Medical Claims Collector

24 hours ago


Lipa City, Calabarzon, Philippines beBeeBilling Full time $55,000 - $70,000

Medical Billing Specialist

Key Responsibilities:
  • Process billing operations to ensure timely and accurate payments within established company guidelines for various insurance providers.
  • Coordinate with departments to accumulate necessary information and post it to resident accounts.
  • Review charges for accuracy, completeness, consistency, and payer compliance.
  • Prepare and issue accurate billing statements to the correct payer using electronic systems provided.
  • Monitor all submissions on a daily basis to address any denials or requests for additional information.
Collections Responsibilities:
  • Follow up on unpaid claims/denials within standard company timeframes; determine reasons for denial and correct claims as needed.
  • Document all communications and collection attempts, taking follow-up action in accordance with established policies and procedures.
  • Provide supporting documentation to payers upon request in a timely manner.
  • Maintain A/R Aging levels for assigned accounts within company guidelines.
  • Notify supervisors of difficult/problem accounts.
Cash Application:
  • Apply third-party payments daily, including checks, wire transfers, EFT payments, bank deposits, cash, and credit card payments. Confirm completeness and accuracy of payment information to residents' accounts.
Job Requirements/Specifications:
  • Two to three years of experience processing skilled nursing medical claims with third parties, including Medicare, Managed Care, and Insurance Companies, with a track record of successful collections.
  • One or more years of experience working in a high-volume, short-term rehab environment.
  • Knowledge of billing software preferred and/or experience with similar software.


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