Medical Billing Collections Specialist

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 timely processing and payment.

• Resubmit claims for appeal when necessary, working diligently to resolve any issues that might hinder payment.

• Prepare and dispatch patient statements accurately and punctually.

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

• Address email and phone inquiries from patients and payers regarding their accounts, providing clear and helpful responses.

• Process phone payments from patients, ensuring accuracy in processing and record-keeping.

• Analyze Denial Trends and provide timely and precise resolutions.

• Manage complex denials and appeals effectively.

• Employ various collection strategies to maximize reimbursement on delinquent accounts.

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

• Perform other related duties as needed or assigned.

⛳️ Requirements

• A minimum of 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.

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

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

• Excellent verbal and written English communication skills are essential.

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

🏝️ Benefits

• Maternity & Paternity Leave

• Government Contribution (SSS, Pag-ibig, Philhealth)

• 13th Month Pay

• Paid Holidays

• Bereavement Leave

• Paid Vacation Leave

• Paid Sick Leave

• Work from Home

• Others: Equipment/company computer is provided

• Night shift differential pay of Php 1,000

• De Minimis Php 1,000 monthly bonus upon regularization

• HMO upon regularization