Medical Biller

1 week ago


Manila, National Capital Region, Philippines Phoenix Virtual Solutions Full time
Medical Billing and Collection Specialist Medical Billing and Collection Specialist

Join our team as a Medical Billing and Collection Specialist and play a critical role in ensuring the smooth operation of our medical billing process. As a key member of our team, you will be responsible for a broad range of billing functions, including collections, payment posting, billing, claim submissions, medical insurance communications, and other billing matters.

Responsibilities:
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
  • Obtain referrals and pre-authorizations as required for procedures.
  • Verify patient eligibility and benefits for treatments, hospitalizations, and procedures.
  • Confirm provider credentials with insurance companies and hospitals.
  • Review patient bills for accuracy and completeness and obtain any missing information.
  • Follow up on unpaid claims within the standard billing cycle timeframe.
  • Verify insurance payments for accuracy and compliance with contract discounts.
  • Communicate with insurance companies regarding discrepancies in payments.
  • Identify and bill secondary or tertiary insurances.
  • Research and appeal denied claims.
  • Set up patient payment plans and work collection accounts.
  • Prepare forms, letters, reports, and correspondence for collection purposes.
  • Maintain patient confidentiality in accordance with HIPAA regulations.
Qualifications:
  • Bachelor's degree in a related field.
  • Minimum of 2 years of experience in claims, denials, appeals, billing, and collection with a strong healthcare background.
  • Experience in accounts receivables and accounts payables.
  • Excellent communication, time management, and computer skills.
  • Strong customer service skills for interacting with medical billing clients and office patients.
  • Experience using EMR/EHR tools, such as Office Ally or NextGen.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
  • Experience with Podiatry, Behavioral Health, infusion claims for biologic medications.
  • Ability to work in a fast-paced environment with minimal supervision.
  • Highly organized with a strong attention to detail.
  • Proficiency with Microsoft Applications.
Requirements:
  • Availability to work evenings, Monday through Friday.
  • 2-3 years of relevant work experience.
  • Working rights required for this role.

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