Medical Billing Specialist with 25% Night Differential

1 week ago

Marikina, Philippines Connext Full time

Medical Billing Specialist with 25% Night Differential - Work From Home Setup Job Summary The Admissions Financial Coordinator is responsible for managing the financial aspects of admissions to facilities. This role involves coordinating insurance verifications, ensuring financial clearances, and facilitating admissions processes. The coordinator works collaboratively with internal teams, case managers, and external stakeholders to streamline admissions procedures. Responsibilities Coordinate admissions to maintain optimal resident/guest census. Manage accurate and timely completion of admission documentation. Provide financial counseling to relevant teams and stakeholders. Conduct insurance verifications and communicate coinsurance amounts. Review insurance benefits and determine financial clearance eligibility. Coordinate non-contracted insurance agreements with Finance when necessary. Assess prior unpaid balances affecting admissions and communicate with relevant parties. Determine Medicaid eligibility and communicate cost-sharing requirements. Communicate admission approval or denial using designated software. Assist the facility during surveys, audits, government visits, and emergencies. Performs other duties as assigned or requested. Qualifications and Requirements Prior experience in healthcare admissions, financial coordination, or insurance verification. Experience with Medicare and Medicare advantage plans. Strong understanding of insurance processes, including verification, eligibility, and benefits. Familiarity with healthcare regulations and compliance related to admissions and insurance. Clear and coherent in both verbal and written communication skills to effectively interact with various stakeholders, including patients, families, insurance providers, and internal teams. Ability to take patient calls to address inquiries related to admissions, insurance, and financial clearances – doing 10% of calls daily. Ability to accurately review and manage documentation to ensure financial clearances and compliance. Proficient in computer applications, including those used for insurance verification and admissions tracking. Ability to thrive in a fast-paced environment with the capacity to adapt swiftly to evolving situations while maintaining productivity and attention to detail. Possess strong listening skills to accurately comprehend verbal instructions and communications. Ability to transcribe spoken information effectively into written form for maintaining precise documentation and ensuring clear communication across various channels within the organization. Ability to understand and execute tasks based on verbal guidance, ensuring efficient workflow and task completion in alignment with organizational objectives. Strong interpersonal skills to build positive relationships with internal and external parties involved in the admissions process. Ability to identify and resolve issues related to insurance, financial clearance, and admissions. Ability to handle and maintain confidentiality given the sensitive nature of patient and insurance information. Screening Criteria Bachelor's degree in a related field. At least one (1) to two (2) years of experience in Medical Billing Must have a stable employment history. Seniority level Associate Employment type Full-time Job function Health Care Provider and Administrative Industries Outsourcing and Offshoring Consulting #J-18808-Ljbffr

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