Résumé du poste :
We are looking for an experienced Medical Billing Specialist – AR and Charge Entry to join our healthcare team. This role requires a minimum of 3 years of experience in Accounts Receivable (AR) and proficiency in English due to frequent interactions with insurance payors. The ideal candidate will have extensive knowledge of Practice Management (PM) and Electronic Medical Record (EMR) systems, claims processing procedures, insurance portal usage, and basic Microsoft Excel knowledge. As a vital member of our team, you will ensure accurate and efficient medical billing processes without management responsibilities.
Détails de l'emploi :
- Travail à domicile
- Du lundi au vendredi, de 21 heures à 6 heures (heure de Manille)
- *Après les jours fériés aux États-Unis
Responsabilités :
- Data Entry: Enter CPT and diagnostic codes into EMR accurately and efficiently.
- Traitement des demandes d'indemnisation : Examiner et traiter les demandes d'indemnisation, en veillant à ce que toutes les informations nécessaires soient exactes et complètes. Rectifier toute divergence ou erreur dans les demandes.
- Denial Processing: Follow-up on unpaid claims via insurance portals and payor calls. Determine reason for denial and work it, based on company guidelines.
- Posting Payments: Post patient payments and EOB’s received in the mail, and ERA’s from payors.
- Dispute Resolution: Address and resolve billing disputes, discrepancies, and denied claims. Collaborate with insurance companies, healthcare providers and other team members for efficient problem-solving.
- Medical Records: Process medical record requests and submit records via fax, e-mail or portal to third parties and/or insurance companies.
- Documentation: Maintain detailed records of billing inquiries, and resolutions. Ensure proper documentation and filing of all billing and insurance information.
Qualifications :
- Minimum of 3 years’ experience in medical billing, specifically in Accounts Receivable.
- Maîtrise de l'anglais et excellentes aptitudes à la communication orale et écrite.
- Expérience approfondie des systèmes PM/EMR.
- Forte compréhension des processus de facturation médicale, des demandes d'assurance et de la vérification des paiements.
- Ability to explain complex billing concepts clearly.
- Expérience confirmée en matière de règlement des litiges et de traitement des demandes d'indemnisation.
- Exceptional organizational skills and attention to detail for accurate documentation and record-keeping