AR Medical Biller (Firenote EMR Experience) | Permanent WFH

Work set-up: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)
Work from: 

Offer summary

Qualifications:

Minimum of 3 years experience as a US Medical AR Specialist., Proficiency with Firenote EMR software., Knowledge of medical billing, coding, and healthcare insurance policies., Strong understanding of healthcare billing processes and HIPAA regulations..

Key responsibilities:

  • Manage accounts receivables and maintain accurate records.
  • Coordinate with healthcare providers and insurance companies for claim submissions and follow-up.
  • Handle denied claims and pursue appeals if necessary.
  • Verify insurance eligibility and ensure timely payments.

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11 - 50 Employees
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Job description

MedCore Solution, Bizforces medical division, is seeking a skilled WFH Medical BillerAccounts Receivable Specialist (US Healthcare) to join our team. As a Medical BillerAccounts Receivable Specialist (US Healthcare), you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home on a permanent basis and will have the opportunity to work with a dynamic team in a fastpaced environment. BizForce & MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue producing activities.

Responsibilities
  • Manage accounts receivables and keep uptodate records
  • Coordinate with healthcare providers and insurance companies for claim submission and followup
  • Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
  • Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
  • Maintain Medicare baddebt cost report
  • Secure outstanding balance payments for care of employees
  • Verify insurance eligibility for patients and ensure timely payment
  • Handle denied claims and appeal if necessary
  • Reconcile payments and post to patients accounts
  • Maintain compliance with HIPAA regulations
  • Handle patient inquiries regarding their accounts
    • Requirements

      • At least 3 years of experience as US Medical AR Specialist
      • Must have a Firenote EMR Experience
      • Knowledge in hospice
          • Knowledge of medical billing and coding practices
          • Strong understanding of healthcare billing process
          • Familiarity with healthcare insurance plans and related policies
          • Experience with HIPAA regulations
          • Excellent communication and customer service skills
          • Strong attention to detail
          • Strong computer skills and experience with medical billing software.
          • Amenable to work in any US time zones (graveyard shift)
            • Key Results

              • Reduce coding and billing error rate
              • Achieve the target collections goals set and collections status report
              • Reduced number of denials and complaints
              • Achieve an accuracy rate of 99%
              • Utilization of billing and coding software programs
                • System Requirements

                  Device (Desktop or Laptop)

                  1. Processor:
                      • Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).
                      • Mac Devices: Apple M1 chip or newer.
                        • RAM:
                          • Minimum of 8GB or higher for optimal performance.
                            • Operating System:
                              • Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.
                              • Mac: macOS compatible with M1 or newer chips.
                                • Hard Disk:
                                  • At least an SSD for faster processing and performance.
                                    • Internet Connectivity:

                                          • Minimum speed of 50 Mbps via a wired connection for stability and reliability.
                                          • A backup internet connection is highly recommended.
                                            • *Power Supply:

                                                  • A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages (optional but encouraged)
                                                    • Other details:

                                                      Start Date: TBD

                                                      Schedule: 8 hoursday MondayFriday; 40 hoursweek

                                                      Days Off: Saturday & Sunday

                                                      Time zone: TBD (US work hours)

                                                      Duration: Fulltime Steady state

                                                      Benefits

                                                      • Permanent Work From Home
                                                      • Weekly Paychecks
                                                      • Fixed Weekends Off
                                                      • HMO Reimbursement on your 90th day
                                                      • Thriving Company Culture with Complete Autonomy
                                                      • Exclusive Specialized Training Programs
                                                      • Unlock Your Potential with a Highly Competitive Salary
                                                        • ____________________________________________________________________

                                                          Who are we?

                                                          BizForce is one of the fastestgrowing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!

                                                          Our Commitment to delivering highquality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

                                                          Why work for Bizforce?

                                                          Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! Bizforce was founded with one goal – to deliver dependable highquality skilled labor and business processes to USbased companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.

Required profile

Experience

Level of experience: Senior (5-10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Customer Service
  • Detail Oriented
  • Teamwork
  • Communication

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