Revenue Cycle & Billing Specialist

About Us

RecruitGo is a leading Employer of Record (EOR) company specializing in bridging top talent in emerging markets with global clients. Our services enable businesses to hire, manage, and pay employees internationally with ease. We are committed to providing seamless and efficient solutions to our clients and fostering a dynamic and inclusive work environment for our team.

Responsibilities

Revenue Cycle

• 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

Claim Follow-up

• 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

Coding

• Review documentation for coding accuracy
• Apply CPT, ICD-10 and HCPCS coding when appropriate
• Ensure coding complies with payer requirements

Authorization Support

Assist the authorization team by

• Reviewing Rivet estimates
• Matching estimates to appointments
• Recording expected patient responsibility
• Updating authorization documentation
• Supporting reporting activities

Administrative Support

• Monthly corporate invoicing
• Data entry
• Spreadsheet management
• General administrative support

Qualifications

• 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 r evenue 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.

Nice-to-Have-Skills

• Prior Authorization experience
• Healthcare administration background
• Experience using Rivet for patient estimates, appointment management, documentation, and reporting.
• Experience with Athenahealth or other electronic health record (EHR) and practice management

systems.

Why RecruitGo?

RecruitGo seamlessly links world-class business partners with top-tier global talent in emerging markets. Secure legal employment through our Employer of Record services and embark on a journey to unparalleled professional opportunities.

• Work Setup: HYBRID (2 onsite [Monday] every month; location: One Griffinstone, Filinvest City, Spectrum Midway, corner Commerce Ave, Philippines)
• Working Device: Will be provided
• 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. Work with the internal team to ensure timely delivery of services to clients and ensure that client expectations are met.