Medical Billing Specialist - Collections

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SourcefitHealthcare Billing
Eastwood Quezon City, PH, Monday to Friday | 9 PM to 6 AM (Manila Time)Full-Time
Salary not disclosed
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Job Details

Requirements

  • Experience in mental health and/or substance abuse treatment billing, or revenue cycle management.
  • Strong attention to detail and accuracy in coding and billing processes.
  • Experience with CollaborateMD billing software (preferred).
  • Excellent communication skills to interact with healthcare providers, insurance companies, and patients.
  • Ability to work independently and prioritize tasks effectively.

Responsibilities

  • Call carriers and inquire about payment status on claims according to our in-network contracts.
  • Audit discrepancies between billing and payment delays/denials.
  • Verify insurance payment accuracy and compliance with contract and customary charges.
  • Follow up on unpaid or denied claims and appeal & send medical records as necessary.
  • Demonstrate knowledge of third-party payers’ Explanation of Benefits (EOBs) and understand specific time limitations for appeals for all served lines of business.
  • Maintain confidentiality of patient information and adhere to HIPAA regulations.
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