Medical Billing Specialist

20 hours ago

Quezon City, National Capital Region, Philippines beBeeMedicalBilling Full time $40,000 - $60,000
Medical Billing Specialist

We are seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing patient balances, overseeing insurance claims, and ensuring accurate and timely reimbursement for healthcare providers.

Key Responsibilities:
  1. Delighting Our Customers & Stakeholders:
    • Update patient records and submit billing data to insurance companies and third-party payers.
    • Resolve billing inquiries and discrepancies, ensuring customer satisfaction.
    • Maintain communication with insurance companies and stakeholders for smooth operations.
  2. Growing Our Business:
    • Improve billing processes to minimize claim rejections and delays.
    • Contribute to operational efficiency by streamlining billing procedures.
    • Support timely insurance reimbursements to drive business growth.
  3. Improving the Way We Work:
    • Identify and implement process improvements to enhance billing accuracy and speed.
    • Collaborate with the team to ensure adherence to industry standards and guidelines.
  4. Developing Myself and Others:
    • Stay updated on coding systems (CPT, ICD-10, HCPCS) and insurance regulations.
    • Mentor and train new team members.
    • Participate in ongoing training to enhance skills and knowledge.

Key Metrics:

  1. Delighting Our Customers & Stakeholders:
    • Achieve a 98% accuracy rate in claim submissions.
    • Resolve 95% of billing inquiries within 48 hours.
  2. Growing Our Business:
    • Reduce claim rejections by 15% year-over-year.
    • Support the generation of more revenue by improving claim submission timelines.
  3. Improving the Way We Work:
    • Reduce claim processing time by 10%.
    • Increase error-free claim submissions by 20% year-over-year.
  4. Developing Myself and Others:
    • Successfully mentor new team members each quarter.
    • Participate in at least one relevant training annually.

Requirements:

  • University/college degree preferred, high school diploma required.
  • 1-2 years of experience in Medical Billing, preferably in an emergency room or urgent care setting.
  • Familiarity with EMRs and medical coding platforms.
  • Knowledge of CPT, ICD-10, HCPCS coding, and insurance guidelines.
  • CPB or CPC certification is a plus.

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