Job Title: Accounts Receivable Representative
Location: Remote

Shift Schedule / Holiday: 9:00 pm - 6:00 am Manila, will follow US holidays

Position Overview

We are seeking a detail-oriented Accounts Receivable Representative to join our dynamic team. In this role, you will play a crucial part in managing the financial aspects of healthcare billing and reimbursement, ensuring timely and accurate payments from payers and patients.

Key Responsibilities:

  • Billing and Payment Management: Process claims accurately and promptly to insurance carriers and patients.
  • Accounts Reconciliation: Monitor, reconcile, and follow up on outstanding accounts to ensure timely payments.
  • Denials Management: Research and resolve claim rejections or denials, submitting appeals as necessary.
  • Communication: Interact with insurance companies, patients, and internal teams to resolve billing discrepancies or payment delays.
  • Reporting: Generate and review accounts receivable reports to track outstanding balances and identify trends.
  • Compliance: Maintain compliance with federal and state regulations, payer requirements, and company policies.

Qualifications:

  • Experience: Minimum of 2 years in healthcare accounts receivable, medical billing, or a related field.
  • Knowledge: Strong understanding of insurance billing, claims processes, and denial resolution. Familiarity with CPT, ICD-10, and HCPCS codes.
  • Technical Skills: Proficiency in medical billing software and Microsoft Office Suite (Excel, Word, etc.).
  • Attention to Detail: Excellent analytical and problem-solving skills with a focus on accuracy.
  • Communication Skills: Strong written and verbal communication skills to collaborate with internal teams and external stakeholders.