Medical Biller

2 weeks ago

Cebu City, Central Visayas, Philippines Staff4Me Full time

Ideal Biller:

  • Attention to Detail
  • Likes systems and processes
  • Excellent written and oral communication skills
  • Willing to learn our software, Acusimple
  • Friendly and patient
  • Capable of multi-tasking (e.g., calling insurance companies for verification while submitting claims and on hold)

Responsibilities include:

  1. Performing insurance verifications and benefits for new and current patients, primarily online, with some handled via phone calls.
  2. Code claims from a list of acceptable codes provided by Dedham Acupuncture according to each insurer's requirements.
  3. Scrub claims for potential denials, such as adhering to specific insurer limits (e.g., Harvard Pilgrim's three procedure code limit).
  4. Electronically submit claims through Acusimple within 72 hours of the date of service.
  5. Correct and resubmit denied claims within 7 days, including gathering additional information or appealing if necessary.
  6. Pull reports and EOBs from insurer websites (e.g., Payspan), post payments to Acusimple, and prepare monthly payment reports for our bookkeeper, KEM, for bank reconciliation. Contact insurers regarding missing payments.
  7. Ensure credentialing is current for each insurer whenever a new provider joins or leaves the practice.
#J-18808-Ljbffr

  • Medical Biller

    1 week ago

    Davao City, Davao, Philippines IdeasUnlimited BPO Inc Full time

    IdeasUnlimited BPO Inc. is currently seeking a highly skilled and detail-oriented Medical Biller to join our team. This position requires onsite reporting and is ideal for candidates with a strong background in medical billing, particularly in psychiatric practices.Qualifications:* Proficiency in medical billing and coding, with a specialization in...

  • Professional Medical Biller

    5 hours ago

    Quezon City, National Capital Region, Philippines beBeeMedicine Full time ₱250,000 - ₱450,000

    Medical Billing Roles and Responsibilities\Manage patient information, procedure codes, and diagnosis codes to ensure accurate billing.Verify supporting medical documentation for claim submissions, ensuring correctness, completeness, and compliance with payer requirements.Communicate effectively with patients regarding billing inquiries, outstanding...

  • Medical Billing Specialist

    3 weeks ago

    Davao City, Davao, Philippines OpsArmy Full time

    Medical Billing Specialist (PH | Remote)Join to apply for the Medical Billing Specialist (PH | Remote) role at OpsArmyMedical Billing Specialist (PH | Remote)4 days ago Be among the first 25 applicantsJoin to apply for the Medical Billing Specialist (PH | Remote) role at OpsArmyJob Title: Medical Billing Specialist or Revenue Cycle Management (RCM)...

  • Home Health Care Team Lead

    4 weeks ago

    Quezon City, National Capital Region, Philippines Pointwest Full time

    Pointwest is hiring a dynamic and experienced Team Lead for a Home Health Care initiative under our Healthcare Business Unit. This role is responsible for daily team operations, performance management, client communication, and staff development—ensuring service excellence and continuous improvement in line with Pointwest's core values of Leadership,...

  • Home Health Medical Coding Specialist

    5 hours ago

    Quezon City, National Capital Region, Philippines beBeeMedicalCoder Full time ₱45,000 - ₱60,000

    Pointwest is looking for experienced Home Health Medical Coders & Billers to support our US-based clients.The ideal candidate has at least 2 years of experience in Home Health coding and billing, is familiar with OASIS documentation, PDGM, and CMS guidelines, and has hands-on experience using EMR systems such as HCHB, Kinnser, Axxess, DeVero, or...

  • Career Advancement Opportunities

    2 weeks ago

    Mandaluyong City, National Capital Region, Philippines beBeeProfessional Full time ₱1,000,000 - ₱2,000,000

    Experienced Professionals Wanted">Medical BillersHealthcare Customer Service RepresentativesCustomer Service Representatives (Non-healthcare)Accounts Payable AssociatesBack-office AgentsNurses/PHRNPayroll AssociateHousekeeping / FacilitiesHR Employee Engagement OfficerWorkforce ManagementReports AnalystTrainersQuality AnalystsRequirementsAt least 6 months of...