Healthcare Professional

17 hours ago

Makati City, National Capital Region, Philippines beBeeMedicalBilling Full time ₱7,200 - ₱7,800
Medical Billing Specialist

We are seeking a highly skilled Medical Billing Specialist to manage the billing and collection processes in a healthcare environment.

As a key member of our team, you will be responsible for handling billing for Medicare, Medicaid, and other third-party insurance claims, ensuring timely and accurate submission.

Responsibilities:
  • Billing Management: Process and submit claims efficiently and accurately.
  • Claims Processing: Review and process claims in accordance with government regulations and insurance policies.
  • Accounts Receivable: Track and manage accounts receivable, ensuring timely follow-ups on outstanding claims and payments.
  • Compliance: Ensure all billing practices are in compliance with regulatory standards, including HIPAA and payer-specific guidelines.
  • Patient Billing: Generate and distribute patient bills, answer patient billing questions, and work to resolve billing discrepancies.
  • Denials & Appeals: Address claim denials and process appeals as necessary, following up with insurance companies to ensure proper payment.
  • Collaboration: Work closely with the finance department, medical records team, and clinical staff to gather necessary documentation and ensure billing accuracy.
  • Reporting: Prepare regular reports on billing activity, accounts receivable status, and collections for management review.

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