Accounts Receivable, Denial Management Specialist

Job not on LinkedIn

🕒 October 23

🇵🇭 Philippines – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 No degree required

👻 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

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Founded 2024

🏥 Healthcare

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🤝 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

• Review pending and unbilled claim buckets in the practice management system for accuracy before submission • Correct eligibility, wrong-payer, demographic, and coding-related errors so claims are paid on the first submission • Verify patient eligibility and confirm the correct primary and secondary insurance • Follow up on unpaid, underpaid, and aged claims through payer portals and phone calls • Research denials, identify the root cause, and submit corrected claims, reconsiderations, or appeals • Check claim status and resolve issues using Medicare, Availity, and UnitedHealthcare portals • Document all follow-up activity and next steps clearly in the practice management system • Report recurring denial trends and payer issues to the billing manager • Work alongside the practice’s in-house A/R team and meet daily productivity targets • Protect patient information and follow HIPAA requirements

🎯 Requirements

• At least 2 years of experience with U.S. healthcare A/R follow-up and denial management • Experience reviewing claims for accuracy and resolving eligibility and payer errors • Familiarity with commercial insurance and government health plans, including Medicare • Experience using payer portals and insurance websites • Strong written and spoken English • Excellent attention to detail and follow-up skills • Ability to work independently and manage multiple patient accounts • Reliable internet connection and a suitable remote workspace • Preferred: Experience using AdvancedMD • Preferred: Experience using First Coast SPOT (Florida Medicare), Availity, and the UnitedHealthcare provider portal • Preferred: Experience supporting internal medicine, hospitalist, wound care, or pain management practices • Preferred: Familiarity with Florida insurance plans • Preferred: Experience working a Medicare-heavy A/R and handling Medicare reconsiderations and redeterminations • Must be available during Eastern Time business hours

🏖️ Benefits

• Remote work arrangement • Full-time employment • Work during Eastern Time business hours

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