Medical Billing Specialist (Psychiatric RCM)

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Hire OverseasPsychiatric healthcare
Workable locations: Philippines. Metro Manila, Philippines. Calabarzon, Philippines. Central Luzon, Philippines. Central Visayas, Philippines. Mimaropa, Philippines, This role requires availability during US business hoursFull-TimeJunior
Salary not disclosed
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Job Details

Experience
At least 2 to 3 years of proven full-cycle medical billing and revenue cycle experience with recent psychiatric or behavioral health billing experience strongly preferred — this is a hard requirement
Required Skills
Microsoft Excel

Requirements

  • Have at least 2 to 3 years of full-cycle medical billing and revenue cycle experience.
  • Have recent psychiatric or behavioral health billing experience; the posting identifies this as a hard requirement.
  • Be proficient in eClinicalWorks (eCW) with recent hands-on experience; eCW proficiency is a hard requirement.
  • Have proven Medicare billing experience.
  • Be HIPAA certified and have working knowledge of HIPAA compliance requirements.
  • Know the full medical billing lifecycle, including claims management, payment posting, denials, collections, and accounts receivable.
  • Have experience with commercial insurance plans, Medicaid, and managed care organizations in addition to Medicare.
  • Know CPT coding, ICD-10 coding, insurance terminology, and payer guidelines in a psychiatric practice setting.
  • Have strong reporting skills and proficiency in Excel and other reporting tools.
  • Be able to manage patient billing phone inquiries and discuss financial matters professionally and compassionately.
  • Be organized, accurate, and able to manage multiple priorities independently.
  • Have no prior commitments that would conflict with full-time employment and have a reliable technical setup for remote work.

Responsibilities

  • Own internal billing and collection activities across the full revenue cycle.
  • Review claims for accuracy, submit them, and manage rejections, denials, corrected claims, and appeals.
  • Investigate underpayments and payer discrepancies, and work accounts receivable aging reports.
  • Serve as the primary liaison between the practice and external billing vendors.
  • Manage patient balances, collection activities, payments, and payment arrangements.
  • Answer patient billing questions and provide statements, itemized receipts, and payment histories.
  • Monitor revenue cycle metrics, prepare billing reports using Excel and other reporting tools, and flag trends to management.
  • Maintain accurate billing documentation and patient account records in compliance with HIPAA, payer guidelines, and applicable regulations.
  • Collaborate with administrative staff and leadership to resolve billing concerns and improve processes.
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