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Billing Collections Specialist (DME - CPAP & Supplies)
Remote Employee PHHimalayas
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Job Description
Remote Employee BPO has an outstanding opportunity for you!
Role: Billing Collections Specialist
Compensation: Competitive Basic Salary
Bonus: 5,000 Perfect Attendance (If applicable).
Benefits: HMO plus 2 Free Dependents, P1,500 Rice Allowance, Night Differential (If applicable).
Work Schedule: 5-day work week, Monday to Friday, 9pm to 6am Philippine time
Work Setup: WFH or WFO (San Fernando, Pampanga)
Responsibilities:
- Confirm DME sales orders
- Submit and manage third-party payer claims
- Post insurance and patient payments accurately
- Work claim denials and perform status checks on open claims
- Navigate insurance portals and upload required documentation
- Assist in obtaining annual Detailed Written Orders (DWOs)
- Work Stop/Held reports
- Conduct financial follow-up with patients regarding past-due balances or breached payment plans
- Respond to inbound customer calls and emails
- Participate in compliance reviews and audits (HIPAA, Medicare, accreditation standards)
- Collaborate cross-functionally with Intake, Sales, and Billing teams
- Maintain clear communication and contribute process improvement suggestions
- Other duties as assigned
Qualifications:
- High School Diploma (minimum)
- Minimum 4+ years of medical billing experience
- Experience billing multiple insurance payers
- Strong knowledge of:
- HCPCS codes
- ICD-10 codes
- EOBs and ERNs
- Medical terminology
- Experience with DME billing systems (strongly preferred)
- DME sleep therapy billing experience (strongly preferred)
- Proficiency in Microsoft Excel (basic level)
Core Competencies
- Strong attention to detail
- Ability to multi-task and prioritize effectively
- Independent worker with strong follow-through
- Solid verbal and written communication skills
- Strong problem-solving and time management abilities
- Ability to follow policies and procedures precisely
- Team player with willingness to cross-train
Originally posted on Himalayas