Clinical Billing Expert

5 days ago


Pasig, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full time
About the Job

This Medical Billing Consultant position offers an exciting opportunity to join our team at Vector Outsourcing Solutions Philippines.

Key Responsibilities:

  • Ensure the preparation of accurate and compliant medical insurance claims for timely submission.
  • Oversee the submission of claims to insurance companies, ensuring adherence to deadlines.
  • Address claim denials by coordinating resubmissions and crafting appeal letters.
  • Develop proactive strategies to minimize claim denials and improve billing processes.
  • Stay updated on billing requirements, guidelines, and regulations specific to various medical specialties, states, and insurance carriers.
  • Follow all client and team policies, procedures, and guidelines to maintain consistency, compliance, and accuracy.

Requirements:

  • Experience: Open to candidates with or without experience. Priority consideration will be given to individuals with 1-2 years of medical billing experience.
  • Insurance Knowledge: Familiarity with PPO, HMO, and MediCal policy types is preferred but not required.
  • Practice Management Systems: Ability to navigate Healthcare Practice Management systems is a plus.
  • Skills: Strong attention to detail, accuracy, and excellent time management skills are essential.
  • Communication: 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: Demonstrate the ability to work with and protect confidential information.
  • Consultancy Role: Open to working in a consultancy capacity with flexibility in project-based or contract work as needed.

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