Deskripsi Pekerjaan
Informasi lengkap tentang posisi dan persyaratan
Ringkasan Yukerja
Lowongan Healthcare Revenue Cycle Management (RCM) Specialist di Metacom Careers kami kurasi dari Bossjob (kategori Kesehatan). Perhatikan lokasi kerja (Makati, National Capital Region, Philippines) sebelum melamar. Yukerja.com bukan pemberi kerja — lamaran diproses di situs sumber resmi.
Role Description
We are looking for a detail-oriented Healthcare Revenue Cycle Management (RCM) Specialist to support US healthcare operations by handling medical billing processes, claims-related concerns, and revenue cycle activities. The role requires strong knowledge of healthcare workflows and the ability to deliver accurate and efficient service.
Key Responsibilities
- Manage healthcare revenue cycle processes and ensure accurate handling of medical billing transactions.
- Assist with claims status checks, inquiries, and resolution of billing-related concerns.
- Perform benefits and eligibility verification to support healthcare providers and patients.
- Process prior authorization and referral requests following healthcare guidelines.
- Support provider inquiries through Provider Help Desk (PHD) functions.
- Review and resolve claims denials by identifying issues and coordinating proper actions.
- Maintain accurate documentation and comply with healthcare policies and procedures.
Qualifications
- Graduate of at least High School or Senior High School.
- Minimum of 6 months US Healthcare Operations / Medical Billing / Revenue Cycle Management (RCM) experience.
- Experience in at least one of the following areas:
- Claims Status & Inquiry
- Benefits & Eligibility Verification
- Prior Authorization / Referral Desk
- Provider Help Desk (PHD)
- Claims Denial Management
- Willing to work onsite.
- Good communication skills and strong attention to detail.
Skills & Competencies
- Knowledge of US healthcare processes and medical billing workflows.
- Strong analytical and problem-solving skills.
- Excellent written and verbal communication skills.
- Ability to handle confidential healthcare information professionally.
- Detail-oriented with strong organizational skills.
- Ability to work independently and meet performance targets.
What We Offer
- Competitive salary package.
- Opportunity to grow within the healthcare industry.
- Training and development programs.
- Stable career opportunities in a global healthcare environment.
- Supportive onsite workplace culture.