C1 ENGLISH LEVEL IS REQUIRED, THE SELECTED CANDIDATE WILL BE SPEAKING STRICTLY IN ENGLISH DURING THEIR WHOLE SHIFT.
" PLEASE SUBMIT YOUR RESUME AND AUDIO RECORDING IN ENGLISH"
Job Title : Medical Billing and Collections Specialist
Job ID : IRANA
Industry : Collection
Location : PH/LATAM
Hours : Monday-Friday, 08:00am - 05:00pm PST
Pay rate : $5-$6/hour, with potential up to $8/hour for exceptional candidates
Target Start : ASAP
Overview
Our client is seeking a Medical Billing and Collections Specialist to join their team. The ideal candidate will have experience in US medical billing and a strong understanding of insurance company processes. This role requires attention to detail, proficiency in Excel, and the ability to work independently while maintaining high levels of accuracy.
Key Responsibilities
- Manage medical billing and collections processes, ensuring timely claims submission and payment.
- Navigate insurance company portals to follow up on claims, address denials, and handle appeals.
- Maintain and update records in Theralytics (EHR system) and Excel for accurate tracking and reporting.
- Collaborate with insurance companies and other stakeholders to resolve billing discrepancies.
- Ensure compliance with US healthcare regulations and billing standards.
- Handle additional administrative or billing-related tasks as assigned.
Requirements
- Proven experience in US medical billing and familiarity with healthcare systems.
- Proficiency in EHR systems (e.g., Theralytics, or similar) and Excel for data tracking.
- Strong attention to detail and excellent numerical skills.
- Experience with insurance company processes, including claims, portals, and appeals.
- Spanish language skills are preferred but not required.
Tools & Software
- Theralytics (training provided)
- Microsoft Excel
- Insurance company portals
Candidate Sourcing Strategy
- Focus on candidates from the Philippines or Latin America with relevant experience.
- Preference for candidates with insurance company expertise (e.g., UnitedHealthcare).