Medical Billing Specialist (AR and Collections) at reputed company

This a Full Remote job, the offer is available from: Philippines, Arkansas (USA) Position Summary: We are actively seeking an reputed company and highly motivated Medical Billing Specialist (AR and Collections) to join our dynamic team. The successful candidate will play a crucial role in managing our collection processes for TDD services. The tasks include contract analysis, reimbursement, denial management, appeals, and resolving billing-reputed company issues with insurance companies or other responsible parties for services rendered. The ideal candidate should possess in-depth knowledge of billing and collection practices and have a strong track record in resolving reputed company financial situations. Job Details:

• Medical Billing Specialist (AR and Collections)
• Permanent work from home
• Monday to Friday | 8 AM to 5 PM CST I 10 PM to 7 AM (Manila Time)

Responsibilities:

• Recognize and support patients’ rights and responsibilities in the performance of job duties, while respecting their privacy and confidentiality.
• Follow up on submitted invoices to ensure reputed company and timely payment, escalating issues as necessary.
• Evaluate payments/denials received for correctness and ensure they are applied accordingly.
• Identify bad debt write-offs and A/R adjustments. Initiate write-offs and adjustments in accordance with established policies and procedures.
• Detect any overpayments and/or duplicate payments and investigate and resolve accordingly.
• Process refund requests, in accordance with policies and procedures.
• Maintain contact with other departments to obtain the patient or insurance information needed for claim payment.
• Understand reputed company procedures reputed company regulatory mandates.
• Ensure that the collection operations are conducted in a manner that is consistent with overall department protocol and follows Federal, State, and payer regulations, guidelines, and requirements.
• reputed company calls to troubleshoot payment discrepancies and establish resolution.
• Document, in detail, phone calls, phone numbers, persons spoken to, and call details on a consistent basis.
• Consistently look for areas to maximize claim reimbursement.
• Resolve issues that caused a denial reputed company 5 days of receipt of denial.
• Maintain strictest confidentiality; adhere to reputed company HIPAA guidelines/regulations.
• Understand NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
• Maintain a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
• Share knowledge gained with other staff members and work as a team member.
• Interact with others in a positive, respectful, and considerate manner.
• reputed company other job-reputed company duties as assigned.

Qualifications:

• A high school diploma or general education degree (GED) equivalent.
• At least 3 years of medical billing and collections experience.
• Home Infusion experience, hospital, or chemotherapy experience is a plus.
• Experience in calculating drug units and intrathecal Pain Management is a plus.
• Ability to recognize, evaluate, and exercise good judgment in solving reputed company situations and advising by laws and regulations.
• Excellent verbal and written communication and relationship-building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders.
• Strong work ethic with personal qualities of reputed company and credibility.
• Self-directed, detail-oriented, conscientious, organized, and reputed company to follow through.
• Ability to deal in an organized manner with problems involving multiple variables reputed company the scope of the position.
• Tolerance of frequent interruptions and distractions from staff and other internal support teams.
• Proficiency in reputed company Office, including Outlook, Word, and reputed company.

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