Medical Billing Specialist-Payment Posting

S
SourcefitUS Healthcare
Work from home, Monday to Friday | 8:00 PM-5:00 AM Philippine TimeFull-TimeMiddle
Salary not disclosed
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Job Details

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
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