Philippines onlyWe are in need of an RCM Manager and a Medical Coding Specialist:
RCM Manager:
About the Role
The Medical Revenue Cycle Manager oversees the entire revenue cycle process—from patient registration and insurance verification to billing, coding, collections, and reimbursement. This role ensures financial viability by optimizing cash flow, reducing claim denials, and maintaining compliance with healthcare regulations.
📌 Key Responsibilities
- Lead and manage the revenue cycle team, including billing, coding, and collections staff
- Monitor and improve billing accuracy, referrals/prior authorizations, claim submission, and denial prevention/management
- Develop and implement strategies to accelerate revenue collection (including precollections) and reduce AR days
- Collaborate with clinical and administrative departments to streamline workflows, including office visits, testing procedures, and DME
- Analyze financial reports and present revenue cycle performance to leadership
- Negotiate with payers on reimbursement issues, fee schedules, and resolution of escalated claims
- Train and mentor staff on billing software, coding updates, and regulatory changes
- Conduct internal audits to ensure coding accuracy and billing integrity
- Maintain up-to-date knowledge of medical coding, payer policies, and industry trends
🧠 Qualifications
- 5+ years of experience in outpatient clinic medical billing and revenue cycle management
- Strong knowledge of Athenahealth EMR/EHR systems, billing software, and reports
- Certification in medical coding (e.g., CPC, CCS) preferred
- Excellent leadership, analytical, and communication skills
- Proven ability to manage teams and drive performance metrics
This is a 100% Remote Work
Full time
US time zone
Up to $10/hr
Medical Coding Specialist:
We are seeking a highly skilled and detail-oriented Medical Coder / Revenue Cycle Specialist to oversee our billing operations and ensure the financial health of our practice. This role will take ownership of claims processing, payment posting, denial management, and reporting, ensuring accuracy, compliance, and efficiency in all revenue cycle functions.
The ideal candidate has hands-on experience with both electronic and paper claims, understands payer requirements, and is comfortable generating productivity and financial reports for leadership.
Key Responsibilities
- Claims Management: Transmit claims through the EHR, scrub for accuracy, and ensure timely submission.
- Remittance Posting: Apply remits electronically; process both electronic and paper Explanation of Benefits (EOBs).
- Denials & Corrected Claims: Work corrected claims, re-submit as needed, and manage claim denials through appeals and follow-ups.
- Payment Tracking: Post payments to client accounts, track balances owed, and reconcile discrepancies.
- Reconciliation: Reconcile all payments received (electronic and paper) against bank deposits and internal records.
- Reporting: Generate company productivity reports, including revenue per therapist and other KPIs.
- Compliance & Accuracy: Maintain strict adherence to HIPAA, payer requirements, and billing standards.
Qualifications
- Minimum 3+ years of experience in medical billing, coding, and revenue cycle management.
- Medical coder licensed
- Strong knowledge of EHR and billing workflows (experience with Athena or similar systems preferred).
- Proficient in processing electronic and paper claims/EOBs.
- Hands-on experience with denial management, corrected claims, and appeals.
- Strong Excel/reporting skills (pivot tables, formulas, productivity metrics).
- Excellent organizational skills and high attention to detail.
- Strong communication skills for provider, payer, and team collaboration.
- Ability to work independently and meet deadlines in a fast-paced environment.
Kenya only
Nicaragua only
