Healthcare Claims Processor

2 days ago


Cagayan de Oro, Northern Mindanao, Philippines beBeeSpecialist Full time $60,000 - $76,000
Job Description:

This position involves managing the billing and collections process for assigned accounts in the revenue cycle. The Billing & Collections Specialist will be responsible for securing payments within defined company guidelines for various payers, including Medicare, Medicaid, Managed Care, Co-insurance companies, and Long Term Care Insurance Companies.

  • Coordinate accumulation of information with various departments; post to resident accounts.
  • Review charges for accuracy, completeness, consistency and payers charged.
  • Prepare and timely 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 (ADRs).
  • Coordinate with all departments and submit ADR information within 10 days of receipt of request.
Required Skills and Qualifications:
  • Two to Three years of experience processing skilled nursing medical claims with third parties including Medicare, Managed Care and Insurance Companies with track record of successful collections
  • One or more years of experience working in a high-volume, short-term rehab environment
  • Knowledge of billing and related software preferred and/or experience with similar software
  • Proficiency with Microsoft Office and ability to learn company IT systems
Benefits:
  • Flexible remote work arrangement
  • Competitive compensation based on industry standards and level of expertise
  • Opportunity to work with an international team
  • Professional development and training opportunities
Others:
  • Strong communication, interpersonal and organizational skills
  • Detail orientation
  • Ability to manage multiple priorities
  • Discretionary judgment
  • Ability to work independently and as part of a team


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