Medical Billing Collections Consultant | Work from Home

pofft Technology Inc.; Manila; Remote; PHP 446,000 - 781,000; Part time

Job summary

pofft Technology Inc. is seeking a Medical Billing Collections Consultant to work from home. The role focuses on tracking AR, monitoring claims, and negotiating payment arrangements with patients and payers.

The position requires 1+ year BPO experience, familiarity with US healthcare billing, and strong English communication. A consultancy contract of at least 6 months is encouraged, with reliable home internet and a backup connection expected.

Qualifications

• At least 1 year of experience in a BPO or call center.
• Experience with phone collections on US accounts is desirable.
• Medical billing or medical collections experience is a plus.
• Knowledge of the US healthcare system (Medicare/Medicaid) is beneficial.
• Excellent verbal and written English communication skills.
• Open to a consultancy contract minimum of 6 months.
• Work from home with reliable internet and a backup connection.

Responsibilities

• Track and manage accounts receivable with aging control.
• Regularly check status of submitted claims for timely processing and payment.
• Resubmit claims for appeal to resolve delays.
• Prepare and send patient statements promptly and accurately.
• Conduct patient collection calls and negotiate payment arrangements.
• Respond to patient and payer inquiries via email and phone.
• Accept phone payments from patients and maintain records.
• Monitor denial trends and provide resolutions; handle complex denials and appeals.

Skills

Phone collections

US accounts

English communication

BPO experience

Remote work

Job description

Medical Billing Collections Consultant | Work from Home

• Track and manage accounts receivable, ensuring aging amounts remain within targeted levels.
• Regularly check the status of submitted claims to ensure timely processing and payment.
• Resubmit claims for appeal as necessary, working to resolve any issues that may delay payment.
• Prepare and send out patient statements in a timely and accurate manner.
• Conduct patient collection phone calls, professionally addressing outstanding balances and negotiating payment arrangements.
• Respond to patient and payer's email and phone inquiries regarding their accounts, providing clear and helpful information.
• Accept phone payments from patients, ensuring accurate processing and record-keeping.
• Monitor Denial Trends and provide timely and accurate resolutions
• Handle complex denials and appeals
• Utilize different collection strategies to achieve optimum reimbursement on delinquent accounts.
• Follow team and/or clients proper procedures, policies, and methodologies as instructed.
• Performs other related duties as necessary or assigned

Minimum Qualifications:

• Must have at least 1 year of experience in a BPO or Call Center environment.
• Experience with phone collections, particularly on US accounts, is desirable but not required.
• Previous experience in Medical Billing or Medical Collections is a plus but not mandatory.
• Knowledge of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly beneficial.
• Must possess excellent verbal and written English communication skills.
• Open to consultancy contract minimum of 6 months
• Able to work from home with reliable internet and a backup connection.