Senior Medical Billing Specialist | Onsite: Angeles, Ortigas or Davao

3 weeks ago


Pampanga Philippines Connext Global Solutions Inc Full time

Overview Join Our Team as a Senior Medical Billing Specialist The Medical Billing Specialist is responsible for ensuring accurate insurance verification, payment posting, and billing support for the ophthalmology practice. This role ensures accuracy in billing processes, compliance with HIPAA standards, and contributes to the efficiency of the revenue cycle. Over time, responsibilities may expand to include patient registration and other billing functions. Responsibilities Verify insurance eligibility for 600 patients monthly (150 weekly), typically 1–2 weeks before appointments. Confirm coverage, benefits, and co-pays, and flag discrepancies for follow-up. Complete eligibility checks promptly, including urgent requests within 1–2 days. Maintain detailed logs of eligibility checks for internal review. Post insurance and patient payments in the Compulink Advanced system. Review remittances and posted payments for accuracy and reconcile balances. Identify and resolve variances, denials, or underpayments; escalate cases requiring rebilling. Coordinate with the in-house billing team for corrected claim submissions. Update patient demographic and insurance information as needed. Participate in training through recorded workflows, email, and calls. Collaborate with billing and operations teams on questions and escalations. Ensure HIPAA compliance at all times. Qualifications Experienced in insurance eligibility, payment posting, and reconciliations. Skilled in managing denied or underpaid claims. Detail-oriented, persistent, and proactive in resolving discrepancies. Effective in remote work while maintaining HIPAA compliance. Strong written and verbal communication skills in English. Why Connext? Competitive Compensation Perfect Attendance Bonus Company-Provided Equipment 25% Night Differential Pay Life and HMO Insurance Coverage 20 Leave Credits Good Company Culture #J-18808-Ljbffr


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