Healthcare Claims Professional

1 day ago


Mandaue City, Central Visayas, Philippines beBeeMedicalBilling Full time ₱240,000 - ₱280,000

**Job Summary:**

We are seeking an experienced Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing accounts receivables, coordinating with healthcare providers and insurance companies, generating revenue, maintaining compliance with HIPAA regulations, and handling patient inquiries.

**Responsibilities:**

  • Manage accounts receivables and keep up-to-date records
  • Coordinate with healthcare providers and insurance companies for claim submission and follow-up
  • Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
  • Maintain Medicare bad-debt cost report
  • Secure outstanding balance payments for care of employees
  • Verify insurance eligibility for patients and ensure timely payment
  • Handle denied claims and appeal if necessary
  • Reconcile payments and post to patients' accounts
  • Maintain compliance with HIPAA regulations

**Requirements:**

  • At least 3 years of experience as US Medical Accounts Receivable/Medical Billing Specialist
  • Strongly experience in eyecare related billing in an optometric practice setting
  • Knowledge of medical billing and coding practices
  • Strong understanding of healthcare billing process
  • Familiarity with healthcare insurance plans and related policies
  • Experience with HIPAA regulations
  • Excellent communication and customer service skills
  • Strong attention to detail
  • Strong computer skills and experience with medical billing software


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