Accounts Receivable Specialist for Healthcare Account

2 weeks ago

Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time
Accounts Receivable Specialist for Healthcare Account (PIONEER)

Full time

Add expected salary to your profile for insights

  • Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers
  • Research/ Status unpaid or denied claims
  • Monitor claims for missing information, authorization, and control numbers (ICN//DCN)
  • Research EOBs for payments or adjustments to resolve claim
  • Contacts payers via phone or written correspondence to secure payment of claims; reconsideration and appeal submission.
  • Access client systems for payment, patient, claim and data info
  • Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems
  • Secure needed medical documentation required or requested by third party insurance carriers
  • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
  • Perform other related duties as required

Minimum Requirements & Competencies:

  • 2+ years of medical collections/billing experience
  • Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
  • Intermediate knowledge of third party billing guidelines
  • Intermediate knowledge of billing claim forms(UB04/1500)
  • Intermediate knowledge of payor contracts
  • Working Knowledge of Microsoft Word and Excel
  • Intermediate working knowledge of health information systems (i.e. EMR,Claim Scrubbers, Patient Accounting Systems, etc.)
  • Must be willing to work onsite.

Preferred Requirements & Competencies:

  • Working knowledge of one or more of the following Patient accounting systems - EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon
  • Working knowledge of DDE Medicare claim system
  • Knowledge of government rules and regulations
Your application will include the following questions:

How many years' experience do you have as an Accounts Receivable Specialist?

Filipino Heart with a Global Frame of Mind

Visaya Knowledge Process Outsourcing Corporation started out in 2007 with a handful of employees who dedicated themselves to exemplary and cost-efficient service delivery. As of 2019, we have 1900+ seats across multiple sites in strategic locations across the Philippines.

As a proudly Filipino organization, we draw deeply from a culture of 'malasakit', or caring. Client engagement isn't just a one-off interaction - it's an opportunity to build a lasting relationship. Following this, we offer a unique brand to your customers, clients, stakeholders and employees by running processes at the highest standards of quality and security, while always showing them the courtesy and consideration for which Filipinos are known.

Committed to service excellence. Leads with conscientiousness. Creative and innovative.

These are who we are.

Our Vision

The global Filipino brand serving multi-industry clients worldwide.

Our Mission

Serving as one, with Filipino grit and purpose.

Our Core Values

Dedication and commitment

Results-oriented

Excellence and innovation

Accountability and integrity

Malasakit through servant leadership

Filipino Heart with a Global Frame of Mind

Visaya Knowledge Process Outsourcing Corporation started out in 2007 with a handful of employees who dedicated themselves to exemplary and cost-efficient service delivery. As of 2019, we have 1900+ seats across multiple sites in strategic locations across the Philippines.

As a proudly Filipino organization, we draw deeply from a culture of 'malasakit', or caring. Client engagement isn't just a one-off interaction - it's an opportunity to build a lasting relationship. Following this, we offer a unique brand to your customers, clients, stakeholders and employees by running processes at the highest standards of quality and security, while always showing them the courtesy and consideration for which Filipinos are known.

Committed to service excellence. Leads with conscientiousness. Creative and innovative.

These are who we are.

Our Vision

The global Filipino brand serving multi-industry clients worldwide.

Our Mission

Serving as one, with Filipino grit and purpose.

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