Revenue Cycle & Billing Specialist

RecruitGo

Revenue Cycle & Billing Specialist at RecruitGo overseeing healthcare claims, billing issues, and coding compliance. Collaborating with a remote U.S.-based team to ensure accurate reimbursements.

Posted 7/6/2026full-timeAlabang • 🇵🇭 PhilippinesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in U.S. healthcare insurance billing, including CPT, ICD-10, and HCPCS coding, while ensuring compliance with payer requirements. Proficient in managing claims processes, from submission to resolution, with strong analytical and communication skills.

Highest-signal resume keywords

Certified Professional Coder (CPC)U.S. Healthcare Insurance BillingCPT, ICD-10, HCPCS CodingRevenue Cycle ManagementMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Charge EntryInsurance Claims SubmissionClaim Status MonitoringAccounts Receivable ManagementData EntryCoding Accuracy ReviewMedical Claims LifecyclePayer CommunicationSpreadsheet ManagementAuthorization Documentation

Soft Skills

Attention to DetailOrganizational SkillsAnalytical SkillsProblem-Solving SkillsWritten and Verbal Communication

Tools & Technologies

AthenaRivet

Certifications & Qualifications

Certified Professional Coder (CPC)

Industry Keywords

Healthcare Insurance TerminologyBilling ProcessesReimbursement PracticesEOBs

About the role

Key responsibilities & impact

Perform charge entry for MIC and MTC services
Submit insurance claims accurately and on time
Monitor claim status and resolve submission issues
Follow up with commercial and government insurance payers
Work outstanding Accounts Receivable
Resolve front-end claim edits
Review Athena hold buckets
Investigate rejected and unpaid claims
Escalate complex billing issues where appropriate
Manage Rivet "No Response" work queue
Contact insurance companies to: – Confirm receipt of claims, obtain claim status, request reprocessing where necessary, document payer responses, and ensure timely reimbursement
Review documentation for coding accuracy
Apply CPT, ICD-10 and HCPCS coding when appropriate
Ensure coding complies with payer requirements
Assist the authorization team by:
Reviewing Rivet estimates
Matching estimates to appointments
Recording expected patient responsibility
Updating authorization documentation
Supporting reporting activities
Monthly corporate invoicing
Data entry
Spreadsheet management
General administrative support

Requirements

What you’ll need

Certified Professional Coder (CPC) through AAPC and/or AHIMA certification is required.
Minimum of 3–5 years of experience in U.S. healthcare insurance billing or revenue cycle management.
Strong knowledge of U.S. healthcare insurance terminology, billing processes, and reimbursement practices.
Experience with medical claim submission, claim follow-up, and payer communications.
Strong understanding of: - CPT, ICD-10, HCPCS, EOBs, Medical claims lifecycle, and Revenue Cycle Management.
Microsoft Office proficiency.
Proficiency in data entry with exceptional attention to detail and accuracy.
Strong organizational, analytical, and problem-solving skills.
Excellent written and verbal English communication skills.
Ability to work independently while collaborating effectively with a remote U.S.-based team.

Benefits

Comp & perks

Travel Allowance
Diverse Challenges: Each day offers fresh opportunities and unique challenges that keep your work engaging and rewarding.
Team Collaboration: Join forces with a supportive team, where your insights and contributions are valued.
Inclusivity: Be part of an inclusive and diverse workplace that values your contributions.