Healthcare Claims Professional

13 hours ago


Cabuyao, Calabarzon, Philippines beBeeMedicalBiller Full time $9,600

Medical Billing is a vital function in the healthcare industry, involving the submission of claims to insurance companies. The Medical Biller plays a crucial role in processing and managing these claims, ensuring timely payment and minimizing denials.

Duties and Responsibilities:
  • Inbound and Outbound Calls: Manage phone calls with patients, providers, and healthcare insurance companies regarding inquiries, appointments, and data verification
  • Phone Etiquette: Maintain excellent communication skills and provide a positive customer experience
  • Denial Management: Help resolve denials and follow-ups, correct denial claims, and resubmit claims to ensure accurate payment
  • Claim Submission: Submit electronic and paper claims to primary, secondary, and third-party insurance companies
  • Explanation of Benefits (EOB): Record and verify EOBs to ensure accurate reimbursement
  • Administrative Support: Provide administrative support including data entry, verifying insurance, follow-ups, and authorizations, as well as collections on outstanding balances and receivables
Requirements:
  • Communication Skills: Excellent verbal and written English communication skills
  • Customer Service Experience: Customer service experience in Insurance Billing
  • Certification: HIPAA Certification is highly desirable
  • Time Management and Attention to Detail: Strong time management and attention to detail skills
  • Organization and Computer Skills: Impartial and highly organized, with strong computer skills


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