Limitlessli

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🔥 Medical Biller

Posted 4 days ago

📍 Manila, PH, Cebu, PH, Davao, PH

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Minimum of 2 years of DME billing experience with Medicare, Medicaid, Tricare, and commercial insurances
Proficient in CMNs (Certificate of Medical Necessity), pre-billing, and insurance verification
Experienced in medical billing via electronic medical record (EMR) systems - working knowledge of Easy Claims and Claims MD would be advantageous
Excellent written and verbal communication skills
Exceptional eye for detail and fantastic key-boarding skills
Knowledge of medical equipment and supplies (e.g., feeding tubes, feeding pumps, trachea) preferred
Strong understanding of PPO insurance and Medicare
Proficient in EOBS and CPT codes
Knowledgeable in ICD-10 coding guidelines and medical terminology

💡 Responsibilities

Receive and generate requests from SNFs for medical equipment and supplies
Review medical records to verify payer qualifications
Create and send invoices to facilities and insurance companies and process orders
Ensure all equipment and accessories are accurately coded
Submit claims with necessary authorization paperwork
Verify patient eligibility for insurance coverage
Follow up on physician's orders to complete billing
Identify and bill secondary or tertiary insurance
Manage assigned accounts and track equipment
Ensure HIPAA compliance in all billing processes
Diagnose universal medical codes for accurate medical records
Prepare and submit claims via the e-billing system
Provide required medical documentation to insurance companies
Pre-certify medical visits and follow up on status

Posted 4 days ago

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🔥 Customer Service Representatives

Posted 4 days ago

📍 Manila, PH, Nigeria

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Previous customer service experience, preferably in a healthcare or medical setting.
Strong ability to build and nurture professional relationships, particularly with doctors and medical professionals.
Proficient in using DocuSign or similar electronic signature tools.
Excellent communication skills, both verbal and written, with the ability to interact confidently and professionally with doctors.
Highly organized with an eye for detail and a commitment to accuracy.
Ability to multitask and handle a variety of administrative duties efficiently.
Strong problem-solving skills and a customer-first attitude.

💡 Responsibilities

Establish and maintain strong relationships with doctors and healthcare providers to ensure long-term satisfaction and loyalty.
Facilitate the preparation, distribution, and signing of contracts using DocuSign, ensuring all required fields are completed and signed in a timely manner.
Represent the company professionally in all interactions, ensuring clear, respectful, and accurate communication with doctors and healthcare staff.
Address and resolve customer queries via phone, email, or other communication channels, offering exceptional service and timely solutions.
Ensure that all documentation, contracts, and communication are accurately recorded and tracked.
Collaborate with internal teams to address customer needs, streamline processes, and provide exceptional service.

Communication SkillsCustomer serviceExcellent communication skillsRelationship buildingCRMCustomer supportCustomer Success

Posted 4 days ago

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🔥 Case Manager

Posted 4 days ago

📍 Philippines

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Must possess a valid USRN - NY nursing license
A graduate degree in BS Nursing or similar field
Minimum 2 years of clinical experience is preferred
Excellent English communication skills, both written and verbal
A background working with individuals who have difficulty expressing their needs
Outgoing and team-orientated
Capable of working in a fast-paced environment
Critical thinker with strong customer service focus

💡 Responsibilities

Assist patients in making informed decisions about their clinical status, medications, and treatment options
Conduct concurrent and retrospective reviews to assess medical necessity, appropriateness of service, and level of care
Interview clients or patients to evaluate their situational needs
Determine necessary services and assistance for patients
Document case history, prepare reports, and serve as a liaison between families and essential services
Use care protocols, standards, and guidelines to inform decision-making
Liaise with patients, physicians, insurance companies, and facility staff regarding clinical-related information and clarifications via phone, email, and other communication methods
Ensure case reports are accurate and up to date
Identify and report quality of care concerns appropriately
Undertake other ad-hoc duties as assigned

CollaborationCustomer serviceTime ManagementWritten communicationExcellent communication skillsProblem-solving skillsCritical thinkingVerbal communicationActive listeningEnglish communication

Posted 4 days ago

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🔥 Accountant

Posted 5 days ago

📍 Worldwide

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

At least 10 plus years of experience as an Accountant, preferably within the US healthcare industry (experience in skilled nursing or similar environments is a bonus).
Bachelor’s degree in accounting, Finance, or a related field.
Advanced experience with QuickBooks (10+ years preferred).
Familiarity with Enterprise (training provided if necessary).
Strong proficiency in MS Excel, including advanced functions like VLOOKUPs and PivotTables.
In-depth knowledge of accounting regulations and procedures, including GAAP standards.
Exceptional verbal and written communication skills to collaborate effectively with internal and external stakeholders.
A keen eye for detail and exceptional analytical skills, ensuring accuracy in financial documentation and reporting.

💡 Responsibilities

Perform regular bank reconciliations, ensuring all transactions are accurate and discrepancies are promptly identified and resolved.
Record journal entries to maintain accurate financial records and promote transparency in financial reporting.
Reconcile accounts payable (AP) and accounts receivable (AR) accounts to ensure financial data is accurate and up-to-date.
Support in preparing budget forecasts, analyzing financial trends, and ensuring financial goals are met.
Ensure timely processing of bank payments, maintaining proper documentation for each transaction.
Prepare and publish financial statements (balance sheets, profit and loss statements) in accordance with company timelines.
Undertake data analysis to monitor financial performance and identify opportunities for improvement.
Ensure compliance with all financial policies, procedures, and regulations, including Generally Accepted Accounting Principles (GAAP).
Accounts Receivable responsibilities
Accounts Payable responsibilities
General ledger responsibilities

Data AnalysisFinancial ManagementAccountingBudgetingFinancial analysis

Posted 5 days ago

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🔥 Senior Operations Manager - MDS Reimbursement

Posted 15 days ago

📍 Manila, PH / Cebu, PH / Davao, PH

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Current, active Registered Nurse (RN) license in the United States (USRN preferred).
Minimum of 5 years of experience in healthcare operations, including experience in MDS Reimbursement and/or healthcare reimbursement processes.
Proven experience in a leadership or management role in healthcare or operations.

💡 Responsibilities

Oversee and manage the MDS (Minimum Data Set) Reimbursement process to ensure compliance with relevant healthcare policies and regulations.
Supervise, coach, and mentor a team of professionals, providing ongoing training to ensure high standards in job performance.
Build and maintain solid relationships with clients, ensuring their satisfaction with services rendered.

LeadershipOperations ManagementCommunication SkillsAnalytical SkillsMicrosoft ExcelCoachingProblem-solving skillsTrainingClient relationship managementQuality AssuranceTeam managementStrategic thinkingProcess improvementBudget management

Posted 15 days ago

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