Medical Biller

1 day ago

Manila, National Capital Region, Philippines BruntWork Full time $40,000 - $60,000 per year

This is a remote position.

Schedule: Tuesday to Thursday, 3 PM to 12 AM Pacific Time

Our client is a California-based company committed to delivering exceptional outpatient behavioral and mental health services across the state. They are seeking a highly detail-oriented and experienced Medical Biller to join their expanding team. This fully remote role plays a vital part in ensuring the accurate and timely processing of medical claims, specifically within the behavioral and mental health sector.

If you're a dedicated professional with proficiency in billing software, deep knowledge of behavioral health coding, and a drive to maximize revenue and reduce claim denials, we encourage you to apply

Key Responsibilities

  • Claim Submission & Verification: Accurately prepare and submit claims for behavioral and mental health services to insurance companies (commercial, Medicare, Medicaid, etc.), both electronically and manually. Verify patient demographics and behavioral health insurance benefits.

  • Payment Posting & Reconciliation: Post payments from EOBs, ERAs, and patient transactions accurately to the correct accounts.

  • Denial Management & Follow-Up: Investigate and follow up on unpaid or denied claims. Address issues such as authorization problems and mental health coding errors. Submit appeals and corrected claims as needed.

  • Discrepancy Resolution: Resolve billing discrepancies and rejections promptly to support full revenue recovery for behavioral health services.

  • Accounts Receivable Management: Manage accounts receivable, including collections from both patients and insurance providers.

  • Patient & Payer Communication: Serve as a professional point of contact for billing-related inquiries from patients and insurance carriers. Handle sensitive behavioral health information with discretion.

  • Compliance & Reporting: Maintain full compliance with HIPAA regulations. Generate financial and billing reports as required. Stay up to date with California billing regulations for behavioral health.


Requirements

  • Proven experience as a Medical Biller, with specialized experience in behavioral or mental health outpatient billing highly preferred.

  • Solid understanding of medical billing, insurance processes, and revenue cycle management.

  • Proficiency in medical billing software and EHR systems used in behavioral health settings.

  • Strong knowledge of CPT, ICD-10, and HCPCS codes related to mental and behavioral health services.

  • Familiarity with insurance guidelines and reimbursement policies for commercial, Medicare, and Medicaid plans in California.

  • Excellent analytical and problem-solving skills with high attention to detail.

  • Strong communication skills with the ability to interact professionally with patients, insurance companies, and internal teams.

  • Self-motivated and capable of managing time effectively in a remote setting.

  • Professionalism and strict adherence to patient confidentiality and HIPAA regulations.


Benefits

Independent Contractor Perks

  • Permanent work-from-home setup

  • Immediate hiring

  • Steady freelance opportunity

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