Back Office Support

Medical Billing Specialist - Collections

The primary responsibility of the Medical Billing Specialist – Collections is to assist our clients in collecting payments from the insurance companies for their medical services rendered to their patients. This includes charge entry and providing exceptional customer service.

Job Details:

  • Medical Billing Specialist – Collections
  • Work from home
  • Monday to Friday | 9:00 PM to 6:00 AM (Manila)
  • *Following US Holidays

Responsibilities:

  • Review/Analyze explanation of benefits (EOB), Remittance Advice, and Denials from Payers to drive resolution for account receivables.
  • Preparation and analysis of aging reports.
  • Use all channels available to resolve and collect account receivables with payers which includes but is not limited to utilizing payer portals and outbound calls to the provider desk.
  • Review or update claims corrections and uploads required documents in our clearinghouse portals.
  • Identifying underpayments and preparing documents for appeals
  • Creating batches and post-received payments.
  • Code claims accordingly with CPT and ICD 10s codes.
  • Perform other duties assigned by the management.
  • Post charges to create a claim and submit it to our clearinghouses.
  • Contact patients, providers, and payers to check eligibility, pre-cert, or follow up on claims/appeals.
  • Ability to work well independently and communicate efficiently and respectfully with patients and insurance representatives.
  • Identify billing errors and denials, by understanding the problem and resubmit corrected claims or take other appropriate action to resolution.

Qualifications:

  • At least 3 years of experience in Medical Billing and Collections.
  • Knowledge of medical billing codes, including CPT and HCPCS coding, claims modifiers, and ICD-10 diagnosis coding.
  • Familiarity with Revenue Cycle Management (RCM) systems, Practice Management Systems (PMS), and tools.
  • Understanding of different types of insurance coverages and claims, including Health, Workers' Comp, and Auto
  • Ability to read and interpret EOBs (Explanation of Benefits)
  • Experience with coordinating with insurance companies.
  • Strong adaptability and ability to learn quickly.
  • Proven efficiency and punctuality in completing tasks.
  • Previous experience in Orthopedic, Spine Surgery and Pain Management Specialty a plus

Bank Reconciliation Analyst

Job Description

As a Bank Reconciliation Analyst, you will be assisting day to day tasks of the client and their associated business. It involves the identification of opportunities of implementation of procedures and ensuring service levels are adhered to. After hours contact with management and input may be required.

What’s in it for you?

  • Health Insurance (HMO)
  • Competitive Salary
  • Expanded maternity leave up to 120 days
  • Allowances
  • Paid Time offs (Vacation Leaves Are Convertible to cash if unused)
  • Companywide events
  • Fun & Relaxed environment

Job Details:

  • Temporary work from home
  • Monday to Friday, 6 AM to 3 PM
  • Holidays to follow: AU Holidays
  • Eastwood Libis QC

Responsibilities:

  • Obtaining client data
  • Data entry
  • Maintaining databases
  • Reconciliations
  • Management reporting
  • Client support
  • Answering phones
  • Filing
  • Support to other team members as needed.

Qualifications:

  • 3 years’ experience in a similar role
  • Excellent English – both written and verbal communication
  • Experience with Microsoft Office, particularly Excel and Outlook
  • High attention to detail
  • Able to deliver tasks within the specified deadline
  • Able to work as unsupervised and as part of a team
  • Proactive and enthusiastic attitude
  • Self-motivated
  • Aptitude for figures
  • Enjoy taking ownership and responsibility
  • Previous commission experience would be advantageous

Administrative Assistant

Summary:

As an Administrative Assistant, you are responsible for performing a variety of specialized administrative and office support functions while interacting with company personnel and the public. You believe in doing the job right. Being the best. And you’re up for the challenge.

Job details:

Work Onsite
Monday to Friday | 10 PM to 7 AM Manila time

Responsibilities:

  • Perform general office duties and perform basic bookkeeping work
  • Manage and maintain executives’ schedules and book travel arrangements as needed
  • Prepares and files reports, memos, letters, and other documents
  • Perform photocopying and other production services
  • Assist in coordinating special events and projects
  • Attend meetings to record minutes

Qualifications:

  • You have a track record of completing work with a high level of quality
  • You have a knack for figuring out hard problems and enjoy a hands-on approach to your work
  • You can work independently on multiple projects at once
  • You are highly organized
  • You are proficient with Microsoft office products (Excel/Outlook/Word/PowerPoint/Visio) etc.
  • You have strong communication skills and a professional demeanor
  • You have experience in both customer-oriented and professional environments