Senior Revenue Cycle Specialist

ClinicMind Platform for Full-Cycle Patient Care

Senior Revenue Cycle Specialist handling escalated billing issues, collaborating cross-functionally at ClinicMind. Focused on root cause analysis and maintaining high-quality revenue cycle management.

Posted 7/14/2026full-timeRemote • 🇵🇭 PhilippinesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in medical billing and revenue cycle management, with a strong focus on detailed root cause analysis and cross-team collaboration. Capable of managing high volumes of tasks while maintaining accuracy and delivering professional communication.

Highest-signal resume keywords

5+ Years' Billing ExperienceDetailed Root Cause AnalysisCross-Team CollaborationMultiple Billing SystemsProfessional Client-Ready Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Root Cause AnalysisMedical BillingRevenue Cycle ManagementAccount SetupConfiguration ChangesEDI/ERA EnrollmentSOP AuthoringData EntryPayment PostingClaims Management

Soft Skills

Multitasking AbilityOrganizational SkillsExecutive CommunicationGoal-DrivenFast Learner

Industry Keywords

High-Volume Medical BillingClient CommunicationEscalation ManagementCorrective Action PlansBPO Partners

About the role

Key responsibilities & impact

Serve as a senior point of resolution for escalated, complex, and high-dollar billing issues routed from internal billing teams, BPO partners, support/help desk, retention, and client-facing staff.
Perform detailed root cause analysis on denials, rejections, underpayments, payment-posting anomalies, and configuration errors — identifying the true upstream driver (eligibility, enrollment, credentialing, coding, setup, or payer behavior) rather than applying surface-level fixes.
Identify and capture all affected claims and accounts when a systemic issue is found, and drive corrective action end-to-end through to verified resolution.
Document findings clearly and present recommendations and corrective-action plans to team leads and leadership.
Partner daily with multiple teams — internal billing, BPO partners, Enrollment, Credentialing, Portals, QA, Data Entry, Onboarding, and Retention — to resolve issues that span team boundaries.
Own and manage hand-offs between functions (for example, credentialing-completion to enrollment-initiation to system updates), ensuring tasks are routed, tracked, and closed correctly.
Execute and verify account setup and configuration changes, including new-client billing setup, in-house (IH) and full-service (FS) conversions, service-facility and demographic updates, and payer/plan additions.
Initiate and confirm EDI/ERA enrollment and related setup steps, coordinating with the Enrollment team and following established checklists and SOPs.
Act as a subject matter expert and escalation resource for the broader RCM organization, fielding questions and providing authoritative guidance.
Author, refine, and maintain Standard Operating Procedures (SOPs) and training materials based on issues resolved, helping standardize how the team works.
Communicate efficiently and professionally with clients (practices and their staff) on escalated matters, representing the organization with a polished, credible, client-ready presence.
Manage a high volume of concurrent tasks against productivity and completion-rate targets without sacrificing accuracy.

Requirements

What you’ll need

5+ years' billing experience.
Minimum five (5) years in a fast-paced, high-volume medical billing / revenue cycle role.
Proven multitasking ability.
Demonstrated success managing many concurrent priorities and escalations at once, under time pressure, without dropping details.
Detailed root cause analysis.
Strong cross-team collaboration.
Multiple billing systems.
Professional, client-ready communication.
Fluent English.
Excellent organizational skills.
Executive communication experience.
Subject matter expert.
Fast learner.
Flexible availability.
Goal-driven.

Benefits

Comp & perks

Must have stable internet connection minimum of 30 MBPS
Must be comfortable working the US business hours
Must own a laptop with at least 16 GB memory