Medical Billing Specialist

10 hours ago


Caloocan City, National Capital Region, Philippines beBeeMedicalBilling Full time $60,000 - $70,000
About the Role

We are seeking an experienced Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for reviewing appeals for medical necessity, faxing appeals to the appropriate party, and following up on appeals to ensure timely processing.

Responsibilities
  • Review appeals for medical necessity and determine whether they meet the necessary criteria
  • Fax appeals to the designated carrier or payer
  • Set reminders to follow up on appeals within one week of submission
  • Follow up again closer to the turnaround time (TAT) for the determination and update the team accordingly
  • Confirm in-network provider ability to service new members
  • Attend weekly team meetings and complete assigned tasks

In addition to these responsibilities, you will also have other duties as assigned by management.

Requirements
  • Bachelor's degree or equivalent experience
  • At least 2 years of experience in medical billing, including provider credentialing, authorizations, and reimbursement
  • Excellent organizational and communication skills
  • Able to work independently with minimal supervision
Skills
  • Detail-oriented with strong analytical skills
  • Able to prioritize tasks and meet deadlines
  • Excellent computer skills, including Microsoft Office and internet navigation
  • Ability to maintain confidentiality and handle sensitive information
Benefits
  • Permanent remote work arrangement
  • Competitive hourly rate based on performance
  • Opportunity for career growth and professional development
  • Holiday pay and paid time off
  • Access to company resources and support


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