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Medical Billing Specialist

Posted 2024-10-23

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💎 Seniority level: Junior, At least 2 years

📍 Location: Philippines, EST, NOT STATED

🔍 Industry: Healthcare

🏢 Company: Sourcefit

🗣️ Languages: English

⏳ Experience: At least 2 years

🪄 Skills: Communication SkillsAnalytical SkillsCollaborationMicrosoft Excel

Requirements:
  • At least 2 years’ experience in a similar role.
  • Effective oral and written communication skills.
  • Knowledge of medical billing codes, including CPT, claims modifiers, and ICD-10 diagnosis coding.
  • Familiarity with Revenue Cycle Management (RCM) systems and Practice Management Systems (PMS).
  • Understanding of different types of insurance coverages and claims, including Health, Workers' Comp, and Auto.
  • Ability to read and interpret EOBs (Explanation of Benefits).
  • Experience with coordinating with insurance companies.
  • Strong adaptability and ability to learn quickly.
  • Proven efficiency and punctuality in completing tasks.
Responsibilities:
  • Creating batches and post-received payments.
  • Identifying underpayments and preparing documents for appeals.
  • Coding claims accordingly with CPT and ICD 10 codes.
  • Posting charges to create claims and submit to clearinghouses.
  • Reviewing and updating claims corrections, uploading required documents.
  • Contacting patients, providers, and payers to check eligibility, pre-cert, or follow up on claims/appeals.
  • Performing other duties assigned by management.
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