Medical Billing Specialist

2 weeks ago


Angeles City, Central Luzon, Philippines Clark Outsourcing Full time

Position Title: Medical Billing Specialist

Salary: 35,000 PHP a month

Reports To: Partner, Partner Advisor

Primary Relationships: Partner Team

Date: May 2024

Schedule: 9:00 PM - 6:00 AM PH Time

Responsibilities:

  • Oversee the processing and exchange of claims and payments with third-party insurance carriers, including addressing related correspondence
  • Identify and acquire missing explanation of benefits, ensuring proper posting to aging accounts
  • Take active measures to reduce overall aging of accounts
  • Monitor and verify accurate claims payments and deductions, promptly addressing any changes
  • Initiate appeals for denied claims, providing requested follow-up information to insurance carriers
  • Conduct audits to review claim payments for precision and adherence to insurance contracts
  • Spearhead collection follow-up on unpaid or denied claims from relevant insurance carriers
  • Engage with patients to address insurance-related inquiries and concerns
  • Process refunds to insurance companies and patients in accordance with established protocols
  • Respond to correspondence from insurance carriers in a timely and effective manner
  • Offer assistance as needed to support other billing team members
  • Demonstrate rapid adaptability to new procedures and concepts
  • Provide valuable feedback to enhance billing processes
  • Uphold meticulous accuracy and attention to detail in all responsibilities
  • Resolve patient inquiries and issues promptly and professionally
  • Execute additional duties as delegated by the department manager


Qualifications:

  • A minimum of 3-5 years experience in medical office billing and revenue cycle management
  • Proficiency in using Epic software
  • Strong familiarity with medical terminology and protocols
  • Comprehensive knowledge of health insurance claims practices and compliance requirements
  • Understanding of practice policies related to OSHA, HIPAA, and Medicare Compliance
  • Previous experience in hospital medical billing is highly desirable
  • Well-versed in 1500 claim processing
  • Exemplary professionalism and keen attention to detail
  • Advanced computer skills
  • Exceptional written and verbal communication skills
  • Proven capability in researching and reconciling patient accounts, effective problem-solving, and troubleshooting
  • Demonstrated ability to prioritize tasks with minimal supervision to achieve established goals
  • Typing speed of at least 50 words per minute

#J-18808-Ljbffr

  • Cebu City, Central Visayas, Philippines Tahche Outsourcing Services Inc Full time

    Our US partner is one of the leading Medical Digital Imaging Service Providers in New Jersey. They offer a full spectrum of diagnostic imaging services in comfortable, convenient, and friendly outpatient imaging centers.As a Healthcare Billing Specialist, you will be catering to all billing inquiries from patients and doctors, processing payments, and...

  • Billing Specialist I

    2 weeks ago


    Cebu City, Central Visayas, Philippines RealPage Philippines Full time

    The Billing Specialist I is assigned a variety of duties to streamline and improve quality in the billing process and is considered a subject matter expert. The Billing Specialist works with internal and external customers in order to obtain the necessary information to execute the monthly billing process and improve customer satisfaction. The Billing...


  • Cebu City, Central Visayas, Philippines Tahche Outsourcing Services Inc Full time

    Our US partner is one of the leading Medical Digital Imaging Service Providers in New Jersey. They offer a full spectrum of diagnostic imaging services in comfortable, convenient, and friendly outpatient imaging centers.As a Healthcare Billing Specialist, you will be catering to all billing inquiries from patients and doctors, processing payments, and...

  • medical biller

    2 weeks ago


    Cebu City, Central Visayas, Philippines HIREBIZ INC. Full time

    Medical Administration (Healthcare & Medical) Full time Add expected salary to your profile for insights HIREBIZ MED is a leading provider of healthcare services, dedicated to delivering high-quality patient care and efficient administrative support. We are seeking a detail-oriented and experienced Medical Biller to join our team onsite in Cebu City. If...


  • Angeles City, Central Luzon, Philippines Clark Outsourcing Full time

    About the job Pharmacy Operations SpecialistPosition Title: Pharmacy Operations SpecialistSalary: 25, ,000 PHP monthlyReports To: Partner, Partner AdvisorPrimary Relationship: Partner TeamDate: May 2024Schedule: 8:00 PM - 5:00 AM PM PH TimeResponsibilities:Process new and refill prescription medications accurately and efficiently using e-Prescribing software...

  • Claims Processor

    2 weeks ago


    Angeles City, Central Luzon, Philippines SOURCETECH SOLUTIONS INC. Full time

    Essential Duties and Responsibilities: Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines. Verify member eligibility and benefits coverage for submitted claims. Evaluate medical documentation to assess the appropriateness of services rendered and coding accuracy. Adjudicate...

  • Medical Admin VA

    2 weeks ago


    Cebu City, Central Visayas, Philippines VA PLATINUM PTY LTD INC. Full time

    Looking for a career change?Do you have strong knowledge of medical terminology specifically regarding pathology?Want to be exposed to a different opportunity yet still be in the medical field?Join VA PlatinumAbout the Role:As a Medical Virtual Assistant, your role is to ensure the smooth execution of medical examination and report acquisition procedures for...

  • Billing Specialist

    2 weeks ago


    Cebu City, Central Visayas, Philippines Avepoint Full time

    About AvePoint:A five-time winner of the Microsoft Partner of the Year award, AvePoint provides the most advanced platform for SaaS and data management to optimize SaaS operations and secure collaboration. More than 9 million cloud users rely on our solutions to secure digital collaboration data, sustain connections between people and ensure business...


  • Cebu City, Central Visayas, Philippines Purple Cow Full time

    We are looking for a highly motivated Medical VA. You will play a crucial role in providing medical support to our US-based healthcare clients. You will be responsible for a variety of tasks including patient data management, scheduling appointments, processing prescriptions, and providing administrative support to medical staff.Key ResponsibilitiesManage...


  • Angeles City, Central Luzon, Philippines Quality Analytics Full time

    Training and Quality Assurance SpecialistProject-based (Consultancy) As a Training and Quality Assurance Specialist, you will be pivotal in our People & Culture department, collaborating closely with the People & Culture Lead to execute strategized initiatives that drive organizational growth and excellence. Your primary focus will be on learning and...

  • Assessment Nurse

    2 weeks ago


    Cebu City, Central Visayas, Philippines Supercare Medical Services Inc Full time

    Qualifications:Registered Nurse or at least Bachelor of Science in Nursing GraduateGood Communication SkillsGood sense of responsibility and disciplineDuties & Responsibilities:Checks daily PEME/follow upsAnswers inquiries regarding examinees medical status and findings arising from the medical examinationsPrepares appropriate referrals to specialists and...

  • Operations Specialist

    2 weeks ago


    Angeles City, Central Luzon, Philippines Federal Express, Inc. Full time

    Service Assurance; Quality Management; Contract Management/Sourcing; Clearance Regulatory; Vendor Management; Admin & Support; Operations Regulatory ComplianceEducation: Diploma or equivalentExperience: Four (4) years of relevant work experienceFedEx was built on a philosophy that puts people first, one we take seriously. We are an equal...


  • Cebu City, Central Visayas, Philippines HIREBIZ INC. Full time

    Customer Service Representative(with BPO Medical Experience)About Us: We are a leading healthcare company dedicated to providing top-notch medical services and support to our clients. We are seeking a skilled and compassionate Customer Service Representative (CSR) with medical experience to join our team and enhance our customer service operations.Job...


  • Angeles City, Central Luzon, Philippines Federal Express, Inc. Full time

    Premier Customer Management; Basic Process Onboarding; Business Reviews; Customer Support Readiness & Training; Customers Requirement Gathering Process; Design and Deliver Customized/Tailor Made Solutions; Driving Customer Quality; Escalated Issue Resolution; Issue Resolution; Oversee All Representative Activities (including Coaching & Monitoring);...


  • Cebu City, Central Visayas, Philippines Go Full time

    GoTeam is looking for a Medical Data Entry Specialist who will assist with VA disability claims by accurately documenting the severity and symptoms of veterans' service-connected disabilities through the Disability Benefits Questionnaire (DBQ) generation. The successful candidates will be responsible for transcribing information, paraphrasing veterans'...


  • Angeles City, Central Luzon, Philippines optiBPO Full time

    Job Category: Administration/Purchasing & LogisticsJob Location: Angeles, PampangaWant a job where you love what you do? Land this amazing job opportunity for a Data Entry role and work with a highly skilled professional team here in the PhilippinesWhy you will love working with this Client?This client is a family-owned company that offers quality products...


  • Cebu City, Central Visayas, Philippines Penn Medicine Full time

    Penn Medicine Communications Specialist Philadelphia , Pennsylvania Apply Now Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical,...


  • Angeles City, Central Luzon, Philippines Transnational Diversified Group Full time

    Posted a month ago and deadline of application is on 26 JulRecruiter was hiring 3 days agoJob DescriptionThe Asst=istant Chief Accountant together with the Chief Accountant, provides overall management and leadership to the Accounting team in its day-to-day operations. He/she shall assist in overseeing accounting transactions and activities, communicating to...


  • Cebu City, Central Visayas, Philippines MedSpecialized, Inc. Full time

    MedSpecialized, Inc. is looking for a Medical TranscriptionistAbout the account: DrCatalystDrCatalyst (DrC) is a remote healthcare staffing organization that has over 750 billable staff from the Philippines. We are looking for Medical Transcriptionists who are ready to transcribe live patient calls and take dictations from their client.Work Schedule and...

  • Program Specialist

    2 weeks ago


    Cebu City, Central Visayas, Philippines Temple University Full time

    Temple University Program Specialist Philadelphia , Pennsylvania Apply Now Reference #: DescriptionGrade: T24The link below will give you information about the University's T scale.Summary:The Program Specialist provides comprehensive course management services for Phase 2 and 3 courses including clerkships, advanced clerkships and electives. This position...