Medical Billing Representative

5 days ago

Iloilo City, Western Visayas, Philippines Fair Trade Outsourcing Full time

The Medical Billing Representative posts payments received from insurance companies, cash payments, and payment plans to the patient's accounts; enters adjustments, write-offs, and reconciles the patient's accounts. The Medical Billing Representative reviews claims for non-payment, posts the zero payment to the patient's account, and writes off the unpaid procedures and claims; resubmits claims with corrected codes, submits secondary claims, and mails statements for co-pays and balances due on the account. The Billing Specialist works reports, processes refunds and check requests, does account clean up, and serves as a resource to the medical practices to help improve billing processes and accuracy. Calls resident physicians for confirmation.

  1. SPECIFIC DUTIES AND RESPONSIBILITIES

The following are the specific duties and responsibilities of the Medical Billing Representative:

  • Upload insurance card images and patient information into EHR, AMD.
  • Escalate missing card information to Mindful Support Services team for follow-up and acquisition.
  • Process and audit patient intake documents and enter data into EHR, AMD.
  • Ensure all patients have submitted required documentation prior to their scheduled appointment.
  • Review spreadsheet log of patients with due payment for Telehealth services.
  • Examine visits to be charged.
  • Look up chart number and cross-reference.
  • Process payment and update status of record.
  • Confirm patient and any dependent's information.
  • Verify insurance carrier, policy and group number, and employer.
  • Tax ID and office address, where applicable.
  • Enter information into EHR and escalate missing information.

REQUIREMENTS

  • Bachelor's degree in business, health care administration, accounting, or relevant field is recommended.
  • A minimum of 1 year experience as a medical biller or similar role.
  • Must have the ability to multitask and manage time effectively.
  • Excellent written and verbal communication skills.
  • Outstanding problem-solving and organizational abilities.
  • Senior Level English Proficiency.
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