Resumo da posição:
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.
Detalhes do trabalho:
- Trabalhar a partir de casa
- De segunda a sexta-feira, das 21h00 às 06h00, hora de Manila
- *Após os feriados nos EUA
Responsabilidades:
- Data Entry: Enter CPT and diagnostic codes into EMR accurately and efficiently.
- Processamento de pedidos de indemnização: Analisar e processar pedidos de indemnização de seguros, assegurando a exatidão e a integralidade de todas as informações necessárias. Retificar quaisquer discrepâncias ou erros nos pedidos.
- 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.
Qualificações:
- Minimum of 3 years’ experience in medical billing, specifically in Accounts Receivable.
- Proficiência em inglês com excelentes capacidades de comunicação verbal e escrita.
- Vasta experiência com sistemas PM/EMR.
- Conhecimento profundo dos processos de faturação médica, pedidos de indemnização de seguros e verificação de pagamentos.
- Ability to explain complex billing concepts clearly.
- Experiência comprovada na resolução de litígios e no tratamento de pedidos de indemnização.
- Exceptional organizational skills and attention to detail for accurate documentation and record-keeping