Medical Billing Specialist – Accounts Receivable

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November 26

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Sourcefit

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B2B • SaaS • Recruitment

Sourcefit is a leading business process outsourcing company with headquarters in the Philippines and offices in the Dominican Republic, Armenia, Madagascar, and South Africa. Founded in 2009, Sourcefit specializes in providing custom offshore and nearshore staffing solutions across various industries including IT, Finance, Healthcare, Retail, and more. They focus on offering efficient and cost-effective BPO services such as telesales, customer support, content moderation, IT support, web development, and more. Sourcefit is committed to building long-term value for organizations through customized, efficient, and integrated offshore staffing solutions.

1001 - 5000 employees

🤝 B2B

☁️ SaaS

🎯 Recruiter

📋 Description

• 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. • 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 claims until the Accounts Receivable list is cleared up. • Report Regularly: Provide daily reports to the Accounts Receivable Supervisor/Manager about completed tasks and any pending issues. • Maintain the Accounts Receivable System: Regularly update the Accounts Receivable system with clear notes to track progress and facilitate efficient claim management. • Verify Patient Benefits: Conduct verification of patient insurance benefits by reviewing coverage details, confirming eligibility, and documenting required information to support accurate claims processing and timely reimbursement.

🎯 Requirements

• At least 3 years of 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.

🏖️ Benefits

• Work from home Monday to Friday • Following Philippine Holidays