US Medical Billing and Collections
2 weeks ago
About the Role:
As a Revenue Cycle Specialist, you will serve as a bridge between the billing department and thirdparty 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. This position will report to the Director of Collections.
Job 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
Qualifications:
- Minimum of 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)
- 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
Job Types: Full-time, Permanent
Pay: Up to Php35,000.00 per month
Benefits:
- Employee discount
- Health insurance
- Opportunities for promotion
- Work from home
Application Question(s):
- What's your expected salary?
Experience:
- Medical Billing: 2 years (Required)
- Medical Collections: 2 years (Required)
Work Location: In person
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