Collection Specialist

23 hours ago

Pasig, National Capital Region, Philippines Eastvantage Full time

We're Hiring: Collection Specialist
As a Collections Specialist, you will serve as a bridge between the billing department and third-party payers to resolve overdue claims and collect payments. In this role, you will be responsible for ensuring accurate billing and efficient collections processes within our healthcare organization.

Location:
Ortigas Pasig, Philippines

Work Mode:
Work From Office

Role:
Collection Specialist

Core Responsibilities

  • Monitor accounts to identify overdue payments and correct errors in previously submitted claims to ensure full payment
  • Clearly communicate with team members, third-party payers, and customers regarding identified claims errors via phone and email
  • Identify, analyze, and research trends in claims rejections and partial payments to create resolutions.
  • Prioritize activities to work denials and partial payments in a timely manner to avoid timely filing limitations.
  • Leverage reporting tools for comprehensive data analysis, creating targeted action plans to resolve billing issues.
  • Utilize coding systems (CPT, ICD-10) to guarantee meticulous billing and collections
  • Process and reprocess medical claims in accordance with payer regulations, protocols, medical authorizations, and departmental guidelines.

Experience And Skills

  • Minimum 2 years of experience in medical billing and collections.
  • Experience working with third-party payers, such as VA, Medicaid, Medicare Advantage, and Worker's Compensation
  • Experience with revenue cycle management
  • Experience working with UB04 and HCFA 1500 forms
  • Familiarity with Electronic Medical Record (EMR) systems
  • Knowledge of health care collections procedure codes and techniques
  • Proficiency in using billing software (Clearinghouse) and electronic health records (EHR)
  • Proficiency in reading and interpreting ERAs and EOB for all payers
  • In-depth knowledge of healthcare billing codes (CPT, ICD-10)
  • Proven success in reducing accounts receivable and improving collections
  • In-depth knowledge of HIPAA compliance
  • Excellent follow-up, time management, and communication skills required
  • Familiarity with PowerBI preferred
  • Proficiency in MS Office Suite (Outlook, Word, Excel) required.

Education And Qualifications

  • Associate degree required in Healthcare Administration, Business, or a related field (bachelor's degree preferred)
  • Equivalent combination of education and experience will be considered.
phhiring #healthcare #medicalbilling #collections #CPT #ICD10 #HIPAAcompliance

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