Medical Claims Processor

2 days ago

San Juan, National Capital Region, Philippines beBeeMedicine Full time $40,000 - $60,000

Job Title: Ophthalmology Billing Specialist

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  • About the Role:

    We are seeking a dedicated Medical Billing Specialist to join our team. As an Ophthalmology Billing Specialist, you will be responsible for managing all aspects of insurance billing and processing including claim review and correction, claim submission, processing and posting of payments, researching claim rejections, aged claims, and submitting appeals.

    You will work closely with healthcare providers and insurance companies to ensure timely payment and maintain accurate records. Your strong attention to detail and excellent communication skills will enable you to effectively manage customer relationships and resolve any issues that may arise.


  • 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
    • Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
    • 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
    • Handle patient inquiries regarding their accounts

  • 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
    • Amenable to work in any US time zones (graveyard shift)
    • Experience in the following system is a PLUS: RevolutionEHR, Officemate, CrystalPM, Eyefinity, etc.

  • Benefits:

    • Permanent Work From home
    • Permanent Weekends Off
    • Great Company Culture and No Micromanagement
    • Specialized Training

Why Choose Us?

We offer a rewarding and respectful work environment where you can grow professionally and personally. Our commitment to delivering high-quality results for our clients is matched only by our dedication to ensuring a productive experience for our employees. If you are a motivated and detail-oriented individual who is passionate about medical billing, we encourage you to apply for this exciting opportunity.

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