Revenue Cycle Management Agent

Company Description Alldigi Tech is a leading global business solutions provider with over two decades of experience in Employee Experience Management (EXM) and Customer Experience Management (CXM). The company partners with Fortune 500 organizations and businesses worldwide to optimize operations, enhance efficiency, and drive revenue growth. With strategically located delivery centers, Alldigi Tech offers responsive, localized support across diverse industries and geographies. Its services span payroll management, compliance support, debt collections, healthcare support, fraud prevention, and AML/KYC compliance. A strong focus on client satisfaction, innovation, and continuous improvement underpins Alldigi Tech's position as a trusted leader in the global market.

Role Description The Revenue Cycle Management Agent is a full-time, on-site role based in Taguig, responsible for managing and optimizing the financial processes associated with billing, collections, and reimbursement. Day-to-day tasks include reviewing patient accounts, verifying insurance coverage, processing claims, and following up on unpaid or denied claims to ensure timely resolution. The role involves maintaining accurate financial records, reconciling payments, and collaborating with internal teams and external stakeholders to address discrepancies or compliance issues. The Revenue Cycle Management Agent also analyzes account data to identify trends, support process improvements, and help maximize revenue while maintaining adherence to relevant regulations and company policies.

Qualifications

• Patient Scheduling & Registration – Collecting demographic, insurance, and eligibility details.
• Insurance Verification – Ensuring coverage, benefits, and pre-authorizations.
• Charge Capture – Recording services provided by the healthcare provider.
• Medical Coding – Assigning standardized codes (ICD, CPT, HCPCS) to diagnoses and procedures.
• Claim Submission – Sending claims to insurance companies.
• Payment Posting – Recording payments received from payers and patients.
• Denial Management – Identifying, correcting, and resubmitting denied claims.
• Patient Billing & Collections – Collecting outstanding balances from patients.
• Reporting & Analytics – Monitoring KPIs like days in A/R, denial rate, and collection efficiency.
• maximizing revenue, reducing claim denials, ensuring compliance, and improving cash flow in healthcare organizations