Precision Intake/AR Billing
Remote · Philippines or Taguig, Metro Manila, Philippines
Job Summary
Support patients through the lifecycle of DME services, from intake through insurance verification, authorization, billing, payment resolution, and ongoing account management. Manage high volumes of referrals, orders, claims, and accounts while meeting productivity, quality, accuracy, and service-level expectations. Verify eligibility and payer requirements prior to order processing and claim submission; review medical records and supporting documentation for payer guidelines; submit and monitor authorizations; conduct outbound follow-ups with patients, providers, and carriers; respond to inquiries related to order status, verification, and billing; prepare and submit accurate insurance claims to Medicare, Medicaid, and other payers; review EOBs/ERAs and identify denials or underpayments; resolve denied claims through appeals, reconsiderations, and follow-up; manage AR inventories and aging; post payments and adjustments; maintain HIPAA-compliant notes and documentation; collaborate with internal teams to support efficient processing and patient care outcomes; maintain compliance and meet defined productivity, quality, and turnaround goals.
Required Qualifications
- Minimum of 3 years of experience supporting U.S. healthcare, durable medical equipment (DME), revenue cycle management, medical billing, insurance verification, or patient account services.
- Minimum of 1 year of experience in customer service, patient support, healthcare operations, billing, collections, or a call center environment.
- Experience in Intake, Insurance Verification, Prior Authorizations, Accounts Receivable (AR), Medical Billing, Claims Follow-Up, Denial Management, Payment Posting, Collections, or Patient Financial Services.
- Strong understanding of healthcare insurance concepts including eligibility verification, benefits, deductibles, coinsurance, patient financial responsibility, authorizations, and claim adjudication.
- Excellent verbal and written English communication skills.
- Strong customer service skills with empathetic handling of sensitive conversations.
- Strong analytical and problem-solving abilities for researching and resolving billing/insurance issues.
- High attention to detail and ability to manage multiple priorities while maintaining accuracy and productivity.
- Proficiency in Microsoft Office (Outlook, Excel, Word) and web-based healthcare systems.
- Typing speed of at least 35 WPM with accuracy.
- Reliability and ability to work independently in a remote environment.
- Ability to adapt to changing priorities, workflows, payer requirements, and business needs.
- Willingness to work assigned U.S. business hours to support operational requirements.
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