Philippine Medical System jobs

FORTA’S MISSION:

Forta is clearing the path to quality healthcare by delivering the best possible outcomes with the utmost convenience. 1 in 36 children [CDC, 2023] is diagnosed to be on the autism spectrum. Currently, autism support via Applied Behavior Analysis (ABA) is difficult to access and the delivery model must be expanded to provide earlier access to families.

Forta is not only providing ABA services to our clients, but we’re also improving the future of the ABA experience for families by creating software and predictive algorithms that elevate clinicians to work smarter by surfacing the latest and most relevant case data. We are working diligently to continuously improve the patient journey and deliver personalized care by applying smart technology and investing in the growth of our world-class team.

Overview

As a Medical billing & collection specialist, you will play a crucial role in the healthcare team by ensuring accurate and timely billing and collection. You will work closely with the billing team, healthcare providers, and insurance companies to process claims, resolve payment issues, and maintain financial records. Your attention to detail, strong organizational skills, and ability to work effectively in a fast-paced environment will contribute to the smooth operation of the billing and collections department.

Responsibilities:

• Process and manage patient billing: Generate accurate and timely patient bills and claims for services rendered, ensuring full compliance with insurance regulations and billing guidelines.
• Verify insurance and authorizations: Confirm patient insurance coverage and check pre-authorizations for treatments or procedures to minimize delays in billing.
• Maintain patient records: Keep detailed and up-to-date patient records, including demographics, insurance information, and billing history, ensuring accurate documentation for smooth billing operations.
• Ensure regulatory compliance: Stay informed on the latest billing, coding, and payer regulations (HIPAA, Medicare, Medicaid, etc.) to ensure compliance and mitigate risks.
• Reporting: Assist in preparing and analyzing financial reports related to patient accounts, revenue, and collections to help optimize billing processes and cash flow.
• Monitor industry changes: Keep up with evolving billing and coding regulations, insurance policies, and industry best practices to ensure consistent adherence to guidelines.
• Collaborate cross-functionally: Work closely with IT, finance, and clinical teams to drive process improvements and implement technology solutions that enhance billing efficiency and accuracy.
• Assist with administrative tasks: Provide support with general administrative duties such as data entry, filing, and maintaining accurate records as required.

Requirements

• Education: Bachelor’s degree in business, healthcare administration, accounting, or a related field (preferred but not required).
• Experience: 2-3 years in medical billing, collections, or a similar role within healthcare, with a preference for experience in ABA (Applied Behavior Analysis) billing and collections.
• Technical expertise: Strong understanding of healthcare billing systems, coding (ICD, CPT, HCPCS), and claims processing, as well as payer regulations, including Medicare and Medicaid.
• Data proficiency: Skilled in data analysis and reporting, with advanced expertise in Excel, Office 365, and Google Workspace.
• Communication and negotiation: Excellent interpersonal, problem-solving, and negotiation skills to effectively manage payer relations and resolve patient inquiries or disputes.
• Customer service: Demonstrated ability to provide exceptional customer service, working with healthcare professionals, patients, and internal teams to address concerns and streamline processes.
• Reliable personal computer or laptop with minimum specifications i5 8th gen with at least 8GB DDR4 RAM or equivalent.
• Reliable internet connection with a minimum 50 MBPS subscription speed and a backup ISP.

YOU NEED IT? WE GOT IT!:

Compensation Rate: ₱ 290 - 320 per hour

Apply Today!

We are looking for you! A driven, reliable, innovative, and patient-focused individual to join our team as we reinvent the care and tools available to neuro-diverse families. If this position sounds like the opportunity you have been searching for, we want to speak with you!

We look forward to working with you!

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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status. Forta is a Drug Free Workplace/ EO employer – M/F/Veteran/Disability

Job Type: Full-time

Benefits:

• Work from home

Job Type: Full-time

Pay: Php50,000.00 - Php55,000.00 per month

Benefits:

• Work from home

Application Question(s):

• Do you have 2–3 years of experience in medical billing, collections, or a similar role within healthcare?
• Do you have prior experience specifically in ABA (Applied Behavior Analysis) billing and collections?
• Are you comfortable working as an independent contractor supporting US hours?
• This role requires installing time tracking software on your computer for monitoring purposes. Are you okay with this requirement?
• What is your expected monthly salary (in Philippine Peso)?
• How soon can you start if selected for the position?

Work Location: Remote