Junior Medical AR & Denial Management Specialist
Junior Medical AR & Denial Management Specialist
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₱ 25000 - 27000
1 Vacancy
Job Description
Job Location: Muntinlupa Metro Manila Philippines
Job Name: Junior Medical AR & Denial Management Specialist
Job Description:
Sign-On Bonus Offered!
Join us and receive a competitive sign-on bonus as a welcome to our growing team!
Our leading AI platform specializing in medical billing operations is seeking dedicated and detail-oriented Medical AR and Denial Management Specialists to join our team. The ideal candidates will have at least 6 months of experience in medical billing AR calling Denial Management or a related field and possess strong English proficiency. As part of our client-facing team you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling data categorization and transcript analysis.
Key Responsibilities:
1. Outbound Calling:
- Make outbound calls to insurance companies and payors to collect essential information including claim statuses denial reasons and any additional relevant details.
- Conduct all calls in full compliance with the Clients guidelines and applicable healthcare regulations.
- Maintain professionalism and ensure clear communication during each call.
2. Data Categorization and Labeling:
- Accurately record categorize and label calls or information gathered using the taxonomy and definitions provided by the client.
- Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.
- Deliver categorized data in periodic reports or through the portal developed by client following the requested format and frequency.
3. Call Transcript Analysis:
- Analyze recorded call transcripts to extract actionable insights identifying trends recurring denial reasons and other patterns.
- Compile findings into periodic reports providing valuable information to the Client to support process improvements and optimize workflows.
Qualifications:
- Minimum of 6 months of experience in medical billing insurance claims or a related field.
- Strong English proficiency both verbal and written.
- Familiarity with healthcare regulations and industry guidelines.
- Excellent communication skills with the ability to make outbound calls to insurance companies and payors.
- Detail-oriented and able to maintain accurate records.
- Ability to work independently while adhering to internal guidelines and procedures.
- Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.
Additional Information:
This is a full-time position and the successful candidate will work closely with the clients team to support their AI-powered platform in improving medical billing operations. The role offers an opportunity for professional growth and development within a dynamic technology-driven environment.
Employment Type
Full Time
