Medical Billing Specialist

5 days ago


Mandaluyong City, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full time
Job Summary: We are seeking a highly skilled Medical Billing Consultant to join our team at Vector Outsourcing Solutions Philippines. As a key member of our revenue cycle management team, you will be responsible for ensuring accurate and timely submission of medical insurance claims.

Key Responsibilities:
  • Accurate Claims Creation: Prepare and submit claims to insurance companies within the required timeframe.
  • Timely Claim Submission: Oversee the submission of claims to insurance companies, ensuring adherence to deadlines to avoid delays in payments.
  • Claim Denial Management: Address claim denials by coordinating resubmissions, crafting detailed appeal letters, and working toward resolutions.
  • Denial Mitigation Strategies: Develop and implement proactive strategies to minimize claim denials, ensuring continuous improvement in billing processes.
  • Specialty and Carrier-Specific Knowledge: Stay updated on the latest billing requirements, guidelines, and regulations specific to various medical specialties, states, and insurance carriers.
  • Policy and Procedure Adherence: Follow all client and team policies, procedures, and guidelines to maintain consistency, compliance, and accuracy.

Requirements:
  • Experience: Open to candidates with or without experience, though individuals with 1-2 years of medical billing experience will be given priority consideration.
  • Insurance Knowledge: Familiarity with various insurance policy types, including PPO, HMO, and MediCal, is preferred but not required.
  • Practice Management Systems: Ability to navigate Healthcare Practice Management systems is a plus, though not mandatory.
  • Skills: Strong attention to detail, accuracy, and excellent time management skills are essential.
  • Communication: Must possess excellent communication skills in English, both written and verbal.
  • Data Entry: Proficient data entry skills, with a typing speed of 40 WPM or faster, are required.
  • Confidentiality: Must demonstrate the ability to work with and protect confidential information.
  • Consultancy Role: Must be open to working in a consultancy capacity, with flexibility in project-based or contract work as needed.


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