Medical 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 levels.

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

• Re-submit claims for appeal as necessary, working to resolve any issues that may hinder payment.

• Prepare and dispatch patient statements accurately and on time.

• Conduct phone calls for patient collections, addressing outstanding balances and negotiating payment plans.

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

• Accept and process phone payments from patients, ensuring accurate record-keeping.

• Monitor denial trends and provide prompt and accurate resolutions.

• Manage complex denials and appeals effectively.

• Implement collection strategies to maximize reimbursement on delinquent accounts.

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

• Carry out other related duties as required or assigned.

⛳️ Requirements

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

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

• Previous experience in Medical Billing or Medical Collections is advantageous, though 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.

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

• Ability to work from home with dependable internet and a backup connection is necessary.

🏝️ Benefits

• Work from home

• Company computer/equipment provided

• Fully remote work