Healthcare Payment Coordinator

18 hours ago

Batangas, Calabarzon, Philippines beBeeBilling Full time $35,000 - $55,000
Medical Billing Role Overview

The Medical Billing Specialist is a vital component of our healthcare team. This position involves monitoring the status of medical claims, investigating rejections and denials, and documenting related account activities. The Specialist is responsible for posting adjustments and managing collections for various payers, including Medicare, Medicaid, commercial insurance, and Workers' Compensation.

Job Responsibilities
  • Verify patient eligibility and benefits to ensure accurate coverage.
  • Submit claims in a timely and compliant manner.
  • Obtain prior authorizations for smooth claim approvals.
  • Monitor claim status and conduct A/R follow-up to ensure prompt payment.
  • Research and resolve claim rejections and denials, implementing prevention measures.
  • Generate patient statements (no patient interaction).
  • Document all account activities accurately and on time.
  • Post manual payments, apply adjustments, and manage collections from various payers.
  • Apply Medicare, Medicaid, and commercial insurance requirements and payment methodologies.
  • Record contractual adjustments based on payer contracts and government regulations.
  • Exhibit proficiency with billing systems and leverage functionality for efficient processing.
  • Maintain knowledge of changes in billing and coding guidelines, payer contracts, and government regulations.
  • Collaborate with team members and providers in a positive work environment.

Key Skills: medical billing, claim submissions, patient eligibility, claim status management, billing system proficiency.

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