Medical Billing Specialist

9 hours ago


Cebu City, Central Visayas, Philippines Virtual Ventures Full time

We are seeking an experienced Medical Billing Specialist to join our team at Virtual Ventures in Cebu. The ideal candidate will have a strong background in the end-to-end medical billing process and hands-on experience with Tebra, Advanced MD.

Key Responsibilities:
  • Manage the full medical billing cycle from patient registration to payment posting and account reconciliation.
  • Handle insurance claims submissions, resubmissions, and appeals.
  • Verify patient insurance coverage, eligibility, and benefits.
  • 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 EMR Software Tools.
  • Ensure compliance with HIPAA regulations and other relevant healthcare billing standards.
  • Collaborate with therapists, office staff, and insurance companies to resolve any billing issues.

Requirements:

  • Minimum of 2-3 years of experience in end-to-end US medical billing.
  • Proficiency in AdvanceMD, Tebra, or similar medical billing software.
  • Thorough understanding of the end-to-end medical billing process, including claims submission, payment posting, and account management.

Preferred Skills:

  • Strong knowledge of insurance guidelines.
  • Excellent communication, problem-solving, and organizational skills.
  • Ability to work independently and manage multiple tasks in a fast-paced environment.
  • Must have BPO experience.
  • Strong in accounts receivable and know how to read EOBs.
  • Good knowledge of Medicare, Medicaid.
  • PREFERRED EXPERIENCE IN ACCESSING PAYOR PORTALS, ENTERING DEMOGRAPHICS AND ENTERING CHARGES.

About This Role:

This is a full-time opportunity that requires a detail-oriented individual with excellent communication skills to ensure accurate billing, timely reimbursement, and smooth workflow management.



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