US Healthcare Medical Charge Specialist

1 day ago


Cagayan de Oro, Northern Mindanao, Philippines beBeeMedicalBiller Full time ₱20,000 - ₱33,000
Medical Biller Role Overview

We seek a skilled and detail-oriented Medical Biller to support our US healthcare clients with revenue cycle management using Athena billing software.

This full-time role involves accurately posting medical charges, payments, and journal entries to patient accounts, as well as working directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims.

Key responsibilities include verifying insurance eligibility and benefits, patient registration data, preparing and transmitting claims, following up on unpaid claims, researching denied claims, appealing denied claims, and ensuring compliance with HIPAA regulations and industry standards.

Additionally, the ideal candidate will have proven experience as a Medical Biller, specifically with extensive hands-on experience using the Athena billing software/EMR. A solid understanding of US healthcare insurance guidelines and medical billing best practices is also essential.

The selected candidate will demonstrate an ability to perform eligibility and benefit verification, proficiency in obtaining claim statuses, and strong organizational skills.

Requirements:

  • Proven experience as a Medical Biller with Athena EMR expertise
  • 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

Nice-to-Haves:

  • Knowledge of credentialing processes
  • Experience in denial management and appeals


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