Healthcare Finance Specialist

1 week ago

Biñan, Calabarzon, Philippines beBeeAccounting Full time $50,000 - $70,000
Medical Accounts Receivable Specialist Job Opportunity

The ideal candidate for this Medical Accounts Receivable Specialist role will have a solid understanding of accounting principles, analytical skills, and strong attention to detail.

This position plays a crucial part in the company's financial operations by managing and monitoring incoming payments and ensuring accuracy in accounts receivable records.

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.
  • 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.
Requirements:
  • Bachelor of Science in Accounting or related field required.
  • 1 year of experience working in Medical Accounts Receivable necessary.
  • Excellent analytical and communication skills essential.
  • Prior experience with payment posting and healthcare environment beneficial.
  • Proficiency in word processing, spreadsheet, database, and patient accounting system required.
What We Offer:
  • Competitive salary based on experience.
  • Ongoing training and professional development opportunities.
  • Chance to work with a dynamic team in a fast-paced industry.
Technical Requirements:
  • Genuine Windows 10 Licensed Computer required.
  • Microsoft Office Suite necessary.
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