Medical Billing Specialist

7 days ago


Quezon City, National Capital Region, Philippines Sourcefit DR Full time

Job Overview:

We are currently seeking a detail-oriented, energetic, and focused Medical Biller, specializing in AR & Charge Entry. The ideal candidate is a high achiever committed to their career and demonstrates exceptional capability and commitment in handling complex billing tasks in a high-volume, fast-paced work environment.

About the Client:

Our client is a large physician-owned, physician-directed, and patient-centered organization. Their goals are to provide high-quality, cost-effective, integrated healthcare and physician services. To preserve community-based independent physician practice locations throughout California. With this client, the practices are closer and more connected to the people and neighborhoods they serve. With a more personal touch to healthcare and easier access to the care they need, they help guide patients to the best possible outcome.

Job Details:

  • Medical Billing Specialist – AR and Charge Entry
  • Monday to Friday | 11:00 PM to 8:00 AM Manila Time
  • Permanent Work from home

Responsibilities:

  • Work all aging claims from Work Ques or Aging reports
  • Perform the day-to-day billing and follow-up activities within the revenue operations
  • Present trends or issues to the supervisor, and work together to make improvements
  • Resolve denials or correspondences from patients and insurance carriers
  • Assist in patient calls and questions
  • Follow team and company policies
  • Meet productivity standards
  • Write clear and concise appeal letters

Qualifications:

  • At least 3 years of Medical Billing- AR and Charge Entry experience in the US Healthcare Industry, specifically in the fields: Oncology and Infusion Services.
  • EPIC software experience
  • Understanding of EOBs, copays, deductibles, various Insurance plans, secondary insurances, Medicare, Medi Cal, contract adjustments
  • Knowledge of modifiers, diagnosis, and CPT codes
  • Knowledge of payers' policies and rules
  • Superior phone communication skills with providers, carriers, patients, and employees
  • Exceptional written and verbal communication skills
  • Knowledge of modifiers, insurance plans, and follow-up techniques
  • Proficiency with Microsoft Office applications
  • Ability to work in a fast-paced, high-volume work environment
  • Basic typing skills, 40+ wpm.
  • Strong attention to detail
  • Positive attitude
  • Great attendance and punctuality
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