Emergency Room

3 weeks ago

Quezon City, Philippines Pointwest Full time

The Medical Biller (Mid-Level) is responsible for managing patient balances, overseeing insurance claims, and ensuring accurate and timely reimbursement for healthcare providers. The role includes processing claims, resolving discrepancies, assisting patients with billing inquiries, and supporting the team through training and mentorship.

Key Responsibilities:

  1. Delighting Our Customers & Stakeholders:

    • Update patient records and submit billing data to insurance companies and third-party payers.

    • Resolve billing inquiries and discrepancies, ensuring customer satisfaction.

    • Maintain communication with insurance companies and stakeholders for smooth operations.

  2. Growing Our Business:

    • Improve billing processes to minimize claim rejections and delays.

    • Contribute to operational efficiency by streamlining billing procedures.

    • Support timely insurance reimbursements to drive business growth.

  3. Improving the Way We Work:

    • Identify and implement process improvements to enhance billing accuracy and speed.

    • Collaborate with the team to ensure adherence to industry standards and guidelines.

  4. Developing Myself and Others:

    • Stay updated on coding systems (CPT, ICD-10, HCPCS) and insurance regulations.

    • Mentor and train new team members.

    • Participate in ongoing training to enhance skills and knowledge.

Key Metrics:

  1. Delighting Our Customers & Stakeholders:

    • Achieve a 98% accuracy rate in claim submissions.

    • Resolve 95% of billing inquiries within 48 hours.

  2. Growing Our Business:

    • Reduce claim rejections by 15% year-over-year.

    • Support the generation of X% more revenue by improving claim submission timelines.

  3. Improving the Way We Work:

    • Reduce claim processing time by 10%.

    • Increase error-free claim submissions by 20% year-over-year.

  4. Developing Myself and Others:

    • Successfully mentor new team members each quarter.

    • Participate in at least one relevant training annually.

Qualifications:

  • University/college degree preferred, high school diploma required.

  • 1-2 years of experience in Medical Billing, preferably in an emergency room or urgent care setting.

  • Familiarity with EMRs and medical coding platforms.

  • Knowledge of CPT, ICD-10, HCPCS coding, and insurance guidelines.

  • CPB or CPC certification is a plus.

How to Apply: If you're passionate about providing excellent billing services and want to be part of a dynamic, growth-oriented team, apply now

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