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Medical Billing Collections Consultant | Work from Home

Role overview

Qualifications

  • At least 1 year of experience in a BPO or Call Center environment
  • Desirable experience with phone collections on US accounts
  • Knowledge of the US healthcare system, including Medicare, Medicaid, and commercial payers
  • Excellent verbal and written English communication skills

Responsibilities

  • Track and manage accounts receivable
  • Check the status of submitted claims for timely processing and payment
  • Resubmit claims for appeal as necessary
  • Conduct patient collection phone calls and negotiate payment arrangements

Key facts

Hard skills

Other skills

  • Negotiation
  • Communication
  • Problem Solving

About the company

Vector Outsourcing Solutions Philippines logo

Vector Outsourcing Solutions Philippines

  • Outsourcing & BPO
  • SME
  • 51–200
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

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Job description

Salary: PHP 35,000- PHP 40,000/ 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 and payer's email and 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 clients proper procedures, policies, and methodologies as instructed.
  • Performs other related duties as necessary or assigned

Minimum Qualifications:

  • 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.
  • Open to consultancy contract minimum of 6 months
  • Able to work from home with reliable internet and a backup connection.

Others:

  • Equipment/ company computer is provided
  • Fully remote work

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