Medical Billing Collections Consultant

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Monitor and manage accounts receivable, ensuring that aging amounts stay within targeted thresholds.

• Regularly review submitted claims to guarantee timely processing and payment.

• Resubmit claims for appeals as necessary and address any issues that may cause payment delays.

• Accurately prepare and send patient statements in a timely manner.

• Conduct phone calls to patients for collections and negotiate payment arrangements.

• Respond to inquiries from patients and payers via email and phone.

• Accept and accurately process payments over the phone from patients.

• Monitor denial trends and provide prompt, accurate resolutions.

• Manage complex denials and appeals effectively.

• Utilize collection strategies to maximize reimbursement for overdue accounts.

• Adhere to team and client procedures, policies, and methodologies.

• Perform additional related duties as assigned.

⛳️ Requirements

• A minimum of 1 year of experience in a BPO or Call Center environment is required.

• Experience with phone collections, especially regarding US accounts, is preferred but not essential.

• Prior experience in Medical Billing or Medical Collections is advantageous but not required.

• A strong understanding of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly valuable.

• Excellent verbal and written English communication skills are necessary.

• Must be open to a consultancy contract lasting a minimum of 6 months.

• Ability to work from home with reliable internet access and a backup connection is essential.

🏝️ Benefits

• Work from home / fully remote position.

• Company-provided computer.

• Support for reliable internet and backup connection as a work-from-home requirement.