포지션 요약:
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.
작업 세부 정보:
- 재택 근무
- 월요일 ~ 금요일 | 오후 9시 ~ 오전 6시(마닐라 시간)
- *미국 공휴일 다음
책임:
- Data Entry: Enter CPT and diagnostic codes into EMR accurately and efficiently.
- 보험금 청구 처리: 보험금 청구를 검토하고 처리하여 필요한 모든 정보의 정확성과 완전성을 보장합니다. 제출된 정보의 불일치 또는 오류를 수정합니다.
- 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.
자격:
- Minimum of 3 years’ experience in medical billing, specifically in Accounts Receivable.
- 구두 및 서면 의사소통 능력이 뛰어난 영어 구사 능력.
- PM/EMR 시스템에 대한 풍부한 경험.
- 의료 청구 프로세스, 보험 청구 및 결제 확인에 대한 이해도가 높습니다.
- Ability to explain complex billing concepts clearly.
- 분쟁 해결 및 클레임 처리 분야에서 입증된 실적.
- Exceptional organizational skills and attention to detail for accurate documentation and record-keeping