Medical Finance Expert

1 day ago

Baguio City, Cordillera, Philippines beBeeMedical Full time ₱300,000 - ₱450,000
Medical Accounts Receivable Specialist Role Overview

The Medical Accounts Receivable Specialist plays a vital role in the company's financial operations by efficiently managing and monitoring incoming payments, ensuring accuracy in accounts receivable records.

This position involves working within Epic to manage accounts receivable, including claim follow-up, denial management, and collections. The specialist must monitor aging reports and work queues to ensure timely and accurate resolution of outstanding balances.

Responsibilities:

  • Work within Epic to manage accounts receivable, including claim follow-up, denial management, and collections.
  • Monitor aging reports and work queues 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-ups through Epic workflows, ensuring appropriate documentation and follow-through.
  • Coordinate rebilling or appeals with payers directly through Epic or payer portals as needed.
  • Document all AR activities accurately and consistently in Epic, following departmental standards and compliance guidelines.
  • Work payer-specific work queues to meet productivity and performance benchmarks.
  • Utilize Epic's reporting tools and dashboards to track performance metrics, identify bottlenecks, and support process improvement initiatives.
  • Ensure compliance with payer guidelines, HIPAA regulations, and internal billing policies throughout AR processes.
  • Collaborate with coding, billing, and patient access teams to 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).
  • Stay up-to-date with Epic system updates and payer policy changes, applying changes as needed to AR workflows.

Requirements:

  • Bachelor of Science in Accounting or related field.
  • 1 year of experience working in Medical Accounts Receivable.
  • Proficient in English, both written and verbal.
  • Payment Posting experience.
  • Experience in healthcare.
  • Computer proficiency, including 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, and A/R Aging Buckets.

Key Skills:

  • Financial operations expertise.
  • Accounts receivable management.
  • Claim follow-up and denial management.
  • Collection and payment processing.
  • Insurance follow-up and rebilling.
  • Compliance with regulatory requirements.
  • Team collaboration and communication.
  • Time management and productivity.
  • Accounting and finance software expertise.

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