Remittance Payments, Medical Administrative Assistant

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

📋 Description

• Validate patient insurance coverage prior to appointments.

• Assess and update insurance policies, eligibility status, and patient insurance records.

• Request current insurance documentation and highlight incomplete or inconsistent data.

• Review, amend, resubmit, and monitor rejected, denied, incomplete, or outstanding claims.

• Record claim adjustments, resubmissions, follow-up actions, and communications with insurers.

• Analyze remittance advice, Explanation of Benefits, and summaries of insurer payments.

• Enter insurance payments, adjustments, patient responsibility amounts, and updates to accounts.

• Identify claims that have been denied, underpaid, overpaid, and any payment inconsistencies.

• Reconcile insurance payments with remittance reports and patient accounts.

• Review outstanding balances, probe account discrepancies, and maintain patient ledgers and notes.

• Assist in month-end reconciliation processes.

• Reach out to insurers or use payer portals to follow up on claims that are delayed, denied, partially paid, or unresolved.

• Address patient billing inquiries and compile account information for billing follow-up.

• Keep documentation, trackers, spreadsheets, claim logs, billing reports, and reconciliation records organized.

• Manage electronic communications with medical practices, referral sources, insurers, and authorized healthcare stakeholders.

• Prepare and dispatch approved documentation related to patient visits, referrals, intake, assessments, progress, attendance, treatment, discharge, and insurance.

• Ensure all communications are accurate, professional, timely, confidential, and routed through approved channels.

• Escalate complex billing, privacy, clinical, or communication issues to management or the appropriate clinician.

• Adhere to privacy, confidentiality, HIPAA, Bermuda PIPA, and client data-handling standards.

• Immediately report any suspected privacy breaches or unauthorized disclosures.

• Provide services under an independent contractor agreement, Master Services Agreement, and Statement of Work.

⛳️ Requirements

• At least 2 to 3 years of experience in medical administration, medical billing, insurance verification, or healthcare revenue cycle support.

• Proficient in handling insurance claims, remittance posting, payment reconciliation, and patient accounts.

• Experience in communicating with medical practices, referral sources, insurers, and healthcare administrative teams.

• Strong comprehension of insurance terminology, Explanation of Benefits, claim processing, payer workflows, and medical billing practices.

• Familiarity with privacy and confidentiality regulations related to patient information, including HIPAA and Bermuda PIPA standards.

• Exceptional attention to detail and accuracy.

• Strong verbal and written English communication skills.

• Ability to maintain confidentiality and manage sensitive patient, clinical, insurance, and financial information appropriately.

• Excellent organizational and time management capabilities.

• Experience working independently in a remote setting.

• Proficient in medical billing and practice management software.

• Skilled in using payer and insurance carrier portals.

• Familiarity with Google Workspace and Microsoft Office applications.

• Experience with email and secure communication platforms.

• Proficient in Google Sheets, Excel, internal claim trackers, billing reports, and reconciliation logs.

• Near-native English accent is preferred.

• Preference for candidates located in the Philippines.

• Experience in healthcare, physical therapy, or medical practice is preferred.

🏝️ Benefits

• Competitive compensation rates.

• Weekly payment schedule.

• A variety of open roles available.

• Access to free training and upskilling opportunities.

• Ongoing support and guidance.

• A vibrant community always ready to assist you.

• Flexibility to work remotely.

• Flexible scheduling aligned with client-preferred hours, subject to mutual agreement.

• Contractor compensation handled through 20four7VA according to engagement terms.