ポジションの概要
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.
仕事の詳細
- 在宅勤務
- 月曜日～金曜日｜マニラ時間午後9時～午前6時
- *米国の祝日に準ずる
責任：
- Data Entry: Enter CPT and diagnostic codes into EMR accurately and efficiently.
- 保険金請求処理：必要な情報がすべて正確かつ完全であることを確認し、保険請求を審査、処理する。提出書類の矛盾や誤りを修正する。
- 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.
資格：
- Minimum of 3 years’ experience in medical billing, specifically in Accounts Receivable.
- 英語に堪能で、口頭および書面でのコミュニケーション能力に優れていること。
- PM/EMRシステムの豊富な経験
- 医療請求プロセス、保険請求、支払確認に関する深い理解。
- Ability to explain complex billing concepts clearly.
- 紛争解決およびクレーム処理における実績。
- Exceptional organizational skills and attention to detail for accurate documentation and record-keeping