Medical Billing Specialist - AR and Charge Entry

Position Summary:

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 patients. The ideal candidate will have extensive knowledge of Practice Management (PM) and Electronic Medical Record (EMR) systems. As a vital member of our team, you will ensure accurate and efficient medical billing processes without management responsibilities.

Job Details:

• Work from home
• Monday to Friday | 9 PM to 6 AM Manila Time
• *Following US Holidays

Responsibilities:

• Customer Support: Provide excellent customer service by addressing patient and healthcare provider inquiries related to medical billing and insurance claims. Explain billing information clearly and empathetically.
• Billing Inquiries: Assist patients with questions regarding billing statements, insurance coverage, and payment options. Translate complex billing information into understandable terms.
• Claims Processing: Review and process 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 the 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.