Revenue Cycle Management (RCM) Specialist healthcare.
Manila, National Capital Region
Posted today
- Company:
- BPO-services
- Company Description:
- Customer Interaction: Handle inbound and outbound customer calls, emails, and chats with professionalism and empathy. Issue Resolution: Address customer concerns, troubleshoot problems, and provide effective solutions to ensure a positive customer experience. Product/Service Knowledge: Develop a deep understanding of our products/services to provide accurate information and support to customers. Documentation: Maintain detailed and accurate records of customer interactions, transactions, and issue resolutions. Team Collaboration: Work collaboratively with team members and other departments to achieve overall customer satisfaction goals. Adherence to Policies: Follow established procedures and guidelines to ensure compliance with company policies and industry standards. Continuous Improvement: Provide feedback on processes and suggest improvements for better efficiency and customer satisfaction. Requirements: High school diploma or equivalent; some college education preferred. Excellent communication skills in [language(s) required]. Previous customer service experience in a BPO or related industry is a plus. Ability to adapt to a fast-paced and ever-changing work environment. Strong problem-solving skills and a customer-centric mindset. Benefits: Competitive salary and performance-based incentives. Comprehensive training programs. Career growth opportunities within the organization. Health and wellness benefits. Positive and collaborative work culture. Join our team and be part of a dynamic BPO environment committed to delivering outstanding customer service! Apply now to embark on a rewarding career journey.
- Contract Type:
- Full Time
- Experience Required:
- 2 years
- Education Level:
- Bachelor’s Degree
- Number of vacancies:
- 100
Job Description
We are seeking a skilled and detail-oriented RCM Specialist to join our team. The ideal candidate will bring expertise in healthcare billing, claims management, and accounts receivable, ensuring seamless revenue operations and exceptional provider support.
Key Responsibilities
• Perform accounts receivable follow-up, denial management, and claim status verification.
• Handle UB04 forms, facility claims, and professional claims (CMS 15,000).
• Review contracts to resolve payment disputes (TPO disputes).
• Collaborate with insurance payers for claim statuses and payment resolutions.
• Coordinate benefits and provide detailed explanations of benefits (EOBs).
• Ensure timely follow-up on undisputed claims and process payments accurately.
• Oversee prior authorization and utilization review processes.
Qualifications
• Proven experience working on the provider side (hospital-based).
• Knowledge of HIPAA regulations, CPT codes, and ICD codes.
• Strong understanding of medical billing processes and claims adjudication.
• Exceptional analytical and communication skills.
Location QC city, Taguig, Alabang.
- Salary:
- ₱36,000.00 Monthly
