Key Facts

Remote From:

Full time

Junior (1-2 years)

English

Hard Skills

Explanation Of Benefits (EOB) Claims And Litigation Management Collection Development Payment Processing Data Entry Policy Enforcement Medicaid Medical Practice Management Software

Other Skills

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Detail Oriented
•
Time Management
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Client Confidentiality
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Communication

Roles & Responsibilities

1-2 years of Dental Collection or Billing experience.
Familiarity with insurance policy types (PPO, HMO, Medi-Cal).
Data entry skills (40 WPM or better).
Ability to work from home with reliable internet connection and maintain confidentiality.

Requirements:

Collect outstanding balances from insurance companies.
Investigate and resolve denied or underpaid claims, including submitting appeals and reconsideration requests.
Review Explanation of Benefits (EOBs) and identify discrepancies; communicate with insurance companies and dental offices regarding account status.
Identify denial patterns and implement corrective policies to prevent future issues, while documenting all collection efforts, payment arrangements, and disputes.

Vector Outsourcing Solutions Philippines

About Vector Outsourcing Solutions Philippines

At Vector Outsourcing Solutions Phils. Inc, our mission is to establish ourselves as the ‘Best in Class’, in the delivery of healthcare management services and billing services. We handle each and every client as if they are our only client by providing individualized business plans and keeping the client informed of the ever changing healthcare industry. Our attentiveness to your billing, your practice needs and your path to success will exceed all expectations. We believe that our success can only be measured through the success of the medical practices we manage.We are fast growing US based healthcare BPO supporting medical groups, dental groups, diagnostic laboratories, urgent care centers and other ancillary health care providers. Join us now and end up on top as we continue to expand.Vision:To improve healthcare delivery by placing the needs of both providers and patients at the forefront and delivering exceptional customer serviceMission:To provide world class customer service, that drives efficiency and progress within the healthcare system, by working together in a culture of continuous improvement and innovationValues:TransparencyHonestyAccountabilityTrustResponsibilityEfficiencyAdaptabilityInnovationRespect

Company type: SME

Founded: 2018

Company size: 51 - 200

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Job description

Salary: PHP 20,000- 25,000 / month

Job Description:

Collect outstanding balances from insurance companies.
Investigate and resolve denied or underpaid claims.
Submit appeals and reconsideration requests for denied claims.
Review Explanation of Benefits (EOBs) and identify discrepancies.
Communicate with insurance companies and dental offices regarding account status.
Identify denial/ rejection patterns and implement corrective policy for future prevention.
Accurately document all collection efforts, payment arrangements, and disputes.

Minimum Qualifications:

1-2 years of Dental Collection or Billing experience.
Familiarity with insurance policy types- PPO, HMO, Medi-Cal (preferred but not required).
Ability to navigate Healthcare Practice Management systems (preferred but not required).
Strong accuracy, attention to detail, and time management skills.
Data entry skills (40 WPM or better).
Ability to work with and maintain confidential information.
Able to work from home with a reliable internet connection.
Willing to work in shifting schedules, mostly night shift.
Able to work from home with reliable internet and a backup connection.

Perks and Benefits: