Healthcare Collections Specialist

1 week ago

Biñan, Calabarzon, Philippines beBeeMedicare Full time ₱750,000 - ₱1,100,000
Job Opportunity

The Medical Biller is a crucial position within our organization. This role requires monitoring the status of medical claims, thoroughly investigating rejections and denials, and accurately documenting related account activities.

Position Details
  • Medical Billing Specialist - Collection
  • Permanent remote work arrangement
  • Monday to Friday | 10:00 PM to 7:00 AM Manila Time
Duties and Responsibilities
  • Verify patient eligibility and benefits for accurate coverage.
  • Review and submit claims in a timely manner to ensure compliance.
  • Obtain prior authorizations to support smooth claim approvals.
  • Monitor the status of medical claims and conduct follow-up to ensure prompt payment.
  • Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
  • Generate patient statements (no patient interaction).
  • Document all account activities accurately and in a timely manner.
  • Process manual payments, apply adjustments, and manage collections from various payers.
  • Understand and apply Medicare, Medicaid, and commercial insurance requirements and payment methodologies.
  • Record contractual adjustments based on payer contracts and government regulations.
  • Exhibit proficiency with billing systems and leverage functionality to efficiently process claims.
  • Maintain knowledge of changes in billing guidelines, payer contracts, and government regulations.
  • Collaborate with team members and healthcare providers to foster a positive work environment.
Requirements
  • A minimum of 2 years of experience in revenue cycle processes, including eligibility verification, charge review, claims submission, AR follow-up, denial management, collections, prior authorizations, payment posting, and handling medical records requests.
  • Experience in DME and using Apero is preferred.
  • Candidates must demonstrate collaboration skills with team members and healthcare providers.
  • Candidates must be able to function in a fast-paced environment and handle occasional high-pressure periods.
  • Excellent customer service skills are necessary for interacting with stakeholders.

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