Healthcare Billing Specialist

3 days ago

Cebu City, Central Visayas, Philippines beBeeMedical Full time ₱20,000 - ₱33,000

We are seeking a dedicated medical biller to join our team. This full-time, mid-level role supports US healthcare client revenue cycle management using the Athena billing software.

The ideal candidate will have extensive hands-on experience with Athena billing software/EMR and a solid understanding of US healthcare insurance guidelines and medical billing best practices.

Key Responsibilities:
  • Accurately post medical charges, payments, and journal entries to patient accounts
  • Work 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 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
Required Skills and Qualifications:
  • Extensive hands-on experience with Athena 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

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