Medical Billing Reductions Specialist

hace 1 semana

Bogotá, Bogotá D.E., Colombia KonnectCX A tiempo completo US$30.000 - US$60.000 al año

Description

The Reductions Specialist serves as a front-line representative of the Accounts Receivable team within Legal Operations. This role manages communication and negotiation with internal departments, external partners, and insurance companies to ensure accurate patient account balances, appropriate discounts, and timely payments. The position plays a key role in maintaining financial accuracy and supporting the company's overall revenue cycle management.

Position also known as:

Accounts Receivable Specialist (Legal Operations), Medical Billing Reduction Analyst, Settlement Negotiator

Requirements

  • Fluency in English 
    (B2)
     and Spanish, with a strong command of grammar and vocabulary in both.
  • Own a reliable computer with a stable internet connection.
  • Working knowledge of 
    HIPAA regulations
     and 
    medical insurance terminology
    .
  • Experience with 
    electronic health or medical record systems
    .
  • Strong proficiency in Microsoft Office, especially Excel.
  • Experience managing 
    high-volume patient account updates
     across multiple systems.
  • Proven ability to handle 
    financial records, billing data, and payment reconciliations.
  • Strong written and verbal communication skills, particularly when dealing with attorneys and case managers.

Responsibilities:

  • Perform quality assurance checks on financial records and case files.
  • Identify and flag discrepancies or irregular patterns in patient account data.
  • Communicate with law firms, insurance companies, third-party retrieval firms, and case managers to confirm balances, negotiate settlements, and follow up on payments.
  • Collaborate with U.S.-based counterparts to ensure alignment on processes and priorities.
  • Participate in weekly team meetings to review trends, performance, and improvement opportunities.
  • Maintain detailed and accurate files, logs, and payment records.
  • Ensure compliance with HIPAA and other medical information privacy regulations.
  • Contribute to process improvement initiatives and cross-functional projects.
  • Manage key performance metrics, including email and call response times, reduction processing, and case resolution efficiency.

Nice to have:

  • BPO Experience
  • Remote work experience.

Working conditions

  • Hybrid: Train Onsite then work Remotely.
  • Two days-off per week.
  • Schedules based in US EST/EDT Time.
  • Fast-paced, collaborative, and dynamic environment.
  • Regular communication with U.S.-based teams and external legal/insurance entities.
  • Requires attention to accuracy, deadlines, and professionalism in all interactions.
  • Performance bonus.

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