Healthcare Billing Specialist

1 day ago

Taguig, National Capital Region, Philippines beBeeHealthcare Full time ₱7,200 - ₱7,800

Job Title: Healthcare Billing Specialist

In this crucial role, you will be responsible for managing the billing process for skilled nursing facilities, ensuring timely and accurate submissions to government agencies and insurance providers. Your expertise in healthcare regulations and compliance will enable you to navigate complex billing systems and resolve any discrepancies that may arise.

Key Responsibilities:
  • Billing Management: Handle billing for Medicare, Medicaid, and other third-party insurance claims.
  • Claims Processing: Review and process claims in accordance with government regulations and insurance policies.
  • Accounts Receivable: Track and manage accounts receivable, ensuring timely follow-ups on outstanding claims and payments.
  • Compliance: Ensure all billing practices are in compliance with regulatory standards, including HIPAA and payer-specific guidelines.
  • Patient Billing: Generate and distribute patient bills, answer patient billing questions, and work to resolve billing discrepancies.
  • Denials & Appeals: Address claim denials and process appeals as necessary, following up with insurance companies to ensure proper payment.
  • Collaboration: Work closely with the finance department, medical records team, and clinical staff to gather necessary documentation and ensure billing accuracy.
Requirements:
  • Experience: At least 1-3 years of experience in medical billing, specifically in long-term care or skilled nursing facilities.
  • Knowledge: Strong understanding of Medicare, Medicaid, and insurance billing processes, regulations, and terminology.
  • Technical Skills: Proficiency in billing software, electronic medical records (EMR) systems, and Microsoft Office Suite.
  • Attention to Detail: High level of accuracy in billing and documentation.
  • Communication Skills: Ability to communicate effectively with patients, families, insurance representatives, and staff members.

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