands-on experience with Practice Management Systems (e.g., Avatar, Catalyst, PCMS, Therap, Rethink)
  • Familiarity with RCM and payment platforms (e.g., Ability/Inovalon, Netsmart)
  • Knowledge of HIPAA and payment card industry (PCI) data security standards
  • Experience working with multi-state payers and large-scale healthcare providers

Roles & Responsibilities

  • Accurately post payments, denials, and adjustments from insurance, patients, and third-party payers within set timelines
  • Perform daily, weekly, and monthly cash reconciliation and ensure alignment with internal records and bank statements
  • Monitor and manage unapplied payments, provider-level balances, and refund requests
  • Balance and verify payment batches and ensure they match remittance advices and bank deposits
  • Investigate and resolve discrepancies or posting errors by coordinating with other departments or payers
  • Interpret and apply Explanation of Benefits (EOBs) data for accurate payment processing
  • Process and post credit card transactions securely and in compliance with industry standards
  • Generate reports on cash posting activity and identify trends, issues, or improvement opportunities
  • Maintain clear and professional communication with team members, clients, insurance carriers, and patients regarding payment matters
  • Ensure compliance with HIPAA, payer guidelines, and internal audit requirements
  • Recommend and support process improvements to enhance posting workflow efficiency
  • Support special projects and cross-functional initiatives as assigned by leadership

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