Talent.com
This job offer is not available in your country.
RCM Specialist

RCM Specialist

Infinit-O GlobalPasay, NCR, Philippines
30+ days ago
Job description

Infinit-O isn’t just about business process optimization, we’re about people. For over 20 years, we’ve been helping some of the world’s fastest-growing companies in Financial Services, Healthcare, and Technology achieve multiple strategic advantages through data-driven solutions, high-performance teams, and cutting-edge technology. Our world-class Net Promoter Score of 75 reflects our commitment to excellence and client satisfaction.

But what truly sets us apart is our culture. At Infinit-O, we believe that diversity, equity, and inclusion are the foundation of innovation and sustainable growth. We embrace differences, empower perspectives, and create equal opportunities for everyone. Our people-first approach has earned us the Great Place To Work Certification three times, and as a B Corp Certified company, we’re dedicated to making a positive impact not just in business, but in the communities we serve.

With a highly engaged and innovative team, we don’t just optimize processes, we also create meaningful change.

What is the role that we need?

Key Responsibilities :

  • Manage the revenue cycle process frompatient registration to final payment, ensuring accuracy and efficiency.
  • Verify patient insurance coverage and eligibility, obtaining necessary authorizations as needed.
  • Review and analyze medical documentation to ensure accurate coding and billing.
  • Submit claims to insurance companies and follow up on claim status to ensure timely reimbursement.
  • Investigate and resolve claim denials and rejections, appealing as necessary.
  • Process patient payments, post transactions, and reconcile accounts receivable balances.
  • Collaborate with healthcare providers and billing staff to address coding and billing issues.
  • Monitor key performance indicators and metrics to identify trends and opportunities for improvement.
  • Stay updated on industry regulations and best practices related to revenue cycle management.
  • Provide training and support to staff on billing procedures, coding guidelines, and compliance requirements
Create a job alert for this search

Specialist • Pasay, NCR, Philippines