Medical Billing Consultant | Work From Home (Pooling)

 Posted 3 hours ago
     
 30000 - 35000 per month
  
⭐ 2-5 years experience
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AI Summary

Ensure the preparation and timely submission of accurate medical insurance claims while managing denials and appeals. Develop proactive strategies to minimize claim rejections and maintain compliance with industry regulations.

Salary: PHP 30,000- PHP 35,000/ month

Job Description:

  • Ensure the preparation of accurate and compliant medical insurance claims for timely submission.
  • Oversee the submission of claims to insurance companies, ensuring adherence to deadlines to avoid delays in payments.
  • Address claim denials by coordinating resubmissions, crafting detailed appeal letters, and working toward resolutions.
  • Develop and implement proactive strategies to minimize claim denials, ensuring continuous improvement in billing processes.
  • 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.
  • Follow all client and team policies, procedures, and guidelines to maintain consistency, compliance, and accuracy.

Minimum Qualifications:

  • Open to candidates with or without experience, though individuals with 1-6 years of medical billing experience will be given priority consideration.
  • Consultancy basis minimum of 6 months consultancy contract (subject for renewal)
    • Familiarity with various insurance policy types, including PPO, HMO, and MediCal, is preferred but not required.
    • Ability to navigate Healthcare Practice Management systems is a plus, though not mandatory.
    • Strong attention to detail, accuracy, and excellent time management skills are essential.
    • Must possess excellent communication skills in English, both written and verbal.
    • Proficient data entry skills, with a typing speed of 40 WPM or faster, are required.
    • Must demonstrate the ability to work with and protect confidential information.
    • Able to work from home with reliable internet and a backup connection.

    Others:

    • Work from Home
      • Equipment/ company computer is provided

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