Medical Billing Collections Consultant | Work from Home

Ali Aydi; Manila; Hybrid; PHP 704,000 - 1,056,000; Part time

Job summary

Ali Aydi is seeking a remote Medical Billing/Collections specialist to manage AR, monitor claims, and handle patient statements from the Philippines. The role focuses on timely payments for US accounts with a strong emphasis on communication and problem resolution.

The ideal candidate has 1 year in BPO, knowledge of the US healthcare system, and can work remotely with a reliable internet connection. A consultancy contract of at least 6 months is offered.

Qualifications

• 1 year of experience in a BPO or Call Center environment.
• Experience with phone collections on US accounts is desirable but not required.
• Medical Billing or Medical Collections experience is a plus.
• Knowledge of US healthcare system including Medicare/Medicaid and commercial payers is beneficial.
• Excellent verbal and written English communication skills.
• Open to consultancy contract minimum of 6 months.
• Able to work from home with reliable internet and backup connection.

Responsibilities

• Track and manage accounts receivable to keep aging within targets.
• Regularly check status of submitted claims for timely processing and payment.
• Resubmit claims for appeal to resolve issues delaying payment.
• Prepare and send patient statements promptly and accurately.
• Conduct patient collection calls and negotiate payment arrangements.

Skills

Accounts receivable

Phone collections

Medical billing

US healthcare knowledge

English communication

Job description

• 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.

Management and Finance Patient Communication

Details

Who may apply Asia Only As the board states it — check the description for country or time-zone limits.