Accounts Receivable, Denial Management Specialist

Job not on LinkedIn

🕒 3 days ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 14%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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RCM Staff LLC

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2024

🏥 Healthcare

🎯 Recruiter

🤝 B2B

Healthcare • Recruitment • B2B

RCM Staff LLC is a staffing company that provides HIPAA-trained, healthcare-focused medical billers, certified coders, A/R follow-up specialists, and medical virtual assistants based in the Philippines who work directly inside U. S. clients’ existing EHRs, clearinghouses, and payer portals. The company handles recruiting, onboarding, training, and oversight while clients retain operational control; service tiers range from Core (staff augmentation) to Plus (account management and KPIs) and Executive (managed QA and continuity planning). RCM Staff targets medical billing companies, physician practices (solo, group, behavioral health, primary care), and RCM vendors, and emphasizes compliance (BAA available), AAPC-certified leadership, and 18+ years of U. S. revenue cycle experience.

📋 Description

• Work a daily worklist in athenaOne, beginning with new denials and payer correspondence • Prioritize open A/R by filing deadline, age and balance • Follow up with payers on unpaid and underpaid claims through payer portals and phone calls • Document claim status, call reference numbers and next steps on every account worked • Review denials, identify root causes, and correct and resubmit claims • Prepare and submit reconsiderations and appeals and track them through to a decision • Monitor timely filing and appeal deadlines • Route coding, authorization and provider enrollment issues to the appropriate team • Join scheduled meetings with the client team • Send a daily end-of-shift summary of completed work and open items • Protect patient information and follow HIPAA requirements

🎯 Requirements

• At least 3 years of U.S. medical billing experience focused on A/R follow-up and denial management • Hands-on experience working claims and denials in athenahealth (athenaOne) • Experience preparing and submitting appeals and reconsiderations • Familiarity with commercial insurance and government health plans, including Medicare and Medicaid • Comfortable calling insurance companies and using payer portals for claim follow-up • Strong written and spoken English • Excellent attention to detail and follow-up skills • Ability to work independently and manage a high volume of accounts • Reliable internet connection and a suitable remote workspace • Must be available for hours overlapping U.S. Eastern Time business hours • Philippines-based applicants preferred • Preferred: experience with a U.S. medical billing company supporting multiple client practices • Preferred: multi-specialty billing experience, especially cardiology, orthopedics, podiatry, ophthalmology/retina, OB/GYN or behavioral health • Preferred: familiarity with Ohio payers, including Ohio Medicaid managed care plans • Preferred: experience with Medicare Advantage plans and aged A/R cleanup projects

🏖️ Benefits

• Remote work arrangement • Full-time employment • Night-shift schedule aligned with U.S. Eastern Time business hours • Scheduled meetings and real-time communication with the client team • Opportunity to support multi-specialty physician practices nationwide

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