Medical Biller

As a Medical Biller, you will be responsible for managing the billing process for healthcare services, ensuring accurate and timely submission of claims, verification of insurance coverage, and efficient management of payments. This remote position requires strong attention to detail, proficiency in billing software, and excellent communication skills to interact with insurance companies and healthcare providers effectively. Your primary duties will include charge entry, claim submission, insurance verification, authorization, claim follow-up, denial management, and payment posting.

Key Responsibilities:

•Charge Entry and Claim Submission: Accurately enter charges for medical services rendered into billing software or electronic health record (EHR) systems. Prepare and submit claims to insurance companies or third-party payers in compliance with billing regulations and guidelines. Verify that all required documentation and coding are complete and accurate before claim submission.

•Insurance Verification and Authorization: Verify patients’ insurance coverage and eligibility for medical services prior to treatment. Obtain pre-authorizations or referrals as required by insurance providers for specific procedures or treatments. Communicate with insurance companies to resolve coverage-related issues and ensure timely authorization for services.

•Claim Follow-Up and Denial Management: Monitor the status of submitted claims and follow up on outstanding or denied claims promptly. Investigate and resolve claim denials or rejections by identifying and addressing billing errors, missing information, or discrepancies. Take appropriate action to appeal denied claims and pursue reimbursement from insurance companies.

•Payment Posting: Post payments received from insurance companies, patients, or third-party payers accurately and promptly. Reconcile payments against billed charges and identify any discrepancies or underpayments for further investigation. Apply adjustments, write-offs, or refunds as necessary and maintain accurate records of payment transactions.

Qualifications:

•Previous experience in medical billing or healthcare administration, with a strong understanding of billing processes and procedures.
•Understanding of HIPAA regulations and the importance of patient data confidentiality.
•Proficiency in billing software and electronic health record (EHR) systems, with the ability to navigate and enter data accurately.
•Knowledge of medical coding principles, including CPT, ICD-10, and HCPCS codes, is preferred.
•Excellent communication skills, both verbal and written, with the ability to interact professionally with insurance companies, healthcare providers, and patients.
•Strong analytical and problem-solving skills, with the ability to identify and resolve billing issues and claim discrepancies.
•Detail-oriented and organized, with the ability to manage multiple tasks and prioritize workload effectively in a remote work environment.
•Familiarity with insurance verification processes, pre-authorizations, claim follow-up, and denial management.
•Proficiency in using virtual communication tools and remote collaboration platforms.
•Willingness to work on Pacific Standard Time (PST) schedule.
•High school diploma or equivalent.

System and Work Setup Requirements:
•A stable and high-speed internet connection preferably 25 MBPS or higher with backup in cases of power interruption or service provider issues
•Own PC/laptop with 8GB RAM, and a processor of Core i3 / AMD Ryzen 3 / 2013 Mac equivalent or higher; Windows 10 or above / Catalina 10.15 or newer; with up-to-date web browsers, and security software, 500GB/128 SSD storage
•Headset/earphone with noise cancellation and webcam at 720p or higher resolution
•A designated, quiet, and well-organized workspace free from distractions to facilitate focused work

Benefits:
•Permanent remote work setup
•Competitive starting rate paid in USD, plus performance incentives
•Internet allowance
•Paid US holidays
•Performance incentives
•HMO Insurance (PH)
•Opportunities for career growth and professional development.
•Collaborative and dynamic work culture.

How to apply: Send us a message with your updated Resume.