Senior Claims and Billing Specialist | Night Shift | Eastwood Site

3 weeks ago


Quezon City, Philippines MicroSourcing Full time
Job Responsibilities:
. Process and submit insurance claims in accordance with insurer requirements
and federal regulations.
. Handle billing and invoicing for therapists utilizing our EMR platform, ensuring
accuracy and compliance with healthcare regulations.
. Conduct regular follow-ups on unpaid claims with insurers and other third parties,
and manage denials by initiating appeals.
. Collaborate with therapists to obtain any necessary documentation for claim
submission and resolution.
. Maintain up-to-date knowledge of billing regulations, payer policies, and
compliance guidelines.
. Assist in the integration and onboarding of therapists onto the Billing Module,
providing support and training as needed.
. Utilize the EMR platform to input patient data, verify insurance eligibility, and
manage patient billing inquiries.
. Work closely with the development team to provide feedback and suggestions
for billing module enhancements based on user experience.

Qualifications:
. Bacheloru0027s degree in any field.
. At least 3-5 years of experience in claims processing and medical billing. Preferably within behavioral health or similar healthcare sectors.
. Familiarity with healthcare claims and billing softwares, with a preference for candidates with experience in EMR platforms.
. Strong understanding of healthcare insurance processes, coding, and
compliance requirements.
. Excellent organizational, communication, and customer service skills.
. Ability to work independently and as part of a team in a fast-paced environment.
. Detail-oriented with a high degree of accuracy.
. Strong analytical and problem-solving skills.
. Patient and empathetic, with the ability to handle sensitive information confidentially.
. Proactive and motivated, with a continuous improvement mindset.
. Amenable to work on Night Shift.
. Amenable to work in Eastwood, Quezon City.

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