Key Facts

Remote From:

Full time

English

Hard Skills

Revenue Management Appeals Medical Billing Medical Record Management Medical Record Management Contract Management Explanation Of Benefits (EOB) Billing Medical Coding Addiction Counseling Insurance Follow-Up Medical Billing

Other Skills

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Collaboration
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Client Confidentiality
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Communication
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Time Management
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Detail Oriented
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Prioritization

Sourcefit DR

About Sourcefit DR

Sourcefit is focused on providing custom offshore solutions. We help companies large and small to lower costs and increase productivity by providing highly-skilled, highly-motivated staff who can match the performance of onshore staff at a fraction of the cost. At Sourcefit, we understand that successful outsourcing requires more than just great staff. We are committed to working closely with you every step of the way to understand your goals and seamlessly transfer your business culture and successful business processes to an offshore environment. At Sourcefit there is never any obligation until you're comfortable you've found the perfect fit for your business needs. We offer various levels of operational and project management depending on your needs. You supply the vision and we handle the rest: from recruiting and pre–screening of candidates, providing all necessary office support, equipment and infrastructure, as well as end to end HR management.Established by Andy Schachtel, an American entrepreneur with over 20 years of experience in outsourcing both as a client and as a service provider, Sourcefit currently has over 1500 employees and is growing steadily. In light of this rapid growth, Sourcefit remains dedicated to preserving its entrepreneurial start-up spirit, actively nurturing innovation and agility in its operations, with branches in the Philippines, Armenia, the Dominican Republic, and South Africa. Above all, Sourcefit endeavors to make sure that each of our clients feel that they have our undivided attention and provide them with customized solutions that fit their business.Contact us today for a free consultation.Visit sourcefit.com to find out how our services can help you grow your business.For information and updates on outsourcing, offshoring, productivity and cost-effective business solutions, visit Sourcefit's official channels:http://www.sourcefit.comFacebook, Instagram, Twitter, Youtube, Tiktok: @SourcefitPH

Founded: 2018

Company size: 11 - 50

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Job description

Position Summary:

Our client is seeking a tenacious and detail-oriented Medical Billing Specialist - Collections. The ideal candidate will have experience in mental health and/or substance abuse treatment billing, or revenue cycle management. This role is integral to ensuring accurate billing processes and effective revenue cycle management, contributing to the financial health of our organization.

Job Details:

Work from Home
Monday to Friday | 9 PM to 6 AM (Manila Time)

Responsibilities:

Call carriers and inquire about payment status on claims according to our in-network contracts.
Audit discrepancies between billing and payment delays/denials.
Verify insurance payment accuracy and compliance with contract and customary charges.
Follow up on unpaid or denied claims and appeal & send medical records as necessary.
Demonstrate knowledge of third-party payers’ Explanation of Benefits (EOBs) and understand specific time limitations for appeals for all served lines of business.
Maintain confidentiality of patient information and adhere to HIPAA regulations.

Qualifications:

Experience with CollaborateMD billing software (preferred, not required).
Strong attention to detail and accuracy in coding and billing processes.
Excellent communication skills to interact with healthcare providers, insurance companies, and patients.
Ability to work independently and prioritize tasks effectively.