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Medical Billing Specialist (eCW) at Sourcefit

Remote:

Full Remote

Contract:

Full time

Work from:

Philippines

Offer summary

Qualifications:

Experience with Medisoft and/or eCW, Knowledge of U.S. insurance claims, Detail-oriented with strong analytical skills, Proficient in Microsoft Office Suite.

Key responsabilities:

Manage and process medical claims
Post payments and reconcile discrepancies
Analyze billing data and prepare reports
Ensure compliance with industry regulations

Sourcefit Large https://www.sourcefit.com

1001 - 5000 Employees

See more Sourcefit offers

Job description

Position Summary:

The Medical Billing Specialist will be responsible for managing and processing medical claims, ensuring accuracy, and maintaining compliance with relevant regulations. This role requires expertise in using Medisoft and/or eCW for payment posting, as well as a strong understanding of out-of-network health Insurance, Workers' Compensation, and Personal Injury Protection (PIP) claims in the U.S. The ideal candidate will be detail-oriented, capable of working in a fast-paced environment, and possess strong analytical skills.

Job Details:

Medical Billing Specialist
Work from home
Monday to Friday| 8 PM to 5 AM Manila Time

Responsibilities:

Payment Posting:
- Accurately post payments using Medisoft and/or eCW
- Reconcile posted payments with Explanation of Payments
- Identify and correct any discrepancies in payment posting
Claims Management:
- Process and manage Out of Network Health Insurance, Workers Compensation, and PIP claims
- Ensure timely and accurate submission of claims
- Follow up on unpaid or denied claims to ensure maximum revenue realization
Data Analysis and Reporting:
- Analyze billing data to identify trends, errors, and opportunities for improvement
- Prepare and submit reports on billing activities and outcomes
- Collaborate with the management team to develop strategies for optimizing billing processes
Compliance and Documentation:
- Maintain up-to-date knowledge of industry regulations and compliance
  requirements
- Ensure all billing activities are compliant with relevant laws and guidelines
- Accurately document all billing and claims activities

Qualifications:

Proven experience using Medisoft and/or eCW (eClinicalWorks) for payment posting
Strong knowledge of Out of Network Health Insurance, Workers Compensation, and PIP claims in the U.S
Exceptional attention to detail and accuracy
Ability to work efficiently in a fast-paced environment
Strong analytical and problem-solving skills
Ability to work independently and as part of a team
Proficiency in Microsoft Office Suite (Excel, Word, Outlook)