Medical Billing Collections Consultant (Pooling)

Work set-up: 
Full Remote
Contract: 
Work from: 

Vector Outsourcing Solutions Philippines logo
Vector Outsourcing Solutions Philippines SME https://www.facebook.com/VectorOutsourcingSolutionsPhil
51 - 200 Employees
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Job description

Salary: 35,000 PHP/ month

Job Description:

  • Track and manage accounts receivable, ensuring aging amounts remain within targeted levels.
  • Regularly check the status of submitted claims to ensure timely processing and payment.

  • Resubmit claims for appeal as necessary, working to resolve any issues that may delay payment.

  • Prepare and send out patient statements in a timely and accurate manner.

  • Conduct patient collection phone calls, professionally addressing outstanding balances and negotiating payment arrangements.

  • Respond to patient phone inquiries regarding their accounts, providing clear and helpful information.

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

  • Monitor Denial Trends and provide timely and accurate resolutions

  • Handle complex denials and appeals

  • Utilize different collection strategies to achieve optimum reimbursement on delinquent accounts.

  • Follow team and/or client’s proper procedures, policies, and methodologies as instructed.

  • Performs other related duties as necessary or assigned

Minimum Qualifications:

  • This role is offered on a consultancy basis with a minimum 6-month contract, subject to renewal based on performance and business needs.
  • Must have at least 1 year of experience in a BPO or Call Center environment.
  • Experience with phone collections, particularly on US accounts, is desirable but not required.
  • Previous experience in Medical Billing or Medical Collections is a plus but not mandatory.
  • Knowledge of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly beneficial.
  • Must possess excellent verbal and written English communication skills.
  • Able to work from home with reliable internet and a backup connection.

Others:

  • Equipment/ company computer is provided
  • Work from Home

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Communication
  • Record Keeping
  • Negotiation

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