Top Healthcare Medical Biller for Revenue Cycle Management

1 day ago


Makati City, National Capital Region, Philippines beBeeHealthcare Full time ₱20,000 - ₱33,000
Medical Billing Expert Wanted

We are seeking a highly skilled Medical Biller to join our team. As a Medical Biller, you will play a crucial role in maximizing reimbursements and ensuring compliance and accuracy in revenue cycle management.

Responsibilities:
  • Post medical charges, payments, and journal entries accurately to patient accounts.
  • Work directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims.
  • Verify insurance eligibility and benefits, as well as patient registration data.
  • Prepare and transmit claims using specialized billing software.
  • Proactively follow up on unpaid claims and research denied claims to ensure maximum reimbursement.
  • Avoid denials by expertly appealing complex cases.
  • Maintain strict adherence to HIPAA regulations and industry standards.
  • Perform eligibility verification and obtain accurate claim statuses from various payers.
  • Review patient bills and superbills for precise charge entries.
  • Process Electronic Remittance Advice ERA and Explanation of Benefits EOB from diverse systems.
Requirements:
  • Proven experience as a Medical Biller with extensive hands-on experience using the Athena billing software/EMR.
  • Solid understanding of US healthcare insurance guidelines and medical billing best practices.
  • Demonstrated ability to perform eligibility and benefit verification.
  • Proficiency in obtaining claim statuses and navigating payer portals.
  • Experience with charge entry from superbills and posting ERA/EOB.
  • Strong commitment to maintaining HIPAA compliance.
  • Excellent attention to detail and organizational skills.
  • Effective communication skills, both written and verbal.
Benefits:
  • Remote work arrangement providing flexibility and comfort.
  • Midshift schedule supporting work-life balance.
  • Paid training to ensure success in the role.
  • HMO benefits and government-mandated benefits.
  • Opportunities for professional growth and career advancement in the RCM industry.
About This Opportunity

This is an exciting chance to leverage your expertise and contribute to a company that values accuracy, efficiency, and its people.



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