Medical Claims Specialist

17 hours ago


Manila, National Capital Region, Philippines beBeeCollections Full time $55,000 - $75,000
Job Summary

We are seeking a highly skilled Billing and Collections Specialist to join our team. As a key member of our revenue cycle operations, you will be responsible for all third-party billing and collections functions for assigned accounts.

Main Responsibilities
  • Coordinate information gathering from various departments; accurately post charges to resident accounts.
  • Review charges for accuracy, completeness, consistency, and payer responsibility.
  • Prepare and issue timely, accurate billing statements to the correct payer using electronic systems provided.
  • Maintain daily oversight of submissions to address any denials or requests for additional information.
Collections Objectives
  • Follow up on unpaid claims/denials within established company timeframes; determine reasons for denial and rectify as necessary.
  • Document all communications and collection attempts, taking follow-up action in accordance with established policies and procedures.
  • Provide required supporting documentation to payers upon request in a timely manner.
  • Maintain average receivables aging levels for assigned accounts within company guidelines.
Requirements
  • Two to Three years of experience processing skilled nursing medical claims with third parties including Medicare, Managed Care, and Insurance Companies with a proven track record of successful collections.
  • One or more years of experience working in high-volume, short-term rehabilitation environments.
Why Work with Us?

We offer a remote work environment and collaboration with an international team while contributing to our growing business from the comfort of your home.



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