Medical Billing Specialist
3 weeks ago
The Medical Billing Specialist is responsible for ensuring the accurate submission of medical claims to insurance companies, managing accounts receivable, and ensuring timely collections. The role requires a deep understanding of medical billing and coding processes, insurance policies, and the ability to communicate effectively with patients and insurers. This position will also assist with patient inquiries, posting payments, and supporting overall revenue cycle operations.
Key Responsibilities- Claim Submission & Processing : Prepare and submit medical claims to insurance companies, ensuring accuracy and adherence to coding guidelines (CPT, ICD-10, HCPCS).
- Billing & Coding : Verify patient billing and coding for procedures, diagnoses, and treatments to ensure correct reimbursement.
- Accounts Receivable Management : Monitor accounts for unpaid balances, follow up on outstanding claims, and resolve denied or rejected claims through appeals process.
- Insurance Verification : Verify patient insurance coverage, benefits, and eligibility prior to services being rendered.
- Payment Posting : Post insurance and patient payments to the appropriate accounts, ensuring accurate allocation of funds.
- Patient Communications : Handle patient inquiries related to their bills, explain charges, and assist in setting up payment plans if necessary.
- Regulatory & Compliance : Ensure billing procedures comply with industry regulations, including HIPAA, and keep up-to-date with changes in medical billing and coding standards.
- Documentation & Reporting : Maintain accurate billing records and reports, ensuring timely filing and proper documentation for audits and compliance.
- Education : High School Diploma or equivalent required; certification in medical billing or coding (e.g., CPC, CCS).
- Experience : 1-3 years of experience in medical billing, preferably in a healthcare setting.
- Knowledge : Strong understanding of medical billing and coding practices, insurance guidelines, and HIPAA.
- Regulations & Compliance : Knowledge of healthcare regulations and compliance requirements.
- Skills : Proficient in medical billing software and electronic health records (EHR) systems; Excellent attention to detail and organizational skills; Strong communication skills for dealing with insurance companies and patients; Ability to handle sensitive patient information with discretion.
-
Medical Billing Specialist
4 weeks ago
Cebu City, Philippines Staff4Me Full timeOverview The Medical Billing Specialist is responsible for ensuring the accurate submission of medical claims to insurance companies, managing accounts receivable, and ensuring timely collections. The role requires a deep understanding of medical billing and coding processes, insurance policies, and the ability to communicate effectively with patients and...
-
Medical Billing Specialist
2 weeks ago
Makati City, National Capital Region, Philippines Medical Supply Inc. Full time ₱200,000 - ₱240,000 per yearWe are hiring several Medical Billers to join our team in Makati City A Medical Biller is responsible for submitting medical claims to insurance companies and payers.Responsibilities:Input new claims, determine eligibility for claims processing, processing payments through both automated and manual information systems, conduct billing research and respond to...
-
Medical Billing Auditor
4 weeks ago
Cebu City, Philippines Staff4Me Full timeOverview Job Summary: The Medical Billing Auditor is responsible for auditing and reviewing the billing practices of a medical practice to ensure accuracy, compliance with regulatory standards, and optimization of revenue cycle processes. This role involves evaluating medical coding, claim submissions, and reimbursement procedures to identify discrepancies,...
-
Medical Billing Manager
4 weeks ago
Cebu City, Philippines Staff4Me Full timeJob Summary: The Medical Billing Manager is responsible for overseeing and managing the billing operations within the healthcare organization. This role involves leading the billing team, ensuring accuracy in billing procedures, optimizing revenue cycle processes, and maintaining compliance with healthcare regulations. The Medical Billing Manager will...
-
Medical Billing Manager
4 weeks ago
Cebu City, Philippines CallTek Full timeJob Summary The Medical Billing Manager is responsible for overseeing and managing the billing operations within the healthcare organization. This role involves leading the billing team, ensuring accuracy in billing procedures, optimizing revenue cycle processes, and maintaining compliance with healthcare regulations. The Medical Billing Manager will...
-
Medical Billing Specialist
2 weeks ago
Quezon City, National Capital Region, Philippines Sourcefit Full time ₱600,000 - ₱800,000 per yearPosition Summary:The Medical Billing Specialist - Collection is a key role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. The Medical Biller is tasked with the critical responsibility of posting...
-
Medical Billing Specialist
2 weeks ago
Eastwood Quezon City, Philippines Sourcefit Full time ₱550,000 - ₱850,000 per yearPosition Summary: The Medical Billing Specialist - Collection is a key role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. The Medical Biller is tasked with the critical responsibility of posting...
-
Medical Billing Specialist
3 days ago
Eastwood Quezon City, Philippines Sourcefit Full time ₱250,000 - ₱750,000 per yearPosition Summary: We are actively seeking an experienced and highly motivated Medical Billing Specialist (AR and Collections) to join our dynamic team. The successful candidate will play a crucial role in managing our collection processes for TDD services. The tasks include contract analysis, reimbursement, denial management, appeals, and resolving...
-
Medical Billing Specialist
2 weeks ago
Quezon City, National Capital Region, Philippines Sourcefit Full time ₱250,000 - ₱600,000 per yearPosition Summary:We are actively seeking an experienced and motivated Medical Billing Specialist to join our team. The successful candidate will play a crucial role in managing the billing process from claim submission to collection. The tasks include verification of benefits, clean claim submission, denial management, claim appeals, and resolving...
-
Medical Billing Specialist
4 weeks ago
Davao City, Philippines OpsArmy Full timeMedical Billing Specialist (PH | Remote) OpsArmy Makati, National Capital Region, Philippines Join or sign in to find your next job Join to apply for the Medical Billing Specialist (PH | Remote) role at OpsArmy Medical Billing Specialist (PH | Remote) OpsArmy Makati, National Capital Region, Philippines Join to apply for the Medical Billing Specialist (PH...
