Medical Billing Specialist – Collection
Sourcefit
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇵🇭 Philippines
Visit company websiteJob Level
JuniorMid-Level
About the role
- Monitor the status of medical claims to ensure prompt and accurate payment.
- Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
- Document all account activities accurately and in a timely manner.
- Post payments and correctly record adjustments as necessary.
- Understand and apply Medicare, Medicaid, and commercial insurance eligibility requirements and payment methodologies.
- Exhibit proficiency with billing systems and leverage all functionality to ensure the most efficient processing of claims.
- Maintain up-to-date knowledge of changes in billing and coding guidelines, payer contracts, and government regulations.
- Collaborate with team members and providers, fostering a positive and productive work environment.
- Willing to learn claims review and submission, and pre-visit eligibility and benefits verification to backfill other staff during absences.
Requirements
- At least 2 years of strong background in end-to-end revenue cycle processes, including eligibility verification, charge review, claims submission, and denial management, and collections is required.
- Experience in DME and using Apero is preferred but not required.
- Candidates must demonstrate an ability to work collaboratively with team members and healthcare providers.
- Candidates must be able to function in a fast-paced work environment and handle occasional periods of above-average pressure.
- Excellent customer service skills are necessary, as the role involves interacting with various stakeholders, including patients, insurance companies, and healthcare providers.
Benefits
- Permanent work from home
- Night Shift
- Following US Holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical claims monitoringclaim rejection resolutionpayment postingMedicare eligibilityMedicaid eligibilitycommercial insurance eligibilitybilling systems proficiencycoding guidelines knowledgerevenue cycle processesdenial management
Soft skills
collaborationcustomer serviceadaptabilitytime managementproblem-solvingcommunicationteamworkattention to detailpositive attitudestress management