About the job Medical Billing Specialist
Position Title: Medical Billing Specialist
Salary Grade: 30,000-35,000 PHP a month
Reports To: Client, Client Advisor
Primary Relationships: Client Team
Date: May 2023
Schedule : 9PM to 6AM PHT
Responsibilities:
Obtain referrals and pre-authorizations as required for procedures
Check eligibility and benefits verification for treatments, hospitalizations, and procedures
Review patient bills for accuracy and completeness, obtaining any missing information
Prepare, review, and transmit claims using billing software, both electronically and through paper claim processing
Answer patient and insurance inquiries related to assigned accounts
Verify accuracy and compliance of insurance payments with contract discounts
Contact insurance companies to address discrepancies in payments, if necessary
Follow up on unpaid claims within the standard billing cycle timeframe
Set up patient payment plans and manage collection accounts
Update cash spreadsheets and generate collection reports
Identify and bill secondary or tertiary insurances
Review accounts for insurance of patient follow-up
Research and appeal denied claims
Update billing software with rate changes
Review Jellybean labs following an algorithm
Review E Jellybean prescriptions and follow an algorithm
Email lab orders to patients the following day
Review missed appointments and create reminders for follow-up, including maintaining a spreadsheet
Send weekly messages to patients requesting RSVPs for appointment purposes
Prepare progress notes and order labs twice a week, as per the algorithm, and transmit them
Print out labs and messages using a remote printer three days a month
Requirements:
College graduate; additional qualification as a Medical Billing Specialist or Nurse is required
High level of proficiency in both written and spoken English
Proven experience as a Medical Biller, virtual assistant, or nurse
Strong attention to detail and a high level of accuracy in work product
Knowledge of office management systems and procedures
Strong organizational and multitasking skills
Problem-solving abilities and attention to detail
Working knowledge of EMR Systems
Ability to maintain confidentiality
Minimum 1 year of experience as a Medical Biller, Nurse, or Admin in the medical field
Basic knowledge of computers, data entry, MS Office, and Google Suite is a plus
COmpany Benefits:
SSS, Philhealth, Pag-Ibig
13th Month Pay
HMO and Life Insurance (AVEGA)
Free Shuttle Service
CO League - Monthly Company Activities
CO Clubs
CO Amenities Swimming Pool, Clinic and Kids zone
CO Stars - Corporate Social Responsibility Involvement Scholarship Programs
CO Academy - Training and Development Programs
COolture Coach
CO Gears
Cool and Flexible Workplace
Other Performance and Attendance Based Rewards
Bereavement Leave
Paternity Leave
7 days SOLO Parent Leave
Magna Carta Leave
Company Bank Loan