Senior Clinical Revenue Specialist

2 days ago

Paranaque City, Calabarzon, Philippines beBeeMedical Full time ₱20,000 - ₱33,000
Job Overview

Neolytix is seeking a skilled Medical Biller to join its team. As an Athena Medical Biller, you will play a vital role in ensuring seamless financial processes for our US healthcare clients.

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.
  • 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.
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
  • Work From Home: Enjoy the flexibility and comfort of a remote work arrangement.
  • Midshift Schedule: A convenient schedule that supports work-life balance.
  • Paid Training: Comprehensive training to ensure your success in the role.
  • HMO Benefits: Access to health maintenance organization benefits.
  • Government-Mandated Benefits: All standard government benefits are provided.
  • Professional Growth: Opportunities to enhance your skills and advance your career in the thriving RCM industry.

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