Medical Accounts Receivable Specialist

2 weeks ago

Mabalacat, Philippines Mbva247 Full time

Job Title: Medical Accounts Receivable Specialist

Contract: Project Based (3 months)

Hourly Rate: $5.00

Start Date: ASAP

Position Overview:

The Medical Accounts Receivable Specialist plays a crucial role in the financial operations of the company by managing and monitoring incoming payments and ensuring accuracy in accounts receivable records. This position requires a detail-oriented individual with strong analytical skills and a solid understanding of accounting principles. The Accounts Receivable Specialist will work closely with internal teams and external clients to resolve any billing discrepancies and facilitate timely payments.

** Important Note**

Before applying, please review the contract terms and computer requirements. All applicants must pass a mandatory system check to proceed. If your current setup does not meet the technical requirements, you will be asked to upgrade your hardware/software.

Only apply if you meet the minimum computer requirements to avoid delays in onboarding.

Contract Details
  • Type: Independent Contractor
  • Duration: 3-month project-based contract
  • Location: 100% Remote
Job Responsibilities:
  • Work within Epic Resoluteto manage accounts receivable, including claim follow-up, denial management, and collections.
  • Monitor aging reports and work queues (WQs)to ensure timely and accurate resolution of outstanding balances.
  • Investigate and resolve claim denials and underpayments, identifying root causes and trends for corrective action.
  • Process insurance follow-upsthrough Epic workflows, ensuring appropriate documentation and follow-through.
  • Coordinate rebilling or appealswith payers directly through Epic or payer portals as needed.
  • Document all AR activitiesaccurately and consistently in Epic, following departmental standards and compliance guidelines.
  • Work payer-specific work queuesto meet productivity and performance benchmarks.
  • Utilize Epic’s reporting tools and dashboardsto track performance metrics, identify bottlenecks, and support process improvement initiatives.
  • Ensure compliance with payer guidelines, HIPAA regulations, and internal billing policiesthroughout AR processes.
  • Collaborate with coding, billing, and patient access teamsto resolve account discrepancies and ensure clean claim submission.
  • Escalate unresolved issues appropriately, providing context and documentation through Epic.
  • Participate in regular audits and account reviews, helping to improve collection rates and reduce days in AR (DAR).
  • Keep up-to-date with Epic system updates and payer policy changes, applying changes as needed to AR workflows.
Job Qualifications:
  • Must have a Bachelor of Science in Accounting or related field
  • 1 year of experience working in Medical Accounts Receivable
  • Proficient in the English Language, both written and verbal
  • Payment Posting experience
  • Experience in healthcare
  • Computer proficiency to include word processing, spreadsheet, database, and patient accounting system
  • Good communication skills
  • Good time management
  • Works as a team player
  • Knowledge of AR metrics including:
  • Net Collection Rate
  • Days in A/R
  • A/R Aging Buckets
  • Excellent time management and a collaborative, team-oriented attitude.
Hardware and Software Requirements: Hardware:
  • AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU
  • 16GB DDR4 RAM
  • 120 – 480gb SSD
  • Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset
  • 1 – 2 Monitors (at least 21in)
  • 1080p HD Webcam
  • Internet Speed: 50mbps (Fiber/DSL) LTE not accepted
Software:
  • Genuine Windows 10 Licensed Computer
  • Microsoft Office Suite
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