Medical Biller | Night Shift | Libis Site

3 weeks ago


Quezon City, Philippines Microsourcing Philippines Inc Full time
With over 7,000 professionals across 9 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider.

Medical Claims Biller, be 100% YOU with MicroSourcing

A Medical Claims Biller is expected to:

Mobile One Docs is actively seeking a skilled and detail-oriented Specialty Billing Claims Specialist to join our team. As a Specialty Billing Claims Specialist, you will play a crucial role in ensuring accurate and timely records of specialty billing claims, and resolving claim-related issues. If you have a strong background in specialty billing, exceptional analytical skills, and a passion for ensuring proper reimbursement, we encourage you to apply for this exciting opportunity.

Responsibilities:

  • Review and analyze specialty billing A/R and A/P accounts
  • Follow up on claims, performing necessary research, and initiating appropriate actions to resolve claim issues and secure reimbursement.
  • Collaborate with billing and coding teams.
  • Communicate with insurance companies, healthcare providers, and patients to gather additional information, clarify claim details, and resolve claim-related inquiries.
  • Maintain comprehensive and organized documentation of claim activities, including correspondence, notes, and related documents.
  • Identify trends or patterns in claim denials and propose process improvements.
  • Ensure compliance with relevant regulations, including HIPAA and other industry-specific guidelines.
Requirements:
  • High school diploma or equivalent (Associate's or Bachelor's degree preferred) in a relevant field.
  • Previous experience as a Specialty Billing Claims Specialist or similar role in a healthcare setting.
  • In-depth knowledge of specialty billing procedures, including claim submission, coding, and reimbursement.
  • Familiarity with medical billing software, electronic health records (EHR), and claims processing systems.
  • Strong analytical skills with the ability to review and interpret complex billing and coding information.
  • Excellent attention to detail with strong organizational and time management skills.
  • Effective written and verbal communication skills.
  • Ability to work independently and collaboratively in a team environment.
  • Proficiency in using Microsoft Office Suite.
  • Knowledge of insurance regulations and guidelines related to specialty billing.

What's in it for you:
  • Competitive Salary and Allowance
  • HMO + qualified dependent
  • Life Insurance

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