High-Level Medical Claims Specialist

6 hours ago

Pasay, National Capital Region, Philippines beBeeMedical Full time ₱20,000 - ₱33,000
Job Description

As a Medical Biller, you will play a critical role in our organization's revenue cycle management. Your primary responsibility will be to accurately process and manage medical claims for our clients.

Key Responsibilities:

  • Accurately post medical charges, payments, and journal entries to patient accounts
  • Work directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims
  • Verify insurance eligibility and benefits, along with 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
  • Expertly appeal denied claims, navigating complex insurance guidelines
  • Ensure strict compliance with all HIPAA regulations and industry standards
Requirements
  • Proven experience as a Medical Biller, specifically with extensive hands-on experience using the Epic billing software/EMR
  • 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
  • Strong commitment to maintaining HIPAA compliance
  • Excellent attention to detail and organizational skills
  • Effective communication skills, both written and verbal
Benefits
  • Competitive salary ranging from Php 20,000 to Php 33,000 per month
  • Performance bonus up to 20%
  • Paid training and comprehensive support
  • Health maintenance organization (HMO) benefits
  • Government-mandated benefits
Why Choose Us
  • Flexible remote work arrangement
  • Convenient mid-shift schedule
  • Diverse and supportive team environment
  • Opportunities for professional growth and career advancement

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