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Insurance Claims Expert

3 weeks ago

Manila, National Capital Region, Philippines Pearl Full time
Role Overview

The Billing Specialist will be responsible for managing the entire billing process, from initial claim submission to final payment receipt. This includes verifying patient insurance coverage, obtaining necessary authorizations, and resolving any billing discrepancies that may arise.

Key Responsibilities

Billing Process Management

  • Prepare and submit accurate and complete claims to insurance providers.
  • Track and follow up on claims to ensure timely processing and payment.

Claims Resolution

  • Identify and resolve billing errors or discrepancies.
  • Coordinate with payers to resolve denied or unpaid claims.

Revenue Cycle Optimization

  • Analyze billing data to identify areas for improvement.
  • Develop and implement strategies to streamline billing and collections processes.