Medical Billing Specialist

1 week ago

Cainta, Philippines Intelassist Full time
Medical Billing Specialist (Athena - US Based Client)

Intelassist Quezon City, National Capital Region, Philippines

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Medical Billing Specialist (Athena - US Based Client)

Intelassist Quezon City, National Capital Region, Philippines

3 weeks ago Be among the first 25 applicants

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Employment Type: Full-Time Employment
Work Setup: Onsite onboarding for two weeks, followed by a transition to a remote setup.
Work Schedule: Night Shift (Following U.S. Time Zone)
Location: Eastwood, Libis, Quezon City
Salary Package: 40,000 PHP to 55,000 PHP/Monthly
Duties And Responsibilities

  • Work Hold Buckets
    • Make corrections to the following:
      • Provider information
      • Patient insurance discrepancies
      • Credentialing information
      • Patient demographics
      • Other issues as requested
    • Provide the following:
      • Additional documentation requested
      • Missing referral/authorizations
  • Work Manager Hold Buckets
    • Provide additional documentation requested
    • Address patient insurance issues, including:
      • Medical policy
      • Benefits coverage
      • Coordination of benefits
      • Other
    • Respond to questions regarding coding clarification
  • Work Charge Entry for Office and Procedures
    • Review claims to optimize coding and ensure all procedures, tests, etc., were billed
    • Enter charges by the end of the business day following provider’s closing encounter
    • Double check schedule with charge entry to identify any missing slips
  • Review Insurance Refunds Worklist
    • Review and confirm insurance refunds before presenting to the practice
    • Ensure refunds are properly handled
  • Review Patient Refund Worklist
    • Review and confirm patient refunds before presenting to practice
    • Coordinate payment with practice manager and/or physician(s)
  • Work Unpostables
    • Gather EOBs, scan and upload into Athena
  • Review Collections Worklist
    • Review collections weekly
    • Follow strict protocol regarding patient letters and phone calls regarding payment
    • Call patients requesting payment in-full or work-out payment arrangements
    • Send patients ready for collections directly to practice or collection agency
  • Review Claim Attachment Error Queue
    • Review and correct claim attachment errors
    • Review claim attachment faxes that Athena did not associate with a claim
  • Review Zero Pay Report
    • Review for underpayment
    • Initiate corrections
  • Review and provide Practice Reports monthly or upon request
    • Run A/R Aging Wizard
    • Denial Report
    • Run Activity Wizard
    • Present reports with recommendations for improvement, as needed
Skills Requirements
  • Excellent communication skills, both oral and written
  • Ability to organize and prioritize multiple deliverables
  • Ability to work and think independently
  • Attention to detail and strong emphasis on quality
  • Ability to research and problem solve
  • Ability to work collaboratively within the department
  • Ability to work with multiple screens and/or systems to maintain productivity standards
Job Requirements
  • Bachelor's Degree of any related field
  • 2+ years of medical billing experience (pain management specialty required).
  • Proficiency with Athenahealth (Athena) billing platform is required.
  • Strong knowledge of CPT, ICD-10, and HCPCS coding for pain management services.
  • Experience with commercial, Medicare, and Medicaid billing processes.
  • Excellent communication, problem-solving, and organizational skills.
  • Ability to work independently and meet deadlines in a fast-paced environment.
WHY INTELASSIST?
We grow together. We value your effort. We aim to empower you. Seniority level
  • Seniority level Entry level
Employment type
  • Employment type Full-time
Job function
  • Job function Health Care Provider
  • Industries Business Consulting and Services

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