Revenue Cycle Manager

1 day ago

Manila, National Capital Region, Philippines Preparation One Sourcing Hub Inc. Full time $104,000 - $130,878 per year

Qualifications:

  • Bachelor's degree in any field.
  • Familiarity with insurance guidelines, EOB, and ERA processing
  • Minimum of 5 years' experience in medical billing.
  • Familiarity with insurance guidelines, EOB, and ERA processing
  • Strong understanding of the Revenue Cycle Management (RCM) process (charge posting, payment posting, AR follow-up).
  • Knowledge of HIPAA regulations and compliance standards.
  • Proficiency in Practice Management Software (PMS).
  • Strong Excel and data entry skills.
  • Excellent leadership, organizational, and communication abilities.

Key Responsibilities:

  • Supervise and mentor medical billing associates to ensure performance and compliance.
  • Accurately enter and review patient demographics, insurance details, and charges in the billing system.
  • Verify patient eligibility and payer information prior to charge entry.
  • Process and submit medical claims; correct rejections to minimize denials.
  • Post insurance and patient payments with daily reconciliation.
  • Verify bulk checks, insurance payments, and correspondence before posting.
  • Follow up on outstanding claims and promptly appeal denials.
  • Communicate with insurance payers to ensure timely claim resolution.
  • Generate accurate patient statements and ensure on-time delivery.
  • Apply insurance adjustments and contractual write-offs correctly.
  • Maintain accurate documentation of claims, payments, and correspondence.
  • Prepare and update the Daily Work Confirmation Report and secure sign-offs.
  • Ensure compliance with HIPAA regulations and organizational protocols.

Work setup: 8pm-5am (Work from home but will transitioned to onsite eventually)

Job Types: Full-time, Permanent

Benefits:

  • Opportunities for promotion
  • Promotion to permanent employee

Application Question(s):

  • Kindly indicate your email address and phone number.

Work Location: Remote

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