Medical Biller

OVERVIEW

This role is responsible for managing documentation related to hospital charges, invoices, insurance claims, patient transfer and other common processes within the healthcare industry.

DETAILED DESCRIPTION / SCOPE OF WORK

• Perform posting charge.
• Perform completion of claims to payer
• Conduct duties in a professional and timely fashion.
• Submit billing data to the appropriate insurance provider.
• Process claims Resolve denial instances.
• Achieve maximum reimbursement for services provided.
• File medical services with insurance providers Issue bills to patients and track all payments.
• Prepare and transmit invoices using billing software.
• Check invoices for correctness and completeness and obtain missing information.
• Verify eligibility for treatment with insurance companies.
• Research and appeal of rejected invoice claims.
• Carry out the accounting expenses and the termination of claims to payers on time.
• Convert doses to billable units.
• Send billing information to insurance providers.
• Work out claims and claims denial to ensure maximum reimbursement for services rendered Implement, maintain and report on the programs initiated by the practice.
• Generates revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts.
• Collects delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur.
• Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies, determines appropriateness of pursuing legal remedies, and testifies in court cases. Maintains Medicare bad-debt cost report by tracking billings, monitoring collections, and compiling information.
• Initiates claims against estates by monitoring deaths and unpaid accounts, informing legal department to act on probate and estate issues, and following-up with clerk of court.
• Secures outstanding balance payments for care of employees by establishing payroll deductions and obtaining signatures for automatic transfers.
• Secures obstetrical payments by interviewing and obtaining information from pre-delivery patients, establishing payments due prior to delivery and sending monthly statements.
• Maintains work operations by following policies and procedures, and reporting compliance issues.
• Maintains quality results by following standards. Protects clinic's/hospital's value by keeping collection information confidential.
• Updates job knowledge by participating in educational opportunities.
• Serves and protects the clinical community by adhering to professional standards, hospital or clinic policies and procedures, federal, state, and local requirements and standards.
• Enhances billing department and practice reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

Requirements and skills

• RN, Bachelor's Degree in Nursing or any related course
• With BPO/Healthcare Industry exposure
• Amenable to work in Shifting Schedule and onsite
• Proven working experience in end-to-end process of medical billing
• Exposure in handling/using STI software
• Willing to work onsite in Cainta, Rizal
• Can start immediately

Job Type: Full-time

Pay: Php20, Php25,000.00 per month

Benefits:

• Company events
• Health insurance
• Opportunities for promotion
• Paid training
• Promotion to permanent employee

Work Location: In person