Vector Outsourcing Solutions Philippines

General

• Manage incoming calls from patients, healthcare customers, and service providers
• Deliver accurate information and support regarding healthcare policies and procedures
• Address patient concerns, resolve issues, and follow up to ensure a satisfactory outcome
• Maintain thorough documentation of customer interactions and transactions
• Adhere to HIPAA and other relevant healthcare regulations
• Coordinate with other departments to escalate and resolve complex matters efficiently

Medical Inbound Specialist

Medical Billing and Coding

• Apply accurate ICD-10, CPT, and HCPCS codes based on documentation and services rendered
• Ensure proper code sequencing, modifiers, and compliance with payer and regulatory guidelines
• Review and correct coding-related errors, denials, or rejected claims
• Complete appropriate documentation or system entries regarding claims
• Abstract additional data elements during the Chart Review process
• Review patient medical records and clinical documentation
• Identify incomplete or missing documentation and coordinate provider queries
• Stay updated with coding rules, payer policies, and healthcare regulations
• Support clean claim submission and billing accuracy
• Coordinate with Billing, AR, and Authorization teams
• Maintain productivity and accuracy standards
• Support audit and compliance activities
• Participate in internal and client quality audits/reviews
• Train, coach, and guide billers to ensure accurate coding and billing processes
• Remain current on medical coding, billing guidelines, and auditing protocols
• Follow team and/or client procedures, policies, and methodologies

Medical Coder

• Track and manage accounts receivable, ensuring aging amounts remain within targeted levels
• Regularly check submitted claims to ensure timely processing and payment
• Resubmit claims for appeal as necessary and resolve issues delaying payment
• Prepare and send patient statements accurately and timely
• Conduct patient collection phone calls and negotiate payment arrangements
• Respond to patient and payer email and phone inquiries
• Accept and accurately process phone payments from patients
• Monitor denial trends and provide timely, accurate resolutions
• Handle complex denials and appeals
• Use collection strategies to optimize reimbursement on delinquent accounts
• Follow team and client procedures, policies, and methodologies
• Perform other related duties as assigned

Medical Billing Collections Consultant

• Apply accurate ICD-10, CPT, and HCPCS codes based on documentation and services rendered
• Ensure proper code sequencing, modifiers, and compliance with payer and regulatory guidelines
• Review and correct coding-related errors, denials, or rejected claims
• Complete appropriate documentation or system entries regarding claims
• Abstract additional data elements during chart review when coding
• Review patient medical records and clinical documentation
• Identify incomplete or missing documentation and coordinate provider queries
• Stay updated with coding rules, payer policies, and healthcare regulations
• Support clean claim submission and billing accuracy
• Coordinate with Billing, AR, and Authorization teams
• Maintain productivity and accuracy standards
• Support audit and compliance activities
• Participate in internal and client quality audits/reviews
• Train, coach, and guide billers to ensure accurate coding and billing processes
• Remain current on medical coding, billing guidelines, and auditing protocols
• Follow team and/or client procedures, policies, and methodologies

Billing Specialist

• Learn new systems of clients and effectively transfer knowledge to subordinates
• Lead designated team, ensuring accurate and timely submission of deliverables
• Coach subordinates and develop their skills
• Assist Supervisor/Assistant Manager/Manager in directing the team towards the company's goals
• Ensure compliance with company guidelines and procedures
• Address conflicts within the team
• Create accurate medical insurance claims and ensure timely submission
• Rectify claim denials with resubmission or appeals
• Formulate and execute strategies to mitigate claim denials
• Learn and implement specialty, state, and carrier-specific billing requirements

Medical Billing Team Leader

• Organize workflow and ensure team members understand their duties or delegated tasks
• Monitor employee productivity and provide constructive feedback and coaching
• Receive complaints and resolve client problems
• Ensure adherence to legal company policies and coordinate with HR on disciplinary actions
• Organize and oversee team schedules and work
• Conduct timely and constructive performance evaluations
• Monitor trackers and quota reports
• Assure timely submission of claims
• Formulate and execute strategies to mitigate claim denials
• Learn and implement specialty-, state-, and carrier-specific billing requirements

Medical Inbound Specialist

Medical Coder

Medical Billing Collections Consultant

Medical Coder

Medical Inbound Specialist

Medical Billing Team Leader

Medical Billing Supervisor