Medical Claims Consultant jobs
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- Vector Outsourcing Solutions Phils., Inc.Mandaluyong
- Regularly check the status of submitted claims to ensure timely processing and payment.
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- Outsourced Quality Assured Services IncWork from Home
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Independent Healthcare Solutions Consultant (Commission/Remote)
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- Asian Development BankMandaluyong
- Provide administrative and operational support for TA and project processing and implementation, including assistance with consultant recruitment, claims and…
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- Rumen Inc.San Pablo City
- Paid training
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- Opportunities for promotion
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- Assist employees with HMO-related concerns, claims, approvals, and documentation.
- Monitor completion of pre-employment documents, medical requirements,…
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- And complaints related to claims processing.
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- Divine Grace Medical CenterGeneral Trias
- Paid training
- Staff meals provided
- Employee discount
- Company Christmas gift
- Free parking
- On-site parking
- Turns over all HMO forms and charge slips to the claims processing unit.
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- Guerilla Staffing SolutionsAngeles
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Job Post Details
Medical Billing Collections Consultant | Pooling | Work From Home - job post
4.14.1 out of 5 stars
Mandaluyong•Remote
You must create an Indeed account before continuing to the company website to apply
Full job description
- Track and manage accounts receivable, ensuring aging amounts remain within targeted levels.
- Regularly check the status of submitted claims to ensure timely processing and payment.
- Resubmit claims for appeal as necessary, working to resolve any issues that may delay payment.
- Prepare and send out patient statements in a timely and accurate manner.
- Conduct patient collection phone calls, professionally addressing outstanding balances and negotiating payment arrangements.
- Respond to patient and payer's email and phone inquiries regarding their accounts, providing clear and helpful information.
- Accept phone payments from patients, ensuring accurate processing and record-keeping.
- Monitor Denial Trends and provide timely and accurate resolutions
- Handle complex denials and appeals
- Utilize different collection strategies to achieve optimum reimbursement on delinquent accounts.
- Follow team and/or clients proper procedures, policies, and methodologies as instructed.
- Performs other related duties as necessary or assigned
- Minimum Qualifications: Must have at least 1 year of experience in a BPO or Call Center environment.
- Consultancy basis minimum of 6 months consultancy contract (subject for renewal)
- Experience with phone collections, particularly on US accounts, is desirable but not required.
- Previous experience in Medical Billing or Medical Collections is a plus but not mandatory.
- Knowledge of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly beneficial.
- Must possess excellent verbal and written English communication skills.
- Able to work from home with reliable internet and a backup connection.
We are fast growing US based healthcare BPO supporting medical groups, dental groups, diagnostic laboratories, urgent care centers and other ancillary health care providers. Join us now and become one of our leaders as we continue to grow. Vision: To improve healthcare delivery by placing the needs of both providers and patients at the forefront and delivering exceptional customer service Mission: To provide world class customer service, that drives efficiency and progress within the healthcare system, by working together in a culture of continuous improvement and innovation Values: Transparency Honesty Accountability Trust Responsibility Efficiency Adaptability Innovation Respect
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