Medical Billing Specialist-Payment Posting
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AI Summary
Responsible for processing medical payments, creating posting batches, and managing claims submissions to clearinghouses. The role involves identifying underpayments, preparing appeals, and communicating with payers and patients to ensure accurate reimbursement.
The Medical Billing Specialist-Payment Posting is responsible for ensuring the timely and accurate payment of medical services rendered to our client's patients. This includes charge entry, collecting payments from insurance companies, and providing exceptional customer service.
Job Details:
- Medical Billing Specialist- Payment Posting
- Work from home
- Monday to Friday | 8:00 PM-5:00 AM Philippine Time
*Candidates who are residing in the metro area are preferred.
Responsibilities:
- Process payments received and create batches for posting.
- Identify underpayments and prepare appeals documents.
- Code claims accordingly with CPT and ICD 10s codes.
- Submit claims to clearinghouses and update or review claims corrections.
- Communicate with patients, providers, and payers to check eligibility, pre-certify, or follow up on claims and appeals
- Perform other duties as assigned by management
Qualifications:
- At least 3 years of experience in US Healthcare.
- Knowledge of medical billing codes, including CPT and HCPCS coding, claims modifiers, and ICD-10 diagnosis coding
- Familiarity with Revenue Cycle Management (RCM) systems, Practice Management Systems (PMS), and tools.
- Understanding of different types of insurance coverages and claims, including Health, Workers' Comp, and Auto
- Ability to read and interpret EOBs (Explanation of Benefits)
- Experience with coordinating with insurance companies.
- Strong adaptability and ability to learn quickly
- Proven efficiency and punctuality in completing tasks.
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