Medical Biller

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Prepare, review, and submit a high volume of insurance claims on a daily basis.

• Oversee the entire billing process from the creation of claims through to payment posting and follow-up on accounts.

• Accurately submit claims to clearinghouses and ensure they are processed in a timely manner.

• Monitor the status of claims and proactively address any billing issues that arise.

• Investigate, appeal, and resolve claim rejections and denials from initiation to conclusion.

• Identify any billing errors, implement necessary corrections, and promptly resubmit claims.

• Maintain a comprehensive understanding of Coordination of Benefits (COB) to ensure precise claim processing.

• Correctly apply CPT and HCPCS modifiers according to payer requirements and clinical documentation.

• Ensure adherence to insurance payer guidelines for various commercial and government payers.

• Professionally communicate with healthcare providers regarding documentation and billing inquiries.

• Assist patients or their parents/guardians with questions related to billing and account balances.

• Collect payments over the phone and set up payment arrangements while delivering exceptional customer service.

⛳️ Requirements

• Extensive hands-on experience in medical billing with a demonstrated ability to manage high volumes of claims.

• Strong background in submitting claims to insurance clearinghouses.

• Proven success in resolving claim rejections and denials up to the point of payment.

• In-depth understanding of Coordination of Benefits (COB).

• Strong knowledge of CPT/HCPCS coding modifiers and their correct application.

• Solid grasp of insurance payer guidelines and billing requirements across various payers.

• Ability to identify billing issues, rectify claims, and resubmit them with minimal oversight.

• Experience managing the entire medical billing lifecycle from claim submission through to payment posting and collections.

• Strong analytical, organizational, and problem-solving capabilities.

• Ability to work independently while juggling multiple priorities in a fast-paced environment.

• Experience with AdvancedMD is strongly preferred.

• Proven experience in directly communicating with providers regarding documentation and billing matters.

• Familiarity with assisting patients or their parents/guardians with billing inquiries.

• Comfortable collecting payments via phone and establishing payment plans.

• Experience working with multiple insurance carriers and specialty practices.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Opportunities for professional development and career advancement.

• Flexible work hours and a supportive work environment.

• Paid time off and holidays.