Medical Billing Data Entry, Accounts Receivable Specialist

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

📋 Description

• Input patient demographic and insurance details from both paper and scanned documents into athenahealth and Greenway.

• Enter charges and generate claims, ensuring all information is complete and accurate before submission.

• Post payments and adjustments received from ERAs, EOBs, and paper remittances.

• Verify insurance eligibility and benefits to ensure precise registration.

• Record any missing, unclear, or incomplete documents and direct them to the client for resolution.

• Follow up on unpaid and underpaid insurance claims through payer portals and via phone communications.

• Investigate and resolve denials, including submitting corrected claims and appeals.

• Achieve the productivity and accuracy goals established by the client.

• Maintain clear documentation of all work within the client's systems and trackers.

• Safeguard patient information and comply with HIPAA regulations.

⛳️ Requirements

• Minimum of 2 years of experience in U.S. healthcare insurance and medical billing.

• Practical experience with insurance accounts receivable follow-up and denial management.

• Background in charge entry, demographic input, or payment posting.

• Knowledge of commercial insurance and government health plans, including Medicare and Medicaid.

• Experience using payer portals and insurance websites.

• Proficient in written and spoken English.

• Exceptional attention to detail and strong follow-up abilities.

• Quick, accurate typing skills and comfort in handling high volumes of paper documents.

• Capability to work autonomously and manage various patient accounts effectively.

• Reliable internet connection and an appropriate remote workspace are essential.

• Preferred: Accounts receivable experience in Critical Care, Anesthesia, or Pulmonology billing.

• Preferred: Familiarity with athenahealth.

• Preferred: Experience with Greenway (Intergy or Prime Suite).

• Preferred: Knowledge of Pennsylvania insurance plans such as Highmark, UPMC Health Plan, and Pennsylvania Medicaid.

🏝️ Benefits

• Opportunity for remote work.

• Full-time employment status.

• Availability for scheduling during Eastern Time business hours.

• A reliable internet connection and a suitable remote workspace are required for remote work.

• Preference for applicants based in the Philippines.