US Healthcare Medical Biller

2 days ago

Mandaluyong City, National Capital Region, Philippines beBeeMedical Full time ₱20,000 - ₱33,000
Job Overview

This full-time medical billing role involves utilizing the Athena billing software to support US healthcare client revenue cycle management.

Key Responsibilities
  • Accurately post medical charges, payments, and journal entries to patient accounts
  • Process and manage claims efficiently with insurance companies, healthcare providers, and patients
  • 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 and navigate complex insurance guidelines
  • Maintain strict compliance with all HIPAA regulations and industry standards
  • Perform eligibility verification and obtain accurate claim statuses from various insurance payers
  • Review patient bills and read superbills for precise charge entries
  • Post Electronic Remittance Advice ERA and Explanation of Benefits EOB from diverse systems
Required Skills and Qualifications
  • Proven experience as a Medical Biller, specifically with extensive hands-on experience using the Athena 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
Preferred Qualifications
  • Knowledge of credentialing processes
  • Experience in denial management and appeals

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