Deskripsi Pekerjaan
Are you a Revenue Cycle Management (RCM) expert looking to fast-track your career in the US Healthcare industry? We are seeking a highly motivated RCM AR Claims Analyst to join our high-performing team in Metro Manila. This is a critical role responsible for ensuring financial accuracy and operational efficiency by managing the end-to-end claims lifecycle. If you possess a sharp eye for detail, strong negotiation skills, and a background in medical billing, we want to hear from you. We are currently offering an exclusive ₱50,000 signing bonus for successful candidates who meet our standard of excellence.
You will play a pivotal role in maintaining the financial health of our healthcare partners by navigating complex payer requirements, identifying billing errors, and driving collections. This position offers not only a competitive salary but also a path for professional growth within a fast-paced, collaborative environment that values innovation and precision in healthcare documentation.
Tanggung Jawab
- Manage the end-to-end US Healthcare RCM lifecycle, from claim submission to final payment.
- Execute proactive AR follow-ups on unpaid or underpaid claims to ensure maximum recovery.
- Investigate, document, and resolve insurance denials by drafting professional appeals.
- Coordinate effectively with US-based payers to clarify coverage issues and reimbursement policies.
- Maintain precise and compliant documentation within the Epic EMR system.
- Monitor and analyze account aging reports to identify and address bottlenecks in cash flow.
- Provide regular updates to stakeholders regarding collection status and common denial trends.
- Adhere strictly to HIPAA regulations and internal data privacy protocols at all times.
Kualifikasi
- Minimum of 2 years of experience in US Healthcare Revenue Cycle Management or Medical Billing.
- Proven expertise in AR collections, denial management, and insurance appeals.
- Working knowledge of Epic documentation and billing workflows.
- Solid understanding of CPT, ICD-10, and HCPCS coding standards.
- Excellent command of the English language, both written and verbal, for payer communication.
- Ability to work autonomously in a high-volume, deadline-driven environment.
- Strong analytical skills with a focus on problem-solving and process improvement.
- Willingness to work on shifting schedules to align with US business hours.