We're Hiring: Revenue Cycle Specialist (AR Follow-Up/Claims Analyst)!
As a Collections Specialist, you will serve as a bridge between the billing department and third-party payers to resolve overdue claims and collect payments. In this role, you will be responsible for ensuring accurate billing and efficient collections of processes within our
healthcare organization.
Location: Pasig, Philippines
Work Mode: Work From Office
Role: Revenue Cycle Specialist (AR Follow-Up/Claims Analyst)
What You'll Do:
- Monitor accounts to identify overdue payments and correct errors in previously submitted claims to ensure full payment
- Clearly communicate with team members, third-party payers, and customers regarding identified claims errors via phone and email
- Identify, analyze, and research trends in claims rejections and partial payments to create resolutions
- Prioritize activities to work denials and partial payments in a timely manner to avoid timely filing limitations
- Leverage reporting tools for comprehensive data analysis, creating targeted actionplans to resolve billing issues
- Utilize coding systems (CPT, ICD-10) to guarantee meticulous billing and collections
- Process and reprocess medical claims in accordance with payer regulations, protocols, medical authorizations, and departmental guidelines.
What We're Looking For:
- Minimum 2 years of experience in medical billing and collections
- Experience working with third-party payers, such as VA, Medicaid, Medicare Advantage, and Worker's Compensation
- Experience with revenue cycle management
- Experience working with UB04 and HCFA 1500 forms
- Familiarity with Electronic Medical Record (EMR) systems
- Knowledge of health care collections procedure codes and techniques
- Proficiency in using billing software (Clearinghouse) and electronic health records (EHR)
- Proficiency in reading and interpreting ERAs and EOB for all payers
- In-depth knowledge of healthcare billing codes (CPT, ICD-10)
- Proven success in reducing accounts receivable and improving collections
- In-depth knowledge of HIPAA compliance
- Excellent follow-up, time management, and communication skills required
- Familiarity with PowerBI preferred
- Proficiency in MS Office Suite (Outlook, Word, Excel) required
Ready to make an impact Apply now and let's grow together!
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