Job description

Salary: 25,000 PHP- 35,000/ month

Job Description:

Accurate Claims Creation: Ensure the preparation of accurate and compliant medical insurance claims for timely submission.
Timely Claim Submission: Oversee the submission of claims to insurance companies, ensuring adherence to deadlines to avoid delays in payments.
Claim Denial Management: Address claim denials by coordinating resubmissions, crafting detailed appeal letters, and working toward resolutions.
Denial Mitigation Strategies: Develop and implement proactive strategies to minimize claim denials, ensuring continuous improvement in billing processes.
Specialty and Carrier-Specific Knowledge: Continuously stay updated on the latest billing requirements, guidelines, and regulations specific to various medical specialties, states, and insurance carriers. Adapt billing practices to ensure compliance with industry standards and streamline claim submission processes.
Policy and Procedure Adherence: Follow all client and team policies, procedures, and guidelines to maintain consistency, compliance, and accuracy.

Minimum Qualifications:

Experience: Open to candidates with or without experience, though individuals with 1-2 years of medical billing experience will be given priority consideration.
Insurance Knowledge: Familiarity with various insurance policy types, including PPO, HMO, and MediCal, is preferred but not required.
Practice Management Systems: Ability to navigate Healthcare Practice Management systems is a plus, though not mandatory.
Skills: Strong attention to detail, accuracy, and excellent time management skills are essential.
Communication: Must possess excellent communication skills in English, both written and verbal.
Data Entry: Proficient data entry skills, with a typing speed of 40 WPM or faster, are required.
Confidentiality: Must demonstrate the ability to work with and protect confidential information.
Consultancy Role: Must be open to working in a consultancy capacity, with flexibility in project-based or contract work as needed.