Healthcare Biller Specialist

7 days ago

Dasmariñas, Calabarzon, Philippines beBeeBillingspecialist Full time ₱7,200 - ₱7,800
Job Summary:

As a seasoned billing professional, this role is responsible for overseeing the financial management and collection processes in a healthcare environment. The ideal candidate will possess a strong understanding of Medicare, Medicaid, and insurance billing practices, as well as proficiency in using PointClickCare.

Key Responsibilities:
  • Billing Operations: Ensure timely and accurate submission of claims to various third-party payers.
  • Claims Management: Review and process claims in accordance with government regulations and insurance policies.
  • Accounts Receivable: Track and manage accounts receivable, facilitating timely follow-ups on outstanding claims and payments.
  • Compliance: Maintain strict adherence to regulatory standards, including HIPAA and payer-specific guidelines.
  • Patient Billing: Generate and distribute patient bills, address billing inquiries, and resolve discrepancies.
  • Denials & Appeals: Address claim denials and process appeals as necessary, ensuring proper payment.
Requirements:
  • Experience: Minimum 1-3 years of experience in medical billing, particularly in long-term care or skilled nursing facilities.
  • Knowledge: Strong understanding of Medicare, Medicaid, and insurance billing processes, regulations, and terminology.
  • Technical Skills: Proficiency in billing software, electronic medical records (EMR) systems, and Microsoft Office Suite, specifically PointClickCare.
  • Attention to Detail: High level of accuracy in billing and documentation.
  • Communication Skills: Excellent communication skills to interact effectively with patients, families, insurance representatives, and staff members.

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