medical biller/ Accounts Receivable specialist (us healthcare) | permanent wfhBizForce

MedCore Solution, Bizforce's medical division, is seeking a skilled WFH Medical Biller/Accounts Receivable Specialist (US Healthcare) to join our team. As a Medical Biller/Accounts Receivable Specialist (US Healthcare), you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home on a permanent basis and will have the opportunity to work with a dynamic team in a fast-paced environment. BizForce & MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.Who We AreMedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice's specific needs, so you can focus on your patients and revenue producing activities.Responsibilities
Manage accounts receivables and keep up-to-date records
Coordinate with healthcare providers and insurance companies for claim submission and follow-up
Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
Maintain Medicare bad-debt cost report
Secure outstanding balance payments for care of employees
Verify insurance eligibility for patients and ensure timely payment
Handle denied claims and appeal if necessary
Reconcile payments and post to patients' accounts
Maintain compliance with HIPAA regulations
Handle patient inquiries regarding their accounts
Requirements
At least 3 years of experience as US Medical AR Specialist
Knowledge of medical billing and coding practices
Strong understanding of healthcare billing process
Familiarity with healthcare insurance plans and related policies
Experience with HIPAA regulations
Excellent communication and customer service skills
Strong attention to detail
Strong computer skills and experience with medical billing software.
Amenable to work in any US time zones (graveyard shift)
Key Results
Reduce coding and billing error rate
Achieve the target collections goals set and collections status report
Reduced number of denials and complaints
Achieve an accuracy rate of 99%
Utilization of billing and coding software programs
System RequirementsDevice (Desktop or Laptop) * Processor:
Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).
Mac Devices: Apple M1 chip or newer.
RAM:
Minimum of 8GB or higher for optimal performance.
Operating System:
Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.
Mac: macOS compatible with M1 or newer chips.
Hard Disk:
At least an SSD for faster processing and performance.
Internet Connectivity:
Minimum speed of 50 Mbps via a wired connection for stability and reliability.
A backup internet connection is highly recommended.
*Power Supply:
A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages (optional but encouraged)
Other details:Start Date: TBDSchedule: 8 hours/day Monday-Friday; 40 hours/weekDays Off: Saturday & SundayTime zone: TBD (US work hours)Duration: Full-time Steady stateBenefitsOur Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.
Permanent Work From home
Permanent Weekends Off
Great Company Culture and No Micromanagement
Specialized Training
BizForce

Quezon City, Metro Manila
Permanent
Full-time