Medical Billing Specialist - Collections

Sourcefit Philippines, Inc.; Quezon City; Remote; PHP 350,000 - 520,000; Full time

Job summary

Sourcefit Philippines, Inc. is seeking a Medical Billing Specialist - Collections to join our team. The role focuses on billing in mental health and/or substance abuse treatment, ensuring accurate revenue cycle management and timely claim collections.

The position is work-from-home with a night shift from 9 PM to 6 AM Manila Time, Monday to Friday, supporting in-network contracts and HIPAA-compliant processes.

Qualifications

• Experience with CollaborateMD billing software (preferred, not required).
• Strong attention to detail and accuracy in coding and billing processes.
• Excellent communication skills to interact with healthcare providers, insurance companies, and patients.
• Ability to work independently and prioritize tasks effectively.

Responsibilities

• Call carriers and inquire about payment status on claims according to our in-network contracts.
• Audit discrepancies between billing and payment delays/denials.
• Verify insurance payment accuracy and compliance with contract and customary charges.
• Follow up on unpaid or denied claims and appeal & send medical records as necessary.
• Demonstrate knowledge of third-party payers' Explanation of Benefits (EOBs) and understand specific time limitations for appeals for all served lines of business.
• Maintain confidentiality of patient information and adhere to HIPAA regulations.

Skills

Attention to detail

Excellent communication

Independent worker

Billing accuracy

Tools

CollaborateMD billing software

Job description

Position Summary:

Our client is seeking a tenacious and detail-oriented Medical Billing Specialist - Collections. The ideal candidate will have experience in mental health and/or substance abuse treatment billing, or revenue cycle management. This role is integral to ensuring accurate billing processes and effective revenue cycle management, contributing to the financial health of our organization.

Job Details:

• Work from Home
• Monday to Friday | 9 PM to 6 AM (Manila Time)

Responsibilities:

• Call carriers and inquire about payment status on claims according to our in-network contracts.
• Audit discrepancies between billing and payment delays/denials.
• Verify insurance payment accuracy and compliance with contract and customary charges.
• Follow up on unpaid or denied claims and appeal & send medical records as necessary.
• Demonstrate knowledge of third-party payers' Explanation of Benefits (EOBs) and understand specific time limitations for appeals for all served lines of business.
• Maintain confidentiality of patient information and adhere to HIPAA regulations.

Qualifications:

• Experience with CollaborateMD billing software (preferred, not required).
• Strong attention to detail and accuracy in coding and billing processes.
• Excellent communication skills to interact with healthcare providers, insurance companies, and patients.
• Ability to work independently and prioritize tasks effectively.