Billing Specialist

3 days ago

Manila, National Capital Region, Philippines Happy Island PPEC Full time

Department: Finance

Reports To: Billing and Collection Manager

Job Summary:

The Billing Specialist is responsible for managing the billing process. This role involves maintaining accurate billing records, resolving discrepancies, and ensuring compliance with healthcare regulations. The Billing Specialist plays a key role in ensuring that the organization receives proper reimbursement for medical services provided.

Key Responsibilities:

  1. Claims Processing:

 Prepare and submit insurance claims for reimbursement for services rendered by

healthcare providers.

 Review claims for accuracy, completeness, and compliance with insurance and

healthcare provider standards.

 Follow up with insurance companies to track claim status, resolve denials, and

handle appeals as needed.

  1. Account Reconciliation:

 Reconcile accounts receivable to ensure that payments are posted correctly and that

balances are accurate.

 Investigate and resolve discrepancies, including missing payments, overpayments,

or underpayments.

 Collaborate with the accounting team to ensure that accounts are in good standing.

  1. Compliance and Documentation:

 Ensure billing practices comply with healthcare regulations and insurance

requirements.

 Maintain accurate and complete billing records for audits and future reference.

 Stay up to date on changes in insurance policies, billing codes, and regulatory

requirements.

  1. Reporting:

 Provide regular reports to the Billing and Collection Manager regarding billing

status, claim rejections, payment trends, and outstanding balances.

Qualifications:

Education:

 Associate's degree in healthcare administration, business, or related field

(preferred).

Experience:

 At least 1-2 years of experience in billing or a similar role.

 Experience with healthcare billing software preferred.

Skills and Competencies:

 Strong attention to detail and accuracy in billing.

 Excellent communication and customer service skills.

 Ability to resolve complex billing issues and inquiries.

 Strong organizational skills and ability to manage multiple tasks efficiently.

 Proficient in Microsoft Office Suite, particularly Excel.

 Ability to work independently and as part of a team.

Salary: There will be an initiall salary for the first 3 months and later on have an adjustment, as the company grows, more increases will be set.

Job Type: Full-time

Benefits:

  • Pay raise
  • Work from home

Education:

  • Bachelor's (Required)

Experience:

  • Billing: 2 years (Required)

Language:

  • English (Required)

Work Location: Remote

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