Revenue Cycle Specialist

Night Shift Schedule

• Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)
• Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)

Role Summary

The Revenue Cycle Specialist is responsible for managing the full revenue cycle process, from provider enrollment and prior authorizations through claims submission, reimbursement, and follow-up. This role ensures timely, accurate billing and payment while identifying and resolving issues that impact cash flow.

Description

• Manage provider enrollments and re-credentialing with commercial and government payers
• Track enrollment status and follow up with payers as needed
• Maintain accurate provider and payer records

Prior Authorizations

• Obtain prior authorizations based on payer requirements
• Verify eligibility and benefits prior to services
• Communicate authorizat...