Medical Billing Specialist
1 day ago
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Billing and Collections:
- Manage service authorizations, eligibility checks, and benefit verifications.
- Post payments accurately and conduct A/R follow-ups with insurance providers on unpaid claims.
- Track, research, and resolve unpaid claims; prepare and submit appeals when necessary.
- Ensure accurate and timely data entry into billing software (e.g., Eclipse).
Accounts Receivable Management:
- Generate and maintain aging reports for accounts receivable.
- Investigate and resolve account discrepancies.
- Perform necessary adjustments and ensure financial records are accurate and up to date.
Key Qualifications:
- 3-5 years of experience for Mid-level and 6-10+ years of experience for Senior Level
- This position is seeking candidates at Mid-level experience (3-5 years).
- In-depth knowledge of Revenue Cycle Management and billing practices, particularly in Physical Therapy, Acupuncture, Podiatry, Nurse Practitioner services, and Chiropractic care.
- Strong organizational, time management, and communication skills.
- Proficiency with EMR/EHR systems (e.g., Eclipse).
- Experience with Eclipse EMR/EHR system is preferred.
- Strong problem-solving skills and ability to navigate payer/insurance company processes.
- Solid understanding of HIPAA and PHI regulations, with strict adherence to confidentiality standards.
- Ability to perform effectively under pressure while managing sensitive information professionally.
- Prior experience in medical billing and working with third-party payers.
- Highly detail-oriented, proactive, and capable of managing multiple priorities.
Shift / Hours:
Monday – Friday in one single shift, 8:30 AM EST – 5:30 AM EST and. Note this is +12 or +13 Philippine time, which will be 8:30 PM PHT – 5:30 AM in PHT from March – November, and adjusts to 9:30 PM PHT – 6:30 AM PHT during Daylight Savings Time.
Job Type: Full-time
Pay: Php40, Php60,000.00 per month
Benefits:
- Work from home
Work Location: Remote
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