Billing Specialist

1 week ago

Taguig, National Capital Region, Philippines beBeeAccountant Full time $50,000 - $80,000
Job Title: Medical Biller

This role involves managing the billing and collections process for assigned accounts in the revenue cycle.

Main Responsibilities:
  • Coordinate with various departments to post charges to resident accounts accurately.
  • Review charges for completeness, consistency, and correctness before submitting them to payers.
  • Prepare and issue accurate billing statements to the correct payer using electronic systems provided.
  • Monitor submissions daily to address any denials or requests for additional information (ADRs).
Collections Duties:
  • Follow up on unpaid claims/denials within company standard billing cycle timeframes; determine reasons for denial. Correct claims and re-bill when required.
  • Document all communications and collection attempts, taking follow-up action in accordance with established policies and procedures.
  • Provide necessary supporting documentation to payer upon request in a timely manner.
  • Maintain A/R Aging levels for assigned accounts within company guidelines.
  • Notify supervisors of difficult/problem accounts; residents unwilling or unable to pay balances.
  • Process claim reclassification to private accounts upon approval from management.
  • Process bad debts in a timely fashion when claims are determined to be uncollectable. Document all reasons for uncollectability and efforts in the process.
Payment Processing:
  • Apply Third Party payments daily including checks, wire transfers, EFT payments, other bank deposits, cash, and credit card payments. Confirm completeness and accuracy of payment information to the residents' accounts.
Customer Service:
  • Establish good relationships with all third-party payers through professional communication.
  • Efficiently conduct inquiries and analysis for resolution of discrepancies.
General Responsibilities:
  • Adhere to the highest practical standards of business operations.
  • Participate in and maintain current status on all training and education required by the organization.
  • Communicate effectively with all members of the staff and business partners.
  • Provide feedback to others for continuous quality improvement of the entire organization.
  • Openly accept feedback from others for the continuous quality improvement of the entire organization.
  • Escalate issues when there is an appearance that business standards of quality are not present.
  • Comply with all rules and regulations of the organization, including HIPAA and safety.
  • Perform other duties as assigned.

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