Healthcare Revenue Cycle Specialist

14 hours ago

Antipolo City, Calabarzon, Philippines beBeeMedicalBilling Full time ₱20,000 - ₱33,000
Remote Medical Biller Job Description

The primary role of this medical biller position involves processing and managing healthcare revenue cycles using the Athena billing software. This is a full-time, remote opportunity.

Duties and Responsibilities
  • Accurately post medical charges, payments, and journal entries to patient accounts.
  • Coordinate with insurance companies, healthcare providers, and patients to efficiently process and manage claims.
  • Verify insurance eligibility and benefits as well as patient registration data.
  • Prepare and transmit claims using the Athena billing software.
  • Proactively follow up on unpaid claims and research denied claims to ensure maximum reimbursement.
  • Appeal denied claims and navigate complex insurance guidelines.
  • Maintain strict compliance with HIPAA regulations and industry standards.
  • Perform eligibility verification and obtain accurate claim statuses from various insurance payers.
  • Review patient bills and read superbills for precise charge entries.
  • Post Electronic Remittance Advice ERA and Explanation of Benefits EOB from diverse systems.
Required Skills and Qualifications
  • A proven track record as a medical biller, specifically with extensive hands-on experience using the Athena billing software/EMR.
  • A solid understanding of US healthcare insurance guidelines and medical billing best practices.
  • Demonstrated ability to perform eligibility and benefit verification.
  • Proficiency in obtaining claim statuses and navigating payer portals.
  • Experience with charge entry from superbills and posting ERA/EOB.
  • A strong commitment to maintaining HIPAA compliance.
  • Excellent attention to detail and organizational skills.
  • Effective communication skills, both written and verbal.

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