Revenue Cycle Management

4 days ago

Manila, National Capital Region, Philippines HRTX Full time ₱900,000 - ₱1,200,000 per year

The RCM Senior Associate plays a key role in ensuring timely and accurate execution of the end-to-end revenue cycle processes, from claim submission to reimbursement. This role supports both routine and strategic RCM functions, helping to maximize revenue collection, maintain compliance, and enhance operational efficiency across multi-state operations.

Qualifications

Required:

  • Bachelors degree in Accounting, Finance, Healthcare Administration, or related field
  • Minimum of 2 years hands-on experience in US Healthcare Revenue Cycle Management, including claims preparation, billing, denial management, and payer communication
  • Strong understanding of payer guidelines and revenue cycle processes
  • Proficient in Microsoft Office (Excel, Word, Outlook)
  • Strong written and verbal communication skills
  • Proven ability to apply critical thinking and problem-solving in complex billing scenarios

Preferred:

  • Experience with Practice Management Systems (e.g., Avatar, Catalyst, PCMS, Therap, Rethink)
  • Familiarity with RCM tools and platforms (e.g., Ability/Inovalon, Netsmart)
  • Prior experience handling multi-state RCM processes or working with diverse insurance carriers
  • Strong analytical, investigative, and reporting skills

Roles & Responsibilities

  • Prepare and submit clean claims to insurance payers and clients via electronic and paper methods
  • Track and monitor claim submissions; resolve pre-bill edits and claim rejections in a timely manner
  • Process corrected and rebilled claims; manage denials and appeals to ensure timely reimbursement
  • Conduct A/R follow-ups and manage collection of outstanding medical accounts
  • Coordinate and execute mass appeal projects with various payers
  • Identify and resolve discrepancies in billing, payments, or account balances
  • Process patient and payer refunds accurately with supporting documentation
  • Support seamless integration of RCM data into business intelligence platforms (e.g., DOMO)
  • Generate and analyze key RCM performance metrics, month-end summaries, and financial reports
  • Ensure adherence to payer-specific guidelines and regulatory requirements across multiple states
  • Collaborate with internal teams and stakeholders to resolve account and data issues
  • Maintain up-to-date knowledge of reimbursement practices and industry changes
  • Deliver excellent internal and external customer service
  • Perform additional RCM-related duties as assigned

  • Supervisor, Revenue Cycle

    4 days ago

    Manila, National Capital Region, Philippines iRhythm Technologies, Inc. Full time ₱900,000 - ₱1,200,000 per year

    Career-defining. Life-changing.At iRhythm, you'll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what's possible. We think big...

  • Revenue Cycle Management

    4 days ago

    Manila, National Capital Region, Philippines HRTX Full time ₱900,000 - ₱1,200,000 per year

    QualificationsRequired:Bachelors degree in Accounting, Finance, Healthcare Administration, or related fieldAt least 1 to 2 years of experience in the US healthcare revenue cycle, with exposure to payment posting, cash reconciliation, and EOB interpretationStrong attention to detail and data accuracyProficiency in Microsoft Office (Excel, Word,...

  • Revenue Assurance Officer

    4 days ago

    Manila, National Capital Region, Philippines The Well & Co Pty Ltd. Full time ₱600,000 - ₱1,200,000 per year

    Job Advertisement: Revenue Assurance Officer (Remote)Company: The Well & Co (Australia-based Group)Position: Revenue Assurance Officer (Remote - Philippines)Work Hours: Approximately 8:00 AM - 5:00 PM AEST (6:00 AM - 3:00 PM Manila Time)Compensation: ₱180 per hour (Full-time, long-term contractor role)About The Well & Co:The Well & Co is a dynamic group of...

  • Area Manager

    4 days ago

    Manila, National Capital Region, Philippines MSS CYCLE TRADING Full time ₱1,500,000 - ₱2,500,000 per year

    Strategic Leadership & Business GrowthDevelop and execute business strategies to achieve short- and long-term goals.Identify new business opportunities, partnerships, and revenue streams.Analyze market trends and implement competitive strategies.Operational ManagementOversee daily business operations and ensure smooth workflow.Establish and monitor KPIs to...

  • Hotel Revenue Manager

    4 days ago

    Manila, National Capital Region, Philippines Paladin Equity Full time ₱800,000 - ₱1,200,000 per year

    Job Title: Revenue ManagerJob SummaryPaladin Equity, a US-based private investment firm specializing in real estate and hotel management, is seeking a highly skilled and experienced Revenue Manager to join our team. The ideal candidate will have a proven track record in hotel revenue management, with specific expertise in Choice Hotels operations and the...

  • Revenue Accountant

    2 days ago

    Manila, National Capital Region, Philippines Turnitin Full time ₱900,000 - ₱1,200,000 per year

    Company DescriptionWhen you join Turnitin, you'll be welcomed into a company that is a recognized innovator in the global education space. For over 25 years, Turnitin has partnered with educational institutions to promote honesty, consistency, and fairness across all subject areas and assessment types. Over 21,000 academic institutions, publishers, and...

  • Senior Revenue Accountant

    4 days ago

    Manila, National Capital Region, Philippines Turnitin Full time $90,000 - $120,000 per year

    Company DescriptionWhen you join Turnitin, you'll be welcomed into a company that is a recognized innovator in the global education space. For over 25 years, Turnitin has partnered with educational institutions to promote honesty, consistency, and fairness across all subject areas and assessment types. Over 21,000 academic institutions, publishers, and...

  • Assistant Revenue Manager

    4 days ago

    Manila, National Capital Region, Philippines Grand Hyatt Full time ₱900,000 - ₱1,200,000 per year

    Organization- Grand Hyatt ManilaSummaryGrand Hyatt Manila offers a myriad of exciting experiences and dramatic restaurant concepts making it a destination within a destination. Embracing the philosophy, we bring moments of more to everything that we do.We are seeking a seasonedAssistant Revenue Managerwho will provide the management with marketing...

  • Manager, Hotel Revenue Management

    4 days ago

    Manila, National Capital Region, Philippines Melco Resorts & Entertainment Full time $80,000 - $120,000 per year

    REQ12770 Manager, Hotel Revenue Management (Open)Position SummaryManager, Hotel Revenue Management maximizes hotel revenue through room inventory management, positioning, and rate controls. He/She also oversees the profitability, effectivity and overall performance of Premium Mass marketing programs including the Sales Incentive scheme. He/She leads a team...

  • Revenue Growth Consultant

    4 days ago

    Manila, National Capital Region, Philippines SiteMinder Full time $80,000 - $120,000 per year

    At SiteMinder we believe the individual contributions of our employees are what drive our success. That's why we hire and encourage diverse teams that include and respect a variety of voices, identities, backgrounds, experiences and perspectives. Our diverse and inclusive culture enables our employees to bring their unique selves to work and be proud of...