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RCM Blended Specialist

Company

Coforge

Location

Manila, National Capital Region

Type

Full-time

Job Title: RCM Blended

Skills: 2–4 years in RCM (physician groups, hospital billing, or healthcare BPO)

Experience: Exposure to A/R Follow-ups, Insurance Verification, Billing, Prior Authorization

Location: Muntinlupa, Philippines


We at Coforge are hiring RCM Blended Specialist (Healthcare Revenue Management) with the following skillset:

  • Excellent verbal communication and active listening skills.
  • Strong understanding of insurance in CPT, POS, units.
  • Eligibility & Benefits Verification
  • Resolve denials, submit corrected claims, appeals, and reconsiderations.


Responsibilities:

  • Charge Capture for Physician & Hospital
  • Review documentation, charge tickets, and hospital batch charges for accuracy (CPT, POS, units).
  • Coordinate with providers, coders, and c...

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