MedCore Solution, Bizforce's medical division, is seeking a skilled WFH US Medical AR Specialist who is experienced in DME/Podiatry billing to join our team. As a US Medical AR Specialist, you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home on a permanent basis and will have the opportunity to work with a dynamic team in a fast-paced environment. BizForce & MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue producing activities.

Job Details
Schedule: 8hrs shift (TBA) Mondays - Fridays
Time Zone: TBA
Start Date : January 2024

• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
• Maintain Medicare bad-debt cost report
• Secure outstanding balance payments for care of employees
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts
• Must have a DME/Orthopedics/Podiatry experience

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Competitive salary

We are looking for Medical Coders to join our Cebu Team.

Responsibilities

● Receives medical information to properly code provider services for patients in a variety of

clinical settings

● Must meet minimum production standards based on Client requirements

● Supplies correct ICD-10-CM diagnosis codes on all supportive diagnoses provided

● Supplies correct HCPCS code on all procedures and services performed

● Supplies correct CPT code on all procedures and services performed

● Track educational opportunities for providers during coding process into application

● Attends on the job training and in-services as required to remain current on coding concepts

● Accurately follows coding guidelines and legal requirements to ensure compliance with

federal and state regulatory bodies

● Maintains compliance standards in accordance with the Compliance policies and the Code of

Conduct and reports compliance problems appropriately

● Participate in daily, weekly and/or monthly meetings via telecommunication

● Directly reports to Coding Manager

• Should be a graduate of any Allied Sciences courses
• Can start ASAP
• Open to Fresh Graduates

• Paid training
• Saturdays and Sundays Off

The Monitoring and Evaluation (M&E) Officer reports to the Manila-based Senior M&E Manager and is responsible for coordinating monitoring, evaluation, and reporting activities under the award in the O2 implementation sites. This is a regular full-time position based in Davao City. The M&E Officer ensures timely communication of data to the Senior M&E Manager. S/he works with the Senior M&E Manager on the development and management of the Monitoring, Evaluation and Learning (MEL) Plan.
 

Essential Functions 

The M&E Officer’s specific responsibilities will include, but are not limited to:

- Work with the MEL Team in designing, testing, and translating various M&E and research tools as well as activity monitoring plans and research work plans.

- Lead the implementation, coordination, and supervision of MEL activities in the assigned project sites.

- Perform or assist in data collection, data entry, data validation, and data quality assessment.

- Train field interviewers in data collection as necessary.

- Provide regular updates and write progress reports on MEL activities and submit M&E data timely.

- Assist the MEL and Communications Teams in documenting project impact and success stories.

- Liaise with internal and external project stakeholders in the assigned project areas to obtain information and data related to project performance.

- Present and share M&E and research findings to internal project stakeholders in the assigned areas.

- Assist with periodic reports as appropriate and submit inputs timely.

- Provide support to other special initiatives as may be needed.

- Demonstrate a high level of professionalism when dealing with sensitive and confidential documents and information, and with co-workers and EDC partners.

 Organizational Relationships and Employment Status 

Reports to Senior Monitoring and Evaluation Manager

Supervise: N/A

Based in Davao City with travel to all project sites

Full time employee

Global Strategic is hiring! Apply now and be part of our ever-growing team!

Locations:

Mandaluyong Site
Paragon Plaza, Lower Ground Floor, 162 EDSA, Mandaluyong City

Bacolod Site:
Global Strategic Building, Fordland 2, 2nd & 4th Floor, 11th Street Lacson, Bacolod City, Negros Occidental

Mall Kiosk (Bacolod):
2nd Floor, North Wing, SM Bacolod (Beside Cha Time and in front of SM Department Store entrance)

Interested in applying? You may send your resume to Careers@GlobalStrategic.com

Visit our website at www.GlobalStrategic.com for more information.

• Vocational/short course certificate or a degree in health care administration, accounting, or a relevant field.
• Experience as Medical Biller/Coder or similar role is a plus but is not required.
• Certified Professional Coder for Fresh Graduates or applicants with no related experience is required.
• Must have the ability to multitask and manage time effectively.
• Computer literate with experience using Microsoft Office Applications and Medical Billing Applications.

As a Legal Onboarding & Business Junior Officer you will:

• Assist the team with the coordination and preparation of fee proposals for Alternative Investment Funds investing in alternative asset classes e.g. real estate, private equity, debt, and infrastructure, as well as Corporate structures with the guidance of your line manager.
• Coordinate between various internal and external stakeholders, with the guidance of your line manager, to ensure a smooth onboarding process for clients until handover to the operational teams, including the following team duties:
  • AML/ KYC analysis, and driving our internal compliance approval process;
  • Bank account opening coordination;
  • Preparation, and coordinating the review, of service agreements;
  • Attend weekly calls with clients, as well as other key stakeholders;
  • Coordinating the review of legal documents for the structure setup;
  • Actively manage the communication between the client and all stakeholders; and
  • Track and perform all Luxembourg regulatory filings during the onboarding phase.

As a Legal Onboarding & Business Officer you will:

• Be responsible for the coordination and preparation of fee proposals for Alternative Investment Funds investing in alternative asset classes e.g. real estate, private equity, debt, and infrastructure, as well as Corporate structures with the guidance of your line manager.
• Coordinate between various internal and external stakeholders, with the guidance of your line manager, to ensure a smooth onboarding process for clients until handover to the operational teams, including the following team duties:
  • AML/ KYC analysis, and driving our internal compliance approval process;
  • Bank account opening coordination;
  • Preparation, and coordinating the review, of service agreements;
  • Attend weekly calls with clients, as well as other key stakeholders;
  • Coordinating the review of legal documents for the structure setup;
  • Actively manage the communication between the client and all stakeholders; and
  • Track and perform all Luxembourg regulatory filings during the onboarding phase.