Medical Finance Expert

1 day ago

Cainta, Calabarzon, Philippines beBeeAccounts Full time ₱625,000 - ₱1,345,000

Job Title: Medical Accounts Receivable Specialist

Position Overview:

The Medical Accounts Receivable Specialist plays a crucial role in the financial operations of the organization 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.

This specialist will work closely with internal teams and external clients to resolve any billing discrepancies and facilitate timely payments.

**Key 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.

Additionally, this specialist must ensure compliance with payer guidelines, HIPAA regulations, and internal billing policiesthroughout AR processes.

**Required Skills and 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

They must also possess excellent time management and a collaborative, team-oriented attitude.

**Benefits:**

Working 100% remotely as an Independent Contractor on a project-based contract provides the ideal opportunity for those seeking flexibility and autonomy in their work environment.

**Hardware and Software Requirements:**

Applicants must meet specific hardware and software requirements, including but not limited to:

  • Genuine Windows 10 Licensed Computer
  • Microsoft Office Suite
**Disclaimer:**

Before applying, please review the requirements and technical specifications carefully to avoid delays in the onboarding process.

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