Healthcare RCM Specialist
Job Summary
We are looking for a detail-oriented Healthcare Revenue Cycle Management (RCM) Specialist to support US healthcare operations by handling medical billing processes, claims-related concerns, and revenue cycle activities. The role requires strong knowledge of healthcare workflows and the ability to deliver accurate and efficient service. The ideal candidate will have at least 6 months of US Healthcare Operations experience and be willing to work onsite.
Responsibilities
- Manage healthcare revenue cycle and medical billing transactions
- Assist with claims status checks and billing-related concerns
- Perform benefits, eligibility verification, and prior authorizations
- Review and resolve claims denials
Required Skills
- US Healthcare Operations / Medical Billing experience
- Knowledge of US healthcare processes and workflows
- Strong analytical and problem-solving skills
- Good communication skills and attention to detail
Job Details
Key Responsibilities
- Manage healthcare revenue cycle processes and ensure accurate handling of medical billing transactions.
- Assist with claims status checks, inquiries, and resolution of billing-related concerns.
- Perform benefits and eligibility verification to support healthcare providers and patients.
- Process prior authorization and referral requests following healthcare guidelines.
- Support provider inquiries through Provider Help Desk (PHD) functions.
- Review and resolve claims denials by identifying issues and coordinating proper actions.
- Maintain accurate documentation and comply with healthcare policies and procedures.
Qualifications
- Graduate of at least High School or Senior High School.
- Minimum of 6 months US Healthcare Operations / Medical Billing / Revenue Cycle Management (RCM) experience.
- Experience in at least one of the following areas: Claims Status & Inquiry, Benefits & Eligibility Verification, Prior Authorization / Referral Desk, Provider Help Desk (PHD), Claims Denial Management.
- Willing to work onsite.
- Good communication skills and strong attention to detail.
Skills & Competencies
- Knowledge of US healthcare processes and medical billing workflows.
- Strong analytical and problem-solving skills.
- Excellent written and verbal communication skills.
- Ability to handle confidential healthcare information professionally.
- Detail-oriented with strong organizational skills.
- Ability to work independently and meet performance targets.
What We Offer
- Competitive salary package.
- Opportunity to grow within the healthcare industry.
- Training and development programs.
- Stable career opportunities in a global healthcare environment.
- Supportive onsite workplace culture.