Medical Billing
2 days ago
Qualifications
- Bachelor's degree in business, healthcare administration, or a related field
- At least five (5) years of experience in medical billing or revenue cycle management
- In-depth knowledge of end-to-end RCM processes, including charge entry, payment posting, and accounts receivable follow-ups
- Strong familiarity with HIPAA regulations and proper handling of protected health information
- Hands-on experience with Practice Management Systems (PMS) or similar medical billing platforms
- Solid understanding of insurance processes, including interpretation of EOBs and ERAs
- Advanced proficiency in Microsoft Excel and data management tools
- Demonstrated leadership skills with the ability to organize workflows, communicate effectively, and guide team members
Key Responsibilities
- Supervise daily billing operations to ensure accuracy, efficiency, and compliance with regulatory standards
- Review, validate, and update patient demographics, insurance details, and charge information in the billing system
- Ensure eligibility verification and payer checks are completed prior to claim submission
- Oversee claim submissions and coordinate with insurance providers to resolve rejections and denials
- Post and reconcile payments from insurers and patients on a daily basis
- Review bulk payments, checks, and supporting documents prior to posting
- Lead follow-ups on unpaid or underpaid claims and manage the appeals process when necessary
- Communicate directly with insurance payers to resolve issues and ensure timely reimbursement
- Generate and distribute accurate patient statements in a timely manner
- Apply appropriate adjustments and contractual write-offs
- Maintain organized and complete records of billing activities and correspondence
- Prepare daily productivity or workload reports and ensure required approvals and sign-offs
- Ensure full compliance with HIPAA standards and internal company policies at all times
Work Details
- Schedule: Night shift, 8:00 PM – 5:00 AM
- Work Setup: Work-from-home initially, with a transition to on-site work in Makati once office operations commence
Job Types: Full-time, Permanent
Pay: Up to Php60,000.00 per month
Benefits:
- Opportunities for promotion
- Promotion to permanent employee
Application Question(s):
- Kindly indicate your email address and phone number.
Work Location: In person
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