Eastwood Libis, QC, PH

Medical Billing Specialist (ALB)

Position Summary:

The Medical Billing Specialist will be responsible for managing and processing medical claims, ensuring accuracy, and maintaining compliance with relevant regulations. This role requires expertise in using Medisoft and/or eCW for payment posting, as well as a strong understanding of out-of-network health Insurance, Workers' Compensation, and Personal Injury Protection (PIP) claims in the U.S. The ideal candidate will be detail-oriented, capable of working in a fast-paced environment, and possess strong analytical skills.

Job Details:

  • Medical Billing Specialist
  • Work from home
  • Monday to Friday| 8 PM to 5 AM Manila Time

Responsibilities:

  1. Payment Posting:
    • Accurately post payments using Medisoft and/or eCW
    • Reconcile posted payments with Explanation of Payments
    • Identify and correct any discrepancies in payment posting
  2. Claims Management:
    • Process and manage Out of Network Health Insurance, Workers Compensation, and PIP claims
    • Ensure timely and accurate submission of claims
    • Follow up on unpaid or denied claims to ensure maximum revenue realization
  3. Data Analysis and Reporting:
    • Analyze billing data to identify trends, errors, and opportunities for improvement
    • Prepare and submit reports on billing activities and outcomes
    • Collaborate with the management team to develop strategies for optimizing billing processes
  4. Compliance and Documentation:
    • Maintain up-to-date knowledge of industry regulations and compliance
      requirements
    • Ensure all billing activities are compliant with relevant laws and guidelines
    • Accurately document all billing and claims activities

Qualifications:

  • Proven experience using Medisoft and/or eCW (eClinicalWorks) for payment posting
  • Strong knowledge of Out of Network Health Insurance, Workers Compensation, and PIP claims in the U.S
  • Exceptional attention to detail and accuracy
  • Ability to work efficiently in a fast-paced environment
  • Strong analytical and problem-solving skills
  • Ability to work independently and as part of a team
  • Proficiency in Microsoft Office Suite (Excel, Word, Outlook)

by Carl Trinidad

Machine Learning Engineer

Position Summary:

Our client is looking for a skilled Machine Learning Engineer to join their team! The ideal candidate will have extensive experience in designing, building, and deploying machine learning models and AI solutions in production environments, with a strong focus on Azure technologies.

Job Details:

  • Work from home.
  • Monday to Friday | 3 PM to 12 AM Manila Time
  • *Following UK Holidays

Responsibilities:

  • Design and implement scalable machine learning systems for forecasting, churn prediction, and OCR applications using Azure AI services
  • Develop and deploy AI-powered chatbots and virtual assistants using Azure Bot Service and related cognitive services
  • Build and maintain data pipelines for efficient data processing and model training
  • Integrate Azure Cognitive Services into existing applications and workflows
  • Optimize machine learning models and AI solutions for performance and scalability
  • Collaborate with data scientists to productionize models and ensure seamless integration with existing systems
  • Implement best practices for MLOps and AIOps, including version control, testing, and monitoring of ML models and AI solutions

Qualifications:

  • Bachelor's or Master's degree in Computer Science, Software Engineering, or a related field
  • 5+ years of experience in machine learning engineering or similar roles
  • Strong proficiency in Python and software development best practices
  • In-depth knowledge of Azure services, including Azure Machine Learning, Azure Cognitive Services, Azure Bot Service, and Azure Databricks
  • Hands-on experience building and deploying AI-powered chatbots and virtual assistants
  • Experience with OCR technologies and implementations using Azure Computer Vision or custom models
  • Familiarity with natural language processing (NLP) and conversational AI technologies
  • Proficiency in containerization technologies (e.g., Docker) and orchestration platforms (e.g., Kubernetes)
  • Experience with big data technologies such as Spark and Hadoop
  • Strong understanding of machine learning algorithms and their practical applications
  • Experience with CI/CD pipelines and MLOps/AIOps practices

by Carl Trinidad

Level 2 Technician

Position Summary:

The Level 2 Technician's role is to ensure system operation and functionality so that end users can accomplish business tasks. The objective of the IT Technician will be to respond to support requests in a timely manner, be the initial reference point for all IT support-related tickets, and ensure the satisfaction of the end user, among other technical duties.

IT Technicians are expected to display good interpersonal skills as they will interact with colleagues from various departments, executive levels, and customers daily.

Responsibilities:

  • Provide support of incoming requests to the service desk via telephone, web portal, email to ensure courteous, timely, and effective resolution of end-user issues.
  • Provisioning and system setup for new hires.
  • Prioritize incidents and service requests according to defined processes to meet defined SLAs.
  • Use remote tools and diagnostic utilities to aid in resolving support requests.
  • Perform hands-on fixes at the desktop level when remote tools are not appropriate, including hardware repairs, delivery of peripherals, or other fixes as determined.
  • Installing and configuring hardware and software components throughout various network infrastructure devices.
  • Install antivirus software and ensure virus definitions are up to date.
  • Server administration via Active Directory, File & Print services, DNS, DHCP.
  • Perform preventative maintenance, including checking and cleaning of workstations, printers, and peripherals.
  • Establishing good relationships with all departments and colleagues.
  • Valid Driver's License and ability to drive to customer locations when required.
  • Ensuring company safety and security standards are met.

IT Technician II Requirements:

  • College diploma or university degree in the field of Computer Science and/or 3 years equivalent work experience.
  • Office 365 administration experience.
  • Exceptional written and oral communication skills.
  • Experience with desktop and server operating systems including Windows 7, Windows 10, Server 2008, Server 2012, Server 2016, and Mac OS.
  • Active Directory knowledge is a plus.
  • Some knowledge and understanding of networking devices and appliances.
  • Exceptional interpersonal skills, with a focus on rapport-building, listening, and questioning skills.
  • Good problem-solving skills.
  • Excellent customer service skills.
  • Ability to work under moderate supervision.
  • Valid Driver's License and ability to drive to customer locations when required.
  • CompTIA A+ and/or CompTIA Network+ preferred

by Carl Trinidad