Eastwood Libis, QC, PH

Medical Billing Specialist - AR and Charge Entry - WFH (AMH)

Position Summary:

We are looking for an experienced Medical Billing Specialist - AR and Charge Entry to join our healthcare team. This role requires a minimum of 3 years of experience in Accounts Receivable (AR) and proficiency in English due to frequent interactions with patients. The ideal candidate will have extensive knowledge of Practice Management (PM) and Electronic Medical Record (EMR) systems. As a vital member of our team, you will ensure accurate and efficient medical billing processes without management responsibilities.

Job Details:

  • Work from home
  • Monday to Friday | 9 PM to 6 AM Manila Time
  • *Following US Holidays

Responsibilities:

  • Customer Support: Provide excellent customer service by addressing patient and healthcare provider inquiries related to medical billing and insurance claims. Explain billing information clearly and empathetically.
  • Billing Inquiries: Assist patients with questions regarding billing statements, insurance coverage, and payment options. Translate complex billing information into understandable terms.
  • Claims Processing: Review and process insurance claims, ensuring accuracy and completeness of all necessary information. Rectify any discrepancies or errors in submissions.
  • Payment Verification: Verify insurance eligibility, benefits, and authorizations. Confirm the accuracy of patient information and insurance details for claims processing.
  • Dispute Resolution: Address and resolve billing disputes, discrepancies, and denied claims. Collaborate with insurance companies and healthcare providers for efficient problem-solving.
  • Documentation: Maintain detailed records of customer interactions, billing inquiries, and resolutions. Ensure proper documentation and filing of all billing and insurance information.

Qualifications:

  • Minimum of 3 years experience in medical billing, specifically in Accounts Receivable.
  • Proficiency in English with excellent verbal and written communication skills.
  • Extensive experience with PM/EMR systems.
  • Strong understanding of medical billing processes, insurance claims, and payment verification.
  • Ability to explain complex billing concepts clearly and empathetically to patients.
  • Proven track record in dispute resolution and claims processing.
  • Exceptional organizational skills and attention to detail for accurate documentation and record-keeping.

by Carl Trinidad

Medical Billing Specialist - AR

Position Summary:

The Medical Billing Specialist - AR will play a vital role in our financial team with the primary responsibility of handling all aspects of claims management, from investigation to resolution. This involves reviewing and analyzing the status of claims, navigating various online portals, and regularly communicating with payers. The position also requires a proactive approach towards the investigation and analysis of claim denials, finding effective solutions to ensure their payment, and consistently following up on any outstanding claims. The Accounts Receivable Specialist will report directly to the Accounts Receivable Supervisor/Manager and contribute to the effective and efficient operation of our financial management system.

Job Details:

  • Medical Billing Specialist - AR
  • Work from home
  • Monday to Friday | 10:00 PM to 7:00 AM Manila time
    • Following Philippine Holidays

Responsibilities:

  • Navigate Different Online Portals: Regularly access various online systems to check the status of claims, ensuring they are processed correctly and in a timely manner.
  • Communicate with Payers: Contact payer hotlines for inquiries, clarifications, and the status of claims. Display professionalism and efficiency in all interactions to maintain positive relationships.
  • Investigate Claim Denials: Proactively investigate the reasons behind claim denials, analyze the information gathered, and develop effective solutions to ensure claim payments.
  • Manage Claim Adjustments: Resubmit claims, request reprocessing, send corrected claims, and/or create appeals as needed, based on analysis and investigation results.
  • Follow Up on Outstanding Claims: Diligently and promptly follow up on any open and unpaid claim until the Accounts Receivable list is cleared up, preventing untimely resubmission or appeal.
  • Report Regularly: Provide daily reports to the Accounts Receivable Supervisor/Manager about completed tasks and any pending issues, ensuring clear and concise communication about any updates or issues that require attention.
  • Maintain the Accounts Receivable System: Regularly update the Accounts Receivable system with clear, comprehensive notes to track progress and facilitate efficient claim management.

Qualifications:

  • At least 3 years’ experience in an accounts receivable role, with a focus on healthcare claims management.
  • Excellent ability to navigate and use various online systems and portals.
  • Strong communication skills, both verbal and written, for effective liaison with payers and internal stakeholders.
  • Proven analytical and problem-solving skills, with the ability to analyze claim denials and devise effective resolutions.
  • Attention to detail and high levels of accuracy in all tasks.
  • Ability to work effectively under pressure and manage multiple priorities.
  • Proficient in using accounts receivable software and other standard office software such as Microsoft Office.

by Carl Trinidad

Junior Accountant

Position Summary:

The Junior Accountant will provide support to the financial department by managing daily accounting tasks. You will be part of a team of professionals working to maintain order and transparency for the company’s finances. Preparing financial statements and reporting are a large part of the junior accountant’s day-to-day work. The ideal candidate will be well-versed in accounting principles and able to work comfortably with numbers and attention to detail. The goal is to contribute to the overall efficient operation of the department and help the company be fully aware of its financial condition. This way it can make the right decisions and accomplish long term success.

Job Details:

  • Junior Accountant
  • Work from Home
  • Monday to Friday | 8:00 PM to 5:00 AM Manila Time (Night Shift)

Responsibilities:

  • Post and process journal entries to ensure all business transactions are recorded.
  • Update accounts receivable and issue invoices.
  • Update accounts payable and perform reconciliations.
  • Assist in the processing of balance sheets, income statements and other financial statements according to legal and company accounting and financial guidelines.
  • Assist with reviewing of expenses, payroll records etc. as assigned.
  • Update financial data in databases to ensure that information will be accurate and immediately available when needed.
  • Prepare and submit weekly/monthly reports.
  • Assist senior accountants in the preparation of monthly/yearly closings.
  • Assist with other accounting projects.

Qualifications:

  • BSc/Ba in accounting, finance or relevant field.
  • Proven experience as a junior accountant.
  • Excellent knowledge of MS Office and familiarity with relevant computer software such as Yardi Qualifications (ACA, ACCA or CIMA) is a plus but not required.
  • Excellent organizing abilities.
  • Great attention to detail.
  • Good with numbers and figures and an analytical acumen.
  • Good understanding of accounting and financial reporting principles and practices.

by Carl Trinidad