Clinical Account Receivable Manager

1 week ago

Manila, National Capital Region, Philippines beBeeAccountant Full time $55,000 - $70,000
Medical AR Specialist Job Description

You will be responsible for managing accounts receivables and ensuring timely reimbursement of medical expenses in a dynamic team environment.

  • Manage accounts receivables and keep up-to-date records to ensure efficient workflow.
  • Coordinate with healthcare providers and insurance companies for claim submission and follow-up to guarantee timely payment.
  • Generate revenue by making payment arrangements, collecting accounts, and monitoring payments to maintain cash flow.
  • Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up when payment lapses occur.
  • Maintain Medicare bad-debt cost report to ensure compliance with regulations.
  • Secure outstanding balance payments for patient care services.
  • Verify insurance eligibility for patients and ensure timely payment to avoid delays.
  • Handle denied claims and appeal if necessary to resolve issues efficiently.
  • Reconcile payments and post to patients' accounts to maintain accurate records.
  • Maintain compliance with HIPAA regulations to protect patient data.
  • Handle patient inquiries regarding their accounts to provide excellent customer service.
Requirements
  • At least 3 years of experience as US Medical AR Specialist to ensure proficiency in the role.
  • Must have Firenote EMR Experience to leverage software capabilities.
  • Knowledge in hospice is preferred but not required.
  • Knowledge of medical billing and coding practices to accurately process claims.
  • Strong understanding of healthcare billing process to navigate complex systems.
  • Familiarity with healthcare insurance plans and related policies to optimize reimbursement.
  • Experience with HIPAA regulations to maintain compliance and protect patient data.
  • Excellent communication and customer service skills to effectively interact with patients and healthcare providers.
  • Strong attention to detail to ensure accuracy in financial transactions and patient records.
  • Strong computer skills and experience with medical billing software to efficiently manage accounts receivable.

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