About the job Medical Accounts Receivable
Position Title: Medical Accounts Receivable
Reports To: Partner, Partner Advisor
Primary Relationships: Partner Team
Date: November 2024
Schedule: 9:00 PM - 6:00 AM PHT
Responsibilities:
Generate and send invoices to healthcare providers, insurance companies, or patients.
Verify discrepancies and resolve billing issues related to medical claims or patient accounts
Monitor accounts to identify overdue payments, focusing on healthcare-related receivables
Follow up with customers, patients, or insurance companies via phone, email, and mail for payment collections
Implement processes to reduce outstanding medical receivables and streamline collections
Reconcile accounts receivable ledgers to ensure accurate posting of insurance reimbursements and patient payments
Reconcile deduction accounts and ensure accurate recording of adjustments, including insurance denials or patient balances
Prepare and analyze monthly reconciliation reports and financial statements, with a focus on healthcare revenue
Analyze and validate sales deductions such as trade promotions, patient claims, and insurance chargebacks
Identify and resolve discrepancies promptly, including discrepancies in medical billing or insurance claims
Conduct insurance verification for patients to confirm coverage and pre-authorization requirements
Communicate with patients or insurance companies to gather documentation and resolve payment issues
Maintain accurate records of collection activities and interactions with insurance providers
Prepare and present aging reports specific to healthcare receivables to management.
Ensure compliance with healthcare accounting principles, company policies, and HIPAA regulations
Qualifications:
Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field
2 - 3 years of experience in accounts receivable or medical billing within a medium or large-size healthcare organization
Strong knowledge of insurance verification processes, including US-based private insurance and government programs (e.g., Medicare, Medicaid)
Familiarity with medical terminologies and billing codes (e.g., CPT, ICD-10)
Advanced computer skills in MS Office, healthcare accounting software, and databases
Ability to manipulate large amounts of data, particularly in medical billing and claims management
Excellent proactive communication and problem-solving skills
Preferably worked in a US-based healthcare company or handled US healthcare accounts