Medical Billing Specialist

2 days ago

Philippines Berry Virtual Full time ₱30,000 - ₱60,000 per year

The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end billing tasks to optimize revenue for healthcare practices.

Key Responsibilities:

  • End-to-End Revenue Cycle Management (RCM): Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed.
  • Accounts Receivable (A/R) Collections: Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue.
  • Claims Denial Investigation and Resolution: Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments.
  • Claims Resubmission and Correction: Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement.
  • Documentation and Compliance: Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA.
Requirements
  • Proven experience in medical billing with exposure to RCM and A/R processes.
  • Experience with claim denial management and collections processes.
  • Proficiency in English communication, both written and verbal.
  • Proficient in virtual office tools, EHR systems, and communication platforms.
  • Strong customer service and critical thinking skills.
  • Understanding of HIPAA regulations and the importance of patient data confidentiality.
  • Strong problem-solving skills and ability to work with minimal supervision.
  • Willingness to work in US time zones (PST, EST, CST).
  • High school diploma or equivalent.

System and Work Setup Requirements:

  • Internet: Minimum speed of 25 Mbps or higher, with a reliable backup connection available in case of power outages or service provider issues.
  • Processor: Intel Core i5 7th Generation or higher (or equivalent).
  • Memory: 8 GB RAM.
  • Storage: 256 GB SSD or HDD with at least 50% free space available.
  • Webcam: 720p resolution or higher.
  • Operating System: Windows 10 or later (or equivalent).
  • Audio Equipment: Noise-canceling earphones or headset.
  • Workspace: A designated, quiet, and organized workspace free from distractions to ensure productivity and focus.
Benefits
  • Permanent remote work setup
  • Competitive starting rate paid in USD
  • Internet Allowance
  • HMO insurance (PH)
  • Retirement Fund
  • Paid US holidays
  • Paid Vacation and Sick Leaves

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