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insurance billing specialist

1 hour ago

Antipolo City, Calabarzon, Philippines connect WC Full time

Insurance Billing Specialist

The Insurance Billing Specialist is responsible for submitting, tracking, and reconciling insurance claims to ensure timely and accurate reimbursement. This role requires strong attention to detail, knowledge of insurance guidelines, and effective communication with insurance carriers, patients, and internal teams.

Key Responsibilities

  • Prepare, review, and submit insurance claims (electronic and/or paper) in compliance with payer requirements
  • Verify patient insurance eligibility, benefits, and coverage details
  • Follow up on unpaid, denied, or underpaid claims and take corrective action
  • Review Explanation of Benefits (EOBs) and post payments and adjustments accurately
  • Identify and resolve claim errors, denials, and discrepancies
  • Communicate with insurance companies to resolve billing and reimbursement issues
  • Maintain accurate billing records and documentation
  • Ensure compliance with HIPAA and all applicable regulations
  • Collaborate with front office, clinical staff, and management to improve billing accuracy and workflow
  • Stay current on insurance policies, coding updates, and billing regulations

Required Qualifications

  • High school diploma or equivalent (Associate's degree preferred)
  • 1+ years of experience in insurance billing or medical billing (preferred)
  • Knowledge of insurance plans, claims processing, and reimbursement procedures
  • Proficiency with billing software and electronic health record (EHR) systems
  • Strong attention to detail and organizational skills
  • Excellent communication and problem-solving abilities

Job Types: Full-time, Permanent, Fresh graduate

Pay: Php18, Php20,000.00 per month

Benefits:

  • Flexible schedule
  • Flextime
  • Paid training
  • Pay raise

Work Location: In person