Medical Billing Specialist (Permanent Work from Home)

MedCore Solution is seeking for skilled WFH Medical Billing Specialists to join our team. As a Medical Billing Specialist, you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home on a permanent basis and will have the opportunity to work with a dynamic team in a fast-paced environment. MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

Responsibilities
Manage accounts receivables and keep up-to-date records
Coordinate with healthcare providers and insurance companies for claim submission and follow-up
Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
Maintain Medicare bad-debt cost report
Secure outstanding balance payments for care of employees
Verify insurance eligibility for patients and ensure timely payment
Handle denied claims and appeal if necessary
Reconcile payments and post to patients’ accounts
Maintain compliance with HIPAA regulations
Handle patient inquiries regarding their accounts

Requirements
At least 3 years of experience as US Medical AR Specialist (US healthcare)
Knowledge of medical billing and coding practices
Strong understanding of healthcare billing process
Familiarity with healthcare insurance plans and related policies
Experience with HIPAA regulations
Excellent communication and customer service skills
Strong attention to detail
Strong computer skills and experience with medical billing software.
Amenable to work in any US time zones (graveyard shift)

Key Results

Reduce coding and billing error rate
Achieve the target collections goals set and collections status report
Reduced number of denials and complaints
Achieve an accuracy rate of 99%
Utilization of billing and coding software programs
System Requirements

Own Desktop/Laptop
Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
Other details:

Start Date: TBD

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: TBD (US work hours)

Duration: Full-time Steady state

Benefits
Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

Permanent Work From home
Permanent Weekends Off
Great Company Culture and No Micromanagement
Specialized Training
Monetary bonus