Respond to patient inquiries regarding billing statements, balances, and available payment options.
Clearly explain insurance coverage, deductibles, co-pays, and out-of-pocket costs.
Provide empathetic and professional assistance to patients with billing concerns.
Investigate and resolve discrepancies, denied claims, and other billing-related issues.
Coordinate with healthcare providers and insurance companies to clarify claim statuses and resolve payment concerns.
Assist in the appeal process for denied claims when necessary.
Help patients set up payment plans and process payments or refunds accurately.
Educate patients on financial policies and available options to manage outstanding balances.
Support patients in understanding insurance plans, including TRICARE, Medicare, Medicaid, and coordination of benefits (COB).
Provide guidance on eligibility and insurance benefits.
Maintain accurate and up-to-date records of all patient interactions and billing activities using practice management software.
Ensure compliance with HIPAA and other regulatory standards.
Escalate unresolved issues to the billing or collections team as needed.
Contribute to ongoing improvements in billing processes and procedures.
Requirements
At least 2-3 years of experience in patient billing or medical billing support
Experience in Ophthalmology/Optometry billing is essential
Knowledge of medical billing and coding standards
Familiarity with healthcare insurance processes and policies
Excellent communication and problem-solving skills
Strong attention to detail
Proficiency in medical billing software and MS Office applications
Amenable to work in any US time zones
Proficiency in Eyefinity EPM or similar practice management systems.
Ability to handle sensitive patient information with confidentiality and car
Key Results
Resolution of patient billing inquiries within established timelines
Reduction of billing discrepancies and errors
Improvement in patient satisfaction scores
Compliance with regulatory standards and company policies
Effective communication of billing information to patients
Work-from-Home Device Requirement:
Device: Personal computer with Intel Core i5 or higher, or AMD Ryzen 5 or higher
Internet: Wired connection with at least 50 Mbps download speed, plus a backup connection (e.g., mobile hotspot or prepaid Wi-Fi)
Work Environment: Quiet, well-lit space with minimal background noise
Benefits
Permanent Work From Home
Weekly Paychecks
Fixed Weekends Off
HMO Reimbursement on your 90th day
Thriving Company Culture with Complete Autonomy
Exclusive Specialized Training Programs
Unlock Your Potential with a Highly Competitive Salary
Who are we?MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We specialize in connecting top clinical and administrative talent with reputable healthcare organizations, ensuring high-quality care delivery while providing rewarding work-from-home careers.Why work for Bizforce?Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! Bizforce was founded with one goal - to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.
BizForce
Other Info
Permanent
Full-time
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