Medical Billing Collections Consultant | Pooling

Job Description:

• Track and manage accounts receivable, ensuring aging amounts remain within targeted levels.

• Regularly check the status of submitted claims to ensure timely processing and payment.

• Resubmit claims for appeal as necessary, working to resolve any issues that may delay payment.

• Prepare and send out patient statements in a timely and accurate manner.

• Conduct patient collection phone calls, professionally addressing outstanding balances and negotiating payment arrangements.

• Respond to patient phone inquiries regarding their accounts, providing clear and helpful information.

• Accept phone payments from patients, ensuring accurate processing and record-keeping.

• Monitor Denial Trends and provide timely and accurate resolutions

• Handle complex denials and appeals

• Utilize different collection strategies to achieve optimum reimbursement on delinquent accounts.

• Follow team and/or clients proper procedures, policies, and methodologies as instructed.

• Performs other related duties as necessary or assigned

Minimum Qualifications:

• Must have at least 1 year of experience in a BPO or Call Center environment.
• Consultancy basis minimum of 6 months consultancy contract (subject for renewal)
• Experience with phone collections, particularly on US accounts, is desirable but not required.
• Previous experience in Medical Billing or Medical Collections is a plus but not mandatory.
• Knowledge of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly beneficial.
• Must possess excellent verbal and written English communication skills.
• Able to work from home with reliable internet and a backup connection.

Others:

• Work from Home
• Equipment/ company computer is provided