Medical Biller, Accounts Receivable Specialist

Summary

Join MedCore Solution, Bizforce's medical division, as a Work From Home Medical Biller/Accounts Receivable Specialist (US Healthcare)! You will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement. This permanent, work-from-home position offers the chance to work with a dynamic team using the latest technology. BizForce & MedCore Solutions partners with leading global healthcare platforms, providing remote work opportunities for top Philippine talent. The role involves managing accounts receivable, coordinating with healthcare providers and insurance companies, handling denied claims, and ensuring timely reimbursements. You will work from home permanently with access to the latest technology and resources.

Requirements

• At least 3 years of experience as US Medical AR Specialist
• Knowledge of medical billing and coding practices
• Strong understanding of healthcare billing process
• Familiarity with healthcare insurance plans and related policies
• Experience with HIPAA regulations
• Excellent communication and customer service skills
• Strong attention to detail
• Strong computer skills and experience with medical billing software
• Amenable to work in any US time zones (graveyard shift)

Responsibilities

• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
• Maintain Medicare bad-debt cost report
• Secure outstanding balance payments for care of employees
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Preferred Qualifications

A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages

Benefits

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Specialized Training