Job description
MedCore Solution, Bizforce’s medical division, is seeking a skilled WFH Medical Biller/Accounts Receivable Specialist (US Healthcare) to join our team. As a Medical Biller/Accounts Receivable Specialist (US Healthcare), 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. BizForce & 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
At least 3 years of experience as US Medical AR Specialist
Must have a Firenote EMR Experience
Knowledge in hospice
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
Device (Desktop or Laptop)
Processor:
- Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).
- Mac Devices: Apple M1 chip or newer.
RAM:
- Minimum of 8GB or higher for optimal performance.
Operating System:
- Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.
- Mac: macOS compatible with M1 or newer chips.
Hard Disk:
- At least an SSD for faster processing and performance.
Internet Connectivity:
- Minimum speed of 50 Mbps via a wired connection for stability and reliability.
- A backup internet connection is highly recommended.
*Power Supply:
- A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages (optional but encouraged)
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
- Permanent Work From Home
- Weekly Paychecks
- Fixed Weekends Off
- HMO Reimbursement on your 90th day
- Thriving Company Culture with Complete Autonomy
- Exclusive Specialized Training Programs
- Unlock Your Potential with a Highly Competitive Salary
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Who are we?
BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!
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.
Why work for Bizforce?
Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.
