Accounts Receivable (ar) representativePMAXGlobal

Work with Client Managers in identifying, researching, and resolving issues which lead to claim denial, inaccurate or untimely filing of claims, and/or other billing and collection issues
Review pending initial claims and billing by use of resources such as online web, clearinghouse, insurance portals or calling insurance companies to inquire and collect information regarding the denials of claims
Review denied claims and identify denial reason to possibly send out appeals and/or correspondence to the payers
Review pending and disputed balances in our RCM software
Properly annotate and update all assigned visits in a timely and comprehensive manner
Work with PMAXGlobal management and Client Managers to improve processes and increase accuracy and efficiency
Meet and/or exceed daily production and accuracy targets as defined by the management
Assist in providing training, assistance, and/or guidance to team members resolving issues in claims through billing, collections, and/or denial review techniques
Continuously update job knowledge by participating in training, educational opportunities, and raising either inconsistencies or improvement opportunities
Other relevant duties may be assigned from time to time
Qualifications and Requirements
Preferably College Graduate or at least 2 years in College.
Degrees and Courses related to Medical Field is a plus.
Strong written and verbal communication skills.
Ability to work effectively with minimal supervision.
Ability to work with confidential information.
Able to perform simple mathematical calculations.
Detail-oriented.
Proficient in the use of email.
Highly motivated self-starter.
Organized, able to set priorities, and meet deadlines.
Dependable and reliable.
Team player being supportive of Department and Company goals and policies.
At least 2-5 years previous Healthcare Account experience is required
PMAX Global
PMAXGlobal

Cebu City, Cebu
Permanent
Full-time