Billing Specialist

5 hours ago

Work from Home, Philippines Mailtech Marketing Services Full time ₱360,000 per year

JOB OVERVIEW

The Billing Specialist is responsible for the accurate, timely and efficient submission of client claims and ensuring those claims result in full payment. This position will interact with RCM clients consistently and must provide consistent and exceptional customer service while driving all discussions with data.

They must ensure accuracy and compliance in all record keeping allowing for an accurate billing process and financial close. As well as follow up promptly on unresolved issues to help ensure maximum collections for clients.

Key Responsibilities:

  • Preparing, reviewing and transmitting claims using billing software, including electronic and paper claims.
  • Verify insurance coverage as needed to substantiate claim submission.
  • Identify secondary and tertiary payers as needed.
  • Follow up to ensure receipt by all applicable insurers and review unpaid claims within billing cycle timeframes.
  • Review payments for accuracy.
  • Coordinate consistently with clients to investigate and resolve denied claims and return corrected claims to the insurer quickly.
  • Work with representatives of insurance companies (including Medicare and Medicaid) to resolve payment discrepancies.
  • Provide exceptional customer service to all clients.

Qualifications:

  • College graduate of any related field or equivalent combination of education, training and experience
  • Requires 2-3 years of experience in one or more aspects of the medical revenue cycle management.
  • at least 2 years of account level customer service.
  • Exceptional problem-solving abilities and attention to detail particularly as it relates to claim investigation, denials, appeals and collections.
  • Knowledge of Microsoft Office Suite.
  • Knowledge of insurance guidelines for all applicable players.
  • Detail oriented with solid verbal and written communication skills.
  • Comfortable working with all levels of finance, admissions, medical records, and clinical representatives.
  • Possesses strong analytical, time management, organizational, problem solving and decision-making skills.
  • Must have a working knowledge of Medicare, Medicaid and be familiar with commercial insurance billing and their respective plans.
  • Strong computer and billing software skills.
  • Excellent English communication skills
  • Must have a stable and reliable internet connection.

Job Type: Full-time

Pay: From Php30,000.00 per month

Benefits:

  • Work from home

Experience:

  • billing specialist: 2 years (Preferred)

Work Location: Remote

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