Job Description
Position Summary
The RCM Specialist II independently manages full-cycle revenue cycle processes from eligibility and authorization through claims submission, denial resolution, and accounts receivable management. This role operates with minimal supervision and brings advanced payer knowledge and problem-solving skills to the billing team. RCM Specialist II staff also provide peer guidance and contribute to workflow improvement initiatives.
Job Details
Work setup: Onsite (Eastwood)
Schedule: Monday to Friday, 10PM - 7AM Manila Time
Holiday arrangement: US Holidays (Client’s Holiday Calendar)
Essential Duties & Responsibilities
- Independently manage full-cycle billing and authorization workflows for assigned payers and patient groups
- Conduct advanced benefit reviews and clearly communicate cost-share details, including deductibles, co-pays, and out-of-pocket maximums
- Investigate and resolve claim...