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Healthcare Claims Expert

2 weeks ago

Cebu City, Central Visayas, Philippines Virtual Ventures Full time

We are seeking a Healthcare Claims Expert to join our team at Virtual Ventures. As a key member of our team, you will play a critical role in ensuring accurate billing, timely reimbursement, and smooth workflow management within our mental health practice.

About the Position

In this role, you will be responsible for managing the full medical billing cycle from patient registration to payment posting and account reconciliation.

  • Handle all aspects of medical billing, including claims submissions, resubmissions, and appeals.
  • Verify patient insurance coverage, eligibility, and benefits for mental health services.
  • Follow up on outstanding claims and address denials or rejections.
  • Post payments accurately, reconcile accounts, and manage patient billing inquiries.
  • Maintain and update patient billing records using AdvanceMD.
  • Ensure compliance with HIPAA regulations and other relevant healthcare billing standards.
  • Collaborate with therapists, office staff, and insurance companies to resolve any billing issues.
Key Skills and Qualifications

To succeed in this role, you will need:

  • A minimum of 2-3 years of experience in medical billing, with a focus on mental health billing.
  • Proficiency in AdvanceMD or similar medical billing software.
  • A thorough understanding of the end-to-end medical billing process, including claims submission, payment posting, and account management.
  • A strong knowledge of insurance guidelines, particularly for mental health services.
  • Excellent communication, problem-solving, and organizational skills.
  • The ability to work independently and manage multiple tasks in a fast-paced environment.
  • A strong attention to detail and a commitment to accuracy.