2021 Accounts Receivable Subject Matter Expert

2021 Accounts Receivable Subject Matter Expert (Start ASAP)

Taguig

Opportunity Expired

We can bring out the best of your skills to work in a setting that is geared to helping improve lives and enhance health care for millions.

Opportunity details

Opportunity Type

Graduate Job

Number of Vacancies

1-100

Start Date

ASAP

Applications Open

15 Oct 2021

Applications Close

Accepting International Applications

No

Qualifications Accepted

B

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The Accounts Receivable Subject Matter Expert (SME), supporting US Healthcare Programs, is expected to:

• Research/ Analyze Accounts Receivable and Outstanding balances by:
• Reading Explanation of Benefits (EOB), Remittance Advice and Denials from Payers where this data is used to build better arguments to drive resolution for the open accounts receivable
• Researching the web for resources and regulations that are mandated by the federal government for healthcare collections
• Collaborate and communicate with internal and external partners
• Communicating with provider representatives, and understands how the US insurance system rules and regulations
• Use all channels available to communicate, collect and resolve open accounts receivables with patients or payers
• Negotiate payment terms, payment plans and create arguments that will yield payment success for balance settlements
• Organize data and collections history of a patient account to build strong arguments to be used for payer settlement initiatives
• Manage and resolve Customer Disputes and Grievances including finding appropriate financial assistance programs that will reduce patient cost-share through foundations or drug copay programs.
• Responsible for contributing and improving organization policies on collection practices.

Required Qualifications:

• Minimum 2 years of experience as a specialist for Provider Healthcare Collections or Healthcare Claims supporting Appeals or Grievances departments.
• SMEs supporting these processes with 1.5 years of experience are also welcome to apply.
• Candidates with local Insurance Claims experience must have a minimum of 3 years of relevant work experience to qualify for this role.
• Proficient in US Healthcare billing and coding regulations as it relates to reimbursement
• Must have completed any 4-year College degree, preferably a graduate of Business or Medical Allied courses.
• Excellent communication skills both oral and written
• A self Sufficient and results-oriented individual who is focused to achieve goals
• Temporary Work at Home Setup is available and candidates must be amenable to work in our offices in Quezon City, Alabang, Taguig City or Cebu City in case a return to office is required.

What We Offer:

• Market Competitive Pay Levels
• Retirement Plan
• Annual Performance-Based Merit Increases
• Medical Plan (HMO)
• Dental, Medical and Optical Reimbursements
• Life and Disability Insurance
• Tuition Reimbursement
• Sick Leave Conversion
• Employee Assistance Program (EAP)
• Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life's best work. SM

Hiring criteria

You should have or be completing the following to apply for this opportunity.

The opportunity is available to applicants in any of the following categories.