Medical Biller Position

6 hours ago

Cavite City, Calabarzon, Philippines beBeeMedicalBiller Full time ₱20,000 - ₱33,000

We are seeking a skilled Medical Biller to join our team.

Job Description:

The Medical Biller will be responsible for accurately posting medical charges, payments, and journal entries to patient accounts. They will work directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims. The ideal candidate will have experience working with the Athena platform and possess a solid understanding of US Healthcare insurance guidelines and medical billing best practices.

Main 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.
  • 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.
Requirements:

To be successful in this role, you will need:

  • 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:

We offer:

  • Competitive salary.
  • Performance bonus.
  • Paid training.
  • HMO benefits.
  • Government-mandated benefits.
  • A diverse and supportive work environment.

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