職位摘要：
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.
工作詳情：
- 在家工作
- 馬尼拉時間週一至週五晚上 9 點至早上 6 點
- *緊隨美國假期
職責：
- Data Entry: Enter CPT and diagnostic codes into EMR accurately and efficiently.
- 理賠處理：審核和處理保險索賠、確保所有必要資訊的正確性和完整性。糾正提交的任何差異或錯誤。
- 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.
- 精通英語，具備優秀的口頭和書面溝通技巧。
- 擁有 PM/EMR 系統的豐富經驗。
- 對醫療帳單處理流程、保險索賠和付款驗證有深入瞭解。
- Ability to explain complex billing concepts clearly.
- 在爭議解決和理賠處理方面有良好的記錄。
- Exceptional organizational skills and attention to detail for accurate documentation and record-keeping