- Location
- Philippines · published
- Type
- Full-time
- Department
- Healthcare
- Source
- Workable
Description
Salary Range: $1500 - $2000 per month
Schedule: 8 am - 5 pm EST M-F. One hour break 12-1 pm
Key Responsibilities
Medical Billing & Claims Management
- Prepare, review, and submit a high volume of insurance claims daily.
- Manage the full billing workflow from claim creation through payment posting and account follow-up.
- Submit claims accurately to clearinghouses and ensure timely processing.
- Monitor claim status and proactively resolve billing issues.
Denials & Revenue Cycle Management
- Investigate, appeal, and resolve claim rejections and denials from start to finish.
- Identify billing errors, make necessary corrections, and promptly resubmit claims.
- Maintain a strong understanding of Coordination of Benefits (COB) to ensure accurate claim processing.
- Apply CPT and HCPCS modifiers correctly based on payer requirements and clinical documentation.
- Ensure compliance with insurance payer guidelines across multiple commercial and government payers.
Communication & Patient Support
- Communicate professionally with healthcare providers regarding documentation and billing questions.
- Assist patients or parents/guardians with billing inquiries and account balances.
- Collect payments over the phone and establish payment arrangements while providing excellent customer service.