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Medical Billing Specialist-Payment Posting

Posted 2024-10-23

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💎 Seniority level: Middle, At least 3 years

📍 Location: Philippines, PH

🔍 Industry: Healthcare

🏢 Company: Sourcefit

⏳ Experience: At least 3 years

Requirements:
  • At least 3 years of experience in US Healthcare.
  • Knowledge of medical billing codes, including CPT and HCPCS coding, claims modifiers, and ICD-10 diagnosis coding.
  • Familiarity with Revenue Cycle Management (RCM) systems, Practice Management Systems (PMS), and tools.
  • 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:
  • Process payments received and create batches for posting.
  • Identify underpayments and prepare appeals documents.
  • Code claims accordingly with CPT and ICD 10s codes.
  • Submit claims to clearinghouses and update or review claims corrections.
  • Communicate with patients, providers, and payers to check eligibility, pre-certify, or follow up on claims and appeals.
  • Perform other duties as assigned by management.
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