Medical Billing Collections Consultant

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

📋 Description

• Monitor and oversee accounts receivable, ensuring that aging amounts stay within designated limits.

• Regularly verify the status of submitted claims to guarantee timely processing and payment.

• Resubmit claims for appeal when necessary and resolve any issues that might delay payment.

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

• Conduct phone calls to patients for collection purposes, addressing outstanding balances and negotiating payment plans.

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

• Process phone payments from patients while maintaining precise records.

• Monitor denial patterns and provide prompt, accurate resolutions.

• Manage complex denials and appeals effectively.

• Implement collection strategies to ensure optimal reimbursement on overdue accounts.

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

• Perform additional related tasks as assigned or necessary.

⛳️ Requirements

• At least 1 year of experience in a BPO or Call Center setting is required.

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

• Previous background in Medical Billing or Medical Collections is advantageous but not required.

• Familiarity with the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly beneficial.

• Must have excellent verbal and written communication skills in English.

• Willingness to engage in a consultancy contract for a minimum of 6 months.

• Must be able to work from home with a reliable internet connection and an alternative backup connection.

🏝️ Benefits

• Opportunity to work from home.

• Equipment and company computer provided.

• Support for reliable internet and backup connection is required.