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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:
- Work from home
- Monday to Friday | 9 PM to 6 AM
- *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.
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.
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:
- a publicly traded company
- a public accounting firm or
- 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).