Revenue Cycle Management Specialist - Remote

Overview

The Revenue Cycle Management Specialist is responsible for working the accounts receivable with a focus on denial management and revenue recovery. This is a fully remote position based in the Philippines, requiring full-time availability during U.S. Eastern Time hours.

In Short

• Monitor claim status and resolve issues for reimbursement.
• Coordinate with insurance payers for payment variances.
• Prepare, review, and submit claims to insurance payers.
• Analyze claim denials and submit corrected claims or appeals.
• Track revenue cycle KPIs and maintain compliance with regulations.
• Provide leadership with performance reports and updates.
• Stay current with billing guidelines and payer requirements.
• Work independently and in a fast-paced environment.
• Help shape the future of autism care for children and families.

Requirements

• Minimum of 1-2 years in medical billing or revenue cycle operations.
• Knowledge of health insurance payers and policies.
• Experience with Behavioral Health or ABA Therapy preferred.
• Excellent verbal and written communication skills.
• Proficiency in EMR/EHR and practice management systems.
• Strong analytical and problem-solving abilities.
• Attention to detail and time management skills.

Benefits

• Be part of a mission-driven and supportive team.
• Work remotely with a flexible, international operations team.
• Competitive compensation with growth potential.