Back Office Support

Financial Analyst

We are seeking a detail-oriented and organized Financial Analyst to join our team. The ideal candidate will possess strong analytical skills, critical thinking abilities, and proficiency in data analysis tools and software. As a Financial Analyst, you will be responsible for generating financial reports, analyzing accounts receivable, coordinating with billing teams, and ensuring compliance with payer contracts and regulations. This role requires a proactive individual who can communicate insights effectively and contribute to the overall success of our organization.

Job Details:

Work from Home

Monday to Friday | 12:30 AM - 1:00 AM to 9:30 AM - 10:00 AM

Responsibilities:

Financial Reporting and Analysis:

  • Build and create financial reports and analyses based on specified requirements.
  • Assist the senior director in preparing month-end reports, including carve-outs, income splits, and other provider analysis reports.

Accounts Receivable Management:

  • Analyze monthly accounts receivable (AR) and alert management of overdue accounts, trends, and major issues.
  • Monitor and reconcile AR copay missing cash/checks, ensuring proper journal entries on the profit and loss statement (P&L).

Data Management and Coordination:

  • Monitor and correct unspecified groups in Forefront.
  • Coordinate the mapping of new providers and changes in Forefront by division and teams, including split incomes.

Audit and Compliance:

  • Audit 100% write-offs and alert supervisors or posting teams for accurate non-revenue procedures (NRP).
  • Utilize ARM (Advanced Reimbursement Manager) to audit, review, and capture underpayments based on contracts, allowed amounts, and billing supervisor coordination.

Contract Management:

  • Maintain a keen understanding of payer contracts, submitting and contacting insurances for reimbursement corrections.
  • Review the company’s fee schedules equal to reimbursements and notify for updates to capture the highest reimbursement.

Regulatory Compliance:

  • Adhere to HIPAA policies and regulations in all activities.

Other Responsibilities:

  • Undertake additional projects as assigned from time to time.
  • Meet productivity guidelines and volume expectations.

Qualifications:

  • Bachelor’s degree required, MBA a plus.
  • Minimum of 2 years of financial analysis background and experience.
  • Advanced working knowledge of MS Office (Excel, Word, PowerPoint).
  • Experience in generating Excel models, presentations, and reports.
  • Experience in data analytics, SQL server, and macros are advantageous.
  • Familiarity with ARM (Advanced Reimb Manager – Trizetto) or Epic is a plus.
  • Excellent communication and interpersonal skills.
  • Understanding of medical billing, medical terminology, payer contracts, and insurances.
  • Knowledge of the full revenue cycle management (RCM) cycle is beneficial.

by Carl Trinidad

Medical Billing Specialist

Position Summary:

The primary responsibility of the Medical Billing Specialist is to assist our clients in collecting payments from the insurance companies for the medical services rendered to their patients. Secondary responsibilities may include charge entry, payment posting, and customer service.

Job Details:

Medical Billing Specialist

Work from home

Monday to Friday| 8 AM to 5 PM (EST)

Responsibilities:

  • Creating batches and post-received payments.
  • Identifying underpayments and preparing documents for appeals.
  • Code claims accordingly with CPT and ICD 10s codes.
  • Post charges to create a claim and submit it to our clearinghouses.
  • Review or update claims corrections and upload required documents in our clearinghouse portals.
  • Contact patients, providers, and payers to check eligibility, pre-cert, or follow up on claims/appeals.
  • Perform other duties assigned by the management.

Qualifications:

  • At least 2 years’ Experience in a similar role.
  • Effective oral and written communication skills
  • Knowledge of medical billing codes, including CPT, 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.

by Garegin Hakobyan

Medical Billing Specialist - AR and Charge Entry

Job Overview:

We are currently seeking a detail-oriented, energetic, and focused Medical Biller, specializing in AR & Charge Entry. The ideal candidate is a high achiever committed to their career and demonstrates exceptional capability and commitment in handling complex billing tasks in a high-volume, fast-paced work environment.

About the Client:

Our client is a large physician-owned, physician-directed, and patient-centered organization. Their goals are to provide high-quality, cost-effective, integrated, healthcare and physician services. To preserve community-based independent physician practice locations throughout California. With this client, the practices are closer and more connected to the people and neighborhoods they serve. With a more personal touch to healthcare and easier access to the care they need, they help guide patients to the best possible outcome.

Job Details:

  • Medical Billing Specialist – AR and Charge Entry
  • Monday to Friday | 11:00 PM to 8:00 AM Manila Time
  • Permanent Work from home

Responsibilities:

  • Work all aging claims from Work Ques or Aging reports
  • Perform the day-to-day billing and follow-up activities within the revenue operations
  • Present trends or issues to the supervisor, and work together to make improvements
  • Resolve denials or correspondences from patients and insurance carriers
  • Assist in patient calls and questions
  • Follow team and company policies
  • Meet productivity standards
  • Write clear and concise appeal letters

Qualifications:

  • At least 3 years of Medical Billing- AR and Charge Entry experience in the US Healthcare Industry, specifically in the fields: Vascular, General Surgery, Colorectal, and Podiatry specialties.
  • EPIC software experience
  • Understanding of EOBs, copays, deductibles, various Insurance plans, secondary insurances, Medicare, Medi Cal, contract adjustments
  • Knowledge of modifiers, diagnosis, and CPT codes
  • Knowledge of payers’ policies and rules
  • Superior phone communication skills with providers, carriers, patients, and employees
  • Exceptional written and verbal communication skills
  • Knowledge of modifiers, insurance plans, and follow-up techniques
  • Proficiency with Microsoft Office applications
  • Ability to work in a fast-paced, high-volume work environment
  • Basic typing skills, 40+ wpm.
  • Strong attention to detail
  • Positive attitude
  • Great attendance and punctuality

by Garegin Hakobyan