Remote Healthcare Billing and Collections Specialist

11 hours ago

Province of Palawan, Mimaropa, Philippines beBeeBilling Full time $40,000 - $62,000
Job Overview

We are seeking a highly skilled and organized Billing & Collections Specialist to join our dynamic team.

This is a remote opportunity that requires the ability to work independently and as part of a team, with strong communication and interpersonal skills.

Key Responsibilities:
  • Coordinate the accumulation of information from various departments and post it to resident accounts.
  • Review charges for accuracy, completeness, consistency, and payers charged.
  • Prepare and timely issue accurate billing statements to the correct payer using electronic systems.
  • Monitor all submissions on a daily basis to address any denials or requests for additional information (ADRs).
  • Coordinate with all departments and submit ADR information within 10 days of receipt of request.
Collections Responsibilities:
  • Follow up on unpaid claims/denials within company standard billing cycle timeframes; determine reasons for denial. Correct claims and re-bill when required.
  • Document all communications and collection attempts, taking follow-up action in accordance with established policies and procedures.
  • Provide needed supporting documentation to payer upon request in a timely manner.
  • Maintain A/R Aging levels for assigned accounts within company guidelines.
  • Notify supervisors of difficult/problem accounts; residents unwilling or unable to pay balances.
  • Process claim reclassification to private accounts upon approval from management.
  • Process bad debts in a timely fashion when claims are determined to be uncollectable. Document all reasons for uncollectability and efforts in the process.
Additional Responsibilities:
  • Apply Third Party payments daily including checks, wire transfers, EFT payments, other bank deposits, cash, and credit card payments. Confirm completeness and accuracy of payment information to the residents' accounts.
  • Establish good relationships with all third-party payers with professional communications.
  • Efficiently conduct inquiries and analysis for resolution of discrepancies.
Requirements/Specifications:Required Skills and Qualifications:
  • Two to Three years of experience processing skilled nursing medical claims with third parties including Medicare, Managed Care, and Insurance Companies with a track record of successful collections.
  • One or more years of experience working in a high-volume, short-term rehab environment.
  • Knowledge of billing and related software preferred and/or experience with similar software.
  • Proficiency with Microsoft Office and ability to learn company IT systems.
Preferred Skills:
  • MatrixCare/Answers on Demand and Ability experience is a plus.
Essential Qualifications:
  • Strong communication, interpersonal, and organizational skills.
  • Detail orientation.
  • Ability to manage multiple priorities.
  • Discretionary judgment.
  • Ability to work independently and as part of a team.
Language Skills:
  • Ability to read, write, and speak English proficiently.
Service Fee:

Industry standards applicable to the state depend on work experience and level of expertise.

Work Schedule:

US Eastern Standard Time (EST) - Monday to Friday, 9 am to 6 pm.

Why This Role?

As a Billing & Collections Specialist, you will have the opportunity to work in a dynamic environment, collaborate with an international team, and contribute to our growing business while working from the comfort of your home.

You will need to have some essential tools – a reliable computer, noise-canceling headset, second monitor for enhanced productivity, and stable internet connection. You'll also be required to have a backup internet connection, ensuring that you're well-equipped to complete your work seamlessly.

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