US Ophthalmology AR/Biller

MedCore Solution, is seeking a skilled WFH Medical Accounts Receivable Specialist/Medical Biller to join our team. As a US Medical AR 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.

Who We Are
MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue producing activities.

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/Billing Specialist in Ophthalmology specialty
Knowledge of Ophthalmology 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
Continued Education
Specialized Training