Billing Specialist
New
Philippines, US Business HoursFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- English
- Experience
- Minimum 1 year
- Required Skills
- Microsoft ExcelGoogle WorkspaceEHR
Requirements
- Minimum 1 year of experience in medical billing or revenue cycle management.
- Strong understanding of pre-submission workflows and claim editing processes.
- Experience working within an EHR platform.
- Knowledge of CPT, ICD-10, and modifier usage.
- Proficiency with billing platforms such as Candid.
- Proficiency with Google Workspace and Microsoft Excel or Google Sheets.
- Ability to navigate payer portals.
- Strong organizational skills and high attention to detail.
- Excellent written and verbal English communication skills.
- Ability to manage multiple priorities in a fast-paced environment.
Responsibilities
- Review and resolve coding issues flagged in billing systems prior to claim submission.
- Identify and correct missing information, demographic mismatches, and coding inconsistencies.
- Validate CPT, ICD-10, and modifier usage to support billing compliance.
- Monitor and resolve billing issues held within the EHR system.
- Coordinate with clinical and administrative teams to obtain missing documentation.
- Maintain clean billing queues by proactively addressing preventable claim holds.
- Process claims requiring secondary insurance billing and coordination of benefits.
- Track billing percentage metrics and identify trends impacting claim holds.
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