Remote Optometric Practice Revenue Cycle Management Specialist

18 hours ago


Province of Palawan, Mimaropa, Philippines beBeeMedicalBilling Full time ₱35,000 - ₱50,000

About the Opportunity

  • As a Medical Billing Specialist, you will work remotely and provide revenue cycle management services to optometric practices.
  • You will be responsible for managing all aspects of insurance billing and processing, including claim review and correction, claim submission, payment posting, and researching claim rejections and aged claims.
  • You will be the primary interface for managing customers' insurance claims and coordinate with healthcare providers and insurance companies for claim submission and follow-up.

Key Responsibilities:

  • Manage accounts receivables and maintain up-to-date records.
  • Coordinate with healthcare providers and insurance companies for claim submission and follow-up.
  • Generate revenue by making payment arrangements, collecting accounts, and monitoring delinquent accounts.
  • Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up when payment lapses occur.
  • Maintain Medicare bad-debt cost report.
  • Secure outstanding balance payments for employee care.
  • Verify insurance eligibility for patients and ensure timely payment.
  • Handle denied claims and appeal if necessary.
  • Reconcile payments and post to patients' accounts.
  • Maintain compliance with HIPAA regulations.
  • Handle patient inquiries regarding their accounts.

Requirements:

  • At least 3 years of experience as US Medical Accounts Receivable/Medical Billing Specialist.
  • Strong experience in eyecare related billing in an optometric practice setting.
  • Knowledge of medical billing and coding practices.
  • Strong understanding of healthcare billing process.
  • Familiarity with healthcare insurance plans and related policies.
  • Experience with HIPAA regulations.
  • Excellent communication and customer service skills.
  • Strong attention to detail.
  • Strong computer skills and experience with medical billing software.
  • Able to work in any US time zones (graveyard shift).

System Requirements:

  • Processor: Intel Core i5 and up or AMD Ryzen 5 and Up.
  • RAM 8GB and up.
  • OS: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). OS should be a legit license.
  • Internet Connectivity: At least 50 Mbps and should be wired; Back-up connection and Power Supply.
  • Hard Disk: At least an SSD.


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