
RCM Specialist
2 weeks ago
Spillway Workforce Solutions is a staffing and business solutions company with clients in the United States and the United Kingdom.
We are looking for a detail-oriented Revenue Cycle Management (RCM) Specialist to support our healthcare operations. The role involves managing the full cycle of medical billing, from claim submission to payment posting, accounts receivable follow-up, and denial management.
Key Responsibilities
- Prepare and submit accurate and timely insurance claims (government and commercial payers).
- Post and reconcile payments from ERAs and EOBs to the correct patient accounts.
- Follow up on unpaid or denied claims, resubmit corrected claims, and file appeals when necessary.
- Generate and send patient statements for outstanding balances; assist patients in understanding their bills and insurance coverage.
- Collaborate with coders and providers to ensure accurate use of CPT, ICD-10, and HCPCS codes.
- Monitor denial trends, analyze root causes, and implement corrective measures to minimize rejections.
- Conduct periodic audits to ensure compliance with HIPAA, Medicare/Medicaid, and payer regulations.
Ideal Candidate Must Have:
- 2+ years of experience in medical billing, accounts receivable, or revenue cycle management.
- Strong knowledge of CPT, ICD-10, and HCPCS codes.
- Familiarity with ERA/EOB processing and claim submission software.
- Experience handling denial management and payer follow-ups.
- Strong communication skills for both payer and patient interactions.
- High attention to detail and ability to work independently.
- Prior experience with US healthcare systems required.
Job Type: Full-time
Pay: Php25, Php30,000.00 per month
Benefits:
- Work from home
Application Question(s):
- Which billing/EMR software have you used?
- Which RCM functions have you handled?
- Are you amenable to working a graveyard schedule (11 pm to 7 am)?
- How soon can you start?
Experience:
- US Healthcare: 1 year (Preferred)
Work Location: Remote
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