Medical Financial Specialist

2 days ago

Makati City, National Capital Region, Philippines beBeeAccounting Full time ₱6,000 - ₱8,000
Key Medical Accounts Receivable Position

The position of Medical Accounts Receivable Specialist is a vital role within the company's financial operations.

This specialist will manage and monitor incoming payments to ensure accuracy in accounts receivable records.

A detail-oriented individual with strong analytical skills and knowledge of accounting principles is required for this position.

  • 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.
Qualifications:
  • Bachelor of Science in Accounting or related field
  • 1 year of experience working in Medical Accounts Receivable
  • Proficient in 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 collaborative attitude
Responsibilities

As a Medical Accounts Receivable Specialist, you will be responsible for managing and monitoring incoming payments, investigating and resolving claim denials and underpayments, documenting all AR activities accurately, and collaborating with other teams to resolve account discrepancies and ensure clean claim submission.

Requirements

To be successful in this role, you should have a Bachelor of Science in Accounting or a related field, 1 year of experience working in Medical Accounts Receivable, proficient English language skills, payment posting experience, experience in healthcare, and computer proficiency.

Additionally, you should have good communication skills, good time management, and a collaborative attitude. If you are organized, proactive, and enjoy working in a fast-paced environment, this could be the perfect opportunity for you.

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