Medical Billing Specialist

3 weeks ago

Romblon, Philippines Neolytix Full time

Medical Billing Specialist - Accounts Receivable (WFH) Neolytix, Quezon City, National Capital Region, Philippines About Neolytix Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices. Working at Neolytix At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun About This Position Medical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner. Key Responsibilities Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid. Verify correct insurance filing information on behalf of the client and patient. Verify receipt of all patient registration data from the client and notify 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. 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. Eligibility Verification and Denial Management Perform eligibility verification, precertification, through the web or verbally with insurance companies. Call insurance companies and obtain claim status with different payers & document it in the system. Read superbills and make charge entry in PMS. Post ERA (Electronic Remittance Advice) & EOB (Explanation of Benefits) from various systems and websites. Credentialing knowledge would be an added advantage. Denial management should be known. Job Type Full-time Salary 25,000 Php - 40,000 Php per month Benefits Paid Training Work From Home Midshift Schedule HMO Government mandated benefits, 13-month pay, paid leaves, holiday pay Work with diverse team members across countries & cultures Participate in Clubs based on your hobbies and share your passion with like-minded enthusiasts Seniority Level Mid-Senior level Employment Type Full-time Job Function Health Care Provider Industries Internet Publishing Referrals Referrals increase your chances of interviewing at Neolytix by 2x #J-18808-Ljbffr

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