Accounts Receivable

2 weeks ago

Work from Home, Philippines Wheatland Health International Inc. Full time ₱48,000 - ₱96,000 per year

About Us

Wheatland Health Community Care is a growing home health agency dedicated to providing exceptional and compassionate care to our clients in their homes. We are building a team of dedicated professionals passionate about making a difference. As we expand, we seek a meticulous and experienced AR & Medical Biller to join our back-office team and ensure the financial health of our agency.

Position Summary

The AR & Medical Biller is critical in managing our home health services' entire billing and collections cycle. You will be the engine of our revenue cycle, ensuring that claims are submitted accurately and timely, payments are posted correctly, and denials are resolved efficiently. The ideal candidate is a detail-oriented problem-solver with a deep understanding of home health billing regulations and payer requirements.

Key Responsibilities

  • Claim Management: Using our EMR system, prepare, review, and transmit claims to various payers, including Medicare, Medicaid, and private insurance.
  • Payment Posting: Accurately post all payments, adjustments, and denials from insurance companies by interpreting Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
  • Denial Resolution: Investigate and resolve all claim denials, rejections, and underpayments. Correct and resubmit claims as necessary and file appeals to secure payment.
  • A/R Follow-Up: Proactively manage the accounts receivable aging report, actively following up on unpaid claims to ensure timely reimbursement.
  • Patient Billing: Generate and send patient statements, respond to patient billing inquiries with professionalism and compassion, and manage patient collections.
  • Insurance Verification: Work with the intake team to verify patient eligibility and benefits, ensuring all billing information is accurate prior to claim submission.
  • Compliance & Reporting: Stay current with billing regulations and payer-specific guidelines. Generate regular reports on key revenue cycle metrics (e.g., collection rates, days in AR).

Qualifications and Skills

Required:

  • 2+ years of experience as a medical biller, with a strong background in accounts receivable.
  • Proficiency in medical billing software and EMR systems.
  • Solid understanding of ICD-10, CPT, and HCPCS coding systems.
  • In-depth knowledge of rules and regulations for various payers, particularly Medicare and Medicaid.
  • Exceptional attention to detail and accuracy.
  • Strong analytical and problem-solving skills with a persistent approach to resolving issues.
  • Excellent communication skills, both written and verbal.

Preferred:

  • Direct experience in home health billing is highly desirable.
  • Certification, such as Certified Professional Biller (CPB), is a plus.
  • Experience with home health EMR systems.

Job Type: Part-time

Pay: Php Php232.84 per hour

Benefits:

  • Opportunities for promotion
  • Paid training
  • Work from home

Work Location: Remote

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