Medical Billing Specialist AR

2 weeks ago

Eastwood Quezon City, Philippines Sourcefit Full time ₱400,000 - ₱800,000 per year

Position Summary:

We are in search of a highly qualified and experienced Medical Billing Specialist – Accounts Receivable to join our esteemed dermatology clinic. The ideal candidate will possess a minimum of 2 years of hands-on experience in A/R management, with a profound understanding of medical billing and coding procedures. While holding a CPC (Certified Professional Coder) certification is advantageous, it is not mandatory for this role. The selected candidate will be tasked with efficiently managing accounts receivable operations across various Practice Management Systems, including ModMed, Complete MD, eCW, CareCloud, EZ Derm, and others.

Job Details:

  • Work from Home
  • Monday to Friday | 6 AM - 9 AM to 3 PM - 6 PM CST (9PM - 6AM Manila Time)
  • *Following US Holidays

Responsibilities:

Accounts Receivable Management:

  • Oversight and management of accounts receivable to ensure accuracy and completeness.
  • Identification and resolution of discrepancies in billing and coding processes.
  • Timely and precise submission of claims to insurance providers.

Practice Management Systems:

  • Proficient navigation and utilization of diverse Practice Management Systems.
  • Extraction and analysis of data from multiple systems to reconcile accounts.

Billing and Coding:

  • Application of comprehensive knowledge in medical billing and coding practices to enhance revenue cycle management.
  • Collaborative engagement with coding specialists to address coding-related challenges.

Payment Posting:

  • Accurate posting of payments and adjustments to patient accounts.
  • Reconciliation of received payments with billed amounts.

Claim Denial Management:

  • Thorough investigation and appeal of denied claims to optimize reimbursement.
  • Analysis of denial patterns and implementation of corrective measures.

Communication:

  • Seamless collaboration with internal teams, including billing, coding, and clinical staff, to resolve A/R issues.
  • Effective communication with insurance companies to address billing inquiries.

Reports and Analysis:

  • Generation and analysis of reports pertaining to accounts receivable performance.
  • Regular provision of updates to management regarding A/R metrics and trends.

Qualifications:

  • A minimum of 2 years of proven experience in Accounts Receivable within a medical environment.
  • Proficiency in medical billing and coding processes.
  • Familiarity with various Practice Management Systems, such as ModMed, Complete MD, eCW, CareCloud, EZ Derm, and others.
  • Exceptional attention to detail and analytical abilities.
  • Strong communication and interpersonal skills.
  • Possession of CPC certification is desirable but not obligatory.

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