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Medical Claims Specialist

2 months ago

Cebu City, Central Visayas, Philippines Virtual Ventures Full time

We are seeking a skilled Medical Billing Specialist to manage the end-to-end medical billing process for our mental health practice. This role plays a critical role in ensuring accurate billing, timely reimbursement, and smooth workflow management.



  • Manage the full medical billing cycle from patient registration to payment posting and account reconciliation.
  • Submit, resubmit, and appeal insurance claims for mental health services.
  • 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 billing issues.

Requirements:

  • 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.
  • Thorough understanding of the end-to-end medical billing process, including claims submission, payment posting, and account management.
  • Strong knowledge of insurance guidelines, particularly for mental health services.
  • Excellent communication, problem-solving, and organizational skills.
  • Ability to work independently and manage multiple tasks in a fast-paced environment.
  • Strong attention to detail and a commitment to accuracy.

As a Medical Billing Specialist at Virtual Ventures, you will play a vital role in the success of our mental health practice. If you have a passion for medical billing and a commitment to excellence, we encourage you to apply for this exciting opportunity.