We're Hiring: Revenue Recovery Specialist!

We are currently on the lookout for a Revenue Recovery Specialist to join our team at Cloudstaff, the #1 workplace everywhere!

Role: Revenue Recovery Specialist

Work Arrangement: Work from Office

Location: Philippines - Ortigas

Schedule: Night shift

Work-From-Office is a setup based in Ortigas

The Revenue Recovery Specialist is responsible for managing and resolving outstanding insurance claims and patient balances. This role ensures timely and accurate reimbursement by following up with payers, appealing denied claims, and identifying trends that impact revenue. The ideal candidate has a strong understanding of the revenue cycle, payer policies, and healthcare reimbursement methodologies.

Key Responsibilities:

• Review and analyze aging reports to identify unpaid or underpaid claims.
• Follow up with insurance companies and third-party payers to resolve outstanding balances.
• Submit appeals, demands and rebuttals
• Communicate with patients and internal departments to resolve billing issues.
• Document all activities and maintain accurate records in the EHR/PM system.
• Monitor trends in denials and reimbursement delays and escalate as appropriate.
• Ensure compliance with HIPAA and all applicable regulations.
• Meet or exceed productivity and quality standards.

Qualification and requirements:

• High school diploma or equivalent required
• 2+ years of experience in medical billing, AR follow-up, or revenue recovery.
• Experience with commercial payers
• IDR Recovery efforts, preferred

Skills/Specialized Knowledge

• Knowledge of healthcare billing and reimbursement processes.
• Familiarity with EOBs, remittance advice, and payer portals.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office (Excel, Outlook, Word).
• Experience with billing software and EHR systems.
• Ability to work independently and manage time effectively

Non-negotiable skills & requirements:

• High school diploma or equivalent required
• 2+ years of experience in medical billing, AR follow-up, or revenue recovery.
• Experience with commercial payers
• Agrees to work in the office full time