Position Summary:
We are currently seeking a skilled Medical Billing Specialist - AR to join our healthcare team as a crucial member of our billing department. This role demands a deep understanding of medical billing processes, exceptional leadership skills for potential supervisory duties, and proficiency in English due to frequent interactions with patients. The ideal candidate will possess a minimum of 3 years experience in AR and proficiency in Practice Management (PM) and Electronic Medical Record (EMR) systems.
Job Details:
- Work from home
- Monday to Friday | 9 PM to 6 AM Manila Time
- *Following US Holidays
Responsibilities:
- Leadership: Provide guidance and leadership to the AR team, ensuring adherence to best practices and standard procedures.
- Customer Support: Deliver exceptional customer service by addressing patient and healthcare provider inquiries regarding medical billing and insurance claims.
- Billing Inquiries: Assist patients with questions regarding billing statements, insurance coverage, and payment options. Translate complex billing information into understandable terms.
- Claims Processing: Oversee the review and processing of insurance claims, ensuring accuracy and completeness of all necessary information. Rectify any discrepancies or errors in submissions.
- Payment Verification: Verify insurance eligibility, benefits, and authorizations. Confirm accuracy of patient information and insurance details for claims processing.
- Dispute Resolution: Address and resolve billing disputes, discrepancies, and denied claims. Collaborate with insurance companies and healthcare providers for efficient problem-solving.
- Documentation: Maintain detailed records of customer interactions, billing inquiries, and resolutions. Ensure proper documentation and filing of all billing and insurance information.
Qualifications:
- Minimum of 3 years experience in medical billing, specifically in Accounts Receivable.
- Proficiency in English with excellent verbal and written communication skills.
- Extensive experience with PM/EMR systems.
- Strong understanding of medical billing processes, insurance claims, and payment verification.
- Ability to explain complex billing concepts clearly and empathetically to patients.
- Proven track record in dispute resolution and claims processing.
- Exceptional organizational skills and attention to detail for accurate documentation and record-keeping.
- Leadership skills with the ability to guide and mentor a team effectively.