Medical Billing Collections Consultant

Salary:PHP 35,000- PHP 40,000/ month

Job Description:

• Track and manage accounts receivable, ensuring aging amounts remain within targeted levels.
• Regularly check the status of submitted claims to ensure timely processing and payment.
• Resubmit claims for appeal as necessary, working to resolve any issues that may delay payment.
• Prepare and send out patient statements in a timely and accurate manner.
• Conduct patient collection phone calls, professionally addressing outstanding balances and negotiating payment arrangements.
• Respond to patient and payer's email and phone inquiries regarding their accounts, providing clear and helpful information.
• Accept phone payments from patients, ensuring accurate processing and record-keeping.
• Monitor Denial Trends and provide timely and accurate resolutions
• Handle complex denials and appeals
• Utilize different collection strategies to achieve optimum reimbursement on delinquent accounts.
• Follow team and/or clients proper procedures, policies, and methodologies as instructed.
• Performs other related duties as necessary or assigned

Minimum Qualifications:

• Must have at least 1 year of experience in a BPO or Call Center environment.
• Experience with phone collections, particularly on US accounts, is desirable but not required.
• Previous experience in Medical Billing or Medical Collections is a plus but not mandatory.
• Knowledge of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly beneficial.
• Must possess excellent verbal and written English communication skills.
• Open to consultancy contract minimum of 6 months
• Able to work from home with reliable internet and a backup connection.

Others:

• Equipment/ company computer is provided
• Fully remote work

Originally posted on Himalayas