Medical Billing Specialist

6 days ago

Eastwood City, Philippines Intelassist Inc. Full time ₱480,000 - ₱660,000 per year

Employment Type: Full-Time Employment

Work Setup: Onsite onboarding for two weeks, followed by a transition to a remote setup.

Work Schedule: Night Shift (Following U.S. Time Zone)

Location: Eastwood, Libis, Quezon City

Salary Package: 40,000 PHP to 55,000 PHP/Monthly

Duties and Responsibilities:

  • Work Hold Buckets
  • Make corrections to the following:
  • Provider information
  • Patient insurance discrepancies
  • Credentialing information
  • Patient demographics
  • Other issues as requested
  • Provide the following:
  • Additional documentation requested
  • Missing referral/authorizations
  • Work Manager Hold Buckets
  • Provide additional documentation requested

  • Address patient insurance issues, including:

  • Medical policy

  • Benefits coverage
  • Coordination of benefits
  • Other
  • Respond to questions regarding coding clarification
  • Work Charge Entry for Office and Procedures
  • Review claims to optimize coding and ensure all procedures, tests, etc., were billed
  • Enter charges by the end of the business day following provider's closing encounter
  • Double check schedule with charge entry to identify any missing slips
  • Review Insurance Refunds Worklist
  • Review and confirm insurance refunds before presenting to the practice

  • Ensure refunds are properly handled

  • Review Patient Refund Worklist

  • Review and confirm patient refunds before presenting to practice

  • Coordinate payment with practice manager and/or physician(s)

  • Work Unpostables

  • Gather EOBs, scan and upload into Athena

  • Review Collections Worklist

  • Review collections weekly
  • Follow strict protocol regarding patient letters and phone calls regarding payment
  • Call patients requesting payment in-full or work-out payment arrangements

  • Send patients ready for collections directly to practice or collection agency

  • Review Claim Attachment Error Queue

  • Review and correct claim attachment errors

  • Review claim attachment faxes that Athena did not associate with a claim

  • Review Zero Pay Report

  • Review for underpayment

  • Initiate corrections

  • Review and provide Practice Reports monthly or upon request

  • Run A/R Aging Wizard
  • Denial Report
  • Run Activity Wizard
  • Present reports with recommendations for improvement, as needed

Skills Requirements:

  • Excellent communication skills, both oral and written
  • Ability to organize and prioritize multiple deliverables
  • Ability to work and think independently
  • Attention to detail and strong emphasis on quality
  • Ability to research and problem solve
  • Ability to work collaboratively within the department
  • Ability to work with multiple screens and/or systems to maintain productivity standards

Job Requirements:

  • Bachelor's Degree of any related field

  • 2+ years of medical billing experience (pain management specialty required).

  • Proficiency with Athenahealth (Athena) billing platform is required.

  • Strong knowledge of CPT, ICD-10, and HCPCS coding for pain management services.
  • Experience with commercial, Medicare, and Medicaid billing processes.
  • Excellent communication, problem-solving, and organizational skills.
  • Ability to work independently and meet deadlines in a fast-paced environment.

WHY INTELASSIST?

We grow together. We value your effort. We aim to empower you.

Job Type: Full-time

Pay: Php40, Php55,000.00 per month

Benefits:

  • Company Christmas gift
  • Company events
  • Health insurance
  • Opportunities for promotion
  • Promotion to permanent employee

Work Location: In person

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