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.

• Frequently verify the status of submitted claims to guarantee prompt processing and payment.

• Resubmit claims for appeals as needed, actively addressing any issues that could hinder payment.

• Prepare and distribute patient statements accurately and on time.

• Conduct professional patient collection calls, addressing outstanding balances and negotiating payment plans.

• Respond to patient inquiries via phone regarding their accounts, offering clear and helpful information.

• Process phone payments from patients, ensuring accurate handling and documentation.

• Analyze denial trends and provide timely and precise resolutions.

• Manage complex denials and appeals.

• Employ various collection strategies to secure optimal reimbursement on overdue accounts.

• Adhere to proper procedures, policies, and methodologies as defined by the team and/or clients.

• Perform additional related duties as required or assigned.

⛳️ Requirements

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

• Minimum of 6 months consultancy contract on a consultancy basis (subject to renewal).

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

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

• Understanding of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly desirable.

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

• Ability to work from home with a reliable internet connection and a backup option.

🏝️ Benefits

• Work from Home Equipment/company computer is provided.