Medical Biller US Healthcare

4 weeks ago

Capital District, Philippines Neolytix Full time

Overview

Medical Biller US Healthcare (AdvancedMD) - WFH Midshift

Location: Neolytix, Quezon City, National Capital Region, Philippines

Medical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner.

Responsibilities
  • Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid
  • Verifying correct insurance filing information on behalf of the client and patient
  • Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Follow up on unpaid claims within the standard billing cycle time frame
  • Research and appeal denied claims
  • Meet individual and departmental standards with regard to quality and productivity
  • Ability to handle protected health information in a manner consistent with HIPAA
  • Check eligibility and benefit verification
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
Additional Responsibilities
  • Able to perform eligibility verification and precertification, through the web or verbally with insurance companies
  • Calling insurance companies and obtaining claim status with different payers and documenting it in the system
  • Read superbills and make charge entry in PMS
  • Post ERA (Electronic Remittance Advice) & EOB (Explanation of Benefits) from various systems
  • Credentialing knowledge would be an added advantage
  • Denial management knowledge
Job Details
  • Job Type: Full-time
  • Salary: 25,000 Php - 40,000 Php per month
Benefits
  • Paid Training
  • WFH
  • Midshift Schedule
  • HMO
  • Government mandated Benefits, 13 month pay, Paid Leaves, Holiday Pay
  • Work with diverse team members across countries & cultures
  • Clubs based on your hobbies and shared interests
Seniority level
  • Mid-Senior level
Employment type
  • Full-time
Job function
  • Health Care Provider
Industries
  • Internet Publishing

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