Accounts Receivable Specialist (Healthcare - US Based Client)

Employment Type: Full-Time Employment
Work Setup: 100% Onsite
Work Schedule: Night Shift (Following Eastern U.S. Time Zone)
Location: Eastwood, Libis, Quezon City
Salary Package: 40,000 to 50,000 PHP/Monthly

Position Overview:

Resolves outstanding, unpaid, unprocessed, and denied claims submitted to third-party payers on behalf of client, to ensure compensation is received fully, and in a timely manner. Accesses third-party websites, places outbound phone calls, accepts inbound phone calls, sends and receives facsimiles and sends and receives correspondence with third-party payers and various government agencies for follow-up on non-responsive claims and denials for payments.

Duties and Responsibilities:

• Reviews, researches and resolves insurance claims, unprocessed third-party claims, denials, underpayments and overpayments.
• Verifies accuracy of billing data and corrects errors; resubmits clean claims to payers electronically or via paper claim.
• Works, monitors and manages his/her respective work queues in the practice management and claims processing systems, including, but not limited to, denials, 30, 60, 90, and 120+ Day aging on assigned insurance carrier(s) to get claims paid in a timely manner.
• Works incoming mail and EOBs (Explanation of Benefits) from the insurance carriers and processes claims related correspondence to resolve issues.
• Works EDI transactions, ERA files and rejection reports.
• Contacts payers via phone to help expedite the resolution of claims and payments.
• Accesses web-based applications and internet for claim status and eligibility of services.
• Identifies and resolves patient billing complaints and inquires. Assists the overflow customer service line when volume of incoming calls warrants assistance.
• Complies with Patient Accounting quality and productivity standards.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Other duties and responsibilities as assigned by supervisor.

Job Requirements:

• Associate’s or Bachelor’s Degree in Business or related field
• Medical billing, revenue cycle, and/or coding certification (CRCR, CPC) is a must.
• Cerner PM experience is a must.
• Three (3) years medical billing experience in a physician practice or hospital setting.
• Strong knowledge of Medicare claims processing regulations and other payer specific guidelines
• Strong written and verbal communication skills
• Ability to establish and maintain cooperative working relationships and the ability to work in teams
• Proficiency in Microsoft Office programs such as Word, Excel, and Outlook

WHY INTELASSIST?
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