Back Office Support

Medical Billing Specialist (AR and Collections)

Position Summary:

We are actively seeking experienced and highly motivated Medical Billing Specialist (AR and Collections) to join our dynamic team. The successful candidate will play a crucial role in managing our collection processes for TDD services. The tasks include contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or other responsible parties for services rendered. The ideal candidate should possess in-depth knowledge of billing and collection practices and have a strong track record in resolving complex financial situations.

Job Details:

  • Medical Billing Specialist (AR and Collections)
  • Work from home
    • Monday to Friday | 9 PM to 6 AM (Manila Time)

      Responsibilities:

      • Recognize and support patients’ rights and responsibilities in the performance of job duties, while respecting their privacy and confidentiality.
      • Follow up on submitted invoices to ensure prompt and timely payment, escalating issues as necessary.
      • Evaluate payments/denials received for correctness and ensure they are applied accordingly.
      • Identify bad debt write-offs and A/R adjustments. Initiate write-offs and adjustments in accordance with established policies and procedures.
      • Detect any overpayments and/or duplicate payments and investigate and resolve accordingly.
      • Process refund requests, in accordance with policies and procedures.
      • Maintain contact with other departments to obtain the patient or insurance information needed for claim payment.
      • Understand all procedures within regulatory mandates.
      • Ensure that the collection operations are conducted in a manner that is consistent with overall department protocol and follows Federal, State, and payer regulation, guidelines, and requirements.
      • Make calls to troubleshoot payment discrepancies and establish resolution.
      • Document, in detail, phone calls, phone numbers, persons spoken to, and call details on a consistent basis.
      • Consistently look for areas to maximize claim reimbursement.
      • Resolve issues that caused a denial within 5 days of receipt of denial.
      • Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.
      • Understand NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
      • Maintain a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
      • Share knowledge gained with other staff members and work as a team member.
      • Interact with others in a positive, respectful, and considerate manner.
      • Perform other job-related duties as assigned.

      Qualifications:

      • A high school diploma or general education degree (GED) equivalent.
      • At least 3 years of medical billing and collections experience.
      • Home Infusion experience, hospital or chemotherapy experience is required.
      • Experience in calculating drug units, Intrathecal Pain Management is a plus.
      • Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations.
      • Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders.
      • Strong work ethic with personal qualities of integrity and credibility.
      • Self-directed, detail-oriented, conscientious, organized, and able to follow through.
      • Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.
      • Tolerance of frequent interruptions and distractions from staff and other internal support teams.
      • Proficiency in Microsoft Office, including Outlook, Word, and Excel.

      by Carl Trinidad

      Financial Reporting Accountant - DKTI

      Summary:

      The Financial Reporting Accountant is responsible for supporting the HQ accounting team with monthly financial reporting, intercompany eliminations, year-end closing and financial consolidation assistance, audit schedule preparation as well as quarterly financial analysis and other special projects as assigned.

      Job Details:

      • Work from home
      • Monday to Friday | 3 PM to 12 AM
      • *Following Philippine Holidays

      Duties and responsibilities:

      • Primary responsibility is to support the HQ accounting team for the global audit-related activities including, but not limited to:
      • Liaison with the countries to request and receive year-end global reporting
        package such as audit reports, tie-out schedules, and supporting documents.
      • Assist in the review of documents submitted by the countries and mapping of the countries' trial balances to the global chart of account
      • Upload the countries' trial balances to the consolidation software and reconcile
        the countries’ audit report with the countries’ trial balances
      • Reconcile intercompany for interim and year-end
      • Assist in the global consolidation and elimination of the 50+ legal entities.
      • Assist in the preparation of consolidated financial statements and supporting
        schedules according to audit requests
      • Assist with donor reports and audits, as needed
      • Assist with intercompany eliminations and group financial consolidation
      • Assist in documentation and monitoring of internal controls
      • Assist with other projects, as assigned
      • Assist in the grant revenue recognition review

      Qualifications:

      • A bachelor’s or higher degree in Accounting required
      • Minimum of five (5) years' experience in accounting in one of the following required:
        1. a publicly traded company
        2. a public accounting firm or
        3. a large privately held company required
      • Prior public accounting experience preferred
      • CPA License preferred
      • Strong understanding of accounting theory
      • Meticulously detail-oriented and organized in workload
      • Ability to follow guidance and meet assigned deadlines
      • Excellent quantitative and qualitative analytical skills
      • Excellent problem-solving skills
      • Excellent communication and interpersonal skills with a customer service focus and the ability to write clear, precise, concise emails to internal customers whose English is not their first language
      • High proficiency in Microsoft Office (Outlook, Excel, PowerPoint, and Word), 10-key adding machine, high WPM keyboarding (typing) required
      • Strong keyboarding skills
      • Willingness to learn consolidation software experience
      • Ability to be a team player and flexible to adapt to changing business needs of the organization and team
      • Be able to fit in decentralized organization culture, result oriented, being
        nimble and flexible to be adaptive to new processes and environments in a fast-growing business environment
      • The minimum required internet speed is 200 Mbps (Upload/Download).

      by Carl Trinidad

      Commercial Insurance Assistant

      Position Overview:

      The Offshore Commercial Insurance Assistant will support the Commercial Account Managers and Sales Leads in delivering high-quality service to clients. This role involves a variety of responsibilities, including managing client accounts, issuing certificates, processing invoices, policy checking, data entry, and more. The ideal candidate will have strong technical, communication, analytical, and organizational skills, as well as the ability to work effectively in a team-oriented environment.

      Job Details:

      • Data Processing Specialist
      • Work From Home setup
      • Monday to Friday | 10 PM to 7 AM

      Key Responsibilities:

      • Account Management Support
        • Commercial Proposals
        • Creation of Certificates
        • File Organization and Documentation
      • Quoting and bind preparation assistance
        • Submissions to the Commercial Market
        • Commercial Processing
        • Review quotes for shortcomings and communicate to Account Managers & Sales Leads
        • Generate accurate replacement cost evaluations
        • Generate driving history reports
        • Generate finance agreements for specified carriers
      • Administrative Support
        • Email Management
        • SMS text Management
        • Data Entry and Policy Checking
        • Project Support
      • Team Collaboration
        • Engage in regular collaboration with team members, participate in weekly meetings, and contribute to team discussions.
      • Professional Development
        • Engage in ongoing training and development.
        • Stay updated on industry trends, new products, and changes in regulations, and quickly learn new software or processes as needed.

      Job Requirements:

      • Technical Skills: (A plus but not required; training will be provided)
        • Understanding of insurance policies and familiarity with commercial insurance products (e.g., Property, Liability, Workers’ Comp, EPLI, D&O, Auto, Marine).
        • Proficiency in using Salesforce, Outlook, and NowCerts.
        • Ability to interpret policy documents, manage data entry, and maintain client information privacy.
      • Communication Skills:
        • Effective communication with US producers/agents and offshore team members.
        • Ability to build and maintain positive relationships.
      • Analytical Skills:
        • Proactive problem-solving abilities.
        • Ability to identify and resolve discrepancies in policies or billing.
      • Organizational Skills:
        • Strong time management and task management skills.
        • Attention to detail and accuracy in policy documentation and client records.
      • Continuous Learning and Adaptability:
        • Willingness to engage in professional development.
        • Flexibility to adapt to changes in procedures, technology, or market conditions.

      by Carl Trinidad