AR/Medical Billing Specialist (Mental/Behavioral Health Services)

#1 PH Workforce Delivering to the US

MedCore Solutions, the healthcare division of Bizforce, is looking for an experienced Accounts Receivable (AR) Specialist with expertise in Mental/Behavioral Health Services to join our team. The ideal candidate will be responsible for managing the complete accounts receivable cycle, ensuring timely claim submissions, resolving payment discrepancies, and improving revenue cycle efficiency.

Key Responsibilities:

Billing and Claims Management:

• Prepare, review, and submit claims for procedures.
• Monitor and ensure accuracy in claim submissions and compliance with payer requirements.

Accounts Receivable Tracking:

• Track and manage outstanding accounts receivable to ensure timely payments.
• Follow up with insurance companies and patients to resolve unpaid claims and balances.

Denial Management:

• Identify, research, and resolve claim denials or underpayments related to Ambulatory/Emergency services.
• Coordinate with coding and billing teams to rectify issues and resubmit claims.

Reconciliations:

• Reconcile payments, adjustments, and account balances to maintain accurate financial records.
• Ensure all accounts are accurately updated in the system.

Reporting:

• Generate AR aging reports and provide insights into trends and challenges in payment cycles.
• Contribute to monthly financial reporting for leadership review.

Compliance:

• Stay updated on payer policies, coding guidelines, and Ambulatory/Emergency billing regulations.
• Ensure compliance with HIPAA and organizational policies.

Requirements

• Minimum 3 years of experience in AR management, with at least 2 years in Mental/Behavioral Health Services.

• Strong knowledge of Ambulatory/Emergency services billing codes, procedures, and insurance payer policies.
• Proficiency in using billing software, AR systems, and Electronic Health Records (EHR) such as HST Pathways, Vision, Advantix, SIS Complete.
• Excellent analytical and problem-solving skills.
• Exceptional attention to detail and organizational abilities.
• Effective communication and negotiation skills for resolving payment issues.
• Willing to work in a graveyard shift (US time zone)

System Requirements

• Candidates must have the following on their device (Desktop or Laptop):
• Processor: Either Intel Core i5 and up or AMD Ryzen 5 and Up
• RAM: 8GB and up
• OS: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). OS should be a legit license
• Internet Connectivity: At least 50 Mbps and should be wired
• Back-up connection and Power Supply
• Hard Disk: At least an SSD
• For Mac: Processor - Apple M1 chip
• RAM: 8GB and up

Benefits

• Permanent Work From Home
• Leave Credits
• Monetary Allowance
• Annual Bonus
• Weekly Paychecks
• Fixed Weekends Off
• 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.