Medical Financial Collections Specialist

24 hours ago


Marikina City, National Capital Region, Philippines beBeeAccounting Full time ₱600,000 - ₱900,000
Job Overview

The Medical Accounts Receivable Specialist plays a vital role in the financial operations of an organization by managing and monitoring incoming payments and ensuring accuracy in accounts receivable records. This position requires a detail-oriented individual with strong analytical skills and a solid understanding of accounting principles.

Key Responsibilities:
  • Work within a patient accounting system 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-up through workflows, ensuring appropriate documentation and follow-through.
  • Coordinate rebilling or appeals with payers directly through portals as needed.
  • Document all AR activities accurately and consistently in a patient accounting system, following departmental standards and compliance guidelines.
  • Work payer-specific work queues to meet productivity and performance benchmarks.
  • Utilize 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 the patient accounting system.
  • Participate in regular audits and account reviews, helping to improve collection rates and reduce days in AR (DAR).
  • Stay up-to-date with system updates and payer policy changes, applying changes as needed to AR workflows.
Required Qualifications
  • Bachelor of Science in Accounting or a related field.
  • 1 year of experience working in Medical Accounts Receivable.
  • Proficient in English Language, both written and verbal.
  • Payment Posting experience.
  • Experience in healthcare.
  • Computer proficiency to include word processing, spreadsheet, database, and patient accounting systems.
  • 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.
Benefits

This role offers a chance to grow professionally and contribute to the success of the organization.



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