Medical Collections Specialist

3 days ago

Thrissur, Kerala, India beBeeOncology Full time ₹ 10,00,000 - ₹ 15,00,000
Job Opportunity

We are seeking an experienced professional with a strong background in Oncology billing and collections. The ideal candidate should have at least 3 years of experience in AR calling, excellent communication skills, and the ability to handle complex claim resolutions while ensuring compliance with industry standards.

  • Contact insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.
  • Review and analyze denied or underpaid oncology claims and take corrective actions.
  • Ensure timely follow-up on unpaid claims, resubmissions, and appeals.
  • Collaborate with billing, coding, and clinical teams to address claim discrepancies.
  • Maintain accurate documentation of all calls, claim status, and resolutions.
  • Meet daily/weekly productivity and quality targets as per standards.
  • Ensure compliance with HIPAA and healthcare regulations at all times.
Key Responsibilities:

The successful candidate will be responsible for:

  • Claim Follow-up: Contact insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.
  • Claim Analysis: Review and analyze denied or underpaid oncology claims and take corrective actions.
  • Timely Follow-up: Ensure timely follow-up on unpaid claims, resubmissions, and appeals.
  • Collaboration: Collaborate with billing, coding, and clinical teams to address claim discrepancies.
  • Documentation: Maintain accurate documentation of all calls, claim status, and resolutions.
  • Productivity Targets: Meet daily/weekly productivity and quality targets as per standards.
  • Compliance: Ensure compliance with HIPAA and healthcare regulations at all times.
Required Qualifications & Skills:

To succeed in this role, you will need:

  • AR Calling Experience: At least 3 years of AR calling experience in US healthcare.
  • Oncology Billing & AR: Minimum 3 years of experience in Oncology billing & AR processes.
  • Oncology Knowledge: Strong understanding of oncology-specific coding, modifiers, and payer guidelines.
  • Communication Skills: Excellent verbal and written communication skills with the ability to handle difficult conversations professionally.
  • Healthcare Knowledge: Knowledge of EOBs, remittance advice, and claims adjudication process.
  • Independence: Ability to work independently in a remote setting and meet deadlines.
  • Software Proficiency: Proficiency with healthcare billing software and MS Office tools.

This is a great opportunity for individuals looking to advance their careers in medical billing and collections.

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