Archives Jobs

Medical Billing Specialist

Position Summary:

The primary responsibility of the Medical Billing Specialist is to assist our clients in collecting payments from the insurance companies for the medical services rendered to their patients. Secondary responsibilities may include charge entry, payment posting, and customer service.

Job Details:

Medical Billing Specialist

Work from home

Monday to Friday| 8 AM to 5 PM (EST)

Responsibilities:

  • Creating batches and post-received payments.
  • Identifying underpayments and preparing documents for appeals.
  • Code claims accordingly with CPT and ICD 10s codes.
  • Post charges to create a claim and submit it to our clearinghouses.
  • Review or update claims corrections and upload required documents in our clearinghouse portals.
  • Contact patients, providers, and payers to check eligibility, pre-cert, or follow up on claims/appeals.
  • Perform other duties assigned by the management.

Qualifications:

  • At least 2 years’ Experience in a similar role.
  • Effective oral and written communication skills
  • Knowledge of medical billing codes, including CPT, claims modifiers, and ICD-10 diagnosis coding.
  • Familiarity with Revenue Cycle Management (RCM) systems, Practice Management Systems (PMS), and tools.
  • Understanding of different types of insurance coverages and claims, including Health, Workers' Comp, and Auto
  • Ability to read and interpret EOBs (Explanation of Benefits)
  • Experience with coordinating with insurance companies.
  • Strong adaptability and ability to learn quickly.
  • Proven efficiency and punctuality in completing tasks.

by Garegin Hakobyan

Medical Billing Specialist - AR and Charge Entry

Job Overview:

We are currently seeking a detail-oriented, energetic, and focused Medical Biller, specializing in AR & Charge Entry. The ideal candidate is a high achiever committed to their career and demonstrates exceptional capability and commitment in handling complex billing tasks in a high-volume, fast-paced work environment.

About the Client:

Our client is a large physician-owned, physician-directed, and patient-centered organization. Their goals are to provide high-quality, cost-effective, integrated, healthcare and physician services. To preserve community-based independent physician practice locations throughout California. With this client, the practices are closer and more connected to the people and neighborhoods they serve. With a more personal touch to healthcare and easier access to the care they need, they help guide patients to the best possible outcome.

Job Details:

  • Medical Billing Specialist – AR and Charge Entry
  • Monday to Friday | 11:00 PM to 8:00 AM Manila Time
  • Permanent Work from home

Responsibilities:

  • Work all aging claims from Work Ques or Aging reports
  • Perform the day-to-day billing and follow-up activities within the revenue operations
  • Present trends or issues to the supervisor, and work together to make improvements
  • Resolve denials or correspondences from patients and insurance carriers
  • Assist in patient calls and questions
  • Follow team and company policies
  • Meet productivity standards
  • Write clear and concise appeal letters

Qualifications:

  • At least 3 years of Medical Billing- AR and Charge Entry experience in the US Healthcare Industry, specifically in the fields: Vascular, General Surgery, Colorectal, and Podiatry specialties.
  • EPIC software experience
  • Understanding of EOBs, copays, deductibles, various Insurance plans, secondary insurances, Medicare, Medi Cal, contract adjustments
  • Knowledge of modifiers, diagnosis, and CPT codes
  • Knowledge of payers’ policies and rules
  • Superior phone communication skills with providers, carriers, patients, and employees
  • Exceptional written and verbal communication skills
  • Knowledge of modifiers, insurance plans, and follow-up techniques
  • Proficiency with Microsoft Office applications
  • Ability to work in a fast-paced, high-volume work environment
  • Basic typing skills, 40+ wpm.
  • Strong attention to detail
  • Positive attitude
  • Great attendance and punctuality

by Garegin Hakobyan

Product Analyst

Position Summary:

We are seeking a skilled Product Analyst to join our team. The Product Analyst will collaborate closely with stakeholders and the Product Owner to define requirements, analyze options, and contribute to the development of epics and user stories. The ideal candidate will have a strong understanding of agile methodologies, excellent communication skills, and the ability to translate conversations into structured documents.

Job Details:

  • Work from Home
  • Monday to Friday | 8 AM to 5 PM - UK Time
  • Following UK Holidays

Responsibilities:

  • Provide key inputs for the Product Owner to assess options and select an approach to achieving the epic goals.
  • Work with stakeholders to define backlog items and ensure they align with overall objectives.
  • Define, analyze, and document specific requirements, including identifying the "as-is" situation and creating problem statements for the current status.
  • Collaborate with contributors to define the to-be status and lead the gathering of requirements for new functionality.
  • Collaborate with stakeholders to identify potential technical solutions and contribute to the creation of epics and user stories to implement those solutions.
  • Ensure backlog items have sufficient detail to accurately judge requirements and facilitate smooth sprint cycles.
  • Own the analysis and documentation of business requirements, validating them with all stakeholders.
  • Work closely with operational and delivery teams throughout sprint cycles to ensure successful implementation of requirements.

Qualifications:

  • Experience and understanding of operating using Scrum, Kanban, and/or agile methodologies.
  • Previous experience as a Business Analyst, Product Analyst, or in a similar field.
  • Strong communication skills and the ability to translate conversations into structured documents.
  • Experience in user journey mapping and user story creation.
  • Experience in a DevOps environment is desirable.
  • Ability to work under pressure and autonomously.
  • A can-do attitude and a team-player mentality.
  • Knowledge and understanding of Jira.

by Garegin Hakobyan