Revenue Recovery Specialist

5 days ago

Manila, National Capital Region, Philippines Cloudstaff Full time ₱400,000 - ₱800,000 per year

The Revenue Recovery Specialist is responsible for managing and resolving outstanding insurance claims and patient balances. This role ensures timely and accurate reimbursement by following up with payers, appealing denied claims, and identifying trends that impact revenue. The ideal candidate has a strong understanding of the revenue cycle, payer policies, and healthcare reimbursement methodologies.

Essential Job Duties and Responsibilities

  • Review and analyze aging reports to identify unpaid or underpaid claims.
  • Follow up with insurance companies and third-party payers to resolve outstanding balances.
  • Submit appeals, demands and rebuttals
  • Communicate with patients and internal departments to resolve billing issues.
  • Document all activities and maintain accurate records in the EHR/PM system.
  • Monitor trends in denials and reimbursement delays and escalate as appropriate.
  • Ensure compliance with HIPAA and all applicable regulations.
  • Meet or exceed productivity and quality standards.

Qualifications And Requirements

  • High school diploma or equivalent required
  • 2+ years of experience in medical billing, AR follow-up, or revenue recovery.
  • Experience with commercial payers
  • IDR Recovery efforts, preferred

Skills/Specialized Knowledge

  • Knowledge of healthcare billing and reimbursement processes.
  • Familiarity with EOBs, remittance advice, and payer portals.
  • Strong analytical and problem-solving skills.
  • Excellent verbal and written communication skills.
  • Proficiency in Microsoft Office (Excel, Outlook, Word).
  • Experience with billing software and EHR systems.
  • Ability to work independently and manage time effectively

Benefits and Perks

  • HMO Coverage
  • ALE Club : Accountants Leading Evolution, be part of a community of accountants within Cloudstaff that serves as a platform to connect with their colleagues
  • Annual Performance Review with Salary Increase
  • Become part of the Employee Share Units program
  • Cloudstaff Dream Points - To be used for bidding useful items like appliances, kitchenettes etc.
  • Comprehensive health and life insurance on your 16th day of employment, covering 1 free dependent on the 16th day of employment
  • Endless opportunities for career advancement
  • Exclusive partnership with the IPA to offer a professional CPD pathway
  • Exclusive partnerships that offer Cloudstaff accountants additional training sessions
  • Flexible leave credits which may be used for vacation, emergency, and sick leaves
  • In-house psychiatrist available to support employees' well-being
  • International career growth and connections
  • Look forward to weekly office perks for work from office staff – Free Coffee, Meals, and Beer Fridays
  • Membership with PICPA
  • Mental Wellness Employee Assistance program through Lifeworks
  • Participate and join our CS Social Clubs and Special Interest Groups to connect with colleagues
  • Quarterly perks boxes for WFH staff, offering groceries and snacks to keep you fueled
  • Superb and exciting Mid-Year Parties – with items to give away and cash prizes
  • Top notch workplace with first class VIP lounge and game rooms
  • Unlimited cash incentives for hired referrals
  • We set you up for success with a company-provided PC/Laptop and fiber internet connection

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