Job description

This is a remote position.

Paid Hours per Week: 40 hours

Schedule: Monday through Friday, 8:30 a.m. to 5:00 p.m. Pacific Time (Huntington) with a 1-hour unpaid break, which is 12:30 a.m. to 9:00 a.m. Manila time.

The Medical Billing Collector is responsible for ensuring the timely collection of outstanding unpaid claims, addressing insurance denials, and resolving outstanding balances from various insurance companies. This role requires a strong understanding of medical billing processes, insurance guidelines, and exceptional communication skills to effectively resolve payment issues.

Responsibilities:

Follow up on outstanding medical claims and patient balances.
Contact insurance companies to resolve denied or delayed claims.
Appeal and resubmit denied claims as necessary.
Verify insurance coverage and coordinate benefits with payers.
Accurately post and reconcile payments, adjustments, and denials received from insurance carriers and patients.
Investigate and resolve discrepancies in payments, refunds, and account balances.
Collaborate with the billing and collections team to ensure proper claim resolution.
Process electronic remittance advice (ERA) and explanation of benefits (EOB) postings.
Reconcile daily deposits with posted payments to ensure accuracy.
Maintain compliance with HIPAA and medical billing regulations.
Document all collection activities and maintain accurate account records.
Generate reports related to payment trends, reconciliation status, and outstanding balances.

Required Qualifications:

Minimum of 3 years of experience in medical billing and collections.
Certification in medical billing and coding (CPC) is a plus.
Strong verbal and written communication skills.
Proficiency in medical billing software (eClinicalWorks preferred).
In-depth knowledge of CPT, ICD-10, and HCPCS coding systems.
Excellent problem-solving and organizational skills.
Experience using payer websites to assess claim status for collections follow-up.
Working knowledge of eligibility and authorization processes.
Proficiency in Microsoft Word and Excel, including data entry, formatting, and basic formulas.
Ability to work independently and meet collection deadlines.
Capability to achieve monthly productivity standards.
Reliable internet and VPN access.