US Healthcare Medical Specialist

13 hours ago

Manila, National Capital Region, Philippines beBeeMedical Full time ₱264,000 - ₱396,000

Job Description

A medical biller plays a crucial role in the revenue cycle management of US healthcare clients. The ideal candidate will have extensive experience using the Athena billing software, with a proven track record of maximizing reimbursements while maintaining compliance and accuracy.

Responsibilities include accurately posting medical charges, payments, and journal entries to patient accounts, working directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims, verifying insurance eligibility and benefits, along with patient registration data, preparing and transmitting claims using the Athena billing software, proactively following up on unpaid claims and researching denied claims to ensure maximum reimbursement, expertly appealing denied claims, navigating complex insurance guidelines, ensuring strict compliance with all HIPAA regulations and industry standards, performing eligibility verification and obtaining accurate claim statuses from various insurance payers, reviewing patient bills and reading superbills for precise charge entries, posting Electronic Remittance Advice ERA and Explanation of Benefits EOB from diverse systems.

Qualifications

Applicants must possess a 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

As a remote employee, you'll enjoy a convenient schedule that supports work-life balance, earn a competitive salary ranging from Php 20,000 to Php 33,000, opportunity to earn up to a 20% performance bonus, comprehensive training to ensure your success in the role, access to health maintenance organization benefits, government-mandated benefits, collaborate and grow with a supportive and diverse group of professionals, opportunities to enhance your skills and advance your career in the thriving RCM industry.

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