Medical Biller

4 days ago


Cebu City, Central Visayas, Philippines Staff4Me Full time ₱250,000 - ₱350,000 per year

Ideal Biller:

  • Attention to Detail
  • Likes systems and processes
  • Excellent written and oral communication skills
  • Would need to learn our software, Acusimple
  • Friendly and patient
  • Can multi-task (call insurance companies for verification while submitting claims while on hold)

List of Biller's responsibilities:

  • Insurance verifications and benefits for our new patients and current patients that will be sent over from Stacey. Most can be done online, a few will need to be handled with phone calls
  • code the claims from a list of acceptable codes furnished by Dedham Acupuncture according to each insurer
  • scrub claims for codes that will deny (ex - one insurer, Harvard Pilgrim, will only accept 3 procedure codes)
  • Submit claims electronically to the payers via our software, acusimple within 72 hours after the date of service
  • Correct claims and resubmit any denied claims within 7 days of receiving; some denied claims may require additional information from insurers or may need to be appealed
  • pull reports/EOBs from insurers payment websites (like payspan) and post payments to acusimple. Send these reports from the insurers of payments in a monthly report to our bookkeeper, KEM to reconcile with our bank accounts. Contact any insurers that report sending payment but have not.
  • Make sure that credentialing is up to date with each insurer every time we add a new provider or one leaves our practice

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