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Clinical Claims Coordinator

1 week ago

Angeles City, Central Luzon, Philippines Novanox LTD Full time

About the Position

We are seeking a seasoned Medical Billing Specialist to manage our end-to-end Revenue Cycle Management (RCM) process. The ideal candidate will have expertise in transitioning from Office Ally to Practice Q, preparing and setting up the new system, and training the team on best practices.

Main Responsibilities:

  • Claims and Denials: Submit claims to insurance, follow up on denials/rejections, and resolve any issues with missing Explanation of Benefits (EOBs).
  • Payment Posting and Invoicing: Perform full Revenue Cycle Management, including claim submission, payment posting, insurance follow-up, and patient invoicing.
  • Billing Support: Resolve billing inquiries and concerns from patients, explaining charges clearly and professionally.

Essential Qualifications:

  • Proven experience with Office Ally and Practice Q, particularly with system transitions.
  • Strong knowledge of Revenue Cycle Management processes and medical billing.
  • Excellent communication skills for patient and team interactions.
  • Ability to train and support team members effectively.
  • Familiarity with ClickUp for task management.