Revenue Cycle & Authorizations Specialist – Podiatry Clinic

🔥 1 hour ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Revenue Cycle Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 22%

What it means: how likely this posting is sitting open without active hiring.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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Staffing For Doctors

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2025

🏥 Healthcare

🤝 B2B

🎯 Recruiter

Healthcare • B2B • Recruitment

Staffing For Doctors is a U. S. -based staffing service that places HIPAA-trained, specialty-matched virtual medical assistants and related clinical support staff for medical practices. Their remote team members handle scheduling, EHR documentation and charting, prior authorizations, patient communication, and other administrative/clinical tasks across dozens of specialties; hires are presented quickly (matched in 24 hours and live/onboarded within ~48 hours) at a flat $14/hr rate with no long-term contracts. The company emphasizes compliance and data security (HIPAA-trained staff, SOC 2 certified, BAA included, 256-bit SSL), white-glove onboarding via a dedicated customer success manager, and serves practices through a portal and demo/onboarding process.

📋 Description

• Manage end-to-end follow-ups on unpaid, underpaid, and denied claims across accounts receivable aging reports • Serve as the dedicated specialist for two high-priority HMO plans by researching rejection reasons, resubmitting corrected claims, filing appeals, and escalating administrative roadblocks • Process routine Medicare and PPO denials to ensure low aging across simpler payer types • Process, track, and reconcile approximately 200 claims per week • Perform insurance eligibility and coverage verifications prior to patient appointments • Submit, track, and secure prior authorizations from commercial and managed care payers • Communicate authorization statuses, limitations, and approval updates to clinical staff • Place high-volume follow-up calls to HMO representatives, medical groups, and clearinghouses to clear claim holds • Communicate with patients regarding insurance coverage rules, outstanding balances, and required authorization steps

🎯 Requirements

• 2+ years of experience in medical billing, accounts receivable management, and insurance prior authorizations • Strong working knowledge of HMO medical group referrals, capitation/FFS structures, and HMO-specific appeal pathways • Working knowledge of CPT, ICD-10, HCPCS codes, modifiers, and CMS-1500 claim formats • Proven ability to manage a consistent workload of approximately 200 claims per week without sacrificing accuracy • High level of punctuality and commitment to maintaining the established 38-hour weekly work schedule