Healthcare Revenue Cycle Specialist

7 days ago

Caloocan City, National Capital Region, Philippines beBeeRevenue Full time ₱1,200,000 - ₱1,500,000
Job Overview

We are seeking a highly skilled and experienced Healthcare Revenue Cycle Specialist to join our team.

Key Responsibilities
  • Manage all Third Party billing and collections functions for assigned accounts in the revenue cycle.
  • Capture and post information from various departments, ensuring accuracy and completeness.
  • Review charges for consistency and correctness, preparing and issuing accurate billing statements to payers using electronic systems.
  • Monitor daily submissions to address denials or requests for additional information (ADRs), coordinating with departments and submitting ADR information within 10 days.
Claims Follow-up
  • Follow up on unpaid claims/denials within company standard billing cycle timeframes, determining reasons for denial and correcting claims as needed.
  • Document all communications and collection attempts, taking follow-up action in accordance with established policies and procedures.
A/R Management
  • Maintain A/R Aging levels for assigned accounts within company guidelines.
  • Notify supervisors of difficult/problem accounts, residents unwilling or unable to pay balances.
Additional Responsibilities
  • Apply Third Party payments daily, confirming completeness and accuracy of payment information to resident accounts.
Requirements
  • Two to Three years of experience processing skilled nursing medical claims with third parties, including Medicare, Managed Care, and Insurance Companies.
  • One or more years of experience working in a high-volume, short-term rehab environment.
  • Knowledge of billing and related software preferred.
Essential Qualifications
  • Strong communication, interpersonal, and organizational skills.
  • Detail orientation.
  • Ability to manage multiple priorities.

This is a rewarding opportunity for an experienced professional to contribute to the success of our organization. We offer a stable work environment and opportunities for growth and development.

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