Accounts Receivable Specialist (Healthcare - US Based Client)
Quezon City, Metro Manila
Permanent
Full-time
27 days ago
Employment Type: Full-time Work Setup: 100% Onsite Salary: PHP 40,00 to 50,000/month Working Hours: 40 hours per week 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 We grow together. We value your effort. We aim to empower you. Show more Show less