Medical Billing Specialist

3 weeks ago


Quezon City, National Capital Region, Philippines Intelassist Full time

Work Schedule: Pacific Timezone
Work Set-Up: Onsite onboarding for four weeks, then transitioning to a remote setup.

Position Overview:Medical Billing Specialist will be responsible for revenue cycle management tasks for multiple behavioral health Providers in a national portfolio. They may be responsible for the entire revenue cycle process or a specific task within the process.

Duties and Responsibilities:

  • Adhere to policy and procedures to ensure timely and accurate billing of outpatient charges
  • Calculate copay/coinsurance amounts and communicate appropriately
  • Accurately apply payments and adjustments to patient accounts from insurance explanation of benefits
  • Manage clearinghouse and payer rejections
  • Assist with payer correspondence, appeals and refunds
  • Follow up on outstanding insurance claims and/or patient payments
  • Contact payers to resolve discrepancies and underpayments
  • Navigate and work within insurance websites verifying eligibility and claim status
  • Effectively communicate payment or denial trending that impacts revenue
  • Adhere to HIPAA regulations and maintain patient confidentiality at all times
  • Additional duties as assigned

Skills Requirements:

  • Excellent communication skills, both oral and written
  • Ability to organize and prioritize multiple deliverables
  • Ability to work and think independently
  • Attention to detail and strong emphasis on quality
  • Ability to research and problem solve
  • Ability to work collaboratively within the department
  • Ability to work with multiple screens and/or systems to maintain productivity standards

Job Requirements:

  • Minimum of 3 year's+ experience in medical billing and/or medical insurance claims.
  • Experience in using Electronic Billing System is a must.
  • A proactive mindset coupled with outstanding prioritization and task management skills, demonstrating your ability to handle a high volume of tasks daily.
  • Proficiency in following complex process workflows accurately and efficiently.
  • Exceptional follow-through skills, complemented by excellent written and verbal communication abilities.
  • Prior experience in healthcare and/or Electronic Health Record (EHR) systems.
  • Proficiency in data analysis and spreadsheet management.
  • US Client experience is a plus.

WHY INTELASSIST?
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