Medical Billing Specialist – Collections
New
Philippines, Monday to Friday | 9:00 PM to 6:00 AM (Manila)Full-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- At least 3 years
Requirements
- At least 3 years of experience in Medical Billing and Collections.
- 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.
- Previous experience in Orthopedic, Spine Surgery and Pain Management Specialty a plus
Responsibilities
- Review/Analyze explanation of benefits (EOB), Remittance Advice, and Denials from Payers to drive resolution for account receivables.
- Preparation and analysis of aging reports.
- Use all channels available to resolve and collect account receivables with payers which includes but is not limited to utilizing payer portals and outbound calls to the provider desk.
- Review or update claims corrections and uploads required documents in our clearinghouse portals.
- Identifying underpayments and preparing documents for appeals
- Creating batches and post-received payments.
- Code claims accordingly with CPT and ICD 10s codes.
- Post charges to create a claim and submit it to our clearinghouses.
- Contact patients, providers, and payers to check eligibility, pre-cert, or follow up on claims/appeals.
- Identify billing errors and denials, by understanding the problem and resubmit corrected claims or take other appropriate action to resolution.
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