revenue cycle management specialist

Active Hires USA

Job Title: Revenue Cycle Management (RCM) SpecialistLocation: Egypt (Work from Home)Company: Go Physical Therapy (USA-based)Job Type: Full-time (Remote, Work from Home)About Us:Go Physical Therapy is a leading physical therapy provider based in the USA, committed to delivering exceptional care to our patients. We are seeking a skilled and experienced RCM Specialist to join our team remotely from Cairo, Egypt. This role is crucial in ensuring the smooth management of our revenue cycle and optimizing our billing processes.Job Overview:As an RCM Specialist, you will be responsible for managing the end-to-end revenue cycle, including patient registration, insurance verification, claim submission, and payment posting. You will collaborate with our team in the USA to ensure timely and accurate billing, minimize claim denials, and improve overall revenue collection. This position offers the flexibility of working from home, allowing you to balance your professional and personal life effectively.Key Responsibilities:<ul><li>Insurance Verification: Confirm patient insurance coverage and eligibility prior to services being rendered.</li><li>Billing &amp; Coding: Ensure accurate coding of medical services and procedures to maximize reimbursement.</li><li>Claim Submission: Prepare and submit claims to insurance companies and other payers efficiently.</li><li>Follow-Up: Track and follow up on unpaid claims, resolving issues related to claim denials or rejections.</li><li>Payment Posting: Accurately post payments from insurance companies and patients to the correct accounts.</li><li>Reporting: Generate and analyze reports related to revenue cycle metrics, such as days in accounts receivable, denial rates, and collection efficiency.</li><li>Compliance: Ensure that all billing practices comply with relevant regulations and industry standards.</li></ul>Qualifications:<ul><li>Experience: Minimum of 1-2 years of experience in revenue cycle management or medical billing.</li><li>Skills:</li><li>Strong understanding of medical billing, coding (ICD-10, CPT), and insurance processes.</li><li>Proficiency in healthcare management software (e.g., EMR/EHR systems).</li><li>Excellent communication and problem-solving skills.</li><li>Ability to work independently and manage multiple tasks effectively.</li><li>Fluency in English: Both written and spoken fluency in English is required to effectively communicate with our USA-based team and clients.</li><li>Soft Skills: Teamwork, adaptability, and attention to detail are highly valued.</li></ul>What We Offer:<ul><li>Competitive salary</li><li>Opportunity to work remotely from home in Egypt</li><li>Professional development and growth opportunities</li><li>A collaborative and supportive work environment</li></ul>Job Type: Full-timePay: E&pound;10,000.00 - E&pound;18,000.00 per monthExperience:<ul><li>Revenue Cycle Management Specialist: 1 year (Required)</li></ul>Language:<ul><li>English (Required)</li></ul>

Revenue Cycle Management (RCM) Specialist - remotely

Healthrix

Overview As an RCM Specialist, you will play a pivotal role in the revenue cycle management process, ensuring that our healthcare operations run smoothly and efficiently. You will be responsible for managing medical billing, coding, and collections to optimize revenue flow while maintaining compliance with industry standards. Your expertise in medical terminology and coding systems will be essential in facilitating accurate documentation and processing of medical records.What you&rsquo;ll do<ul><li>Review and analyze patient records to ensure accurate coding using ICD-9, ICD-10, CPT coding, and DRG (Diagnosis-Related Group) methodologies.</li><li>Process medical billing and collections efficiently to maximize revenue recovery.</li><li>Collaborate with healthcare providers to clarify documentation and coding discrepancies.</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems for data entry and retrieval of patient information.</li><li>Maintain up-to-date knowledge of medical terminology, coding guidelines, and billing regulations.</li><li>Conduct audits of medical records to ensure compliance with legal and regulatory requirements.</li><li>Provide support in resolving billing inquiries from patients or insurance companies promptly.</li><li>Assist in training staff on best practices related to medical coding and billing processes.</li></ul>Basic qualifications<ul><li>Proven experience in medical office settings with a focus on RCM processes.</li></ul>Preferred qualifications<ul><li>Proficiency in DRG, CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with EMR and EHR systems for effective patient data management.</li><li>Strong understanding of medical terminology and documentation standards.</li><li>Excellent communication skills for effective collaboration with healthcare teams and patients.</li></ul>Why you&rsquo;ll love it here We are dedicated to fostering an environment where our employees can thrive both professionally and personally. Our commitment extends beyond just the workplace; we offer a range of benefits designed to support your overall well-being.Our benefits include:<ul><li>Comprehensive health coverage options that cater to your needs.</li><li>Opportunities for professional development and continuous learning.</li><li>A supportive workplace culture that values teamwork and collaboration.</li><li>Resources aimed at enhancing your physical and mental health. Join us as we strive to enhance the quality of care through effective revenue cycle management! Your contributions as an RCM Specialist will directly impact our mission to provide exceptional healthcare services while ensuring financial sustainability.</li></ul>Job Type: Full-timeWork Location: In person

RCM Specialist

ANONYMOUSLY

We are currently looking for a dental coder to join our team.Job description:&middot; Ability to work with problem claims &amp; denials experience.&middot; Knowledgeable in CPT codes and diagnosis codes in all dental specialties.&middot; Obtaining approvals for dental procedures (General &amp; Specialist)&middot; Ensure completeness of patient files in accordance with JAWDA and DOH requirements.&middot; Knowledge in RCM (Revenue Cycle Management)&middot; Assisting with invoicing for insurance processing and billing.&middot; Communicate and follow up with insurance companies regarding eligibility, payments, approvals, reconciliation, and other requirements.&middot; Maintain and update records related to pre-approvals and reconciliation.&middot; Preparing weekly, monthly, quarterly, and yearly report, and documentation.&middot; Work cooperatively with other Clinic &amp; Admin staff in a positive team approach.&middot; Creating &amp; Generating Weekly Reports based on Doctors Productivity.Benefits:&middot; As per UAE Labor Law&middot; Medical Insurance&middot; Healthy Working Environment&middot; Company and career stabilityJob Type: Full-timePay: AED3,500.00 - AED6,000.00 per month

Dental Coder

Mac Care

We are seeking a detail-oriented and analytical Insurance Verification &amp; Eligibility Specialist to join our Revenue Cycle team. The ideal candidate will be responsible for verifying patient insurance coverage, determining eligibility, obtaining prior authorizations, and ensuring accurate documentation to support timely claim submission and payment. This role is critical in reducing claim denials, accelerating reimbursements, and supporting overall financial performance in a U.S. healthcare environment.Key Responsibilities: Insurance Verification &amp; Eligibility:<ul><li>Verify patient insurance coverage (commercial, Medicare, Medicaid, and other payers) prior to appointments or services.</li><li>Confirm benefits, deductibles, co-insurance, co-payments, policy limitations, and exclusions.</li><li>Review and interpret payer portals, EHR systems, and clearinghouses for real-time eligibility updates.</li><li>Ensure accurate documentation of verified benefits in the system.</li></ul>Authorization &amp; Pre-Certification:<ul><li>Obtain prior authorizations as required by payers for specific procedures, diagnostic tests, or treatments.</li><li>Communicate with insurance companies to resolve authorization discrepancies or incomplete information.</li><li>Track authorization status and follow up to secure approvals before service dates.</li></ul>Communication &amp; Coordination:<ul><li>Coordinate with providers, schedulers, and billing teams to ensure all insurance-related requirements are met prior to patient appointments.</li><li>Communicate coverage issues, payer requirements, or eligibility concerns to relevant teams promptly.</li><li>Provide guidance to patients regarding coverage expectations, if required.</li></ul>Documentation &amp; Data Accuracy:<ul><li>Maintain complete and accurate patient insurance information in the practice management or billing system.</li><li>Document all interactions, verification results, and authorization details in compliance with organizational policies.</li><li>Identify and correct missing or outdated insurance information.</li></ul>Denial Prevention &amp; RCM Support:<ul><li>Identify potential coverage issues that may result in claim denials.</li><li>Work closely with AR and Billing teams to support clean claim submission.</li><li>Review denial trends related to coverage or eligibility and provide feedback to the team.</li></ul>Qualifications &amp; Requirements:Education:<ul><li>Bachelor&rsquo;s degree preferred, but not mandatory.</li><li>High school diploma or equivalent required.</li></ul>Experience:<ul><li>1&ndash;2 years of experience in U.S. Healthcare Revenue Cycle Management (Insurance Verification, Eligibility, Front-End RCM).</li><li>Experience with commercial insurances, Medicare, Medicaid, and managed care plans preferred.</li><li>Familiarity with EMR systems, clearinghouses, and payer portals.</li></ul>Job Type: Full-timeWork Location: In person

Insurance Verification-Eligibility Specialist

ACIDUS MANAGEMENT SOLUTIONS PRIVATE LIMITED

Job Title: AR Caller / AR Follow-up SpecialistDepartment: Medical Billing / Revenue Cycle ManagementLocation: Tidel Park - CoimbatoreShift: US Shift (Night Shift)Job SummaryThe AR Caller is responsible for following up with insurance companies to check the status of medical claims, resolve denials, and ensure timely reimbursement for healthcare providers. The role involves outbound calling, claim analysis, denial management, and documentation.Key ResponsibilitiesInsurance Follow-up<ul><li>Make outbound calls to insurance companies to follow up on unpaid or underpaid claims.</li><li>Check claim status: paid, denied, pending, or additional information required.</li><li>Ensure adherence to payer-specific guidelines.</li></ul>Claims Analysis<ul><li>Review claim history, coding, and payer responses.</li><li>Identify reasons for non-payment (denials, rejections, missing info, etc.).</li><li>Take corrective actions such as appeals, reprocessing, coding clarification, or updating patient/insurance details.</li></ul>Denial Management<ul><li>Understand and resolve common denials (CO, PR, OA, etc.).</li><li>Initiate re-submissions or appeals with the necessary documentation.</li></ul>Documentation<ul><li>Update the billing system with clear, concise call notes and actions taken.</li><li>Maintain accurate records of follow-up activities and claim status.</li></ul>Communication &amp; Coordination<ul><li>Coordinate with the coding, charge entry, and payment posting teams.</li><li>Communicate payer requirements and trends to internal teams.</li></ul>Performance Metrics<ul><li>Meet daily and weekly productivity targets:</li><li>Number of calls made</li><li>Claims worked</li><li>Daily resolved accounts</li><li>Maintain quality and compliance standards.</li></ul>Required Skills &amp; Qualifications<ul><li>Strong communication skills in English (both verbal and written).</li><li>Good understanding of US healthcare, medical billing, CPT, ICD, HCPCS codes, and insurance terminology.</li><li>Experience in AR follow-up, denial management, or US RCM preferred.</li><li>Ability to work night shifts (US time zones).</li><li>Basic computer skills and familiarity with medical billing software (e.g., Epic, Athena, Kareo, eClinicalWorks).</li></ul>Preferred Experience<ul><li>1&ndash;3 years of experience as an AR Caller / AR Analyst / AR Follow-up Specialist.</li><li>Knowledge of Medicare, Medicaid, and commercial payer guidelines.</li></ul>For Queries:*hrtp@acidusms.com *9600886888Location - Tidel ParkWe look forward to hearing from you!Job Type: Full-timePay: &#8377;12,000.00 - &#8377;25,000.00 per monthBenefits:<ul><li>Provident Fund</li></ul>Work Location: In person

AR Callers

Abacus Outsourcing

Job Summary: The RCM (Revenue Cycle Management) Specialist is responsible for managing end-to-end billing, claims processing, payment posting, and denial management to ensure accurate and timely reimbursement. This role supports healthcare providers, administrative teams, and patients by ensuring clean claim submission, resolving billing discrepancies, and maintaining compliance with regulatory and payer guidelines.Key Responsibilities:&middot; Review patient demographic, insurance, and clinical documentation to ensure accurate claim creation and billing. &middot; Verify patient insurance eligibility, benefits, and coverage requirements prior to claim submission. &middot; Prepare, submit, and monitor medical claims to payers, ensuring timely and accurate processing. &middot; Investigate and resolve claim denials, rejections, and underpayments by coordinating with payers, providers, and internal teams. &middot; Ensure compliance with federal, state, and payer-specific billing regulations, including coding and HIPAA requirements. &middot; Maintain comprehensive and up-to-date records in practice management and EMR/RCM systems. &middot; Generate reports on claims status, collections, denials, and revenue performance. &middot; Support internal audits and quality improvement initiatives within the revenue cycle. &middot; Provide guidance to team members on billing guidelines, payer policies, and RCM best practices.Qualifications:&middot; Bachelor&rsquo;s degree in healthcare administration, business, life sciences, or related field preferred but not required. &middot; Prior experience in medical billing, RCM, claims processing, or health insurance is preferred. &middot; Strong understanding of medical billing practices, CPT/ICD coding, modifiers, and healthcare reimbursement workflows. &middot; Familiarity with EMR, EHR, and RCM/billing software systems. &middot; Excellent written and spoken English communication skills for interacting with patients, providers, and insurers. &middot; Strong attention to detail, accuracy, and organizational skills. &middot; Ability to maintain confidentiality and handle sensitive financial and medical information.Key Competencies:&middot; Analytical thinking and problem-solving. &middot; Accuracy and attention to detail. &middot; Time management and multitasking. &middot; Interpersonal skills and professionalism. &middot; Strong English communication skills (C1) for documentation, correspondence, and payer interactions.Timings: 7 PM to 4 AM Working Days: 5 Days a weekBenefits:&middot; Weekly 2 days off &middot; EOBI &middot; Medical Life Insurance (IPD + OPD)At Abacus, we&rsquo;re not just a workplace; we&rsquo;re a community built on core values. As advocates of diversity and inclusion, we proudly stand as an Equal Opportunity Employer, ensuring equitable opportunities for all. We uphold the highest standards of accountability, encouraging every team member to take ownership of their work and contribute to our shared goals. Collaboration is fundamental to our success; we believe in the power of teamwork. We foster a culture of continuous learning, where curiosity is celebrated, and growth is nurtured. Respect and empathy guide our interactions, and we embrace bold ideas and open dialogue, believing that innovation flourishes in an environment of openness.Join us at Abacus, where our values not only define our work but also shape our identity as a community!Job Type: Full-time Work Location: In person (Lahore)Job Type: Full-timePay: Rs100,000.00 - Rs130,000.00 per monthWork Location: In person

RCM Specialist- US Health Care

BLMS SMC PVT LTD

About the RoleWe are seeking a detail-oriented and experienced Medical Biller with at least 1 year of experience in medical billing and a strong understanding of Revenue Cycle Management (RCM). The ideal candidate will be responsible for ensuring accurate billing, timely submission of claims, and effective follow-up to maximize reimbursement.Key Responsibilities<ul><li>Prepare, review, and submit medical claims to insurance companies (electronic and paper).</li><li>Verify accuracy of billing data and ensure claims are compliant with industry and payer regulations.</li><li>Perform claim follow-ups, handle denials, and process appeals as necessary.</li><li>Post payments, reconcile accounts, and resolve billing discrepancies.</li><li>Maintain patient confidentiality and adhere to HIPAA compliance standards.</li><li>Collaborate with healthcare providers, patients, and insurance representatives to ensure smooth billing operations.</li><li>Generate and review aging reports to track outstanding balances.</li></ul>Requirements<ul><li>Minimum 1+ year of experience in medical billing.</li><li>Proven experience in RCM (Revenue Cycle Management) processes.</li><li>Strong understanding of CPT, ICD-10, and HCPCS coding principles.</li><li>Familiarity with electronic medical records (EMR) and billing software.</li><li>Excellent attention to detail, problem-solving, and communication skills.</li><li>Ability to work independently and meet deadlines.</li></ul>Preferred Qualifications<ul><li>Certification in medical billing or coding (e.g., CPC, CPB) is a plus.</li><li>Experience with billing systems such as Athena, Kareo, or Epic preferred.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 per monthWork Location: In person

Medical Biller

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