Medical VA (Revenue Cycle Specialist)
Eastvantage Pasig Full-time
About the Company: At Eastvantage, we believe in creating meaningful work relationships across the globe. Our premier managed services and outsourcing solutions enable operational excellence that results in business growth for our partners worldwide.
With a team of inspired experts, we provide purpose-built solutions in the areas of software development, technology support, customer relationship management, and a variety of business support functions. The inspiration extends to measurable outcomes through 24/7 service delivery in 13 languages from our offices in the Philippines, India, Vietnam, and Bulgaria.
With a team of inspired experts, we provide purpose-built solutions in the areas of software development, technology support, customer relationship management, and a variety of business support functions. The inspiration extends to measurable outcomes through 24/7 service delivery in 13 languages from our offices in the Philippines, India, Vietnam, and Bulgaria.
Visit eastvantage.com to discover how we can help you succeed.
Job Summary:
You will serve as a bridge between the billing department and third-party payers to resolve overdue claims and collect payments. In this role, you will be responsible for ensuring accurate billing and efficient collections processes within our healthcare organization.This position will report to the Director of Collections.
Essential Duties and Responsibilities- Monitor accounts to identify overdue payments and correct errors in previously submitted claims to ensure full payment
- Clearly communicate with team members, third-party payers, and customers regarding identified claims errors via phone and email
- Identify, analyze, and research trends in claims rejections and partial payments to create resolutions
- Prioritize activities to work denials and partial payments in a timely manner to avoid timely filing limitations
- Leverage reporting tools for comprehensive data analysis, creating targeted action plans to resolve billing issues
- Utilize coding systems (CPT, ICD-10) to guarantee meticulous billing and collections
- Process and reprocess medical claims in accordance with payer regulations, protocols, medical authorizations, and departmental guidelines
- Minimum of 1 year - 3 years of experience in medical billing and collections
- Experience working with third-party payers, such as VA, Medicaid, Medicare Advantage, and Worker’s Compensation
- Experience with revenue cycle management
- Experience working with UB04 and HCFA 1500 forms
- Familiarity with Electronic Medical Record (EMR) systems
- Knowledge of health care collections procedure codes and techniques
- Proficiency in using billing software (Clearinghouse) and electronic health records (EHR)
- In-depth knowledge of healthcare billing codes (CPT, ICD-10)
- Proven success in reducing accounts receivable and improving collections
- In-depth knowledge of HIPAA compliance
- Excellent follow-up, time management, and communication skills required
- Familiarity with PowerBI preferred but not required
- Proficiency in MS Office Suite (Outlook, Word, Excel) required
- Must be amenable to work-onsite
WHAT WE OFFER:
- Tools & Equipment Provided
- HMO Day 1
- 22 PTO (Upon regularization)
- 10% Night Differential
- Government-mandatory benefits + Pro-rated 13th month pay, Holiday Premium pay
#phhiring #medicalbiller #revenuecyclespecialist #rcm #HIPAA #healthcare
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• Provide day-to-day clinical leadership and decision-making support
• Oversee and maintain treatment protocols, patient safety, and medical quality standards
• Supervise and guide the multidisciplinary team (doctors...