Essential Duties and Responsibilities include the following. Other duties may be assigned.
Billing and Collections:
- Manage service authorizations, eligibility checks, and benefit verifications.
- Post payments accurately and conduct A/R follow-ups with insurance providers on unpaid claims.
- Track, research, and resolve unpaid claims; prepare and submit appeals when necessary.
- Ensure accurate and timely data entry into billing software (e.g., Eclipse).
Accounts Receivable Management:
- Generate and maintain aging reports for accounts receivable.
- Investigate and resolve account discrepancies.
- Perform necessary adjustments and ensure financial records are accurate and up to date.
Key Qualifications:
- Experience: 1–3 years in Medical A/R and billing.
- Knowledge: Expertise in Revenue Cycle Management, specifically for Physical Therapy, Acupuncture, Podiatry, Nurse Practitioner, and Chiropractic services.
- Systems: Skilled in EMR/EHR software, such as Eclipse.
- Core Skills: Strong organizational, communication, and problem-solving abilities.
- Compliance: Deep understanding of HIPAA and PHI regulations.
- Soft Skills: Detail-oriented, proactive, able to handle pressure, and comfortable managing multiple priorities.
Shift / Hours:
Monday – Friday in one single shift, 8:30 AM EST – 5:30 AM EST and. Note this is +12 or +13 Philippine time, which will be 8:30 PM PHT – 5:30 AM in PHT from March – November, and adjusts to 9:30 PM PHT – 6:30 AM PHT during Daylight Savings Time.