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Medical Billing Collections Consultant

About the role

• Track and manage accounts receivable, ensuring aging amounts remain within targeted levels
• Regularly check submitted claims to ensure timely processing and payment
• Resubmit claims for appeal as necessary and resolve issues delaying payment
• Prepare and send patient statements accurately and timely
• Conduct patient collection phone calls and negotiate payment arrangements
• Respond to patient and payer email and phone inquiries
• Accept and accurately process phone payments from patients
• Monitor denial trends and provide timely, accurate resolutions
• Handle complex denials and appeals
• Use collection strategies to optimize reimbursement on delinquent accounts
• Follow team and client procedures, policies, and methodologies
• Perform other related duties as assigned

• Must have at least 1 year of experience in a BPO or Call Center environment
• Experience with phone collections, particularly on US accounts, is desirable but not required
• Previous experience in Medical Billing or Medical Collections is a plus but not mandatory
• Knowledge of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly beneficial
• Must possess excellent verbal and written English communication skills
• Open to consultancy contract minimum of 6 months
• Able to work from home with reliable internet and a backup connection

• Work from home / fully remote work
• Company computer provided
• Reliable internet and backup connection supported as a work-from-home requirement